A nurse on a mental health unit is admitting a client following a suicide attempt. Which of the following actions is the nurse's priority?

Establish a therapeutic relationship with the client.

Instruct the client on stress management techniques.

Have the client sign a no-suicide contract.

Maintain constant observation of the client.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Establishing a therapeutic relationship is important, but the immediate priority is to ensure the safety of the client by maintaining constant observation.

Choice B rationale:

Instructing the client on stress management techniques is important, but safety comes first.

Choice C rationale:

Having the client sign a no-suicide contract may provide some reassurance, but it is not a substitute for constant observation.

Choice D rationale:

Maintaining constant observation of the client is the priority to prevent any further self-harm or suicide attempts.

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Correct Answer is C

Explanation

Choice A rationale:

Scheduling appointments earlier in the day accommodates the client's potential "on" periods when Parkinson's symptoms are better controlled.

Choice B rationale:

Looking down at the feet while walking is a technique that can help improve gait and stability, as Parkinson's disease often affects balance.

Choice C rationale:

Thicker liquids are less likely to cause aspiration in individuals with Parkinson's disease, as they can have difficulty coordinating the muscles needed for swallowing.

Choice D rationale:

Constipation is a common issue in Parkinson's disease due to decreased gastrointestinal motility. However, focusing on dietary fiber and fluid intake is preferred before considering laxatives.

A. "This medication might cause me to have a dry mouth." B. "This medication might cause my blood pressure to increase." C. "This medication might cause me to lose weight. D. "This medication might cause me to urinate more often."

Correct Answer is A

Explanation

Choice A rationale:

Dry mouth is a common side effect of amitriptyline, which is a tricyclic antidepressant. Informing the client of potential side effects is important for their understanding and management of medication-related symptoms.

Choice B rationale:

Amitriptyline is not known to cause an increase in blood pressure. In fact, it can have a hypotensive effect.

Choice C rationale:

Weight loss is not a typical side effect of amitriptyline. It can often lead to weight gain.

Choice D rationale:

Amitriptyline can cause urinary retention rather than increased urination.

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A nurse on a mental health unit is admitting a client following a suicide attempt. Which of the following actions is the nurse's priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has stage 2 Parkinson's disease. Which of the following instructions should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is providing teaching for a client who has depression and a new prescription for amitriptyline. Which of the following client statements indicates an understanding of the teaching?

Correct Answer is A

Explanation

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