A client with a history of alcoholism is admitted for detoxification. Based on treatment protocol, the nurse gives the client a dose of lorazepam 6 mg. Which additional prescription should the nurse administer immediately?

A preschool-aged girl tells the school nurse that her hair hurts. The nurse finds that the child's hair has been arranged to cover several small bald spots. Which finding indicates to the nurse that the hair loss is not disease related?

A client requests permission for the spouse to remain in the room during the admission assessment. While interviewing the client, the nurse notes a discrepancy between the client's verbal and nonverbal communication. Which action should the nurse take?

The nurse observes a client with a history of psychosis repeatedly looking to the side and mumbling responses to no one present in that direction. Which comment is best for the nurse to make?

The nurse is performing the admission assessment for a client with schizophrenia in an acute care inpatient facility. The nurse should identify which observed behavior is characteristic of schizophrenia?

The nurse has received a new prescription for the client to begin taking sertraline. Prior to administering the initial dose of sertraline, it is most important for the nurse to obtain which information?

When the nurse addresses questions to an adult client who is depressed, the client's responses are delayed. Which intervention should the nurse include in the client's plan of care?

The nurse notes that a client with a history of self-mutilation has increased body tension and is pacing in the hallway. Which nursing intervention is most important at this time?

A nurse is caring for a client:

The client has returned to work at an accounting firm and has started going to a grief support  group. She reports she is seeking care from a healthcare professional because her father is  worried about her. The client says she only gets 2 to 3 hours of sleep due to nightmares about the  crash. She informs that exercising right after work helps her get better sleep and to relax. She  feels that she is "jumpy" after the accident, especially when she is in the car. She also stated, "I  feel so sad that I can't seem to feel anything at all." In addition to her father, the client has a large  family and friend support system. She denies alcohol or drug use. 

Click to highlight the areas that the nurse should react to immediately. The client has returned to work at an accounting firm and has started going to a grief support  group. She reports she is seeking care from a healthcare professional because her father is  worried about her. The client says she only gets 2 to 3 hours of sleep due to nightmares about the crash. She informs that exercising right after work helps her get better sleep and to relax. She  feels that she is "jumpy" after the accident, especially when she is in the car. She also stated, "I  feel so sad that I can't seem to feel anything at all" In addition to her father, the client has a large  family and friend support system. She denies alcohol or drug use.

A client who has agoraphobia is beginning desensitization with the therapist, and the nurse is reinforcing the process. Which intervention has the highest priority for this client's plan of care?

An adult female client is brought to the Emergency Center after fainting at work. The nurse completes an assessment of the client and identifies caregiver role strain as a nursing problem. Which information best supports this problem?