A charge nurse in a mental health facility is teaching a newly licensed nurse how to perform an Abnormal Involuntary Movement Scale (AIMS) assessment on a client.
The charge nurse should identify that the AIMS assessment is used for which of the following conditions?.

A nurse is assessing a newly admitted client who states that they do not want to live anymore and plan to end their life.
Which of the following actions should the nurse take?.

A nurse at a primary care clinic is assessing a client for manifestations of depression.
Which of the following client statements should the nurse identify as being consistent with depression?.

A nurse is caring for a client who has schizophrenia.
Nurses' Notes.
Day 1 1230: A 38-year-old client who has schizophrenia is admitted.
Diagnosed 15 years ago.
Client reports, "I have been hearing voices again telling me to hurt myself.
I hear voices at nighttime so I am not sleeping well.”. Day 1 1730: Vital Signs.
Client consumed 35% of evening meal.
Client appears nervous but reports not hearing voices at this time.
Day 1 1930: Nurse enters client's room.
Client is standing on bed and states, "Do you see that man? He is telling me he is going to hurt me.”. Client pointing to corner of the room.
Client is talking to themselves and states, "I don't want to hurt myself.
Tell the voices to go away!" Nurse asks the client who they are talking to and states, "Tell me more about who is trying to hurt you.”. The nurse is reviewing the client's medical record.
Select the "3" findings that require immediate follow-up by the nurse.

A nurse is providing care to a client who has acute stress disorder.
Which of the following client statements is consistent with this disorder?.

A nurse is caring for a client who has schizophrenia.
Nurses' Notes.
Day 1 1030: Vital Signs.
A 35-year-old client who has schizophrenia is admitted.
Diagnosed 15 years ago.
Brought in by partner and states client has remained in room for the last several days and movements are delayed.
Select the "3" findings that should indicate to the nurse the client is experiencing negative symptoms related to their schizophrenia.

A nurse is caring for a client who ingested a selective serotonin reuptake inhibitor and St. John's Wort.
Which of the following findings should the nurse identify as being consistent with serotonin syndrome?.

A nurse is caring for a client who has been prescribed clozapine.
Which of the following topics should the nurse prepare to discuss with the client?.

A nurse on an inpatient mental health unit is caring for a client who is experiencing panic level anxiety.
Which of the following findings should the nurse expect?.

A nurse is providing care to a 9-year-old child who uses their hand to mimic shooting a gun anytime someone enters the room or tries to interact with them.
The nurse should identify that this is an example of which of the following manifestations of post-traumatic stress disorder?.

A nurse is planning discharge for a client who has schizophrenia and reports "I don't have a place to live.”. Which of the following referrals should the nurse request from the provider?.