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

clientseems withdrawn and appearsfearful. To establish atrusting 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 shouldthe 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 adestructive

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 assertivenesstraining group (how to beassertive

rather than aggressive)