46.  A client began taking lithium for the treatment of bipolar disorder approximately 1 month ago and asks why he has gained 12 lb (5.4 kg) since then. Which response by the nurse is appropriate?

17.  A client with a history of command hallucinations approaches the nurse, yelling obscenities. The client mumbles and then walks away. The nurse follows. Which nursing actions are most likely to be effective in de-escalating this scenario? (Select all that apply.)

27.  An adult has cared for a debilitated parent for 10 years. The parent’s condition recently declined, and the health care provider recommended placement in a skilled care facility. The adult says, “I’ve always been able to care for my parents. Nursing home placement goes against everything I believe.” Successful resolution of this person’s crisis will most closely relate to what?  

37.  A client comes to the hospital for treatment of injuries sustained during a rape. The client abruptly decides to decline treatment and return home. Before the client leaves, the nurse should provide what support?

30.  A nurse at the mental health clinic plans a series of psychoeducational groups for persons diagnosed with schizophrenia. Which two topics would take priority? (Select all that apply.)

24.  A college student failed two examinations. The student cried for hours and then tried to call a parent but got no answer. The student then suspended access to his social networking web site. Which suicide risk factors are present? (Select all that apply.)

22.  The nurse discovers a client’s suicide note that details the time, place, and means to commit suicide. Which would be the priority nursing intervention and the rationale for this action?

25.  A victim of intimate partner violence comes to the crisis center seeking help. The nurse uses crisis intervention strategies that focus on what?

43.  A staff nurse tells another nurse, “I evaluated a new client using the modified SAD PERSONS scale and got a score of 10. I’m wondering if I should send the client home.” Select the best reply by the second nurse.

3.  A nurse is assessing a 6-year-old child who has experienced violence at school. Which of the following strategies should the nurse use during their assessment of this client?