The nurse is using the Global Assessment of Function to assess her patient. Which is a ‘favorable’ range of functioning?

A client is brought to a busy emergency department by their spouse due to erratic behavior and expressions of despair.

If the client shrugs their shoulders when asked by the triage registered nurse if they feel suicidal now, what nursing responsibility is the practical nurse expected to be assigned?

Prozac 30mg PO is ordered for a client.

Prozac is available in 10mg tablets.

How many tablets will you administer?

A patient admitted to the medical-surgical unit was recently weaned from a mechanical ventilator and an IV infusion of lorazepam.

The patient has been alert and oriented for 24 hours but is now experiencing confusion.

The practical nurse assists the registered nurse with the evaluation of new-onset confusion by assessing the patient’s sense of place and time, difficulty focusing, short-term memory loss, and increased lethargy.

What condition does the practical nurse suspect in this patient?

True or False: The management of delirium is dependent on its cause, with the primary focus being to address the root cause.

A nurse is providing a community health education class about suicide prevention.

Which of the following should the nurse identify as risk factors for suicide? (Select all that apply).

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?

The nurse is using the Global Assessment of Function to assess her patient. Which is a ‘favorable’ range of functioning?

A patient is pacing the hall near the nurse’s station, swearing loudly. What would be an appropriate initial intervention for the nurse?

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

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?