A client with depression remains in bed most of the day, and declines

activities. Which nursing problem has the greatest priority for this client?

A. Loss of interest in diversional activity.

B. Social isolation.

C. Refusal to address nutritional needs.

D. Low self-esteem.

The nurse is preparing medications for a client with bipolar disorder and

notices that the client discontinued antipsychotic medication for several

days. Which medication should also be discontinued?

a. Lithium. (Lithotabs)

b. Benzotropine (Cogentin).

c. Alprazolam (Xanax).

d. Magnesium (Milk of Magnesia).

A female client requests that her husband be allowed to stay in the room

during the admission assessment. When interviewing the client, the RN notes

a discrepancy between the client’s verbal and nonverbal communication.

What action does the RN take?

A. Pay close attention and document the nonverbal messages.

B. Ask the client’s husband to interpret the discrepancy.

C. Ignore the nonverbal behavior and focus on the client’s verbal

messages.

D. Integrate the verbal and nonverbal messages and interpret them as

one.

A male client approaches the nurse with an angry expression on his face and

raises his voice, saying “My roommate is the most selfish, self-centered,

angry person I have ever met. If he loses his temper one more time with me,

I am going to punch him out!” The nurse recognizes that the client is using

which defense mechanism?

A. Denial.

B. Projection.

C. Rationalization.

D. Splitting.

A male client with bipolar disorder who began taking lithium carbonate five

days ago is complaining of excessive thirst, and the nurse finds him

attemptingto drink water from the bathroom sink faucet. Which intervention

should the nurse implement?