A female client on a psychiatric unit is sweating profusely while she

vigorously does pushups and then runs the length of the corridor several

times before crashing in to the furniture in the sitting room. Picking

herself up, she begins to toss chairs aside, looking for a red one to sit in.

When another client objects to the disturbances, the client shouts," I am

the boss here. I do what I want." Which nursing problem best supports

these observations

-Risk for other related violence related to disruptive behavior

8. A female client engages in repeated checks of door and window

locks. Behavior that prevents her form arriving on time and

interferes with her ability to function effectively. What action should

the nures take?

-plan a list of activities to be carried out daily

9. The nurse is preparing medications for a client with disorder and

notices that the antipsychotic medication was discontinued several days

ago. Which medication should also be discontinued?

-Benztropine (Cogentin)

10. The nurse is teaching a client about the initiation of a prescribed

abstinence therapy using disulfiram (Antabuse). What information should

the client acknowledge understanding

-remain alcohol free for 12 hours prior to the first dose

11. A male client with bipolar disorder tells the nurse that he needs to

"make some deals so that he can improve his retirement savings." Based

on this information, which client outcome should the nurse include in the

plan of care

-delay business decisions until his mania subsides

12. teenaged girl self induced vomiting

-frequency of binging and purging behaviors

13. Pt is getting oreiented to the unit and replies “there are no TVs in the

room” What is the nurse’s best respond?

-it is important to be out of your room and talking to others