Author: Anonymous

The nurse is caring for a client on the surgical unit. What is the most  appropriate response by the nurse when the depressed and hopeless client says “Nothing matters anymore”:

Serum Lithium is important to monitor because it has a narrow therapeutic range. The reference range for a maintenance lithium level is:

The nurse instructs a client receiving the MAOI agent phenelzine (Nardil) about dietary restrictions for food high in tyramine to prevent which specific adverse effect?

A client seeks crisis intervention. She tells the nurse, “I can’t take it anymore! It has to stop. Last year my husband had an affair and we don’t communicate anymore. Three months ago I found a lump in my breast that the doctor is watching closely, and yesterday my 20-year-old daughter told me she’s quitting college and moving to another state with her boyfriend!” Which of the client’s problems should be the focus for crisis intervention?

A client is currently taking an SSRI for his depression and feels he has not positively responded to any SSRI’s or past trials of tricyclic antidepressants. The client asks the nurse, “I heard about MAOIs (monoamine oxidase inhibitors). Why can’t they be added to what I am on now? Wouldn’t adding one help?” The nurse’s best response is:

The client says: “My life has been worthless ever since my wife, Emma, died four years ago. The kids are grown and married now, and I’ve been retired from my job at the railroad for some time. It just seems that I’d be better off dead”. The most appropriate response by the nurse is:

The nurse, who is the adult child of a parent with alcoholism, is working with a client who abuses alcohol. The client says, “I’m not going to go to those stupid AA meetings. They don’t help anything.”  The nurse responds with anger, “Don’t you even care what happens to your children?” The nurse’s response is an example of:

Deinstitutionalization in the 1960’s resulted in (select all that apply):

The client says: “How could you ever help me? Have you ever wanted to kill yourself?”  the most appropriate response by the nurse is:

You have been working closely with a client for the past two weeks. Today the client tells you she is looking forward to being back home with her family, but she frowns and avoids eye contact while reporting this to you. Which response would most likely be therapeutic?