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 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 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 has schizophrenia and is experiencing a hallucination. Which of the following actions should the nurse take?

Medical History: Borderline personality disorder.

Alcohol use disorder.

History of suicidal ideation.

Medication Administration Record: Fluoxetine 20 mg PO daily.

Nurses' Notes: . 1500: Client admitted for evaluation and treatment following arrest for driving while under the influence of alcohol.

Client reports recent breakup of romantic relationship and subsequent job loss.

States, "I was too upset to go to work, and then they fired me. Like I needed that stress, too.”. 1700: Noted client has multiple cuts on arms and legs and there is a broken mirror with blood on it on the floor.

Client states, "I feel so alone.

There is no one that cares about me.”. For each potential nursing action, click to specify if the potential action is anticipated, nonessential, or contraindicated for the client.

A nurse is caring for a client who was recently diagnosed with somatic symptom disorder.

The client says to the nurse, "I don't understand, they can't find anything medically wrong with me. I guess I will never feel better.”. Which of the following responses is the most therapeutic?

A nurse is teaching a client who has bipolar disorder and a prescription for lithium to recognize the manifestations of toxicity.

Which of the following statements by the client indicates an understanding of the teaching?

A nurse is caring for a client who has schizophrenia and is experiencing auditory hallucinations.

Which of the following responses should the nurse make first?

A nurse is assessing for the presence of extrapyramidal side effects (EPS) in a client who is taking chlorpromazine.

Which of the following findings should the nurse recognize as EPS? (Select all that apply.).

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 an acute care mental health facility is caring for a client who has depression.

After 3 days of treatment, the nurse notices that the client suddenly seems cheerful and relaxed and there are no longer signs of a depressive state.

Which of the following interventions is appropriate to include in the plan of care?