A woman has just been informed that her husband died in the hospital. She approaches the nurse who cared for him during his final hours and angrily states:”If you had given him your undivided attention, he would still be alive.”Which analysis best applies to this situation?

A client with schizophrenia is pacing the hallway, yelling threats, and clenching fists. Despite multiple attempts at verbal de-escalation, the client’s aggression continues to escalate, and other clients are becoming fearful. The provider has written several PRN medication orders for agitation. Which medication should the nurse administer to provide immediate intervention?

An adult client has a history of physically assaulting family members when frustrated, followed by periods of remorse after each outburst. A care plan has been developed to address anger management and safety concerns.Which finding would indicate that the plan of care has been successful?

The nurse is reviewing histories of several clients diagnosed with personality disorders. For which clients would a family history of similar problems be most likely? Select all that apply.

In the emergency department, a client becomes increasingly agitated after waiting several hours for test results. The client is pacing, clenching their fists, and raising their voice at the nurse, saying:”This is unacceptable! No one cares about me!”The nurse recognizes the need to de-escalate the situation.What is the nurse’s best response?

A nursing instructor is reviewing definitions of sexual assault and rape with a group of nursing students. The instructor asks:Which of the following scenarios describe completed rape? (Select all that apply.)

In a family therapy session, a nurse observes that family members frequently interrupt each other and respond with vague statements such as, “You never listen to me” and “We always argue about everything.” The nurse plans to implement an intervention to enhance communication.What is the most effective strategy for the nurse to use?

A client with a history of command hallucinations approaches the nurse yelling obscenities and appears increasingly agitated. Which nursing actions are most likely to be effective in de-escalation for this scenario? Select all that apply.

The nurse is assessing several clients at a community health clinic. Which person would be most likely to experience sleep fragmentation?

During a home health visit, a nurse is assessing an older adult with Lewy body dementia who lives with family. The nurse observes multiple bruises. When asked, the daughter becomes defensive and states:”My mother often wanders at night. Last night she fell down the stairs.”Which nursing diagnosis has priority?