In a medical-surgical unit, the nurse is monitoring several patients. Which patient does the nurse identify as being at the highest risk for developing delirium?

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?

In a medical-surgical unit, the nurse is monitoring several patients. Which patient does the nurse identify as being at the highest risk for developing delirium?

The practical nurse (PN) is implementing solutions to provide care for a patient.

The PN determines that the patient is still having an adverse reaction resulting in symptoms of___________________ and being

cold.

Choose the most likely options for the information missing from the statement(s) by selecting from the lists of options provided.

In communicating with the psychiatric patient, which nurse responses could obstruct effective communication with a client? (Select all that apply)

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?

Prozac 30mg PO is ordered for a client.

Prozac is available in 10mg tablets.

How many tablets will you administer?

What should be the first step for a nurse when communicating with an angry patient?

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?

During the mental status examination, the nurse observes that the client rapidly shifts from one idea to another related thought. Which disordered thinking process is the client displaying?

A patient has been admitted due to severe depression. What symptoms should the nurse anticipate during the assessment?