A nurse is planning care for a client who has borderline personality disorder who self-mutilates. Which of

the following treatment approaches should the nurse plan to take?

Maintain close observation of the client.

A nurse is assessing a client who has Stage 4 Alzheimer's disease. Which of the following findings should

the nurse expect?

The client is able to identify the names of family members.

A nurse is caring for a client who reports that the television set in the room is really a two-way radio and

states, "voices are coming from the TV and everything we say in this room is being recorded." Which of

the following responses should the nurse make?

"That must be very frightening."

A nurse is planning care for a newly admitted client who has bipolar disorder and is experiencing acute

mania. Which of the following client goals should the nurse identify as the priority?

Maintaining adequate hydration

A nurse is preparing to administer a benzodiazepine to a client who has generalized anxiety disorder. The

nurse should tell the client to expect which of the following adverse effects?

Sedation

A nurse in a mental health unit is planning care for a client who is receiving treatment forself-inflicted

injuries. The nurse should identify which of the following interventions as the priority when planning

care for this client?

Promoting and maintaining clientsafety

A nurse is providing teaching to a client who has a new prescription for disulfiram for the management

of alcohol dependence. Which of the following dietary choices should the nurse instruct the client to

avoid?

Pure vanilla extract

A nurse is planning care for a client who has a physical dependence to alprazolam and must discontinue

the medication. Which of the following actions should the nurse include in the plan?

Taper the medication gradually overseveral weeks.

A nurse is caring for a newly admitted client who isreceiving treatment for alcohol use disorder. The

client tells the nurse, "I have not had anything to drink for 6 hours." Which of the following findings

should the nurse expect during alcohol withdrawal?

Insomnia