A nurse begins the intake assessment of a client diagnosed with bipolar I disorder. The client shouts, "You can't do this to me. Do you know who I am?" Which is the priority nursing action in this situation?
A. To provide self and client with a safe environment
B. To redirect the client to the needed assessment information
C. To provide high-calorie finger foods to meet nutritional needs
D. To reorient the client to person, place, time, and situation
ANS: A
During a manic episode the client's mood is elevated, expansive, and irritable. Providing a safe environment should be prioritized to protect the client and staff from potential injury.
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Which of the following clients of a nurse practitioner is demonstrative of a growing trend in the role of grandparents in contemporary American society?
A) A 70-year-old grandmother is raising her two grandchildren because their mother is in prison. B) An 80-year-old client of the nurse is going through a divorce with her husband of several decades. C) A 79-year-old man laments the fact that he is estranged from his son's children. D) A married couple in their seventies who refuse to provide free child care for their grandchildren on a daily basis.
A nurse is teaching a patient how to use a transcutaneous electrical nerve stimulation (TENS) unit and how it works. What is the most appropriate information for the nurse to relay?
a. "The stimulation of the skin seeks to lo-calize the acute pain and will last for sev-eral minutes after the unit is applied." b. "This unit stimulates both the skin and the underlying tissues to decrease the intensity of the pain." c. "The mechanism for use of this unit is well known and can be read." d. "During those days when using the TENS unit, no analgesic can be given."
The nurse will suspect that the patient with stable angina is experiencing a side effect of the prescribed metoprolol (Lopressor) if the
a. patient is restless and agitated. b. blood pressure is 90/54 mm Hg. c. patient complains about feeling anxious. d. cardiac monitor shows a heart rate of 61 beats/minute.
Which of the following characteristics are reflective of a transformational leader?
A. Honest, charismatic, passionate, and op-timistic B. Sympathetic, commanding, pessimistic, and controlling C. Honest, competitive, goal-directed for self-achievement, and controlling D. Unilateral decision maker, solely inter-ested in the bottom line, and pessimistic