In an outpatient wellness clinic, a client tells the nurse: “I’ve been researching complementary and alternative medicine (CAM) therapies online.” The nurse teaches the client how to evaluate the credibility of health information found on the internet.Which factors should the client consider when determining the reliability of an online source? (Select all that apply.)
In an outpatient psychiatric clinic, the parent of an adoles…
In an outpatient psychiatric clinic, the parent of an adolescent diagnosed with a mental illness asks the nurse:”Why do you want to do a family assessment? My teenager is the client, not the rest of us.”What is the nurse’s best response?
A client with schizophrenia is pacing the hallway, yelling t…
A client with schizophrenia is pacing the hallway, yelling threats, and clenching fists. Despite multiple attempts at verbal de-escalation, the client’s aggression continues to escalate, and other clients are becoming fearful. The provider has written several PRN medication orders for agitation. Which medication should the nurse administer to provide immediate intervention?
A nurse driving home after work comes upon a serious automob…
A nurse driving home after work comes upon a serious automobile accident. The driver of one of the vehicles exits the car without physical injuries but appears visibly shaken. Which assessment findings would the nurse expect from the driver immediately after this traumatic event? Select all that apply.
After discovering discrepancies and missing controlled subst…
After discovering discrepancies and missing controlled substances, the nursing supervisor determines that a valued, experienced staff nurse is responsible. Which actions should the nursing supervisor take? Select all that apply.
During a psychiatric nursing lecture, the nurse educator ask…
During a psychiatric nursing lecture, the nurse educator asks students to review paraphilic disorders. Which statement about paraphilic disorders is accurate?
In an emergency department counseling room, a client who has…
In an emergency department counseling room, a client who has experienced ongoing intimate partner violence expresses frustration, saying:”There’s no way out. Nothing will ever change.”The nurse recognizes this statement as an indication of learned helplessness.What is the best nursing intervention at this time?
An elderly client is admitted with delirium secondary to a u…
An elderly client is admitted with delirium secondary to a urinary tract infection. The client’s family asks the nurse, “Will our loved one ever recover from this confusion?” What is the nurse’s best response?
On an inpatient psychiatric unit, a nurse is caring for a cl…
On an inpatient psychiatric unit, a nurse is caring for a client diagnosed with a personality disorder who frequently manipulates others to meet personal needs.What is an appropriate initial outcome for this client?
A client with a history of command hallucinations approaches…
A client with a history of command hallucinations approaches the nurse yelling obscenities and appears increasingly agitated. Which nursing actions are most likely to be effective in de-escalation for this scenario? Select all that apply.