A nurse is caring for a client who has narcissistic personality disorder. Which of the following treatments should the nurse recommend?

A nurse is caring for a client in the emergency department (ED).

Click to highlight the findings that require follow-up. To deselect a finding, click on the finding again.

Nurses’ Notes

0205:

Client brought to the ED by police after being found wandering on the street. Client able to provide identity to police, but not able to identify place or time. Family notified.

Client confused and agitated. Appearance is disheveled. Mucous membranes dry. Lungs clear and equal, heart rhythm regular.

During assessment, client states, “Can you ask that person to leave my room?” Client is pointing to an empty chair.

Vital Signs

0200:

Temperature: 38.6° C (101.5° F)

Heart rate: 104/min

Respiratory rate: 18/min

Blood pressure: 158/96 mm Hg

Oxygen saturation: 98% on room air

A nurse in an outpatient mental health facility is preparing to administer phenelzine to a client who has been taking this medication for several years. The client reports eating a grilled cheese sandwich and banana for lunch and is feeling dizzy. Which of the following vital signs should the nurse assess first?

A nurse is planning to delegate client care for several clients in a mental health facility. Which of the following tasks should the nurse delegate to an assistive personnel?

A nurse is teaching the caregiver of a client who has advanced Alzheimer's disease about home safety. Which of the following statements by the caregiver indicates an understanding of the teaching?

A nurse is caring for a client who is experiencing active auditory hallucinations. Which of the following actions should the nurse take?

A nurse working in an outpatient mental health facility is caring for a client who has anxiety and was discharged from an inpatient mental health facility 1 week ago.

A nurse in an outpatient mental health facility is assessing a client who has anxiety. Click to highlight the findings in the Nurses’ Notes that indicate an improvement in the client’s condition. To deselect a finding, click on the finding again.

Client appears to be well-groomed.

Client’s current weight is 54 kg (119 lb).

Client states they are sleeping 5 to 6 hours per night but having an occasional nightmare.

Verbalizes decreased appetite and gastrointestinal discomfort.

Client states, “I feel anxious about leaving my house. I feel like everyone is staring at me and judging me.”

Verbalizes that bullying experienced during high school has led to anxiety.

Client engages in thought-stopping behavioral therapy and cognitive restructuring.

Client reports taking escitalopram 20 mg daily 2 hr after breakfast.

The nurse has reviewed the nurses’ notes, provider’s note, and laboratory results at 0230.

For each client’s finding, specify if the finding is consistent with delirium or Alzheimer’s disease. Each finding may support more than one disease process or none at all. There must be at least one selection in every column. There does not need to be a selection in every row.

A nurse is providing teaching about relapse prevention to a client who has schizophrenia. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is caring for a client.

Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client’s progress.

A nurse is caring for a client who has bipolar disorder and is refusing to take prescribed medications. Which of the following ethical principles is the nurse displaying when he supports the client's refusal of medications?