A nurse is preparing for an interprofessional team meeting regarding a newly admitted client who has major depressive disorder. Which of the following findings obtained during the initial assessment is the priority to report to other disciplines?

Significant weight loss.

Psychomotor retardation.

Markedly neglected hygiene.

Poor problem-soling skills.

Answer and Explanation

The Correct Answer is B

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Correct Answer is D

No explanation

A. Monitor the child's vital signs every 15 min. B. Obtain a prescription for the restraints within 2 hr of initiating them. C. Have the child perform range-of-motion exercises every 3 hr. D. Ensure three fingers will fit between the child's wrist and the restraint.

Correct Answer is A

Explanation

a.This option is most appropriate in the context provided, as frequent monitoring is essential for a child in restraints to ensure their safety and well-being.

b.Obtain a prescription for the restraints within 2 hr of initiating them. - This is incorrect because the standard requirement is to obtain a prescription within 1 hour of initiating the restraints, not 2 hours.

c.While range-of-motion exercises are important, they are typically recommended every 2 hours to prevent complications like contractures.

d.The correct procedure is usually to ensure that two fingers can fit between the wrist and the restraint to ensure it's not too tight or too loose.

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A nurse is preparing for an interprofessional team meeting regarding a newly admitted client who has major depressive disorder. Which of the following findings obtained during the initial assessment is the priority to report to other disciplines?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who recently experienced the loss of their partner. Which of the following questions is the priority for the nurse to ask during this situational crisis?

Correct Answer is D

A nurse is caring for a school-age child who has conduct disorder and requires wrist restraints. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse in an alcohol rehabilitation facility is creating a discharge plan for a client who has alcohol use disorder. Which of the following recommendations should the nurse include in the plan?

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A nurse is caring for a client who is undergoing electroconvulsive therapy. Which of the following tasks should the nurse delegate to an assistive personnel?

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An older adult client is brought to the mental health clinic by her daughter. The daughter reports that her mother is not eating and seems uninterested in routine activities. The daughter states, "I'm so worried that my mother is depressed." Which of the following responses should the nurse make?