A female client in a psychiatric unit with borderline personality disorder is angry that the night-shift staff will not let her get a cup of coffee at 3 A.M

She brings this up in a community meeting and develops a following of clients who demand access to the cafeteria at all hours. Which nursing action prevents the nursing staff from being "split"?
A) Allow the patients to decide how they want the milieu to operate.
B) Communicate thoroughly and effectively throughout the various shifts and maintain consistent rules.
C) Eliminate coffee from the unit.
D) Allow clients to have free access to the cafeteria at all times.


B

Nursing

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The client had a terrible argument with his wife during which he hit her several times. Today, he arrives from work with flowers and an expensive necklace "to make up

" His be-havior is characteristic of the stage in the assault cycle known as the ____ stage. 1. crisis 2. trigger 3. depression 4. escalation

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A client with advanced Alzheimer's disease has been prescribed haloperidol (Haldol). What clinical manifestation suggests that the client is experiencing side effects from this medica-tion?

A. Cough B. Tremors C. Diarrhea D. Pitting edema

Nursing

The nurse is assessing a patient who appears fatigued, pale, and says that he has lost 15 pounds over the last month. This information suggests to the nurse that the patient:

1. Should be further assessed for the presence of a malignancy. 2. Is having financial difficulty. 3. Is depressed. 4. Has a change in taste and smell and has probably lost interest in food.

Nursing

To obtain data about an adult client's sexuality and reproductive pattern, the nurse should ask the client:

A) How often do you have sexual intercourse?? B) What arouses you when you have intercourse?? C) How many children do you have, both living and dead?? D) Has anything changed your sexual performance??

Nursing