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17.  A client with a history of command hallucinations approaches the nurse, yelling obscenities. The client mumbles and then walks away. The nurse follows. Which nursing actions are most likely to be effective in de-escalating this scenario? (Select all that apply.)

27.  An adult has cared for a debilitated parent for 10 years. The parent’s condition recently declined, and the health care provider recommended placement in a skilled care facility. The adult says, “I’ve always been able to care for my parents. Nursing home placement goes against everything I believe.” Successful resolution of this person’s crisis will most closely relate to what?  

26.  Which agency provides coordination in the event of a terrorist attack?

13.  A cab driver, stuck in traffic, becomes lightheaded, tremulous, diaphoretic, tachycardic, and dyspneic. A work-up in an emergency department reveals no pathology. Which nursing diagnosis should be the nurse’s first priority?  

30.  A nurse at the mental health clinic plans a series of psychoeducational groups for persons diagnosed with schizophrenia. Which two topics would take priority? (Select all that apply.)

43.  A staff nurse tells another nurse, “I evaluated a new client using the modified SAD PERSONS scale and got a score of 10. I’m wondering if I should send the client home.” Select the best reply by the second nurse.

55.  A client with schizophrenia has recently begun a new medication, clozapine (Clozaril). Which potentially fatal side effect will the nurse teach the client about?

5.  A client experiencing severe anxiety suddenly begins running and shouting, “I’m going to explode!” The nurse should implement which intervention to best maximize the client’s safety?  

11.  A nurse sits with a client diagnosed with schizophrenia. The client starts to laugh uncontrollably, although the nurse has not said anything funny. Select the nurse’s best response.

2. A nurse is caring for an adolescent who has experienced abuse and neglect since early childhood. The nurse should understand that this is an example of which of the following types of trauma?