Which of the following terms could be used to describe and document a client’s motor activity on a mental health assessment?

An experienced nurse is observing a newly licensed nurse as she interacts with a client regarding his concerns about his relationship with his partner. Which of the following statements by the newly licensed nurse requires intervention by the experienced nurse?

Which of the following are included in Johada’s indicators of mental health? (Select all that apply.)

When the local newspaper calls to inquire why the mayor has been admitted to the hospital, the nurse replies,” He is here because he's an alcoholic.” What possible legal action may the nurse be charged?

The nurse assists the physician with electroconvulsive therapy on a client who has refused to give consent, what possible action may this cause the nurse to be charged with?

A nurse caring for a client is preparing to access the client’s implanted medication port (Medi port). The client states, “Every time I have to have my port accessed, I get extremely anxious, and I have heart palpitations.” Which response by the nurse would be most appropriate for the assessment stage of crisis intervention?

What is the most significant trigger for the development of a nurse-focused countertransference situation?

The nurse used the term “labile” in describing a client’s mood and behavior. What does this term indicate?

Which of the following should a nurse utilize to assist in preventing liability from occurring? (Select all that apply.)

During an interdisciplinary treatment team meeting, a short-term outcome is established for a client with depressive symptoms. Which SMART goal is most appropriate?

The psychiatric-mental health nurse is performing the admission assessment of a client who is being admitted for depression and anxiety. The client reports a long history of excessive alcohol use and the recent loss of her job. When the nurse asks whether she has a religious preference or affiliation, the client states. "I used to believe in God, but I do not anymore. I do not understand how God can allow terrible things to keep happening to me.' Which nursing diagnoses will the nurse include in the client’s care plan?