A 68-year-old client with metastatic cancer is admitted to a…

A 68-year-old client with metastatic cancer is admitted to an inpatient palliative unit. The client is increasingly weak and intermittently confused. The family states, “We don’t want strong pain medication because of addiction. And maybe this confusion is just part of dying.” The nurse prepares to respond using principles of end-of-life nursing care.Which nursing action best reflects evidence-based end-of-life practice?

An 88-year-old client with moderate dementia is admitted to…

An 88-year-old client with moderate dementia is admitted to a rehabilitation unit following a hip fracture. The client denies “pain” but frequently grimaces, resists repositioning, and becomes agitated during bathing. The staff nurse documents, “No pain reported.” The daughter states, “She never complains. She says it’s just aching.”Which action by the psychiatric-mental health nurse best addresses barriers to accurate pain assessment in older adults?

A client is brought to the emergency department after being…

A client is brought to the emergency department after being found confused and minimally responsive at a party. Friends report the client consumed one alcoholic beverage and shortly afterward became disinhibited, then deeply sedated with poor coordination and memory loss. Vital signs reveal bradycardia, hypothermia, and shallow respirations. The nurse anticipates which pharmacologic intervention based on the most likely substance involved?

A psychiatric-mental health nurse is reviewing a 32-year-old…

A psychiatric-mental health nurse is reviewing a 32-year-old client’s history during an outpatient follow-up visit. The client was treated in the emergency department 14 months ago after intentionally ingesting a large quantity of prescription medication but survived without organ damage. The client denies current suicidal ideation and has not engaged in self-injury since that event. The nurse considers whether the client meets criteria for suicidal behavior disorder as described in the DSM-5. Which statement by the nurse demonstrates the most accurate clinical understanding of this diagnosis?

A psychiatric-mental health nurse assesses a client whose bu…

A psychiatric-mental health nurse assesses a client whose business failed 3 weeks ago. Initially, the client attempted budgeting and seeking advice from friends. When those efforts failed, the client began staying awake at night “trying every possible solution,” applying for multiple jobs impulsively, and making rapid financial decisions. The client now reports intense anxiety and states, “Nothing is working, but I keep trying different things to fix this.”Based on Caplan’s phases of crisis, which phase of crisis response is the client most likely experiencing?