A client requests permission for the spouse to remain in the room during the admission assessment. While interviewing the client, the nurse notes a discrepancy between the client's verbal and nonverbal communication. Which action should the nurse take?

The nurse is using the CAGE questionnaire as a screening tool for a client who is seeking help because his wife said he had a drinking problem. Which information should the nurse explore in depth with the client based on this screening tool?

A male client tells the nurse that he has an IQ of 400+ and is a genius and an inventor. He also reports that he is married to a female movie star and thinks that his brother wants a sexual relationship with her. Which is the priority nursing problem for admission to the psychiatric unit?

In conducting the initial assessment of a preoperative client, the nurse notes that the client's home medications include the monoamine oxidase (MAO) inhibitor phenelzine. Because of this client's medication history, which assessment finding is most important for the nurse to monitor?

A client is admitted to the mental health unit with a bipolar disorder. When seeking to establish a therapeutic relationship and interacting with the client, which comment is best for the nurse to make?

The nurse continues to care for the patient

The client is a 19-year-old male who is in the emergency room for a leg injury. He states he was returning to his dorm from a party and fell about 5 feet (1.5 meters) into a small ravine on campus. The client states that he drinks socially and takes no medications for any health condition.

The nurse is listening to the client.

Because the client is a male, he is especially at risk for which psychosocial two sequalae of sexual assault?

The nurse is caring for a client

In order to help the client disclose a situation that is upsetting to him, what therapeutic communication tools could the nurse use? Select all that apply.

The nurse continues caring for the client:
The client is a 26-year-old female who was in a car accident 6 months s ago that killed her mother, husband, and 2-year-old son. She and her father were the only survivors of the crash. She is seeking care for depression.
Click to indicate whether findings at the next follow-up appointment indicate that the treatment was effective or ineffective. Each row must have one response selected.

Which is the best approach for the nurse to use when interviewing a client about suicidal ideations?

The nurse observes a client with a history of psychosis repeatedly looking to the side and mumbling responses to no one present in that direction. Which comment is best for the nurse to make?

A nurse is caring for a client:

The client has returned to work at an accounting firm and has started going to a grief support  group. She reports she is seeking care from a healthcare professional because her father is  worried about her. The client says she only gets 2 to 3 hours of sleep due to nightmares about the  crash. She informs that exercising right after work helps her get better sleep and to relax. She  feels that she is "jumpy" after the accident, especially when she is in the car. She also stated, "I  feel so sad that I can't seem to feel anything at all." In addition to her father, the client has a large  family and friend support system. She denies alcohol or drug use. 

Click to highlight the areas that the nurse should react to immediately. The client has returned to work at an accounting firm and has started going to a grief support  group. She reports she is seeking care from a healthcare professional because her father is  worried about her. The client says she only gets 2 to 3 hours of sleep due to nightmares about the crash. She informs that exercising right after work helps her get better sleep and to relax. She  feels that she is "jumpy" after the accident, especially when she is in the car. She also stated, "I  feel so sad that I can't seem to feel anything at all" In addition to her father, the client has a large  family and friend support system. She denies alcohol or drug use.