1. When admitting a client to an inpatient mental health facility, a nurse

notices that the client seems withdrawn and appears fearful. To establish a

trusting nurse-client relationship, the nurse should first

a. Introduce the client to other clients in the day room (working phase)

b. Inform the client that her admission will be confidential

(orientationphase)

c. Assist the client in facilitating behavioral change (working phase)

d. Determine coping strategies that the client has used in the past

(working phase)

2. A nurse is reviewing the potential adverse effects of lithium with a client

who began the medication 2 weeks ago. For which of the following should

the nurse instruct the client to monitor and report to the provider?

a. Hearing loss

b. Dry persistent cough

c. Bruising

d. Coarse hand tremor (indication toxicity )

3. A nurse is caring for a child who has conduct disorder and is behaving in a

destructive manner, throwing objects, and kicking others. Which of the

following therapeutic nursing interventions is the highest priority?

a. Encourage expression of feelings (acknowledge them)

b. Promote attendance at an assertiveness training group (how to be

assertive rather than aggressive)