The nurse is caring for an angry, aggressive client on an inpatient mental health unit. When multiple least restrictive methods methods fail the physician orders restraints at 3 a.m to keep the client and others safe. Per Joint Commission standards, at what time and by whom does the nurse expect an in-person client evaluation?

An experienced psychiatric-mental health registered nurse has taken a new position leading groups in a day treatment program. Which group is this nurse most qualified to lead?

The nurse presents an inservice for staff about depression. Which statement made by participants indicates that further teaching is needed?

The nurse is precepting a new psychiatric-mental health nurse. The new nurse states, “This patient’s use of defense mechanisms should be eliminated.” Which is the correct response to the new nurse’s statement?

Which nursing response is the best example of the therapeutic communication technique of offering self?

An elderly client is exhibiting symptoms of major depressive disorder. A physician is considering prescribing an antidepressant. Which physiological problem should make a nurse question this medication regimen?

The nurse cares for a client admitted to the mental health unit with a diagnosis of paranoid personality disorder. Which is the priority nursing diagnosis when providing care to this client?

A nurse in the ED assesses a 17-year-old patient. The patient’s friend reports that the patient had vomited in the car prior to arriving at the ED. Patient’s vital signs are T-97.3 F, B/P 98/52 mm hg, Apical pulse 46 bpm, RR 7 breaths per minute. The patient’s body feels cold, skin is pale and muscle tone is flaccid. Patient does not rouse to name, or physical stimuli. Which action should the nurse take first?

The nurse cares for a patient on their first day of inpatient alcohol detoxification. Which nursing intervention should the nurse do first?

The nurse working the emergency department cares  for a patient with Alzheimer’s who has sustained an injury that resulted in a fractured arm. The patient lives with his son who is also his caregiver. The caregiver cannot explain how the fracture occurred. Upon assessment the nurse notes the following: patient is malodorous, has urine soaked clothing and dried fecal matter lower extremities, has a stage 2 pressure ulcer on coccyx, bruising in various staging of healing on patient’s back and upper buttocks. Additionally the patient’s BMI is 16.4. Based on this information which action should be a priority for the nurse