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A nurse is caring for multiple clients on a mental health unit.
Which of the following clients should the nurse attend to first?.

A client who has bipolar disorder and is continuously pacing at the end of the hall.

A client who is standing in her room, yelling obscenities and throwing her clothes.

A client in the dayroom who is screaming at other clients about what is on the television.

A client who is repeatedly approaching the nurses' station to request medication for his anxiety.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

While pacing can indicate anxiety, this client is not currently a threat to themselves or others.

Choice B rationale:

This client is exhibiting aggressive behavior and could potentially harm themselves or damage property.

Choice C rationale:

Although this client’s behavior is disruptive, it is not immediately dangerous.

Choice D rationale:

This client’s repeated requests indicate anxiety, but they are not in immediate danger.

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Correct Answer is D

Explanation

Choice A rationale:

Absence of seizures is not an expected outcome of fluoxetine therapy. Fluoxetine is an antidepressant, not an anticonvulsant.

Choice B rationale:

Reduction in hand tremors is not an expected outcome of fluoxetine therapy. Fluoxetine is used to treat depression, obsessive-compulsive disorder, some eating disorders, and panic attacks.

Choice C rationale:

Decreased hallucinations is not an expected outcome of fluoxetine therapy. Fluoxetine is not typically used to treat conditions that cause hallucinations.

Choice D rationale:

Improved mood is an expected outcome of fluoxetine therapy. As an antidepressant, fluoxetine works by balancing chemicals in the brain that affect mood and emotions.

A. . Make a personal introduction to the client at each interaction. B. Give the client a list of foods to choose from for dinner. C. Repeat orientation questions until the client gives a correct response. D. Provide the client with a dark environment for sleeping.

Correct Answer is A

Explanation

Choice A rationale:

Making a personal introduction to the client at each interaction is a recommended approach for clients with dementia. It helps to orient the client and establish a connection, which can reduce confusion and anxiety.

Choice B rationale:

Giving a client with dementia a list of foods to choose from for dinner may be overwhelming due to impaired decision-making abilities.

Choice C rationale:

Choice D rationale:

Providing a dark environment for sleeping can be disorienting for a client with dementia. A low level of light can help the client maintain orientation to their surroundings.

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A nurse is caring for multiple clients on a mental health unit. Which of the following clients should the nurse attend to first?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a client who is to start therapy with fluoxetine. Which of the following is an expected outcome for this client?.

Correct Answer is D

Explanation

A nurse is assisting with the care of a client who has dementia. Which of the following actions should the nurse take?.

Correct Answer is A

Explanation

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A nurse is caring for multiple clients on a mental health unit.
Which of the following clients should the nurse attend to first?.