panic attacks impaired short-term memory auditory hallucinations inability to leave home
A 17-year-old female with a self-admitted opioid addiction is seen by the nurse in a mental health clinic. Which intervention would the nurse not consider in establishing a therapeutic relationship?
discuss the impact of substance use require the client to attend all therapy sessions explore alternative approaches to managing stress assess the presence of other psychiatric disorders
The nurse discovers a hospice client has expired. The family members are assembled in the facility’s waiting room. Which of the following statements by the nurse would be the most appropriate?
“My condolences on the passing of your family member. You may visit him if you wish.” “I will give you some time to spend with your loved one. Let me know if you need anything.” “You should view your loved one as a way of saying farewell.” “It would be best if you not view…
The nurse is caring for a client whose cultural background is different from her own. Which nursing action is appropriate?
understand that fear of death is universal know that dietary habits are equally important to all cultures respect the client’s cultural beliefs explain the nurse’s cultural beliefs to the client
A client is suspected of having posttraumatic stress disorder. Which problem is the most important for the nurse to assess?
panic attacks anorexia suicide short-term memory loss
The nurse suspects a client is experiencing alcohol withdrawal syndrome. Which action is most appropriate?
record suspicions in the medical record question the family about his drinking notify the physician ask the client about his drinking
The mental health nurse is caring for a client with Cluster B personality disorder. The nurse would expect the client to exhibit which behaviors?
suspicious of others, magical thinking, eccentric behavior, paranoia, relationship deficits preoccupation with rules and details, hoarding, ritualistic behavior, extremely devoted to work easily bored, poor and shallow interpersonal relationships, enjoys being the center of attention impulsivity, unpredictable behavior, extreme mood shifts, easily angered, playing people against each other suspicious and untrusting of others, argumentative, controlling…
The nurse is precepting a new nurse in the psychiatric unit. The nurse is discussing interventions for schizophrenia. Which statement by the student nurse indicates an understanding of management of schizophrenia?
“I should be warm and friendly to put the client at ease.” “I can reassure the client that he is in a safe environment.” “Puzzles or word games are good activities to engage in.” “I can help the client use art or writing to express his feelings.” “I won’t tell the client when I’m leaving…
A client is having a panic attack. Which nursing intervention has priority for this client?
have the client recount a positive childhood memory provide the client with a glass of water tell the client to take deep breaths ask the client to identify the source of his anxiety
The nurse is admitting a client with schizophrenia. The client is extremely socially withdrawn, is unable to perform activities of daily living, has an inappropriate affect, and has grimacing mannerisms. The nurse understands that this client is experiencing which type of schizophrenia?
residual schizophrenia paranoid schizophrenia catatonic schizophrenia disorganized schizophrenia undifferentiated schizophrenia