While conducting an admission interview with a client, the nurse suspects the client may be in alcohol withdrawal. Which screening tool can help the nurse identify the severity of withdrawal symptoms?

What intervention is a priority when the client is experiencing auditory hallucinations?

While caring for a depressed client, a nurse would evaluate the need for suicide precautions under which circumstance?

The nurse is admitting a client with a dual diagnosis of major depressive disorder and alcohol abuse. What is the primary intervention?

The nurse is caring for a client who is withdrawing from long-term use of opioids. The nurse will monitor using a Clinical Opioid Withdrawal Scale (COWS). Which of the following cluster of symptoms would indicate to the nurse the client was withdrawing from opioids?

A client diagnosed with schizophrenia is experiencing delusions of persecution. How would the client express feeling persecuted?

The nurse is obtaining the mental health history of a newly admitted client diagnosed with schizophrenia. The client's family reports the client is hearing voices and cannot stay focused on the topic of a discussion.

Which thought disturbance is the client demonstrating?

The nurse is teaching about obstacles to maintaining recovery. Which of the following statements would indicate to the nurse a greater risk for relapse? (Select all that apply.)

A client has been diagnosed with major depression and placed on amitriptyline. Which is a side effect of amitriptyline?

The nurse is caring for a client with poor self-esteem. What intervention would be important for the nurse to include in the plan of care?

A female client staggers to day treatment smelling strongly of alcohol. She uses the defense mechanism "rationalization" when approached by the nurse and questioned about her recent alcohol consumption. How is this expressed?