A client with dementia repeatedly asks, “When is my husband coming to pick me up?” The client’s husband died many years ago. The client becomes tearful whenever staff explain that he has died. Which response by the nurse is most appropriate?
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A client with functional neurologic symptom disorder experie…
A client with functional neurologic symptom disorder experiences episodes of leg weakness. The spouse tells the nurse, “Whenever the weakness gets worse, I cancel everything, bring meals to bed, and handle all of the household responsibilities.” Which response should the nurse make?
A client tells the nurse, “I haven’t taken the bus in months…
A client tells the nurse, “I haven’t taken the bus in months. I’m afraid I’ll panic and won’t be able to get away if something happens. Now I only go places when my sister can drive me.” Which interpretation by the nurse is most appropriate?
The nurse is teaching a client who is beginning lithium ther…
The nurse is teaching a client who is beginning lithium therapy for bipolar disorder. Which client statements indicate understanding of the teaching? Select all that apply
A client who was physically assaulted by a partner several d…
A client who was physically assaulted by a partner several days ago tells the nurse, “Now my partner keeps apologizing, brought me flowers, and says it will never happen again. Things are actually better than they’ve been in months.” Which response by the nurse is most appropriate?
A child taking atomoxetine for attention-deficit/hyperactivi…
A child taking atomoxetine for attention-deficit/hyperactivity disorder (ADHD) is seen for follow-up. Which parent report requires the nurse to notify the provider?
A client tells the nurse, “I’m doing fine here.” While speak…
A client tells the nurse, “I’m doing fine here.” While speaking, the client repeatedly wrings both hands, avoids eye contact, and speaks in a tense voice. Which response by the nurse is most therapeutic?
A client taking a benzodiazepine-class medication for anxiet…
A client taking a benzodiazepine-class medication for anxiety tells the nurse, “It makes me a little sleepy, but I usually have a glass of wine in the evening. That helps me relax even more.” Which response should the nurse make?
A client returns to the unit after electroconvulsive therapy…
A client returns to the unit after electroconvulsive therapy (ECT). The client is awake but mildly confused and asks for water. Which action should the nurse take first?
A hospitalized child with attention-deficit/hyperactivity di…
A hospitalized child with attention-deficit/hyperactivity disorder (ADHD) has difficulty completing morning hygiene. The nurse says, “Get dressed, brush your teeth, put your pajamas away, and then come to the dining room.” The child begins dressing but becomes distracted and does not complete the remaining activities. Which change should the nurse make?