The nurse is assigned to care for a client who is agitated. On entering the room, the client screams, "Why don't you just leave me alone?" The nurse should make which therapeutic response to the cli... ent? - ANS "I can see that you are upset. I'll be back in a few minutes to see how you are doing." The registered nurse has written an outcome statement of "Client will feel less anxious by the end of session" for a client with generalized anxiety disorder. Which interventions should the licensed practical nurse use to assist this client in meeting this goal? Select all that apply. - ANS Stay with the client. Administer anxiolytics medications if prescribed. Ensure the client is in an environment with little stimuli. The nurse is assisting in conducting a group therapy session. During the session a client threatens to act out physically and states that he will punch another member of the group. Which is the appropriate nursing action? - ANS Tell the client that he may talk about his anger but cannot act on it during the group session. A woman is admitted to an inpatient psychiatric unit with the diagnosis of anorexia nervosa. A behavior therapy approach is used as part of her treatment plan. Which is the purpose of the behavior therapy approach? - ANS Help the client identify and examine dysfunctional thoughts and beliefs. A client is admitted to a psychiatric unit for treatment of a psychotic disorder. The client is at the locked exit door and is shouting, "Let me out! There's nothing wrong with me! I don't belong here!" The nurse identifies this behavior as which? - ANS Denial A client is admitted to the psychiatric unit with a diagnosis of bipolar affective disorder and mania. The nurse identifies which symptoms or behaviors as requiring immediate intervention? - ANS Constant physical activity and poor oral intake A client with Alzheimer's disease became very agitated when a group of children came to sing and dance at a long-term care facility. The nurse should use which piece of information when approaching the client about this behavior? - ANS Individuals with Alzheimer's disease have difficulty tolerating excess stimulation and changes in routine. The nurse is c [Show More]
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