A patient comes to the emergency room with complaints surrounding a COPD exacerbation.  The nurse anticipates all of the following physical assessment findings except:

A school nurse assesses a child’s hair for pediculosis capitis (head lice). Which of the following manifestations should the nurse recognize as an indication of this condition?

A nurse is preparing to teach a client and caregiver about the antidepressant therapy which will be continued at home. Which precaution should the nurse recommend, if the client experiences dizziness when getting out of bed?

A client newly diagnosed with obsessive-compulsive disorder (OCD) is seen by a nurse in the urgent care. The client is complaining of hair loss after frequent, persistent showers. Which of the following is the best goal for the client at this time?

When teaching a client with generalized anxiety disorder, which is the highest priority for the nurse to teach the client to avoid?

The nurse has completed the in-take assessment on a new client diagnosed with obsessive-compulsive disorder (OCD). The client is experiencing a high number of compulsive behaviors and states “it continues to make work difficult.” What nursing intervention would best help the client decrease the frequency of compulsive behaviors?

A client who just went through an upsetting divorce is threatening to commit suicide with a handgun. The client is involuntarily admitted to the psychiatric unit. Which potential nursing problem has the highest priority?

A student nurse is asking for clarification regarding obsessions and compulsions when related to obsessive-compulsive disorder. The nurse explains obsessions are typically recurrent and persistent thoughts. What description of compulsions is most accurate?

The husband of a woman with a somatic symptom illness asks the nurse why the doctors cannot find anything wrong with her. Which would be the appropriate explanation for the nurse to offer?

A client diagnosed with obsessive-compulsive disorder (OCD) has recently began a new treatment regimen, along with behavioral therapy. The client expresses concerns with the new treatment and “seriously doubts success will happen.” Which of the following is the most appropriate response by the nurse?