A client who recently went through an upsetting divorce is threatening to commit suicide with a handgun. The client is voluntarily admitted to the psychiatric unit.

Which of the following nursing diagnoses has the highest priority?

True or False: The management of delirium is dependent on its cause, with the primary focus being to address the root cause.

During the mental status examination, the nurse observes that the client rapidly shifts from one idea to another related thought. Which disordered thinking process is the client displaying?

A young client diagnosed with major depressive disorder recently had their engagement broken off by their fiancé, who claimed the client was too fat and ugly.

During a one-on-one interaction with the nurse, the client says, “My fiancé is really wonderful and is not to blame for calling off the engagement.

I look awful and I’m not much good for anything.”. What is the most appropriate response by the nurse?

The night nurse reports that the client, who is hospitalized with major depressive disorder, has been unable to sleep until late at night.

The client gets up, paces the hallway, wrings their hands, and appears teary.

Which interventions should the nurse advocate to add to the care plan? Select all that apply.

What should be the first step for a nurse when communicating with an angry patient?

The nurse is using the Global Assessment of Function to assess her patient. Which is a ‘favorable’ range of functioning?

What are the goals of therapeutic communication?

Which medication side effect is irreversible if not detected early?

True or False: Lability is characterized by a rapid change in emotions.

What is an effective nursing intervention to help an angry patient manage their anger without resorting to violence?