COMPLETE VERIFIED ANSWERS UPDATED 2024
A client on the mental health unit is becoming more agitated, shouting at the
staff, and pacing in the hallway. When the PRN medication is offered, the client
refuses the medication and defiantly sits on the floor in the middle of the unit
hallway. What nursing intervention should the RN implement first?
Take other clients in the area to the client lounge
A client is admitted to the mental health unit and reports taking extra anxiety
medications because, "I'm so stressed out. I just want to go to sleep." The RN
should plan one on one observation of the client based on which statement?
"I don't want to walk. Nothing matters anymore."
A male hospital employee is pushed out the way by a female employee because
of an oncoming gut hey. The pushed employee becomes very angry and swings
at the female employee. Both employees are referred for counseling with the staff
psychiatric RN. Which factor in the pushed employee's history is most related to
the reaction that occurred?
Was physically abused by his mother.
The RN documents the mental status of a female client who has been hospitalized
for several days by court order. The client states, "I don't need to be here" and
, tells the RN that she believes the television talks to her. The RN should document
these assessment findings in which section of the mental status exam/
Insight and judgement
A client is admitted to the mental health unit reports shortness of breath and
dizziness. The client tells the RN. "I feel like I'm going to die." Which nursing
problem should the RN include in this client's plan of care?
Moderate anxiety
A female client who is wearing dirty clothes and has foul body odor, comes to the
clinic reporting feeling scared because she is being stalked. What action is most
important for the RN to take?
Offer the client a safe place to relax before interviewing her
The RN leading a group session of adolescent clients gives the members a
handout about anger management. One of the male clients is fidgety, interrupts
peers when they try and talk, and talks about his pets at home. What nursing
action is best for the RN to take?
Redirect him by encouraging him to read from the handout
A male adolescent was admitted to the unit two days ago for depression. When
the mental health RN tries to interview the client to establish rapport, he becomes
very irritated and sarcastic. Which action os best for the RN to take?
Offer to play a game of cards with the client
A male adult is admitted because of an acetaminophen (Tylenol) overdose. After
transfer to the mental health unit, the client is told he has liver damage. Which