A patient expresses concern that information given to the nurse remains confidential. “I need to know that everything I tell you confidential and won’t be shared with anyone.” Which response made by the nurse is best?

The nurse is caring for a client on an inpatient unit is diagnosed with bipolar disorder: manic episode. During a discussion in the dayroom about weekend activities, the client raises his voice, becomes irritable, and insists that plans change. Which should be the nurse’s initial intervention?

The nurse is working with a patient diagnosed with Borderline Personality Disorder (BPD). . As part of the patient’s plan of care the nurse reviews the  patient’s daily schedule with him. The patient responds to the nurse by yelling at the nurse:  “Why don’t you shut up already? I can read it myself, you know!” Which response when made by the nurse is best for this patient?

The nurse cares for a patient who is physically restrained. Which of the following nursing interventions would best help this patient cope with the experience?

The nurse working at the VA is caring for a client seeking treatment for PTSD following his tour of duty in a combat zone. The client reports to the assessment nurse daily substance abuse for the past 4 days because he just can’t stand feeling depressed all the time. Which of these assessments is the nurse’s highest priority?

A client diagnosed with psychosis asks the nurse to make the voices stop talking so he can go to sleep. Which is the most important nursing intervention?

The nurse cares for a patient with narcissistic personality disorder. Which statement does not  represent a  positive outcome for clients diagnosed with narcissistic personality disorder?

A client diagnosed with a neurocognitive disorder (NCD) is exhibiting behavioral problems every day. At change of shift, the client’s behavior escalates from pacing to screaming and flailing. Which action would the nurse implement first?

A client scheduled for ECT at 9:00 a.m. is discovered eating breakfast at 8:00 a.m. Based on this observation, which action would the nurse take?

The nurse is caring for a patient who is to undergo electroconvulsive therapy (ECT) for the treatment of depression. Which of the following actions should the nurse take prior to the scheduled ECT? (Select all that apply.)