A nurse is reviewing an electronic medical record to determine if a client’s rights have been violated by another member of the health care team. Which finding will the nurse identify that would indicate a violation of the client rights?

A 42-year-old male is brought to the psychiatric clinic by his family after displaying increasingly unusual behavior over the past week. The patient has begun telling his coworkers and family members that he is a “secret agent” for the government and that he has been entrusted with a mission to save the world from a massive impending crisis. He claims to have special powers, such as the ability to read minds and influence events with his thoughts. The patient is insistent on his beliefs and becomes frustrated when others do not share his convictions. His family reports that he has never exhibited behavior like this before, and they are concerned about his well-being. He is otherwise in good physical health and has no history of substance abuse. During the evaluation, the patient is fully oriented but continues to express his belief in his extraordinary mission and abilities. He shows no signs of agitation, but his delusions are consistent and persistent. His family notes that his behavior has caused significant distress, as he is no longer engaging in normal social activities or work, believing his mission requires his full attention. Question: Which of the following is most consistent with the patient’s diagnosis of a delusion of grandeur?

Your client tells you she knows her grandfather is in the room with her because she smells his aftershave and hears him telling her to join him is experiencing which of the following?  select all that apply

The nurse is working in the ED and has clients with mental health disorders awaiting admission. Which client is the priority for admission to the inpatient care unit?

The nurse is conversing with a client that has bipolar I disorder and is in the manic phase. Which statement made by the client indicates that the client is experience delusional thinking?

Identify the interdisciplinary team member responsible for the functions listed below.

The nurse has informed a client that they should be ambulating in the hall several times a day. The client refuses to get out of bed, asks for a bed bath, and makes demands of the nurses, yelling, “the nurses are lazy and incompetent.” Which behavior identified by the nurse is the client displaying?

A parent of an adolescent client states, “Please talk to my child and see what the problem is. My child will not interact with us at all anymore and stays in the bedroom.” Which question will the nurse ask the client to assess the family relationship?

The nurse is admitting a client to the behavioral health unit seeking help voluntarily. Which consideration will have the most influence in the choice of the treatment for the client?

A nurse reviews a client’s history and knows that in preparation for discharge planning of the client. Which barriers may impede success of planning? Select all that apply.