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The nurse is caring for an angry, aggressive client on an inpatient mental health unit. When multiple least restrictive methods methods fail the physician orders restraints at 3 a.m to keep the client and others safe. Per Joint Commission standards, at what time and by whom does the nurse expect an in-person client evaluation?

The nurse is caring for a patient who is to undergo electroconvulsive therapy (ECT) for the treatment of depression. Which of the following actions should the nurse take prior to the scheduled ECT? (Select all that apply.)

An elderly client is exhibiting symptoms of major depressive disorder. A physician is considering prescribing an antidepressant. Which physiological problem should make a nurse question this medication regimen?

The nurse cares for a patient whose spouse of 34 years dies unexpectedly. The patient cries often and becomes socially isolated. The patient’s therapist stresses the importance of proper sleep, nutrition, and exercise. Which statement is true regarding the rationale for the therapist’s advice?

 A client presents in the emergency department with a friend who reports that the client has been sitting in her apartment “staring off into space” and doesn’t seem interested in doing anything. During the assessment, the client reveals, with little emotion, that she was raped 4 months ago. Which of these is the most appropriate interpretation of the client’s lack of emotion?

The nurse cares for a patient on their first day of inpatient alcohol detoxification. Which nursing intervention should the nurse do first?

A patient who is being seen in the community mental health center for PTSD is being considered for EMDR. The nurse is asked to conduct an assessment to validate the client’s appropriateness for this treatment. Which of the following data, collected by the nurse, would be a contraindication for EMDR?

The nurse tells a client that the nursing staff will start alternating weekend shifts. Which response should the nurse identify as characteristic of clients diagnosed with Obsessive Compulsive Personality Disorder (OCPD)?

A military veteran is assessed for outpatient therapy after he reports having problems at home and at work. Which of the symptoms that he describes is not commonly associated with PTSD? 

A client diagnosed with schizophrenia functions well and is bright, spontaneous, and interactive during hospitalization but then decompensates after discharge. Which statement is true regarding what the milieu provides that may be missing in the home environment?