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15 minutes to talk to the client - Correct Answers-RN only has 15 minutes to talk to the client.
Acetaminophen overdose - Correct Answers-Client admitted for acetaminophen overdose and
experiencing physical symptoms.
Acetaminophen overdose and liver damage - Correct Answers-Client admitted for acetaminophen
overdose and subsequent liver damage.
Administer medication to chemically restrain - Correct Answers-Option D: Administer medication to
chemically restrain the patient.
Advise client that assignments are not based on request - Correct Answers-Option B: Advise the client
that assignments are not based on the client's request.
Agitated client - Correct Answers-Client becoming more agitated, shouting at staff, and pacing in the
hallway.
Alert and oriented within 15 minutes - Correct Answers-Client becoming alert and oriented after
Narcan administration.
Altered thoughts - Correct Answers-Option C: Altered thoughts.
Approach client with additional staff - Correct Answers-Option B: Quietly approach the client with
additional staff members.
Ask client to describe why she is being stalked - Correct Answers-Option B: Ask the client to describe
why she is being stalked.
Ask client to explain why he constantly requests RN - Correct Answers-Option C: Ask the client to
explain why he constantly requests the RN.
Ask client's husband to interpret discrepancy - Correct Answers-Option B: Ask the client's husband to
interpret the discrepancy.
Assessment findings to document - Correct Answers-Assessment findings to document in mental
status exam.
Assure client that HCP will see her today - Correct Answers-Option D: Assure the client that the HCP
will see her today.
, Avoid exposure to large crowds - Correct Answers-Option D: Avoid exposure to large crowds.
Avoid over the counter meds - Correct Answers-Option A: Do not take any over the counter meds.
Call crisis hotline if feeling lonely - Correct Answers-Option C: Call the crisis hotline if feeling
lonely.
Client becomes irritated and sarcastic - Correct Answers-Client's behavior during the interview for
rapport establishment.
Client recently lost a loved one - Correct Answers-Client recently lost a loved one and is experiencing
symptoms of depression.
Client taking different dosage of medication - Correct Answers-Client reporting taking a different
dosage of medication.
Client wearing dirty clothes and foul body odor - Correct Answers-Client's appearance and complaint
of being stalked.
Client with bipolar disorder - Correct Answers-Client with bipolar disorder discontinuing
antipsychotic medication.
Client's belief of not needing to be in the hospital - Correct Answers-Option C: "I really think that I
don't need to be here."
Client's belief that television talks to her - Correct Answers-Option B: Insight and judgment.
Client's feeling of impending death - Correct Answers-Client's statement: "I feel like I'm going to die".
Client's lack of motivation and hopelessness - Correct Answers-Option D: "I don't want to walk.
Nothing matters anymore."
Client's statement - Correct Answers-Statement indicating the need for one-on-one observation.
Client's statement of not needing to be in the hospital - Correct Answers-Option A: Level of
concentration.
Client's tiredness and need for sleep - Correct Answers-Option B: "I have been so tired lately and
needed to sleep."
Constant observation - Correct Answers-Client needing constant observation based on assessment
findings.
Delusion of having 20 children - Correct Answers-Client's delusion of having 20 children and
identifying the RN as one of them.
Determine client's reason for attempting suicide - Correct Answers-Option D: Determine the client's
reason for attempting suicide.
Determine parent's opinion of work assignment - Correct Answers-Option D: Determine the parent's
opinion of the work assignment.