Complete Solutions
A 22-year-old male client is admitted to the emergency center
following a suicide attempt. His records reveal that this is his
third suicide attempt in the past two years. He is conscious, but
does not respond to verbal commands for treatment. Which
assessment finding should prompt the nurse to prepare the client
for gastric lavage? Correct Answers He is unresponsive to
instructions and is unable to cooperate with emetic therapy
A 22-year-old male client is admitted to the emergency center
following a suicide attempt. His records reveal that this is his
third suicide attempt in the past two years. He is conscious, but
does not respond to verbal commands for treatment. Which
assessment finding should prompt the nurse to prepare the client
for gastric lavage? Correct Answers He is unresponsive to
instructions and is unable to cooperate with emetic therapy.
A 25-year-old female client has been particularly restless and
the nurse finds her trying to leave the psychiatric unit. She tells
the nurse, "Please let me go! I must leave because the secret
police are after me." Which response is best for the nurse to
make? Correct Answers Come with me to your room and I will
sit with you.
A 27-year-old female client is admitted to the psychiatric
hospital with a diagnosis of bipolar disorder, manic phase. She is
demanding and active. Which intervention should the nurse
include in this client's plan of care? Correct Answers Provide a
structured environment with little stimuli.
, A 30-year-old sales manager tells the nurse, "I am thinking
about a job change. I don't feel like I am living up to my
potential." Which of Maslow's developmental stages is the sales
manager attempting to achieve? Correct Answers Self-
Actualization
A 35-year-old male client on the psychiatric ward of a general
hospital believes that someone is trying to poison him. The
nurse understands that a client's delusions are most likely related
to his Correct Answers low self-esteem
A 35-year-old male client who has been hospitalized for two
weeks for chronic paranoia continues to state that someone is
trying to steal his clothing. Which action should the nurse
implement? Correct Answers Encourage the client to actively
participate in assigned activities on the unit.
A 38-year-old female client is admitted with a diagnosis of
paranoid schizophrenia. When her tray is brought to her, she
refuses to eat and tells the nurse, "I know you are trying to
poison me with that food." Which response is most appropriate
for the nurse to make? Correct Answers I'll leave your tray
here. I am available if you need anything else.
A 40-year-old male client diagnosed with schizophrenia and
alcohol dependence has not had any visitors or phone calls since
admission. He reports he has no family that cares about him and
was living on the streets prior to this admission. According to
Erikson's theory of psychosocial development, which stage is
the client in at this time? Correct Answers Stagnation.