A female client is brought to the emergency department after police officers found her disoriented, disorganized, and confused. The nurse also determine the client is homeless and is exhibiting suspiciousness. This client's plan of care should include what priority problem?

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?

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.

A client who has agoraphobia is beginning desensitization with the therapist, and the nurse is reinforcing the process. Which intervention has the highest priority for this client's plan of care?

The nurse notes that a client with a history of self-mutilation has increased body tension and is pacing in the hallway. Which nursing intervention is most important at this time?

Mark which behaviors might be related to alcohol intoxication, acute phase of rape- trauma syndrome, or both. Tick only 1 box.

The nurse wants to teach the client about the long-term phase symptoms of rape-trauma syndrome.
What symptoms are consistent with long-term rape trauma? Select all that apply.

The charge nurse of the psychiatric unit observes clients in the day area. Which client is exhibiting symptoms of a conversion disorder?

During a family group meeting, the client's daughter tells the group, "I hope I didn't cause
Mom to be depressed." Which response is best for the nurse to provide?

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.

During the admission assessment to the mental health unit, a client reports that the people at the office, where the client works, are antagonistic and the client is thinking of shooting the supervisor. The client asks the nurse not to reveal this to anyone else. The nurse immediately notifies the client's therapist and other team members of the client's thoughts. The therapist then calls the client's supervisor and shares the client's thoughts about shooting the supervisor. Which outcome is best based on the action of the nurse?