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A nurse in the psychiatric emergency department is triaging four clients. Which assessment finding presents the greatest risk for violent behavior directed at others?

A nurse is reviewing patient cases to determine which individuals meet the criteria for hospice care services.Which patients are eligible for hospice? (Select all that apply.)

A nurse is developing a plan of care for a client diagnosed with schizotypal personality disorder. Which outcome is the most appropriate and realistic for this client?

A nurse is caring for an older adult receiving hospice services at home. The patient is weak, has a poor appetite, and reports occasional shortness of breath and pain.Which nursing actions are most appropriate in providing hospice care? (Select all that apply.)

A male client tells the nurse, “I enjoy watching women when I am out in public. I like to go to places where I can observe women crossing their legs in hopes of seeing something good.” Which statement about this behavior is most accurate?

An emergency department nurse is providing discharge teaching to a client diagnosed with rape-trauma syndrome. The nurse explains that long-term reactions can occur weeks to months after the assault.Which symptoms should the nurse include in the teaching? (Select all that apply.)

A community health nurse visits a family where a 10-year-old is responsible for caring for younger siblings while the parents are at work because the family cannot afford childcare. During the visit, the child states, “My father doesn’t like me. He calls me stupid all the time.” The mother adds that the father is easily frustrated and has difficulty disciplining the children.Which community resources should the nurse prioritize to help stabilize this family’s home situation? (Select all that apply.)

A nurse is assessing an older adult who self-administers multiple prescribed medications at home.What is the highest priority for assessment to ensure safe medication management?

A psychiatric nurse is planning care for an individual diagnosed with antisocial personality disorder. Which characteristic behaviors should the nurse expect? Select all that apply.

A client admitted for injuries sustained while intoxicated has been hospitalized for 48 hours. The client is now shaky, irritable, anxious, diaphoretic, and reports nightmares. The pulse rate is 130 beats/minute. The client shouts, “Bugs are crawling on my bed. I’ve got to get out of here.” What is the most accurate assessment of this situation?