During the assessment phase of the nursing process, data collection takes place. What methods does the nurse employ to gather data? (Select all that apply.)

Ativan 1mg IM is ordered, Ativan is available in mg/mL. How many mLs will you administer?

What are the negative symptoms of psychosis?

An adult patient assaulted another patient and was subsequently restrained. One hour later, which statement by the restrained patient requires the nurse’s immediate attention?

The home health aide reports to the practical nurse that the client has been trying to give away possessions.

When the nurse asks the client about this behavior, the client says, “With my spouse dead, there’s no reason for me to go on.”. What is the best priority response by the nurse?

When communicating with an angry patient, the nurse must first:

What are the goals of therapeutic communication?

A client who recently went through an upsetting divorce is threatening to commit suicide with a handgun. The client is voluntarily admitted to the psychiatric unit.

Which of the following nursing diagnoses has the highest priority?

The patient is experiencing loss of multiple abilities such as short- and long-term memory, language, and the ability to understand. What condition does the patient have?

A young client diagnosed with major depressive disorder recently had their engagement broken off by their fiancé, who claimed the client was too fat and ugly.

During a one-on-one interaction with the nurse, the client says, “My fiancé is really wonderful and is not to blame for calling off the engagement.

I look awful and I’m not much good for anything.”. What is the most appropriate response by the nurse?

Feelings of worthlessness, guilt, and despair are expressed in a female client’s every thought, movement, and activity. Her physical health has declined and she is often unable to eat.

What is the client experiencing?