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?

Upon entering a mental health care system, clients undergo a thorough assessment, followed by the creation of a mental health treatment plan. What are the objectives of this treatment plan? (Select all that apply.)

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?

What are the goals of therapeutic communication?

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?

What are the negative symptoms of psychosis?

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?

A patient with cognitive impairment, who has been a widow for 30 years, is desperately trying to leave the facility, stating, “I have to go home to cook dinner before my husband gets home from work.”. How should the nurse intervene using validation therapy?

A patient inquires why they need to attend therapy and can’t just take their prescribed antidepressant medication. What would be the best explanation from the nurse?

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?