A nurse on an acute mental health unit is assessing four clients. Which of the following clients is the highest priority?

A client who has dementia and exhibits aphasia

A client who has bipolar disorder and displays constant pacing

A client who has schizophrenia and uses neologisms

A client who has depressive disorder and has poor personal hygiene

Answer and Explanation

The Correct Answer is B

A.   A client who has dementia and exhibits aphasia: While aphasia can be concerning, it is not necessarily indicative of immediate risk to the client or others.
B.   A client who has bipolar disorder and displays constant pacing: This client is the highest priority because constant pacing may indicate agitation or escalating anxiety, which could lead to agitation or aggression and require immediate intervention to prevent harm to the client or others.
C.   A client who has schizophrenia and uses neologisms: Neologisms, although indicative of disorganized thinking, do not necessarily present an immediate safety concern compared to constant pacing.
D.   A client who has depressive disorder and has poor personal hygiene: While poor personal hygiene is important to address for the client's well-being, it may not present an immediate safety risk compared to the behaviors exhibited by the client in option B.

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Correct Answer is C

Explanation

A. Consult the pharmacist about the client's prescribed medications: While consulting the pharmacist may provide valuable information about the medications, it may not be the first action to take in this scenario.
B. Call the provider to clarify the client's prescribed medications: While it may be necessary to clarify the client's medications with the provider, it may not be the first action to take, especially if there are discrepancies in the documentation.
C. Compare the client's medication administration record with the prescriptions on the transfer orders: This is the correct answer. Comparing the client's medication administration record with the prescriptions on the transfer orders can help identify any discrepancies or errors in medication administration, ensuring patient safety and adherence to prescribed therapy.
D. Review the intended purpose of the prescribed medications with the client: While reviewing the intended purpose of the medications with the client is important for informed decision-making, it may not be the first action to take if there are concerns about the accuracy or appropriateness of the prescribed medications.

A. "I will be given contrast dye during this test." B. "I will run on a treadmill during this test." C. "I might have a tube inserted into my airway during this test." D. "I might have to wear a nose clip during this test."

Correct Answer is D

Explanation

A. "I will be given contrast dye during this test." - This statement indicates a misunderstanding, as contrast dye is not typically used in a pulmonary function test. Contrast dye is more commonly associated with imaging studies such as CT scans or angiography.
B. "I will run on a treadmill during this test." - This statement is incorrect, as a pulmonary function test typically does not involve running on a treadmill. It measures lung function through various breathing maneuvers.
C. "I might have a tube inserted into my airway during this test." - While some procedures may involve inserting a tube into the airway (such as bronchoscopy), it is not a standard part of a pulmonary function test.
D. "I might have to wear a nose clip during this test." - This is the correct answer. Wearing a nose clip during a pulmonary function test helps ensure that breathing occurs only through the
mouthpiece, allowing for accurate measurements of lung function.

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A nurse on an acute mental health unit is assessing four clients. Which of the following clients is the highest priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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