A nurse is working with a client with borderline personality disorder. Within the first hour of the shift, the client went from laughing and joking with other clients, to getting angry and shouting at these clients, and then crying in their room because “everyone hates me.” This is an example of what feature of borderline personality disorder?

A patient who is experiencing auditory hallucinations has become increasingly agitated throughout the day. The patient suddenly kicks over an empty trash can and shouts “I WILL KILL YOU ALL!” at the wall. In response, the nurse should (Select all that apply).

A 13-year-old is beginning treatment for conduct disorder. What would be an appropriate goal for treatment?

The nurse is working with the family of a child diagnosed with autism spectrum disorder. What would be an appropriate intervention for the family?

The following clients are waiting to be seen in the emergency department. Which client should the nurse assess first?

The nurse is caring for a patient diagnosed with delirium. The nurse would note these symptoms as consistent with delirium: Select all that apply.

A patient with schizophrenia has been admitted to an inpatient facility. Since admission, the patient has been either refusing medication or cheeking their medications. What interventions should the nurse implement? Select all that apply.

The nurse is reviewing documentation after restraints were used. What item from the documentation should be removed?

A child reads stories that help them reflect on the situations and feelings the child is experiencing. This is what type of therapy?

The nurse is developing a plan of care for the client newly diagnosed with anorexia nervosa who is receiving inpatient treatment. According to the client needs, prioritize the outcomes from most urgent to least urgent.

A patient was placed in restraints after punching a staff member. Which statement by the patient requires the nurse’s immediate attention?