A nurse is reinforcing teaching with a newly admitted client who has generalized anxiety disorder

"How is an orange similar to an apple?"

The mother of a 22-year-old client hospitalized for paranoid schizophrenia asks the nurse about behavioral techniques for improving medication compliance. Which of the following statements by the mother indicates an understanding of these strategies?

"I need to give my son praise when he takes his medication."

A nurse in a mental health clinic is collecting data from a client who has a history of mania. Which of the following findings indicates the client is experiencing relapse?

A nurse is reinforcing teaching regarding thought stopping to a client who has a phobia of riding in automobiles. Which of the following client responses indicates an understanding of the treatment?

"I will snap a rubber band on my wrist when I feel anxious about riding in a car."

A nurse is struggling with an ethical dilemma regarding a client’s wishes and her own personal values. After thoroughly collecting data and recognizing the problem, which of the following actions should the nurse perform next?

Determine the benefits and consequences of respecting the client’s wishes.

A nurse in an acute care mental health facility is caring for a client who has generalized anxiety disorder. Which of the following statements by the nurse is appropriate?

We'll assist you with making decisions."

A nurse is collecting data from a client who displays signs of paranoid personality disorder. Which of the following manifestations of behavior should the nurse expect?

A nurse notices a client with schizophrenia who is covering his ears with his hands and talking when no one else is present. Which of the following medications should the nurse anticipate administering?

A nurse in a mental health clinic is collecting data from a client who has major depressive disorder and is prescribed phenelzine. Which of the following findings should the nurse identify as an adverse effect of this medication?

A nurse is caring for a client who has post-traumatic stress disorder (PTSD) and is undergoing behavioral therapy. The nurse should document that the client is showing improvement when he

reports techniques that he uses to promote sleep.

A nurse is planning to administer a dose of lithium carbonate to a client who has bipolar disorder. A laboratory report indicates the client’s current serum lithium level is 1.0 mEq/L. Which of the following actions by the nurse is appropriate?

Administer the medication.

A nurse is caring for a client who has dementia and whose family brought her in due to concern about her increasing "memory problems." During data collection, the nurse should recognize which of the following as the highest priority finding?

The client sometimes wanders from the house.

A nurse is about to administer clozapine to a client who has schizophrenia. The client asks, "Will this medication make me sleepy?" The nurse explains to the client that the medication can make her sleepy but it also has therapeutic effects. Which of the following ethical concepts is the nurse promoting?

A nurse is caring for a client who has major depressive disorder and is scheduled to begin attending group therapy. The client refuses to attend stating, "Tell my therapist that this is not going to happen!" Which of the following responses by the nurse is appropriate?

"I can see this is something you feel strongly about."

A nurse is reinforcing teaching with a client who has a new prescription for alprazolam. Which of the following is the priority instruction the nurse should include when reinforcing teaching?

This medication can affect the ability to drive or handle mechanical equipment.

A nurse is caring for a client 2 days post hip arthroplasty. When a news report about combat activity comes on the television, the client says to the nurse, "My youngest son died in combat 6 months ago." Which of the following responses by the nurse is appropriate? (Select all that apply

-"This must be a very difficult time for you" -"Your son's death must be a terrible loss" -"Tell me something you remember about your son"

A nurse is collecting data from a client who has schizophrenia. Which of the following behaviors observed by the nurse during the interview should the nurse document as a negative manifestation of schizophrenia?

A nurse is reinforcing teaching about withdrawal manifestations to a client who is making plans to quit smoking. Which of the following statements by the client indicates an understanding of the teaching?

"I will probably feel irritable within 24 hours of my last cigarette."

A nurse is caring for a client who has developed acute delirium. Which of the following findings should the nurse expect?

A rapid fluctuation in the client’s level of consciousness.

A client who was voluntarily admitted to a mental health facility for treatment of major depressive disorder has given consent for electroconvulsive therapy (ECT). Shortly before initiation of ECT, the client tells the nurse she no longer wishes to have the procedure. Which of the following actions should the nurse take?

Assure the client that she has the right to refuse ECT.

A nurse in a mental health facility is caring for a client who has schizophrenia. The client becomes violent in the dayroom and begins throwing objects at staff and other clients. After calling for assistance, which of the following actions should the nurse take next?

Tell the client calmly to sit down.

A nurse is collecting data from a pregnant client who has opiate use disorder. The client reports she wants to stop using opioids. Which of the following medications should the nurse anticipate administering?

A nurse is reinforcing teaching with a client who has generalized anxiety disorder and is to start therapy with buspirone. Which of the following statements made by the client indicates an understanding of the teaching?

"I should expect to feel the full effect of my medication in 2 to 4 weeks."

A nurse is caring for a client who has been newly diagnosed with major depression. The client has asked that his partner not be informed about the diagnosis. Which of the following legal and ethical rules should guide the nurse's response to this situation?

Health Insurance Portability and Accountability Act (HIPAA)

A nurse is caring for a client who has bipolar disorder. The nurse should immediately notify the provider about which of the following changes in the client's behavior?

A nurse is collecting data from a client who is experiencing alcohol withdrawal. Which of the following clinical findings should the nurse anticipate?

A nurse in a community crisis center is caring for a client who has been beaten and raped by an acquaintance. She tells the nurse that she fears her attacker will find her and harm her again. Which of the following is an appropriate response by the nurse?

"I want you to know that you are safe here."

A nurse is collecting data from a 17-year-old adolescent who is suspected of having anorexia nervosa. Which of the following findings supports this suspicion?

A nurse is caring for a client following a recent suicide attempt. Which of the following actions should the nurse take?

Remove unacceptable objects from the client's belongings.

A nurse is caring for a client who is grieving over the recent death of his partner. The client states, "No one can understand my loss. She was my soulmate." Which of the following interventions should the nurse plan to implement?

Provide the client with a list of local grief support groups.

A school nurse is caring for an adolescent whose performance in school recently started declining. The client has also been withdrawn from normal social activities. Which of the following is the priority nursing intervention?

Conduct a suicide-risk assessment.

A nurse is collecting data from a client who has borderline personality disorder. Which of the following manifestations should the nurse expect?

A nurse is caring for a client who is hospitalized for antisocial personality disorder. The client is routinely late for or absent from community group meetings. Which of the following nursing interventions is appropriate for helping the client to improve this behavior?

Remind the client about unit expectations and rules.

A nurse is assisting with discharge planning for an older adult client who needs a day treatment center and has limited community and financial support. Which of the following referrals should the nurse recommend for inclusion in the client’s discharge plan?

A nurse is caring for a client who was recently admitted with acute mania and is intrusive to other clients. Which of the following actions should the nurse take?

Involve the client in an activity with a staff member

A nurse is caring for a client when he states, "I would like to get married to you." Which of the following is an appropriate response by the nurse?

Inform the client that the statement is inappropriate.

A nurse is caring for a client who has alcohol use disorder and is considering attending Alcoholics Anonymous (AA). Which of the following is an appropriate response by the nurse?

AA provides support for sobriety."

A nurse is caring for a client who has been diagnosed with a terminal illness. Which of the following statements by the client indicates that he is using repression as a coping mechanism?

"I can't remember one thing the doctor said about my illness."

A nurse is reinforcing discharge teaching with a client who has schizophrenia and is taking quetiapine. The nurse should reinforce to the client that which of the following tests should be performed periodically?

A nurse is caring for a client who reports amphetamine use. Which of the following findings should the nurse expect?

A nurse is caring for a client who has major depressive disorder and is hospitalized in a private room. During a visit, the client's family begins chanting and dancing at the client's bedside. Which of the following is an appropriate response by the nurse?

Close the client's door, allowing the family to carry out the ritual.

A nurse admits a female client diagnosed with major depressive disorder. Which of the following should concern the nurse with regard to the client's potential for self-injury?

The client's mood is suddenly elevated.

A nurse is reinforcing teaching with the parents of a 20-year-old client who was just admitted with a new diagnosis of schizophrenia. Which of the following, if said by a member of the client's family, indicates an understanding of this disorder?

"What can we do to help him decrease his stress?"

A nurse in a community center is caring for a client who has histrionic personality disorder. Which of the following clinical findings should the nurse expect?

Which of the following actions should a nurse plan to take during the working phase of a therapeutic nurse-client relationship?

Promote the development of problem-solving skills.

A nurse is caring for a client who has obsessive-compulsive disorder (OCD). Which of the following is an expected clinical finding?

Recurrent intrusive thoughts that cause marked distress