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1)male who was found sitting in the middle of a busy street is brought to the emergency department

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1)male who was found sitting in the middle of a busy street is brought to the emergency department. Confused and has difficulty answering questions. After ruling out a physiological etiology for the client’s behavior. When admitting the client to the unit, which action is most important for the nurse to take?

1. Ask the client about his recent substance use
2. Perform a mental status exam
3. Determine the number of previous hospitalizations
4. Assess the client from head-to-toe

2 . An adolescent male client is hospitalized after he threatened a teacher at school. He admits feeling angry because his mother tricked him and brought him to the hospital. The client states that when his mother visits, he plans to get his belongings from her, but he is not going to talk to her. Which activity is most important for the nurse to complete before the mother arrives?

A. Assess the clients self-esteem needs.

2. Determine the clients expectations for treatment.
3. Discuss methods for clearly communicating.
4. Identify ways to develop support systems.

3.Chronically depressed older male client of a long term care facility becomes more reclusive and today refuses to leave room:

 

4. During admission to the psychiatric unit, a female client is extremely anxious and states that she is worried about the sun coming up the next day. What intervention is most important for the RN to implement during the admission process?

1. Assist the client in developing alternative coping skills.
2. Remain calm and use a matter of fact approach.
3. Ask the client why she is so anxious
4. Administer a PRN sedative to help relieve her anxiety.

5.The nurse is assessing a client with postpartum depression for changes in the …….Sign  & Symptoms that are consistent with post partum depression ?

 

6. A client with borderline personality disorder tells the nurse, “You are the best nurse on the unit! The other nurses don’t care about me the way you do.” Which response is best for the nurse to provide this client?

a.) “I am not the best nurse. All the nurses are good.”

b.) “The other nurses and I are here to help you get better”

c.) “You don’t think the other nurses care about you?”

d.) “I do care about you as a person but nothing more.”

7.A sales executive presents to the psychiatric office for an initial evaluation, and tells the nurse “My therapist said my wife was having an affair. I had drinking problem for years, but I have been sober for 3 years. I believe in God……. What response is best for the nurse to provide?

8.The nurse is taking the history of a young adult female who is 5 feet 4 inches tall and weighs. What is the most important for the nurse to address immediately?

9.A young woman is preparing to be discharged from the psychiatric unit. Which nursing intervention is most important for the nurse to include in this phase of the nurse client relationship:

10.a client is being discharged with a prescription of paroxetine. which instruction is most important for the nurse to include in this client’s discharge?