A psychiatric nurse is reviewing the medical histories of four clients who have been newly prescribed first-generation antipsychotic medications. The nurse is conducting a risk assessment to identify clients who may require more vigilant monitoring for medication adverse effects. Based on evidence-based risk factors, which client should the nurse identify as having the highest risk for developing extrapyramidal symptoms (EPS)?

A nurse is working on an inpatient psychiatric unit where a client with bipolar disorder is becoming increasingly agitated, pacing the hallway, and speaking loudly. The nurse notices other clients becoming anxious. Which milieu therapy intervention should the nurse implement first?

A nurse is caring for a client who has been receiving haloperidol 5 mg twice daily for treatment of schizophrenia. During assessment, the nurse observes the client exhibiting muscle rigidity, tremors in the hands, and a shuffling gait that were not present during previous assessments. Based on these findings, which nursing action should be implemented first?

Wendy, a 30-year-old woman diagnosed with schizophrenia, receives treatment at an outpatient mental health clinic while living with her parents. During a family meeting, Wendy’s parents express concern about how to best support her recovery journey. They state, “We want to help her become more independent, but we’re afraid she’ll relapse if we don’t monitor her medication.” Wendy appears uncomfortable and says, “I feel like I have no privacy.” Based on the principles of recovery-oriented care, which approach should the nurse prioritize when providing family education?

The nurse is caring for four clients who are simultaneously being treated for chronic medical conditions and psychiatric conditions. Based on clinical knowledge of medication adherence patterns, which client would the nurse identify as having the highest risk for medication nonadherence for both their medical and psychiatric conditions?

A nurse is caring for a client with obsessive-compulsive disorder (OCD) who engages in excessive handwashing, resulting in severe skin breakdown on both hands with areas of bleeding and cracking. Which nursing intervention should be implemented to address the client’s skin integrity while supporting the therapeutic plan?

A nurse is developing a care plan for a client with borderline personality disorder who frequently engages in self-injurious behavior when feeling abandoned. Which nursing intervention would be most appropriate to prioritize in the care plan?

A nurse is developing a care plan for a client diagnosed with schizophrenia who has experienced multiple hospitalizations. The client has expressed frustration with “always being treated like a diagnosis rather than a person.” Which approach best demonstrates evidence-based practice that integrates client preferences?

President Russell M. Nelson: “The Lord Jesus Christ Will Come Again” Using President Nelson’s October 2024 general conference talk, please identify a primary doctrine and a principle. Please show how the principle relates back to the primary doctrine.  

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