The client with a history of three suicide attempts has been taking fluoxetine for 1 week. The client suddenly presents with a bright affect, rates mood at 9/10, and is much more communicative. Which of the following is the priority action for the nurse?

The nurse is caring for the client who states, “Do you think I should move from my parent’s house and get a job?” Which nursing response is most appropriate?

The client who has a history of substance abuse is sent to the clinic by their employer. The client expresses to the nurse that they have only been drinking a little bit on the job, and that the boss is “overreacting.” The nurse understands that the client is displaying which of the following defense mechanisms.

The student nurse indicates that learning has occurred regarding case management by making the following statement:

The client at the mental health clinic tells the nurse case manager, “I can’t think about living another day, but don’t tell anyone about the way I feel. I know you are obligated to protect my confidentiality.” Which nurse case manager response is most appropriate?

The RN is precepting the student nurse caring for the client who requires restraints. The RN would be correct in stating which of the following?

The nurse is intervening with a married couple experiencing relationship discord, which nursing action reflects an intervention at the secondary level of prevention?

During a client’s first prenatal visit, she reports having a 5-year-old daughter born at 40 weeks’ gestation and a 2-year-old son born at 33 weeks’ gestation. The client has also experienced two pregnancy losses, one at 10 weeks and another at 17 weeks. Using the GTPAL system, how should the provider document this information?

When assessing a client with preeclampsia, which finding would indicate worsening of the condition and require immediate intervention?

A client at 32 weeks’ gestation is admitted to the birthing unit with painless, bright red vaginal bleeding. Her vital signs are stable: blood pressure of 115/72 mm Hg, pulse of 88 beats/min, and respiratory rate of 20 breaths/min. The uterus is soft, non-tender, and the client reports no contractions. In light of this information, which condition would the nurse suspect?