A client with a mood disorder is admitted to the mental health unit. The priority nursing activity should be to:
1. Orient the client to group therapy.
2. Complete the mental and physical assessment.
3. Work on client's current stressors.
4. Teach social skills.
2
Rationale: The nurse needs the information from a complete mental and physical assessment to plan appropriate care with the new client, especially for safety related issues, so assessment is the priority. The client may not have group therapy ordered until assessments are completed. Working on the client's current stressors and teaching social skills are parts of the implementation of the nursing process.
You might also like to view...
What should the nurse be diligent in to provide a safe environment for the patient?
a. Keeping a light on at night to prevent falls b. Hand hygiene between patient contacts c. Regulating the temperature to avoid drafts d. Changing the bed linen to diminish microorganisms
A patient says, "I know I need religion in my life, but I don't know how to find God. I feel I have been abandoned." The nurse should assess for a childhood history of
a. recurrent losses. b. overindulgence. c. lack of nurturing. d. poor school performance.
A female patient is complaining of a "watery" vaginal discharge with a "really strong fishy" odor. Which health problem should the nurse suspect this patient is experiencing?
A. Trichomoniasis infection B. Yeast infection C. Genital warts D. Bacterial vaginosis
MC Clinical Situation: You are working the night shift on a medical nursing unit when you enter a room where a client is found to be unresponsive without a pulse or respirations. CPR can be terminated when
A. One hour has elapsed and there is still absence of pulse and respirations. B. Rescuer is exhausted and cannot continue. C. A nursing supervisor directs you to stop CPR. D. Pupils are dilated and fixed.