1. A male client with schizophrenia is admitted to the mental health unit after

abruptly stopping his prescription for ziprasidone (Geodon) one month ago.

Which question is most important for the nurse to ask the client?

• Do you hear voices

2. 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

3. 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

4. What is the most important goal for a client diagnosed with major depression

who has been receiving an antidepressant medication for two weeks

• No attempt to committee suicide

5. 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

6. A male client in the mental health unit is guarded and vaguely answers the

nurse's questions. He isolates to his room and sometimes opens the door to

peek into the hall. Which problem can the nurse anticipate

• delusions of persecution