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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 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 teaching the family of a client who has a new diagnosis of borderline personality disorder about the disorder. Which of the following information should be the nurse's priority?

A nurse is preparing for the admission of client who has suspected active tuberculosis. Which of the following precautions should the nurse plan to implement to safely care for this client?

A nurse is caring for a client who has depression. Which of the following noninvasive treatments should the nurse recommend to the client?

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 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 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 caring for a client who has a serious mental illness. The client's temperature is 37° C (98.6° F), respiratory rate is 18/min, heart rate is 102/min, and blood pressure is 202/98 mm Hg. The client is wearing a heavy coat and scarf. The temperature is 37.8° C (100° F) outside. The client reaches for the nurse and says. "Kiss me baby! You know you want to!" Which of the following findings should the nurse address first?

A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority?

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.