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A nurse is educating a client about possible causes of their depressed mood. Which of the following client statements indicates an understanding of the 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.)

A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect? (Select all that apply.)

A nurse is preparing a presentation for newly hired nurses about self-care of the nurse. Which of the following examples of self-care routines should be included? (Select All that Apply.)

A nurse is planning care for a client who has been brought to the inpatient mental health unit by law enforcement officers after becoming aggressive in a local bar. The nurse should identify that this finding is consistent with which of the following disorders?

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 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 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 admitting a client who has active tuberculosis to a room on a medical-surgical unit. Which of the following room assignments should the nurse make for the client?

A nurse is caring for a client who has a Jackson-Pratt (JP) drain in place after surgery for an open reduction and internal fixation. The nurse should understand that the JP drain was placed for which of the following purposes?

A nurse is caring for a client who was hospitalized with a high blood alcohol content level. The provider fears the client may go into withdrawal and require medical supervision. The client's manifestations included anxiety, tremors, BP 166/100 mm Hg, and tachypnea about 1 hr ago. Now the client begins yelling out that they are seeing spiders crawling all over the walls. They believe they are at home and begin calling for their mother. The nurse should recognize that the client is experiencing which of the following stages of alcohol withdrawal?