A 75-year-old client with a long history of depression is currently taking doxepin (Sinequan) 100 mg daily. The client also takes a daily diuretic for hypertension and is recovering from the flu. Which nursing diagnosis should the nurse assign highest priority?

2. Which indicates a client is likely demonstrating a mental disorder?

. A client diagnosed with bipolar I disorder is distraught over insomnia experienced over the past 3 nights and a 12-lb weight loss over the past 2 weeks. Which should be this client’s priority nursing diagnosis?

The nurse prepares discharge teaching for a patient. The HCP has prescribed Alprazolam (Xanax), prn patient anxiety. Which client assessment finding would cause the nurse to question HCP’s order?

A psychiatric-mental health nurse working on an inpatient unit receives a call asking if an individual has been a patient in the facility. Which nursing response reflects the most appropriate legal and ethical obligations?

An involuntarily committed patient is verbally abusive to the staff. The patient threatens to sue and records the full names and phone numbers of the staff. Which nursing action is most appropriate to decrease the possibility of a lawsuit?

The nurse holds the hand of a client who is withdrawing from alcohol. What is the nurse’s rationale for this intervention?

Which of the following indicates that the integrity of the nurse-patient relationship may be in jeopardy? Select all that apply.

A patient expresses concern that information given to the nurse remains confidential. “I need to know that everything I tell you confidential and won’t be shared with anyone.” Which response made by the nurse is best?

The nurse cares for a patient whose spouse of 34 years dies unexpectedly. The patient cries often and becomes socially isolated. The patient’s therapist stresses the importance of proper sleep, nutrition, and exercise. Which statement is true regarding the rationale for the therapist’s advice?