Legal/Safety Behavioral Health
The nurse's response to to a client who describes uncontrollable feelings and asks for seclusion
What is get a written order from the health care provider and obtain a informed consent.
The white blood cell count
What is the laboratory test that the nurse needs to review for a client diagnosed with schizophrenia who has been taking clozapine?
Sometimes people hear things or voices that others cannot hear?
What is a therapeutic response to an actively hallucinating client?
The client is pounding on the locked exit door shouting, "Let me out of here! There is nothing wrong with me?
What is denial?
A manic client in the dayroom who is verbally abusive and threatens violence towards the care partner.
What is have the RN escort the manic client to his or her room?
A client who was admitted voluntarily for anxiety two days ago demands to be released from the hospital.
What is contact the health care provider?
Instructions by the nurse who is teaching a client regarding the timing of taking fluoxetine.
What is fluoxetine is an SSRI and is administered early in the morning.
Responding to client who won't eat because he believes that the food is poisoned.
What is open ended silence and open ended questions to have the client express his/her feelings?
The employee says, "I didn't get my raise because the boss doesn't like me."
What is Rationalization
One to one suicide precautions
What is the priority nursing intervention for a client who has been admitted for attempted suicide
What is "If you tell me the secret, I will need to tell your doctor?
The reason that a client is taking donepezil.
What is the client has been diagnosed with dementia?
Responding to an very hypervigilant and anxious client's spouse who has brought the client to the hospital for ECT.
What is "It sounds like you have some concerns about the ECT procedure. Why don't we sit down together and discuss and concerns that you may have?
A child yells at the dog after being picked on by a bully.
What is Displacement
Initial intervention regarding a hospitalized depressed client's altered nutritional intake, less than daily requirements
What is offer the client several small, frequent meals daily, and schedule brief nursing interactions with the client during these times.
Involuntary admission
What is the client presents a risk of harm to self?
A snack that includes figs, aged cheese, and yogurt.
What are examples of foods that are contraindicated for a client taking phenelzine sulfate?
Hospitalized depressed client statement of "My family would be better off without me.
What is you sound upset. Are you thinking about hurting yourself?
A four year boy with a new baby brother temporarily starts sucking his thumb and wanting a bottle.
What is regression?
A priority concern based on client data noted by the nurse during admission to a behavioral health unit.
The presence of bruises on the client's body
The nurse's response to a neighbor in a grocery store who asks about how someone who is her friend (the neighbor's friend) is doing?
What is "I cannot discuss any client situation with you."
The client's blood lithium level is 3.0 mEq/L
What is a toxic lithium blood level?
The client tells the nurse that he is looking forward to meeting with his new psychiatrist but frowns and avoids eye contact while speaking.
What is incongruent communication and behavior?
A woman who was unable to conceive becomes an elementary school teacher for 30 years.
Sublimation
The reason for providing a dementia client with easily accessible finger foods throughout the day
What is increases input throughout the day?