40. A client is dancing under the overhead television of the crisis stabilization unit and taunting the other clients in the room. The client shouts, “I own the TV networks, so they have to do what I say!” What is the best initial intervention at this time?
38. A nurse is caring for a 7-year-old child diagnosed with…
38. A nurse is caring for a 7-year-old child diagnosed with oppositional defiant disorder (ODD) who frequently exhibits argumentative and defiant behaviors toward authority figures. Which nursing intervention should the nurse prioritize to promote positive behavior change in this child?
27. A nurse is assessing a client who has depression and was…
27. A nurse is assessing a client who has depression and was prescribed fluoxetine 6 months ago. The client reports that they recently stopped taking the prescription. Which of the following findings indicates the client is experiencing antidepressant discontinuation syndrome (ADDS)?
5. A client says to the nurse, “My life does not have any ha…
5. A client says to the nurse, “My life does not have any happiness in it anymore. I once enjoyed holidays, but now they’re just another day.” How would the nurse document the client’s statement?
8. A 5-year-old child diagnosed with attention-deficit/hype…
8. A 5-year-old child diagnosed with attention-deficit/hyperactivity disorder (ADHD) bounces out of a chair in the waiting room, runs across the room, and begins to slap another child. What is the nurse’s best action?
12. A nurse assesses a 3-year-old diagnosed with autism spec…
12. A nurse assesses a 3-year-old diagnosed with autism spectrum disorder. Which finding is most associated with the child’s disorder?
53. The nurse teaches a client with a diagnosis of depressio…
53. The nurse teaches a client with a diagnosis of depression about the side effects of tricyclic antidepressants. Which of the following should be included in the teaching? weight gain, sedation, nausea, anticholinergic symptoms, orthostatic hypotension, cardiotoxic side effects
59. Which documentation indicates that the treatment plan fo…
59. Which documentation indicates that the treatment plan for a client experiencing acute mania has been effective?
3. A client was started on escitalopram 5 days ago and now…
3. A client was started on escitalopram 5 days ago and now says, “This medicine isn’t working.” What is the nurse’s best intervention?
19. A client diagnosed with bipolar disorder has rapid cycle…
19. A client diagnosed with bipolar disorder has rapid cycles. The health care provider prescribes an anticonvulsant medication. To prepare teaching materials, which drug should the nurse anticipate will be prescribed?