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Which of the following statements made by the nurse indicate that the nurse understands appropriate use of self-disclosure in a therapeutic nurse-client relationship?

A 75-year-old client with a long history of depression is currently taking doxepin (Sinequan) 100 mg daily. The client also takes a daily diuretic for hypertension and is recovering from the flu. Which nursing diagnosis should the nurse assign highest priority?

The following North American Nursing Diagnosis Association (NANDA) nursing diagnostic stem was developed for a client on an inpatient unit: “Risk for injury.” Which assessment data most likely led to the development of this problem statement?

A charge nurse openly disagrees with a staff nurse’s suggestions during a staff meeting. After the meeting, the staff nurse in turn angrily criticizes a Nursing Assistive Personnel (NAP). What defense mechanism is the staff nurse demonstrating?

The nurse prepares discharge teaching for a patient. The HCP has prescribed Alprazolam (Xanax), prn patient anxiety. Which client assessment finding would cause the nurse to question HCP’s order?

A patient diagnosed with schizophrenia receives fluphenazine decanoate (Prolixin Decanoate) from a home health nurse. During one regularly scheduled home visit, the client refuses the medication. Which nursing intervention is ethically appropriate?

The nurse cares for a patient who is physically restrained. Which of the following nursing interventions would best help this patient cope with the experience?

The nurse working in a long-term care facility observes a geriatric patient who is confused and wandering in and out of every door. Which option reflects the least restrictive alternative for this client?

2. Which indicates a client is likely demonstrating a mental disorder?

The nurse is caring for a patient with an increased thyroid-stimulating hormone (TSH) level. Which symptoms should be expected in this patient? Select all that apply.