A client is admitted to the intellectual health unit and reviews taking greater anxiety medications
because, "I'm so harassed out. I just want to doze off." The RN should plan one on one
observation of the purchaser based on which announcement? - ANS-"I do not want to stroll.
Nothing topics anymore."
A consumer is admitted to the intellectual health unit reports shortness of breath and dizziness.
The client tells the RN. "I experience like I'm going to die." Which nursing hassle ought to the
RN include on this customer's plan of care? - ANS-Moderate anxiety
A customer at the intellectual fitness unit is turning into extra agitated, shouting at the group of
workers, and pacing within the hallway. When the PRN medication is obtainable, the customer
refuses the drugs and defiantly sits on the floor in the middle of the unit hallway. What nursing
intervention have to the RN enforce first? - ANS-Take other customers within the location to the
customer front room
A customer who refuses antipsychotic medicinal drugs disrupts group sports, talks with
nonsensical words and wanders into consumer's rooms. The RN makes a decision that the
consumer desires constant remark primarily based on which of those assessment findings? -
ANS-Wanders into the customers rooms
A patron with melancholy remains in mattress maximum of the day and declines activities.
Which nursing problem has the greatest precedence for this purchaser>? - ANS-Refusal to
address nutritional desires
A client with schizophrenia explains that she has 20 children after which very seriously points to
the RN and explains that she os certainly one of them. What is the maximum healing response
for the RN to provide/ - ANS-"My name tag indicates that I am an RN right here."
A female purchaser who is wearing grimy clothes and has foul frame smell, involves the hospital
reporting feeling scared due to the fact she is being stalked. What motion is maximum critical for
the RN to take? - ANS-Offer the patron a safe vicinity to relax earlier than interviewing her
A high faculty lady well-knownshows to the high college RN that she has been accomplishing
self- precipitated vomiting as weight-manage degree. Which preliminary assessment have to the
RN awareness on with this adolescent? - ANS-Frequent bingeing and purging behaviors.
A male adolescent turned into admitted to the unit two days ago for despair. When the
intellectual fitness RN tries to interview the patron to establish rapport, he turns into very irritated
and sarcastic. Which movement os exceptional for the RN to take? - ANS-Offer to play a game
of playing cards with the customer