A nurse is caring for a client who has borderline personality disorder (BPD).

Check the 6 assessment findings that require immediate follow-up:.

A nurse is assessing a client who has schizophrenia which has been treated with fluphenazine for several years.

Which of the following findings should the nurse document as manifestations of tardive dyskinesia (TD)?.

A nurse in a mental health facility is caring for a client.

Medical History: Antisocial personality disorder.

Substance use disorder.

Nurses' Notes:. 1400: Client admitted to facility by court order for evaluation following arrest for disorderly conduct and resisting arrest.

Client states, "That judge is so stupid.

I don't belong here!" Client has rigid posture, is pacing around the room attempting to intimidate staff and other clients on the unit.

Extra staff members gather.

1500: Client escorted to room.

Client becomes flirtatious with assistant personnel (AP). Client introduced to roommate, whom they ignore.

Continues to flirt with AP. 1800: Client refuses to go to dining room for dinner.

States, "I'm not sitting down with a bunch of nuts.

Bring my food to me!". For each potential nursing action, click to specify if the potential action is anticipated or contraindicated for the client.

A nurse is reviewing medications for a newly admitted client who has bipolar disorder and is experiencing mania.

Which of the following client prescriptions should the nurse realize is expected to reduce the client's mania?.

A nurse is teaching a client who has a new prescription for lithium to treat bipolar disorder.

The nurse should instruct the client to ensure an adequate intake of which of the following dietary elements?

A nurse is caring for a client who has bipolar disorder and is in the manic phase.

The client says he is bored.

Which of the following activities is appropriate for the nurse to suggest to this client?

A nurse is teaching a client who has bipolar disorder about lithium.

Which of the following statements should the nurse include in the teaching?.

A nurse is caring for a young adult client who has somatic symptom disorder and is being evaluated for chest pain.

The client's laboratory results are all within the expected reference ranges, the ECG is unremarkable, and the client has no identified cardiac risk factors.

Which of the following actions should the nurse take?

A nurse is caring for a client who is experiencing suicidal thoughts.

Which of the following actions should the nurse take?.

Which nursing intervention will have the greatest impact on both the management of care and on milieu environment when considering the clients diagnosed with bipolar disorder?

A nurse is reviewing the medical record of a client who performs self-injury.

Which of the following information should the nurse identify as placing the client at risk for self-harm behaviors?