Exam 23: Clients with Psychosocial and Mental Health Concerns

A client being admitted for surgery has a concurrent history of bipolar disorder. The nurse would assess this client for manifestations of mania that include

A nurse on the general medical floor of a hospital has assessed a client as having severe manifestations of a psychiatric disorder. The most beneficial action by the nurse would be to

A client has continued to seek medical attention over the last 8 months regarding his health status, despite physical examination findings being consistently negative. The nurse concludes that this client's behavior is consistent with

A client with depression says to the nurse, "I have been on this antidepressant for 5 days and I still feel awful." The nurse can be most supportive by responding

The nurse explains that although uncomfortable, mild anxiety under normal circumstances usually

A nurse questions a client with panic disorder about whether a parent or sibling also has a panic disorder. This nurse is using a

The client repeatedly asks the nurse about the medical protocol for his pancreatitis. Because of the focus on this one concern, the nurse assesses

A client has been taking thioridazine (Mellaril) for acute schizophrenia for a month when she comes to the hospital with a broken leg. The nurse notices that the client is slurring her words, keeps wiping her mouth with tissues to control the drooling, and has trouble holding a glass of water. The nurse documents the client's assessment and notifies the physician that the nurse suspects

A mental health nurse assessing a client with schizophrenia finds that the client exhibits positive manifestations of the disorder after noting

The client begins to cry as she speaks of her several miscarriages during the last 2 years. The nurse assesses the crying as a(n)

A nurse observes that an older client is laughing forcefully when describing the strain of caring for the spouse, who has Alzheimer's disease. The client states that neither one of them goes to church or participates in any social events any longer. Other than caring for the person with Alzheimer's disease, the spouse spends much free time sleeping. The nurse would need to assess this client more for (Select all that apply)

The nonverbal behavior of the nurse that is likely to increase anxiety in a client is

The newly diagnosed diabetic client asks the nurse many questions about management of diet and insulin protocols. The nurse assesses that the client is using

The nurse attempting to develop a plan of care that addresses a client's spirituality should incorporate measures to address

A client admitted for an asthma attack is also receiving psychiatric treatment for chronic schizophrenia. During the interview the client stops responding and says, "Why are you asking me all these questions? Why do you want to know? Are you recording this for the others?" The nurse's best response is

A home health nurse is visiting a client living with his parents who has severe depression and is considered at risk of suicide. When the client refuses to sign a "no harm" contract, the most appropriate action by the nurse is to

A client's scheduled discharge home has been postponed because his mother was unable to come until tomorrow. After hearing the news, the client says his "doctor is a fool" and the care in the facility is very poor. The nurse assesses the client's behavior as

The nurse caring for a client with schizophrenia would assess for manifestations of this disorder, including (Select all that apply)