The patient is experiencing loss of multiple abilities such as short- and long-term memory, language, and the ability to understand. What condition does the patient have?

In a medical-surgical unit, the nurse is monitoring several patients. Which patient does the nurse identify as being at the highest risk for developing delirium?

During the mental status examination, the nurse observes that the client rapidly shifts from one idea to another related thought. Which disordered thinking process is the client displaying?

Which of the following actions is the best example of aggressive behavior?

The home health aide reports to the practical nurse that the client has been trying to give away possessions.

When the nurse asks the client about this behavior, the client says, “With my spouse dead, there’s no reason for me to go on.”. What is the best priority response by the nurse?

A patient inquires why they need to attend therapy and can’t just take their prescribed antidepressant medication. What would be the best explanation from the nurse?

A nurse is providing a community health education class about suicide prevention.

Which of the following should the nurse identify as risk factors for suicide? (Select all that apply).

Which medication side effect is irreversible if not detected early?

A confused older adult patient in a skilled nursing facility was asleep when unlicensed assistive personnel (UAP) entered the room quietly and touched the bed to see if it was wet.

The patient awakened and hit the UAP in the face.

Which statement best explains the patient’s action?

A young client diagnosed with major depressive disorder recently had their engagement broken off by their fiancé, who claimed the client was too fat and ugly.

During a one-on-one interaction with the nurse, the client says, “My fiancé is really wonderful and is not to blame for calling off the engagement.

I look awful and I’m not much good for anything.”. What is the most appropriate response by the nurse?