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A client in group therapy for anger management is role playing the ability to express positive and negative ideas and feelings in an open, honest and direct way. Examples of this would be: Select all that apply.

When working with a client with a somatoform disorder, the nurse should:

Which charting entry documents a subjective assessment of sleep patterns?

Which level of anxiety allows the person to effectively problem solve and allows increased learning ability?

A client is demonstrating a mild level of anxiety. She tells the nurse “I am so anxious that I could fly! I do not know what to do.” A helpful response for the nurse to make would be

What teaching should be included for a client receiving clonazepam 20 mg daily? Select all that apply  

CASE STUDY – QUESTION 6 The nurse cares for a 44-year-old male with a known diagnosis of post-traumatic stress disorder (PTSD) in a behavioral health urgent care clinic. Phase Sheet   Name James Wheeler Gender M Age 44 Weight 162 lbs (73.5 kg) Allergies NKDA Preferred language English Marital status Married Clinic Notes   1030/Initial Assessment: Diagnosed with PTSD 5 years ago. Appears disheveled, anxious, and easily startled. Reports increased difficulty sleeping over the last month due to nightmares that cause him to wake up in a panic. Client lost his job two weeks ago due to missing too much time from work and he has not been able to get himself together enough to look for a new one. When he lost his job, he also lost his health insurance. He reports missing 2 scheduled clinic appointments and 3 of his weekly group sessions over the last month. Denies a history of self-harm. He states his wife is supportive, but has been upset with him because he has been so irritable, and he doesn’t blame her. Client states, “She would probably be better off if I wasn’t around.”   1100:  Suicide risk assessment completed. Client admits to fleeting, passive suicidal thoughts. “Sometimes I think it would be better if I went to bed and did not wake up, but I would never kill myself. I couldn’t do that to my family, plus I know God does not want me to do that.”  No history of suicide attempts and client states, “I have been down before, but I have always gotten better.” 1130: Administered acetaminophen 650 mg PO for headache and hydroxyzine 25 mg PO for anxiety.   1230:  Client reports feeling more relaxed. States meeting with case manager has provided him with a plan. Information provided on trauma-informed care & hydroxyzine; client verbalized understanding. Prescriptions for hydroxyzine 25 mg PO  every 8 hours as needed for 3 days provided. Client and wife in agreement with plan. Per case manager, appointment made with clinic provider in 2 days for medication management and treatment needs.     Vital Signs   Time 1030 1200   T ◦F ( ◦C) 97.8 F (36.6 C) 97.4  (36.3 C)   P 98 80   RR 20 18   B/P 138/90 130/82   Pulse oximeter 97%  (RA) 98% (RA)   Pain Headache 7/10 Headache at 2/10   Orders   Acetaminophen 650 mg PO now & prn headache/discomfort Hydroxyzine 25 mg PO x 1 dose now Hydroxyzine 25mg PO every 8 hours as needed for anxiety x 3 days Refer to case manager for assistance with insurance and access to care   The nurse reassesses the client at 1230. Complete the following sentence by choosing from the list of options.  ***ONLY TYPE THE LETTER OF THE CORRECT CHOICE*** The nurse determines the client’s status is            Select                                                                                       A –  Improving                                                                                       B   –  Deteriorating                                                                                       C   –  Unchanged The nurse should now                                            Select                                                                                      A – Facilitate admission to the inpatient psychiatric                                                                                                  unit                                                                                                         B – Contact provider to schedule appointment for                                                                                                     electroconvulsive therapy (ECT)                                                                                      C – Discharge client with a plan of care as discussed

CASE STUDY – QUESTION 3 The nurse cares for a 44-year-old male with a known diagnosis of post-traumatic stress disorder (PTSD) in a behavioral health urgent care clinic. Phase Sheet   Name James Wheeler Gender M Age 44 Weight 162 lbs (73.5 kg) Allergies NKDA Preferred language English Marital status Married Clinic Notes   1030/Initial Assessment: Diagnosed with PTSD 5 years ago. Appears disheveled, anxious, and easily startled. Reports increased difficulty sleeping over the last month due to nightmares that cause him to wake up in a panic. Client lost his job two weeks ago due to missing too much time from work and he has not been able to get himself together enough to look for a new one. When he lost his job, he also lost his health insurance. He reports missing 2 scheduled clinic appointments and 3 of his weekly group sessions over the last month. Denies a history of self-harm. He states his wife is supportive, but has been upset with him because he has been so irritable, and he doesn’t blame her. Client states, “She would probably be better off if I wasn’t around.”   1100:  Suicide risk assessment completed. Client admits to fleeting, passive suicidal thoughts. “Sometimes I think it would be better if I went to bed and did not wake up, but I would never kill myself. I couldn’t do that to my family, plus I know God does not want me to do that.”  No history of suicide attempts and client states, “I have been down before, but I have always gotten better.” Vital Signs   Time 1030   T ◦F ( ◦C) 97.8 F (36.6 C)   P 98   RR 20   B/P 138/90   Pulse oximeter 97%  (RA)   Pain Headache 7/10     The nurse reviews the updated clinic notes. What conclusion does the nurse make regarding the client’s suicide risk?

Common signs/symptoms of moderate level of anxiety include which of the following?  Select all that apply:

During a group therapy, a client monopolizes the group by discussing back pain. Which of the following responses by the nurse would be most appropriate?