A nurse is collecting data from a client regarding the client's sexual behavior. The client laughs and makes an inappropriate sexual comment. Which of the following is an appropriate response by the nurse?

A nurse is sitting with a client in the dayroom. The client jumps up and states, "There are snakes coming toward me!" Which of the following responses should the nurse make?

A nurse is reviewing the vital signs of a client who has a prescription for imipramine. Which of the following findings requires follow-up by the nurse?

A nurse is caring for a client who has an opioid use disorder. The nurse should anticipate that the provider will prescribe which of the following medications for treatment?

The nurse is assisting in the care of a client in an inpatient mental health facility.

Click to highlight the statements in the nurses' notes that indicate that the client is progressing as expected. To deselect a finding, click on the finding again.

Nurses' Notes

Day 14, 0800:

Client denies that substance use was triggered by any childhood trauma. Client states that they "just got in with the wrong set of friends."

Client has identified several coping mechanisms when they feel tempted to use the substances. Client is not sure where they will live after discharge. Client states that they are looking forward to seeing old friends when they are released from the hospital. Client states that they have a plan to receive their methadone daily following discharge. The client has written a plan for what to do if relapse should occur. Client states that they are willing to participate in outpatient therapy following discharge.

A nurse is assisting with the care of a client.

The nurse is contributing to the plan of care for the client. Which of the following interventions should the nurse include in the plan? Select 5 interventions the nurse should include in the plan.

A nurse is caring for a group of older adult clients who receive home care. Which of the following clients should the nurse interview about the possibility of caregiver abuse or neglect?

A nurse is reviewing the plan of care for an older adult client who is oriented during the day but has recently become confused at night. Which of the following interventions should the nurse recommend to update the client's plan of care?

A nurse is collecting data from an older adult client who was admitted with heart failure. The nurse should report which of the following findings to the provider as an indication of delirium?

A nurse is collecting data from an adult client in an outpatient mental health clinic. Which of the following events should the nurse identify as a potential cause of a maturational crisis?

A nurse in an acute care facility is caring for a client who has Alzheimer's disease. The client is pacing in the hallway and states, "I am trying to get to work, and I can't be late!" Which of the following responses should the nurse make?