A confused older adult patient in a skilled nursing facility was asleep when unlicensed assistive personnel (UAP) entered the room quietly and touched the bed to see if it was wet.

The patient awakened and hit the UAP in the face.

Which statement best explains the patient’s action?

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?

What expected outcomes should the nurse document for a client diagnosed with a depressive disorder? (Select all that apply)

Which medication side effect is irreversible if not detected early?

The practical nurse (PN) reviews the lab values.
What Questions can the PN ask the client based on the lab results? Select all that apply.

Upon entrance into a mental health care system, clients are thoroughly assessed, and this is followed by the development of a mental health treatment plan assessment.

Which of the following are purposes of the treatment plan? (Select all that apply)

Haldol 2mg IM stat has been ordered for the agitated client. Haldol is available in 5mg/ml. How many ml’s 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?

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?