A pediatric client is being assessed in the clinic for a diagnosis of autism spectrum  disorder (ASD). The client’s parent describes that the client bangs their head repeatedly at  times. Which assessment finding should be documented by the nurse?

The 28- year-old client is admitted to the emergency department for treatment of injuries she says were caused during a sexual assault. What is the MOST important nursing intervention for this client?

A 10-year-old client who takes an Amphetamine has the nursing diagnosis: Risk for imbalanced nutrition less than body requirements due to the medication side effect of anorexia. What is the nursing intervention that BEST prevents this diagnosis from becoming an actual problem?

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?