1. A female client with a history of drinking who was admitted 8 hours ago after receiving
treatment for minor abrasions occurred from a fall at home. The nurse determines the
client's blood alcohol level (BAL) was not analyzed on administration action should the
nurse take?
Ask client about al...
1. A female client with a history of drinking who was admitted 8 hours ago after receiving
treatment for minor abrasions occurred from a fall at home. The nurse determines the
client's blood alcohol level (BAL) was not analyzed on administration action should the
nurse take?
Ask client about alcohol quantity, frequency, and time of last drink
2. A male client is admitted to the psychiatric inpatient unit with a bandaged flesh wound
after attempting to shoot himself. he is recently divorced one year ago, lost his job four
months ago, and suffered a break up of his current relationship last week. What is the
most likely source of this client's current feelings of depression?
a sense of loss
3. What is the most important goal for a client diagnosed with major depression who has
been receiving an antidepressant medication for two weeks?
not attempt to commit suicide
4. A male adult comes to the mental health clinic and walks back and forth in front of the
office door, but does not enter the office. He then walks around a chair that is in the
hallway several times before sitting down in the chair. What action should the nurse take
first
observe the client in the chair
5. A male client in the mental health unit is guarded and vaguely answers the nurse's
questions. He isolates to his room and sometimes opens the door to peek into the hall.
Which problem can the nurse anticipate?
delusions of persecution
6. A male client who is seen in the mental health clinic monthly reports feeling very stressed
and nervous and further describes becoming angry increasingly more often during the last
month. What action should the nurse take first?
ask the client to identify problems that have occurred during the last month
7. A young woman is preparing to be discharged from the psychiatric unit. Which nursing
intervention is most important for the nurse to include in this phase of the nurse client
relationship?
explore the client's feelings related to discharge
8. A female high school teacher who was a child of alcoholic parents seeks counseling at the
community health clinic because of depression over a student who was killed by a drunk
driver. After several weeks of counseling, which behavior is the best indicator that the
client is coping well with the anxiety related to the student's death?
becomes the faculty sponsor for students against drunk driving (SADD)
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