A nurse on a mental health unit placed a client in mechanical restraints after the client assaulted another client. Which of the following actions should the nurse take?

Evaluate the client hourly while the restraints are applied.

Have the provider assess the client within 1 hr after applying the restraints.

Obtain a prescription for restraints on an as-needed basis.

Request that the provider renew the prescription for restraints every 8 hr.

Answer and Explanation

The Correct Answer is B

The nurse should have the provider assess the client within 1 hr after applying restraints to ensure that the restraints are necessary and appropriate, and to monitor the client's physical and mental status.

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Correct Answer is A

Explanation

Valproic acid is an anticonvulsant medication that is also used to treat bipolar disorder. It can help stabilize the mood and prevent manic episodes, which are characterized by elevated or euphoric mood, increased energy, and decreased need for sleep. The other options are not expected outcomes of valproic acid, as it does not have significant effects on anxiety, memory, or psychosis.

A. "How have you dealt with stress in the past?" B. "Are you thinking of harming yourself?" C. "Let's talk more about what you are experiencing." D. "Tell me what makes you feel stressed."

Correct Answer is B

Explanation

The nurse should make safety a priority and assess the client's risk for suicide first, before exploring other aspects of the client's stress level. The client's statement indicates hopelessness and despair, which are warning signs of suicidal ideation.

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A nurse on a mental health unit placed a client in mechanical restraints after the client assaulted another client. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has been taking valproic acid. Which of the following is an expected outcome of the medication?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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A nurse on a mental health unit placed a client in mechanical restraints after the client assaulted another client. Which of the following actions should the nurse take?