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The nurse is passing medications on the inpatient behavioral health unit.  A client says, “Just set it here by my bag: I’ll take it when I finish putting on my mascara.”  Which response by the nurse is best?

The nurse understands that caregivers, as well as clients, have a potential for violent behavior. Which one of the following employees is at increased risk for expressing violent behavior? 

The nurse is admitting a client who has acute mania to the behavioral health unit. The client tells the nurse, “You are one sorry nurse. I’m not answering anymore of your silly questions or doing anything you ask of me. You need to quit harassing me and get yourself a new profession, you sorry thing.” Which response by the nurse is best?

A 79-year-old white man tells a visiting nurse, “I’ve been feeling sad lately. My family and friends are all dead. My money is running out, and my health is failing.” How should the nurse analyze this comment?

The nurse is caring for a client who is experiencing an acute asthma attack, he is lying supine in bed. He is dyspneic and experiencing orthopnea; his pulse rate is 120 beats/minute. In what order will the nurse provide care to this client? Number the following options in the order in which they will be performed based on priority. 1. Perform an in-depth, comprehensive assessment on the patient. 2. Place in semi-Fowler’s position. 3. Provide the ordered nebulizer treatment with bronchodilator. 4. Discuss factors that precipitate attack.  

The nurse notes that a client who has been receiving paroxetine for symptoms of major depression disorder (MDD) begins to behave in a confused and elated manner with the presence of restlessness, muscle jerking, and diaphoresis.  What condition will the nurse plan care for? 

Which is an effective nursing action to assist an angry client in learning to manage anger without violence?

The nurse wants to teach alternative coping strategies to a client who is experiencing severe anxiety. Which action will the nurse do first?

The nurse is caring for a client with a schizotypal personality disorder. What is the most important action for the nurse to take?

The nurse is caring for a client, injured in a fall while intoxicated, who believes spiders are spinning entrapping webs in the room. The client is anxious, agitated, and diaphoretic. Which action by the nurse is priority?