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While conducting the interview, as the nurse you understand the need to establish a reasonable distance to commence therapeutic communication with clients. The client begins moving closer during the interview. Of the following, which is considered the scientifically proven reason for establishing distance guidelines?      

The client diagnosed with paranoid schizophrenia is preoccupied. He is pacing back and   forth in the hall, periodically looking to his right side, clenching his fist and saying, “I told you to go away.”  What should be the nurse’s IMMEDIATE plan of action at this time?                

According to Freud, ego defense mechanisms are methods of attempting to protect the self and cope with basic drives, emotionally painful thoughts, feelings, or events. Which of the following would be considered ego defense mechanisms? Select ALL that apply.  

A patient who has schizoaffective disorder is being treated with Lithium Carbonate (Lithobid). He repeatedly resists his medication based on his fine hand tremors as proof   of drug poisoning. Which nursing intervention addresses BOTH the patient’s need to comply with treatment and patient rights?                            

 What is a hematocrit?

The client taking Risperidone (Risperdal) is complaining of a stiff neck. Vital signs reveal an unexpected elevation in body temperature and a notable change in blood pressure. What drug-induced condition is the nurse concerned about for this client?

The nurse is preparing to give preoperative instructions to a client who is scheduled to come in for major surgery the following day.  The client is assessed as having moderate anxiety.  What is the MOST effective means of providing the necessary information?

A nurse is working with a client diagnosed with schizophrenia who is not participating in group. The client seems to be indifferent to other people. The nurse interprets this as a negative symptom. Continued assessment reveals additional negative symptoms. Which symptoms would the nurse most likely note? Select ALL that apply.  

The nurse is assessing the factors contributing to the well-being of a newly admitted client.  Which of the following would the nurse identify as having a positive impact on the individual’s mental health?    

In the field of psychiatry, the Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR) was developed as a means to provide a common language for the classification of mental health disorders. Which of the following would be the main reason for a student nurse to use the DSM-5-TR?