46.  A client began taking lithium for the treatment of bipolar disorder approximately 1 month ago and asks why he has gained 12 lb (5.4 kg) since then. Which response by the nurse is appropriate?

60.  A kindergarten student is frequently violent toward other children. A school nurse notices bruises and burns on the child’s face and arms. Which of the following symptoms would also indicate to the nurse that the child may have been physically abused?

50.  A client with a history of anger and impulsivity is hospitalized after an accident resulting in injuries. When in pain, the client loudly scolds the nurse for “not knowing enough to give me pain medicine when I need it.” Which intervention should address this problem?

29.  A child is absent from school to care for siblings while the parents work. The family cannot afford a babysitter. When asked about the parents, the child reluctantly says, “My parents don’t like me. They call me stupid and say I never do anything right.” Which type of abuse is likely?

42.  Which individual in the emergency department should be considered at the highest risk for completing suicide?

54.  The family members of a client newly diagnosed with schizophrenia state that they do not understand what has caused the illness. The nurse’s response should be based on which models? (Select all that apply.)

22.  The nurse discovers a client’s suicide note that details the time, place, and means to commit suicide. Which would be the priority nursing intervention and the rationale for this action?

24.  A college student failed two examinations. The student cried for hours and then tried to call a parent but got no answer. The student then suspended access to his social networking web site. Which suicide risk factors are present? (Select all that apply.)

55.  A client with schizophrenia has recently begun a new medication, clozapine (Clozaril). Which potentially fatal side effect will the nurse teach the client about?

6.  A newly admitted client diagnosed with schizophrenia is hypervigilant and constantly scans the environment. The client states, “I saw two doctors talking in the hall. They were plotting to kill me.” The nurse may correctly assess this as what classic behavior?