A nurse is planning care for a client who is experiencing acute mania. Which of the following
interventions should the nurse include in the plan to promote sleep? ✔✔Encourage frequent rest
periods throughout the day
A nurse is delegating client care tasks to a LPN and an assistive personnel. Which of the
following tasks should the nurse assign to the LPN? ✔✔Change the dressings of a client who has
borderline personality disorder and superficial self-inflected wounds
A nurse is preparing to administer chlorpromazine 0.55 mg/kg PO to an adolescent who weighs
110 lb. Available is chlorpromazine syrup 10mg/5mL. How many mL should the nurse
administer? ✔✔14 mL
A nurse is admitting a client who has alcohol use disorder. Which of the following statements by
the client indicated that the client is using denial as a defense mechanism? ✔✔"I am able to go to
work everyday, so I don't have a problem."
, A community health nurse is planning an education program about depressive disorders. Which
of the following factors should the nurse include as increasing the risk for depression?
✔✔Substance abuse disorder
A nurse is admitting a client who has schizophrenia to an acute care setting. When the nurse
questions the client regarding their admission, the client states, "I'm red, in the head, and I'm
going to bed!" The nurse questions the client's speech pattern as which of the following?
✔✔Clang association
A nurse in an outpatient mental health setting is collecting a health history from a client who is
taking paroxetine for depression. The client reports to the nurse that he also takes herbal
supplements. The nurse should advise the client that which of the following supplements
interacts adversely with paroxetine? ✔✔St. Johns Wort
A charge nurse is preparing an educational session for a group of newly licensed nurses to
review client rights under the law. Which of the following statements should the nurse make?
✔✔"In the event a client threatens to harm others, medication can be administered without
consent."