A client admitted for injuries sustained while intoxicated h…

A client admitted for injuries sustained while intoxicated has been hospitalized for 48 hours. The client is now shaky, irritable, anxious, diaphoretic, and reports nightmares. The pulse rate is 130 beats/minute. The client shouts, “Bugs are crawling on my bed. I’ve got to get out of here.” What is the most accurate assessment of this situation?

A community health nurse is conducting a home visit with a f…

A community health nurse is conducting a home visit with a family of four children. During the visit, the father becomes angry, finds fault with the oldest child, and repeatedly asks, “Why are you such a stupid kid?” The mother adds, “I have difficulty disciplining the children. It’s so frustrating.”Which responses by the nurse would best facilitate effective communication and promote further discussion with the parents? (Select all that apply.)

A 15-year-old client was placed in a residential program aft…

A 15-year-old client was placed in a residential program after truancy, running away, and an arrest for theft. While at the program, the adolescent refuses to join in planned activities and pushes a staff member, causing the staff member to fall. Which approach by the nursing staff will be most therapeutic?

A client who is a survivor of physical spousal abuse is trea…

A client who is a survivor of physical spousal abuse is treated in the emergency department for a broken wrist. During assessment, the client states, “I’ve considered leaving, but I made a vow and I must keep it no matter what happens.”Which outcome should the nurse ensure is met before discharge?