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A charge nurse on a mental health unit is describing assessments for suicide risks to a group of newly licensed nurses. Which of the following tests should the nurse include? (Select All that Apply.)

A nurse on an inpatient mental health unit is assisting with a series of group therapy sessions for a small group of clients.

Nurses Notes

Session 1:

Client A states they are fearful at times.

Client B is sobbing and states they can't go a day without their partner.

Client C remains silent during the session.

Client D wears boots 24 hr per day.

Client E continuously twists their hair.

Session 4:

Client A admits to having an extreme fear of mice, among other things.

Client B brings a picture of their partner to the session and cries when looking at the photo.

Client C has yet to speak during a group session.

Client D tells the group they wear boots all the time because they have the world’s ugliest feet and don’t want anyone to see them.

Client E is now pulling out hair after they have twisted it

The nurse is reviewing the observations made from the various group sessions. Drag words from the choices below to fill in each blank in the following sentences.

1. Client A is exhibiting manifestations of ___Target 1

2. Client B is experiencing manifestations of ____Target 2

3. Client C continues to exhibit manifestations of ____Target 3

4. Client D is displaying manifestations of ___Target 4

5. Client E has worsening manifestations that have now progressed to ___Target 5

Word Choices

A nurse is reviewing the medical record of a client who reports severe pain in their head and abdomen. The client's blood toxicology test reveals ingestion of a common insect poison. The client states, "I like to feel like I am the center of a TV show medical drama. That is why I took the poison." The client denies suicidal intent or ideation. Which of the following disorders best describes the client's condition?

A nurse in a mental health clinic is caring for a client who is grieving.

Nurses' Notes

1000:

Client presents to the mental health clinic and is tearful and angry recently experienced the loss of a child due to illness. Information provided to client about group therapy and individual therapy.

1100:

Client is continuing to sob and states, "I can't go on living without my child." Current list of home medications reviewed. Client states they have not been taking the prescribed medication "because it will not help."

1300:

Client spoke in group therapy session regarding feelings and prescribed treatment. Acknowledges the role of the therapist and expectations of support group, yet confides, "My anger and sadness are still very

Medication Administration

1000:

Sertraline 100 mg PO BID

Vital Signs

1015:

Temperature 36.8°C (98.4° F)

Heart rate 85/min

Respiratory rate 15/min

BP 147/86 mm Hg

Oxygen saturation 99%

A nurse is caring for a client who is grieving. Which of the following findings should the nurse identify as a priority to address? Select all that apply.

A nurse is assessing a client who is 48 hr postoperative following abdominal surgery. Which of the following findings should the nurse report to the provider?

A nurse is discussing the different forms of complementary and alternative therapy with another nurse. Which of the following treatments would be considered in this list? (Select all that apply.)

A nurse is providing care for a client who has recently returned from active combat and experienced the loss of a close friend during combat. Which of the following client statements indicates that the client is experiencing traumatic grief?

A nurse is caring for a client. Which of the following client statements should the nurse identify as an indication of anorexia nervosa?

A nurse is reviewing the EKG strip of a client who has prolonged vomiting. Which of the following abnormalities on the client's EKG should the nurse interpret as a sign of hypokalemia?

A newly hired nurse is providing report to a nurse. The nurse continuously interrupts the newly hired nurse during report. This is an example of which of the following?

A nurse is discussing bias issues in mental health with a newly licensed nurse. Which of the following statements should the nurse include in the discussion?