Safety of clients is of the highest priority, especially those diagnosed with a mental health illness/disorder. Which client is MOST appropriate for the charge nurse to assign to an agency nurse who has never worked in a psychiatric setting? 

An 8-month-old infant has been brought to the emergency department by the infant’s teenage parent. The infant presents with lethargy and decreased movement. After initial assessment, the care team suspects shaken baby syndrome. When providing care for this infant, the nurse should PRIORITIZE which of the following assessments?

The spouse, when talking about his wife who is diagnosed with Somatization Disorder, tells the nurse “I am running out of patience” and “I think my wife has all these health problems on purpose.” What is the BEST response by the nurse?

A woman who has experienced domestic violence is using the ego-defense mechanism Rationalization. Which statement reflects this action when questioned about her latest injuries?

Malingering is classified as a behavioral issue and presents with defined signs and symptoms. Of the following, which would indicate the client is malingering?  

Restraints are utilized for both behavioral and medical reasons. Guidelines for both differ considerably. What would be an APPROPRIATE nursing intervention to use when caring for an aggressive client in behavioral mechanical restraints?

You are assigned a client diagnosed with Bulimia Nervosa. Upon assessment you note slight elevation in BMI, however the client refuses to eat much in your presence. When assessing a client for the presence of this disorder, which symptom might the nurse anticipate?  

Panic attacks present with worry, fear, and apprehension. This can be very distressing for the client to experience. Observing the client, you notice which of the following behavioral symptoms that can be associated with panic attacks?

The client with paranoid personality disorder is prescribed Risperidone (Risperdal). The nurse observes the client drooling and has slight hand tremors. What is the MOST appropriate nursing intervention at this time?  

A 22-year-old college student is at a campus clinic for treatment of cold symptoms.  She appears thin and has an assessed weight of 95 pounds and height of 5 feet 8 inches.  The nurse attempts to ask the client about recent weight changes but the client says, “I’m here for my cold not to talk to you about my eating!”  What should be the nurse’s INITIAL response?