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A nurse is assessing a client before administering a unit of packed RBCs. The nurse should identify which of the following data as most important to obtain prior to the infusion?

A nurse is teaching a client who has chronic kidney disease about limiting foods that are high in potassium. Which of the following foods should the nurse instruct the client to avoid? (Select all that apply.)

A nurse is discussing strategies to develop nurse-client therapeutic relationships with a newly licensed nurse. Which statement by the nurse accurately describes strategies for building a therapeutic relationship?

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 at a primary care clinic is assessing a client for manifestations of depression. Which of the following client statements should the nurse identify as being consistent with depression?

A nurse is assessing a client who has a mental illness. Which of the following factors are important when assessing social determinants of mental health? (Select all that apply)

A nurse is caring for a client who is in physical restraints after demonstrating aggressive behavior. Which of the following criteria must be met before the nurse can remove the restraints?

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 newly licensed nurse asks a charge nurse, "What is the difference between a suicide attempt and self-harm?" Which of the following responses should the charge nurse give?

A nurse is teaching a client who has chronic obstructive pulmonary disease about ways to facilitate eating. Which of the following statements indicates a need for further teaching?

A nurse is planning a teaching for a group of clients about defense mechanisms. Which of the following information should the nurse include? (Select All that Apply.)