"I place my child in time-out for 15 minutes when they misbehave." "I send my child to their room for the time-out period." "I make use of time-out after giving three warnings." "I use a kitchen timer to mark the end of the time-out period."
The client states that he has developed sudden hearing loss. The client states that his partner will not visit because they are too busy with their job. The client yells obscenities at the nurse. The client stomps his feet and throws objects o his bedside table
Decreased startle response to loud noises Reports uninterrupted sleep of 10 to 12 hr each night Reluctance to discuss the event that precipitated the distress Reports feelings of acute distress that began 1 to 2 weeks ago
The child has a history of jaw factures. The child seems frightened of their parent. The child has had no immunizations since birth. The child rocks back and forth continually.
"I agree with you. I'm sure this will never happen again." "This is awful. You should le charges against your partner." "This is clearly child endangerment. I will have to call the police." "I'd like to know more about what happened. Let's sit and talk."
Cognitive reframing Thought stopping Validation therapy Operant conditioning
Initiate one-to-one observation. Encourage the client to participate in group activities. Administer an antidepressant. Set up a time for individual meetings with the client.
Document the client's behavior once every hour. A client who has new-onset delirium A client who is experiencing auditory hallucinations A client who is experiencing mania A client who has somatic symptom disorder
Illusion Hallucination Attention-seeking behavior Self-mutilation
Spending equal time with clients regardless of their insurance status. Explaining possible adverse effects to clients receiving new prescriptions. Respecting the decision of clients to refuse to participate in group therapy. Attending an educational conference on identifying clients at risk for suicide.
Remain 15 cm (6 in) away from the client Use a raised voice when speaking to the client Determine the cause of the client's feelings Ask the client short, close-ended questions
Reach to Recovery A 12-step program Al-Anon Light therapy
A nurse did not clarify a client's prescription that was difficult to read resulting in a medication error. A nurse posted private information on social media about a client who has substance use disorder. A nurse placed a client in mechanical restraints without obtaining a prescription, resulting in injury. A nurse threatened a client with physical harm after the client became verbally abusive to staff members.
"ECT is contraindicated in clients who have psychotic symptoms." "ECT is delivered through electrodes attached to the head." "ECT cannot be administered to clients who have suicidal ideation." "ECT is conducted under regional anesthesia."
Paranoid Histrionic Narcissistic Antisocial
Orthostatic hypotension Diarrhea Hyperactivity Increased urinary output A client who is a voluntary admission does not have the right to request to be discharged. A client who is admitted involuntarily has the right to refuse to participate in therapy. A client who is admitted involuntarily cannot refuse to take prescribed psychotropic medications. A client who is a voluntary admission cannot withdraw consent after it has been given.
Provide additional attention to the client. Apply mechanical restraints before administering medication. Obtain a verbal contract from the client. Limit staff members who work with the client
"Has a family member indicated that you should cut down on your drinking?" "Have you had a glass of wine in the last week?" "Do you drink alcohol with your friends?" "Do you enjoy drinking alcohol?"
Refer the client to a support group for survivors of suicide. Offer to contact the client's family or support system. Inform the client that feelings of guilt are often felt by survivors of suicide. Determine the client's understanding of the suicide events.
Administer a sedative medication. Perform a debrieng with the sta. Acknowledge the client's emotions. Place the client in restraints.
Polyphagia Fever Bradycardia Oliguria 33 nurse is assessing an older adult client's ability to make a successful role transition to widowhood following the death of her partner. Which of the following factors should the nurse include in the assessment? (Select all that apply.) The client's advance directives status The client's willingness to attend a support group The client's current health status The client's family support system The client's involvement in a spiritual community
A client who has borderline personality disorder and exhibits splitting behaviors A client who has schizophrenia and reports command hallucinations A client who recently started taking lithium and has a new hand tremor A client who takes fluoxetine and states they have a dry mouth
Flight of ideas Word salad Neologisms Clang associations Coarse hand tremors and confusion
Slow speech Rapid mood changes Hallucinations Unaltered level of consciousness Restlessness
Use detailed explanations when providing education to the client. Maintain a stimulating environment for the client. Provide the client with a structured schedule of daily activities. Limit time for rituals to 30 min each day.
Autonomic dysreexia Synergistic effect Sleep deprivation Delirium
Voice alteration Neck pain Memory deficit Headache
Grandiosity Flight of ideas Splitting Hyperactivity Withdrawa
Lack of eye contact Inability to play quietly Constant spinning of a toy Temper tantrums Repeated voiding in clothes
Encourage the client to attend group therapy sessions. Allow the client to choose scheduled daily activities. Use simple words to describe procedures to the client. Avoid discussing topics that can trigger a panic attack
The right to parity The right to make informed decisions The right to social contact The right to privacy
A client who is experiencing withdrawal from oxycodone A client who is experiencing withdrawal from diazepam A client who has a low lithium level A client who has a low imipramine level |