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The nurse is working in the emergency department and is assessing a client suspected of being suicidal.  Which of the following are some of the critical questions to ask when assessing a client at high risk for suicide? (select all that apply)

An adult male is being treated for depression and has been taking sertraline (Zoloft) for 3 days.  His wife says to the nurse “I don’t think the medication is working, he is still depressed”.  What is the best response for the nurse to make?

A policeman complains of feeling tired and not able to sleep for an extended period of time after being assigned to work the night shift. Which sleep disorder is he most likely suffering from?

The nurse is working in the ER and has just assessed a client with a long history of bulimia nervosa.  The client is confused, has non-elastic skin turgor, and has dry mucous membranes.  Which of the following is the most likely cause of the client’s symptoms?

After being treated in the ER for self-inflicted lacerations of both wrists, a client with the diagnosis of borderline personality disorder is admitted to the psychiatric unit.  The nurse realizes that the priority nursing intervention is:

An adult is being treated for depression.  One day he comes to the nurse’s station and gives a nurse his favorite book.  He smiles and says “I want you to have this”.  The nurse’s response should be based on uderstanding which of the following ?

The school nurse at Nelson Elementary school suspects that a 5 year old child is being sexually abused. Which of the following behaviors was most likely to cause the nurse’s suspicion of sexual abuse?

A young client tells the nurse that her husband died 3 months ago, and that she’s feeling lonely and vulnerable.  Which statement by the client is the best indicator of her use of appropriate coping skills?

An adolescent diagnosed with severe anorexia nervosa is now on the adolescent psychiatric unit after being in ICU to achieve fluid and electrolyte balance.  Which is the highest priority in the plan of care?

The patient has been admitted to the psychiatric unit with the diagnosis of obsessive-compulsive disorder.  He spends many hours in the day washing his hands. Which is the rationale for the client wahsing his hands?