A client in the inpatient mental health unit is experiencing severe anxiety. The nurse knows that the client:
1. Is able to focus.
2. May be easily distracted.
3. Will be able to communicate in writing.
4. Retains information.
2
Rationale: The client with severe anxiety is easily distracted and unable to focus. The client with severe anxiety will not be able to communicate in writing or retain information.
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A client, brought to the mental health unit by police, had been directing traffic and shouting rhymes
on a busy city street. Her husband reported that she had stopped taking her lithium 3 weeks ago and had not slept or eaten for 3 days. She was dressed in a red leotard, an exercise bra, and an assortment of chains and brightly colored scarves on her head, waist, wrists, and ankles. Her first words to the nurse were "I'll punch you, munch you, crunch you," as she danced into the room, shadow boxing. Then she shook the nurse's hand and said gaily, "We need to become better acquainted. I have the world's greatest intellect and you are probably an intellectual midget.". The nurse should assess the client's mood as a. irritable and belligerent. b. excessively happy and confident. c. unstable and unpredictable. d. highly suspicious and haughty.
Information obtained during a health history usually is sufficient to assess a patient's mental status. A more specific mental assessment is indicated in a patient with
a. head trauma. c. an abnormal gait. b. a lack of formal schooling. d. hypertension.
A Public Health Nurse has been asked to speak to the local PTO about contact dermatitis. The nurse explains various causes of irritant contact dermatitis
It is important for the nurse to include what as a potential cause of this skin disorder to prevent repeated cases? A) Reaction to an oral medication B) Soap or detergents C) Poor hygiene D) Overhydration of the skin
Most children begin to develop stranger anxiety between ___ and ___ months of age.
A) 3, 6 B) 6, 12 C) 12, 18 D) 18, 24