1. During admission to thepsychiatric unit, a female client is extremely anxious and states that

she is worried about thesun coming up thenext day. What intervention is most important for

theRN to implement during theadmission process?

A. Assist theclient in

B. Remain calm and use a matter of fact approach.

C. Ask theclient why she is so anxious

skills.

D. Administer a PRN sedative to help relieve her anxiety.

2. A female client is brought to theemergency department after police officers found her

disoriented, disorganized, and confused. theRN also determines that theclient is homeless and is

exhibiting suspiciousness. theclient’s plan of care should include what priority problem?

A. Acute confusion.

B. Ineffective community coping

C. Disturbed sensory perception.

D. Self-care deficit.

3. The occupational health nurse is working with a female employee who was just notified that

her child was involved in a MVA and taken to thehospital. theemployee states, “I can’t believe

this. What should I do?” Which response is best for theRN to provide in this crisis?

A. Tell me what you think should happen.

B. How serious was thecollision?

C. What do you think you should do?

D. Call for transportation to thehospital.

4. A client tells theRN that he has an IQ of 400+ and is a genius and an inventor. He also reports

that he is married to a female movie star and thinks that his brother wants a sexual relationship

with her. What is thepriority nursing problem for admission to thepsychiatric unit?


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