A nurse is reviewing the medical record of a client who performs self-injury.

Which of the following information should the nurse identify as placing the client at risk for self-harm behaviors?

A nurse is caring for a client who has schizophrenia and is experiencing auditory hallucinations.

Which of the following responses should the nurse make first?

A nurse is caring for a client who has schizophrenia and is experiencing a variety of hallucinations.

Which of the following hallucinations is the priority for the nurse to address?

A nurse is caring for a client who has bipolar disorder and a new prescription for valproate.

Which of the following instructions should the nurse give the client about the use of this medication?

A nurse in an acute care mental health facility is caring for a client who has depression.

After 3 days of treatment, the nurse notices that the client suddenly seems cheerful and relaxed and there are no longer signs of a depressive state.

Which of the following interventions is appropriate to include in the plan of care?

A nurse is reviewing discharge instructions with a client who has bipolar disorder and is taking lithium. Which of the following manifestations should the nurse include as an indication of mild toxicity?

A nurse is caring for a client who has been diagnosed with schizophrenia.

The client has been wearing the same clothes for the past week and appears unkempt and unbathed.

Which of the following statements should the nurse make to the client?

Medical History: Borderline personality disorder.

Alcohol use disorder.

History of suicidal ideation.

Medication Administration Record: Fluoxetine 20 mg PO daily.

Nurses' Notes: . 1500: Client admitted for evaluation and treatment following arrest for driving while under the influence of alcohol.

Client reports recent breakup of romantic relationship and subsequent job loss.

States, "I was too upset to go to work, and then they fired me. Like I needed that stress, too.”. 1700: Noted client has multiple cuts on arms and legs and there is a broken mirror with blood on it on the floor.

Client states, "I feel so alone.

There is no one that cares about me.”. For each potential nursing action, click to specify if the potential action is anticipated, nonessential, or contraindicated for the client.

A nurse in an acute mental health unit is admitting a client who has bipolar disorder.

Which of the following findings supports the admitting diagnosis of acute mania?

A nurse is caring for a client who has been diagnosed with schizophrenia and appears confused and has distortions in their thinking and speech patterns.

Which of the following is the priority nursing intervention for this client?

A nurse asks a client who is suicidal to make a safety contract, but the client declines.

Which of the following actions should the nurse identify as the priority?.