A nurse is collecting data for a client who has schizophrenia. The client states that he hears voices telling him to do “bad things.” The nurse should recognize this finding as which of the following?

A client receiving treatment at a inpatient psych unit is placed in bilateral soft restraint after all attempts by the staff to manage client’s aggression fail.  Which of the following actions would best protect the nurse from  legal action?

A nurse is assisting with the plan of care for the orientation phase of a nurse-client relationship.  Which of the following actions should the nurse recommend be included?

A nurse is caring for a client who gave birth to a stillborn fetus 1 week ago. She states “I am so angry that my doctor didn’t take better care of me and my baby,” Which of the following responses should the nurse make?

Which of the following assessment findings on a 2 yr. child should the nurse identify as indicative of physical abuse?

A nurse is assisting with the admission of a client who has schizophrenia. Which of the following actions should the nurse take first?

A nurse is caring for a client who has dementia. The client’s agitation is increasing. Which of the following actions should the nurse take?

A nurse is collecting data from a client who has generalized anxiety disorders. Which of the following findings should the nurse expect in this client?

A nurse is caring for a client who washes her hands every 15 minutes. The nurse should recognize the client’s actions as which of the following?

A nurse is collecting data from a client who is having diffuculty coping with the death of a child. Which of the following questions by the nurse is the priority?