The nurse is performing intake interviews at a psychiatric clinic. A client with a known history of drug abuse reports having had a heart attack four years ago. Use of which substance places the client at highest risk for myocardial infarction?

Which individual should the nurse consider at highest risk for suicide?

A client with schizophrenia returns to the clinic two weeks after receiving a prescription for haloperidol. To assess for neuroleptic malignant syndrome (NMS), which information is most important for the nurse to obtain during this visit?

A client engages in repeated checks of door and window locks and behavior that prevents the client from arriving on time and interfering with the ability to function effectively. Which action should the nurse take?

Mark which behaviors might be related to alcohol intoxication, acute phase of rape- trauma syndrome, or both. Tick only 1 box.

The nurse documents that a client with schizophrenia is delusional. Which statement by the client confirms this assessment?

A male client tells the nurse that he has an IQ of 400+ and is a genius and an inventor. He also reports that he is married to a female movie star and thinks that his brother wants a sexual relationship with her. Which is the priority nursing problem for admission to the psychiatric unit?

A male client with a recent diagnosis of bipolar disorder takes lithium carbonate daily. The client informed the school nurse of the desire to live away from home to attend college after graduating in one month. Which information is most important for the nurse to provide the client and his family?

A nurse is caring for a client:

The client has returned to work at an accounting firm and has started going to a grief support  group. She reports she is seeking care from a healthcare professional because her father is  worried about her. The client says she only gets 2 to 3 hours of sleep due to nightmares about the  crash. She informs that exercising right after work helps her get better sleep and to relax. She  feels that she is "jumpy" after the accident, especially when she is in the car. She also stated, "I  feel so sad that I can't seem to feel anything at all." In addition to her father, the client has a large  family and friend support system. She denies alcohol or drug use. 

Click to highlight the areas that the nurse should react to immediately. The client has returned to work at an accounting firm and has started going to a grief support  group. She reports she is seeking care from a healthcare professional because her father is  worried about her. The client says she only gets 2 to 3 hours of sleep due to nightmares about the crash. She informs that exercising right after work helps her get better sleep and to relax. She  feels that she is "jumpy" after the accident, especially when she is in the car. She also stated, "I  feel so sad that I can't seem to feel anything at all" In addition to her father, the client has a large  family and friend support system. She denies alcohol or drug use.

The nurse continues caring for the client

Nurses' Notes

• Diagnosis: depression and post-traumatic stress disorder Diphenhydramine 12.5 mg PO every night at sleep (HS) • Buspirone hydrochloride 7.5 mg PO twice a day

During the conversation with the client, the nurse documents a statement by the client about wishing she had died in the crash.

Choose the most likely options for the information missing from the statement by selecting from the list of options provided.

The statement by the client represents and should be followed up with an

The nurse continues to care for the patient

The client is a 19-year-old male who is in the emergency room for a leg injury. He states he was returning to his dorm from a party and fell about 5 feet (1.5 meters) into a small ravine on campus. The client states that he drinks socially and takes no medications for any health condition.

The nurse is listening to the client.

Because the client is a male, he is especially at risk for which psychosocial two sequalae of sexual assault?