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A client with suicidal impulses is on the highest level of suicide precautions. Which measures should the nurse incorporate into the client’s plan of care? (Select all that apply) 

The nurse is caring for a client with delusions of persecution about being poisoned and has refused all hospital meals for 3 days. Which action by the nurse is best?

The following patients are seen in the emergency department. The psychiatric unit has one bed available. The patient demonstrating which problem should the admitting officer recommend for admission to the hospital?  

The nurse is talking with the family of a client with borderline personality disorder who has been admitted to the in-patient unit because of engaging in wrist cutting. A family member asks why is this happening?  Which response by the nurse is most appropriate?

What percentage of alcohol is most effective for disinfection:

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.