Client’s with a dual diagnosis are particularly difficult to treat.  Dual diagnosed clients must address both the psychiatric diagnoses and the substance abuse together in order to have even a limited amount of success.  Which of the following has shown a positive outcome for this population?    

As the student nurse, you are assigned to a patient with a recent diagnosis of schizophrenia. Your patient believes that the student nurses are on the unit so that they can spy on him. Based upon your assessment, you have determined that the patient is experiencing which of the following symptoms?    

The nurse uses a variety of therapeutic communication skills when working with clients.  Which is a therapeutic goal that can be accomplished through the use of therapeutic communication?  

The client diagnosed with bipolar disorder is also receiving an anti-convulsant medication that is used primarily for seizure disorders.  How does this medication help a client who has bipolar disorder?

A suicidal client is placed on a 1:1 observation. When the nurse accompanies the client to the bathroom, the client loudly shouts, “I’m sick of being followed around like a child who can’t be trusted”. What would be the BEST response by the nurse?

The young adult male patient has been prescribed Haloperidol (Haldol). It is day 4 and the nurse identifies the patient as having a dystonic reaction based upon which assessment findings?  

Post-ECT the client is complaining of a slight headache and requesting something for pain. There is a standing order for PRN Ibuprofen (Advil). What would be the correct nursing action?  

The nurse observed that after lunch the depressed client sat at a table and talked with two other clients. What is the BEST feedback for the nurse to give this client?  

The nursing diagnosis Powerlessness related to imbalance of neurotransmitters in the brain manifested by the client stating, “When I’m feeling overwhelmed, I get stuck and can’t change or do anything.” Which outcome BEST demonstrates improvement as it relates to this nursing diagnosis?  

With the end expiratory pause is factored in, what is the normal I:E ratio for an adult at rest?