RN Mental Health Online Practice 2013/2024 A (All Correctly Answered)

A nurse is caring for a group of clients. For which of the following situations should the nurse complete an incident report? correct answers A client was administered one-half of the prescribed dose of medication an incident report is a recording of any occurrence that does not meet the standard of care. the nurse should report medication errors using the facility's incident or occurrence form a nurse is caring for a group of clients. Which of the following findings is the nurse required to report? correct answers A client who has borderline personality disorder threatened to harm their roommate s/s of BPD include interpersonal relationships accompanied by threats and other-directed violence. while it is important for the nurse to maintain the pts confidentiality on occasions when another individuals like might be in danger, the nurse is required by law to report it to authorities A nurse is caring for a client who has borderline personality disorder. Which of the following goals is the priority when planning care for this client? correct answers The client will refrain from self-mutilation the greatest risk to the pt is injury to self and others. therefore, the priority goal is for the pt to refrain from self-mutilation a nurse is discussing the home care of a client who has advanced Alzheimer's disease with he client's partner, who is planning to go out of town for several days. Which of the following resources should the nurse recommended to the caregiver? correct answers Respite care respirte care programs allow the pt to stay ina nursing facility for a set number of days, allowing the caregivers to go on vacation or have some time to themselves A nurse is caring for an older adult client who has dementia and has wandered into the day room looking for their deceased partner. Which of the following actions should the nurse take? correct answers Talk with the client about activities they enjoyed with their partner talking about positive experiences can help distract the pt from their disorientation A nurse is admitting a client who has schizophrenia to an acute care setting. When the nurse questions the client regarding their admission, the client states, "I'm red, in the head, and I'm going to bed!" The nurse should document the client's speech pattern as which of the following? correct answers Clang association the nurse should document that the pts speech uses clang associations which often rhyme or contain a string of words that can have a similar sound