Questions & with Correct Verified
Answers. Graded A+
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? - ANS"I don't want
to walk. Nothing matters anymore."
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? - ANSModerate anxiety
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? - ANSTake other clients in the area to the
client lounge
A client who refuses antipsychotic medications disrupts group activities, talks with
nonsensical words and wanders into client's rooms. The RN decides that the client
needs constant observation based on which of these assessment findings? -
ANSWanders into the clients rooms
A client with depression remains in bed most of the day and declines activities. Which
nursing problem has the greatest priority for this client>\? - ANSRefusal to address
nutritional needs
A client with schizophrenia explains that she has 20 children and then very seriously
points to the RN and explains that she os one of them. What is the most therapeutic
response for the RN to provide/ - ANS"My name tag shows that I am an RN here."
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? - ANSOffer the client a safe place to relax before interviewing her
A high school girl reveals to the high school RN that she has been engaging in self-
induced vomiting as weight-control measure. Which initial assessment should the RN
focus on with this adolescent? - ANSFrequent bingeing and purging behaviors.
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