The hospice nurse enters the home of a terminally ill client and finds the elderly spouse sitting at the bedside. The spouse is reading from a travel magazine to the client about the vacation she is planning for them for next year. What areas are the most important for the hospice nurse to assess at this time? Select ALL that apply.  

Methylphenidate (Ritalin) 20 mg is ordered at 9am and 5pm daily. Drug is available in 10 mg tablets. How many tablets will the nurse give daily?

The newly admitted child diagnosed with an Autism Spectrum Disorder self-mutilates when stressed. What would be the MOST appropriate short-term goal, by the end of the shift, for this client?  

The partner of a client with obsessive-compulsive disorder (OCD) reports that the client regularly exhibits “strange behaviors.” What does the nurse tell the partner about these behaviors? Select ALL that apply. 

The mother of a child diagnosis with Oppositional Defiant Disorder (ODD) says to her nurse, “I have three kids in grade school and I never know what any of them are doing. They have their lives and I have mine.” What type of family boundaries are described by this comment?

The nurse is working with a client with Paranoid Personality Disorder to facilitate behavioral change. Which intervention does the nurse employ that will have the GREATEST impact on successful achievement of outcomes?

The anorexic client is to receive 1000ml of intravenous fluid in 8 hours. At what hourly rate will the nurse set the electronic administration device?

You are caring for an 18-year-old female diagnosed with Dissociative Disorder, she states that she has had numerous episodes since she was 10 years old but is unable to recall any related reason they occur. You are aware that Dissociative Disorder can develop related to which of the following? 

During admission, the female client with Histrionic Personality Disorder is flirtatious during interactions with the male nurse. What is the MOST appropriate intervention by the nurse? 

Clients with a Somatoform Pain Disorder experience pain that can be debilitating and causes much distress. Which of the following is a nursing intervention that does not provide any secondary gain to the client diagnosed with a somatoform pain disorder?