A nurse is conducting a mental health assessment in a primary care clinic with a client who presents with anxiety and difficulty sleeping. During the interview, the client shares information about past and current relationships. Which statement(s) by the client support suspicion that the client may be experiencing or is at risk for intimate partner violence? Select all that apply.
A nurse is completing a family assessment with an adult clie…
A nurse is completing a family assessment with an adult client who reports concerns about their partner’s behavior. Which characteristic of an abusive partner should the nurse identify?
A nurse is caring for a client experiencing delusions relate…
A nurse is caring for a client experiencing delusions related to schizophrenia. Which nursing interventions are appropriate? Select all that apply.
The nurse is talking with a client who states, “I am so sad…
The nurse is talking with a client who states, “I am so sad today. It is the anniversary of my parent’s death.” Which response by the nurse would most likely interfere with the therapeutic communication process?
A nurse in an outpatient mental health clinic is assessing a…
A nurse in an outpatient mental health clinic is assessing a client diagnosed with major depressive disorder who states, “I have not been sleeping well, and I stopped going to work this week.” Which nursing action is the priority?
A nurse is planning care for a hospitalized client with obse…
A nurse is planning care for a hospitalized client with obsessive–compulsive disorder (OCD) who spends extended periods washing their hands. Which intervention should the nurse implement first?
A nurse is planning discharge teaching for a client recoveri…
A nurse is planning discharge teaching for a client recovering from alcohol use disorder. Which client statement indicates a need for further teaching?
A client says, “I can’t sleep because the shadows in my room…
A client says, “I can’t sleep because the shadows in my room keep moving.” What is the most therapeutic response?
A nurse meets a newly admitted client who appears guarded an…
A nurse meets a newly admitted client who appears guarded and avoids eye contact. The nurse introduces herself, explains her role, and outlines the purpose and length of their meetings. Which action best supports the development of trust during this phase?
A nurse is educating a group of nursing students about facti…
A nurse is educating a group of nursing students about factitious disorder and malingering. Which statement by a student indicates understanding?