1. A female client with a history of drinking who was admitted 8 hours ago after receiving

treatment for minor abrasions occurred from a fall at home. The nurse determines the

client's blood alcohol level (BAL) was not analyzed on administration action should the

nurse take?

• Ask client about alcohol quantity,frequency, and time of last drink

2. A male client is admitted to the psychiatric inpatient unit with a bandaged flesh wound

after attempting to shoot himself. he is recently divorced one year ago, lost his job four

months ago, and suffered a break up of his current relationship last week. What is the

most likely source of this client's current feelings of depression?

• a sense of loss

3. What is the most important goal for a client diagnosed with major depression who has

been receiving an antidepressant medication for two weeks?

• not attempt to commitsuicide

4. A male adult comes to the mental health clinic and walks back and forth in front of the

office door but does not enter the office. He then walks around a chair that is in the

hallway several times before sitting down in the chair. What action should the nurse take

first

• observe the client in the chair

5. A male client in the mental health unit is guarded and vaguely answers the nurse's

questions. He isolates to hisroom and sometimes opens the door to peek into the hall.

Which problem can the nurse anticipate?

• delusions of persecution

6. A male client who is seen in the mental health clinic monthly reports feeling very

stressed and nervous and further describes becoming angry increasingly more often

during the last month. What action should the nurse take first?

• ask the client to identify problemsthat have occurred during the last month

7. A young woman is preparing to be discharged from the psychiatric unit. Which nursing

intervention is most important for the nurse to include in this phase of the nurse client

relationship? (

• explore the client'sfeelingsrelated to discharge