Question

A nurse is performing a home visit on a client who has Alzheimer's disease and their partner. The partner states, "I wish I had some time to myself and run errands, but I need to be here all the time." Which of the following referrals should the nurse recommend to the client's partner?

Answer 1

Correct Answers:

Respite care

Rationale :

🏵️ Respite care provides temporary care for a dependent client so the primary caregiver can have a period of relief from caregiving responsibilities.

🏵️ The partner specifically states a desire to have time alone and run errands, which indicates a need for temporary assistance rather than permanent placement.

🏵️ Caring for a person with Alzheimer's disease can require continuous supervision because progressive cognitive impairment can affect memory, judgment, orientation, and safety awareness.

🏵️ Respite services allow a trained caregiver or facility to supervise the client while the partner attends to personal needs, appointments, errands, work, or rest.

🏵️ Respite care can be provided through in-home services, adult day programs, or short-term residential care, depending on available resources and the client's needs.

🏵️ Regular breaks can decrease caregiver burden, physical exhaustion, emotional stress, and burnout, which are important concerns in long-term dementia caregiving.

🏵️ Supporting the caregiver's well-being can also improve the caregiver's ability to continue providing safe and effective care for the client at home.

🏵️ Therefore, respite care is the most appropriate referral because it directly addresses the partner's expressed need for temporary relief from caregiving.

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Answer 2

Correct Answers:

"I will have lab work weekly for 6 months."

Rationale :

✳️ Clozapine is an atypical antipsychotic associated with potentially severe neutropenia, which can significantly impair the client's ability to fight infection.

✳️ Clients taking clozapine require regular monitoring of the absolute neutrophil count (ANC) to identify dangerous reductions in neutrophils early.

✳️ During the first 6 months of therapy, ANC monitoring is traditionally performed weekly for clients in the general population who meet treatment criteria.

✳️ This client has taken clozapine for only 3 months, so they remain within this initial intensive monitoring period.

✳️ The client should promptly report manifestations of infection such as fever, chills, sore throat, weakness, or flu-like symptoms because these can indicate neutropenia-related infection.

✳️ After the initial monitoring period, the frequency of ANC testing can generally be reduced according to current prescribing requirements, clinical guidance, and the client's ANC history.

✳️ Clozapine also requires monitoring for other serious adverse effects, including myocarditis, seizures, severe constipation, metabolic abnormalities, and orthostatic hypotension.

✳️ Therefore, stating “I will have lab work weekly for 6 months” demonstrates understanding of the monitoring associated with clozapine therapy.

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Answer 3

Correct Highlights :

Client appears unkempt
Difficulty remembering how to perform household tasks
Confused about their location
Episodes of urinary incontinence

Rationale :

🧿 Client appears unkempt — Report

🧿 A newly unkempt appearance can indicate a decline in the client's ability to perform self-care and activities of daily living.

🧿 This represents a meaningful change because the client's presentation suggests they may no longer be managing grooming and personal hygiene effectively.

🧿 Changes in self-care can occur with cognitive impairment, depression, neurological disorders, or other underlying medical conditions.

🧿 In an older adult with worsening memory problems, declining personal hygiene raises concern for progressive functional impairment.

🧿 The nurse should determine whether the client can independently perform bathing, dressing, grooming, toileting, and other daily activities.

🧿 The finding should not automatically be attributed to normal aging, particularly because other cognitive and functional changes are present.

🧿 Further evaluation can help determine whether additional support, supervision, or diagnostic testing is required.

🧿 Therefore, the client's unkempt appearance should be reported to the provider.

🧿 Difficulty remembering how to perform household tasks — Report

🧿 Difficulty remembering how to perform familiar household tasks represents more than ordinary age-related forgetfulness.

🧿 This finding can indicate apraxia, which is difficulty carrying out previously learned purposeful activities despite having the physical ability to perform them.

🧿 Loss of the ability to complete familiar tasks can occur with major neurocognitive disorders, including dementia.

🧿 Normal aging may involve occasionally forgetting information, but it should not cause progressive loss of the ability to perform well-established activities.

🧿 This change can interfere with instrumental activities of daily living such as cooking, cleaning, managing medications, and handling finances.

🧿 Functional impairment also creates important safety concerns, especially if the client attempts potentially hazardous household activities independently.

🧿 The nurse should assess the onset, progression, and effect of these changes on the client's independence and safety.

🧿 Therefore, difficulty performing previously familiar household tasks requires further provider evaluation.

🧿 Confused about their location — Report

🧿 Confusion regarding location indicates impaired orientation to place and is not an expected consequence of normal aging.

🧿 Disorientation can occur with dementia, delirium, medication effects, infection, metabolic abnormalities, or neurological disease.

🧿 The client's symptoms appear to have progressed over approximately 3 months, making the change particularly concerning.

🧿 Disorientation can significantly compromise safety because the client may become lost, wander, or have difficulty returning home.

🧿 The nurse should assess orientation to person, place, time, and situation, along with attention and memory.

🧿 Cognitive screening and further medical evaluation may be necessary to determine the underlying cause.

🧿 The client's previous symptoms were considered in the context of depression and life stressors, but the development of spatial disorientation and functional decline warrants reassessment.

🧿 Therefore, confusion about the client's location should be reported promptly.

🧿 Episodes of urinary incontinence — Report

🧿 New episodes of urinary incontinence in an older adult require evaluation rather than being dismissed as a normal part of aging.

🧿 Incontinence can result from urinary infection, medications, mobility limitations, cognitive impairment, neurological disease, or other medical conditions.

🧿 When urinary incontinence occurs together with cognitive and functional deterioration, it becomes especially important to identify the underlying cause.

🧿 Cognitive impairment can contribute to functional incontinence when the client cannot recognize the need to void or locate and use the bathroom appropriately.

🧿 The nurse should assess the timing, frequency, associated urinary symptoms, medication use, mobility, and neurological status.

🧿 Evaluation may include assessment for reversible causes such as infection or medication effects.

🧿 The client's statement that this is “normal for my age” is inaccurate because aging alone does not make urinary incontinence normal.

🧿 Therefore, the episodes of urinary incontinence should be reported to the provider.

❌ Findings That Do Not Require Highlighting

The client's temperature 37.2°C (99°F), heart rate 85/min, respiratory rate 18/min, and oxygen saturation 96% on room air are within generally expected adult ranges and do not indicate acute physiological instability. The client is also described as well-nourished, which is not an abnormal finding requiring follow-up.

The blood pressure of 103/87 mm Hg is not the key finding targeted by this question in the absence of symptoms of hypotension or other evidence of hemodynamic instability. The priority abnormalities are the client's new functional decline, disorientation, impaired performance of familiar tasks, and urinary incontinence, all of which warrant further evaluation.

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Answer 4

Correct Answers

Self-isolation because of behaviour [ Depression ; Schizoid personality disorder ]
Lack of peer support group [ Depression ; Schizoid personality disorder ]
Lack of interest in activities [ Depression ; Schizoid personality disorder ]
Chooses solitary activities [ Schizoid personality disorder ]

Rationale :

🌹 Self-isolation because of behavior — Depression & Schizoid Personality Disorder

🌹 Social withdrawal can occur in depression because clients may lose interest in relationships, experience low motivation, and withdraw from previously meaningful interactions.

🌹 Adolescents with depression can become increasingly isolated from family and peers and spend substantial time alone.

🌹 The client's statement, “I don't care about anything, or anyone,” further raises concern for emotional withdrawal associated with depression.

🌹 Schizoid personality disorder is also characterized by a persistent pattern of detachment from social relationships.

🌹 Individuals with schizoid traits typically show little desire for close relationships and frequently prefer being alone.

🌹 The history that the client has long been described as “shy,” has no friends, and consistently prefers isolation supports longstanding social detachment rather than only a recent mood change.

🌹 Antisocial personality disorder involves disregard for the rights of others, deceitfulness, aggression, impulsivity, and irresponsibility rather than simple social withdrawal.

🌹 Therefore, self-isolation is consistent with both depression and schizoid personality disorder, but not specifically antisocial personality disorder.

🌹 Completion of school assignments — None

🌹 Completing school assignments would demonstrate preserved academic functioning rather than the functional impairment often associated with significant depression.

🌹 The actual case states that the client does not complete homework assignments, which is more concerning for declining functioning.

🌹 Completion of assignments is not a defining characteristic of schizoid personality disorder.

🌹 Schizoid personality disorder is primarily characterized by social detachment and restricted emotional expression, not whether academic assignments are completed.

🌹 Completion of schoolwork is also not characteristic of antisocial personality disorder.

🌹 Antisocial personality disorder is associated with patterns such as deceitfulness, aggression, impulsivity, irresponsibility, and disregard for others' rights.

🌹 Academic performance by itself cannot establish any of these psychiatric conditions.

🌹 Therefore, completion of school assignments supports none of the three conditions.

🌹 Lack of peer support group — Depression & Schizoid Personality Disorder

🌹 Clients experiencing depression can withdraw from peers and lose important sources of social support.

🌹 Reduced social support can also worsen depressive symptoms, creating a cycle of increasing isolation.

🌹 The client's absence of friends and withdrawal from school participation therefore can be consistent with depression.

🌹 A lack of peer relationships is particularly characteristic of schizoid personality disorder, in which the person has little interest in establishing close interpersonal relationships.

🌹 The client has reportedly had no friends at school and spends substantial time alone, supporting persistent interpersonal detachment.

🌹 The pattern appears to have existed for some time rather than representing only a brief response to a stressful event.

🌹 Antisocial personality disorder is not defined by simply lacking a peer support group; the hallmark is violation of social norms and the rights of others.

🌹 Therefore, lack of peer support can support both depression and schizoid personality disorder.

🌹 Lack of interest in activities — Depression & Schizoid Personality Disorder

🌹 A marked loss of interest or pleasure in activities is called anhedonia, which is a core manifestation of depression.

🌹 The client's statement “I don't care about anything” can reflect the loss of motivation and interest associated with depressive illness.

🌹 Poor school participation and withdrawal from activities provide additional evidence of functional impairment.

🌹 Individuals with schizoid personality disorder also commonly demonstrate little interest in social activities and derive pleasure from relatively few activities.

🌹 They may appear indifferent, emotionally detached, and uninterested in activities involving other people.

🌹 The client's longstanding absence of hobbies, activities, and social involvement is therefore also compatible with schizoid traits.

🌹 Antisocial personality disorder, in contrast, does not characteristically cause generalized loss of interest or anhedonia.

🌹 Therefore, lack of interest in activities is consistent with both depression and schizoid personality disorder.

🌹 Chooses solitary activities — Schizoid Personality Disorder

🌹 A strong preference for solitary activities is a classic characteristic of schizoid personality disorder.

🌹 Individuals with this disorder generally neither desire nor enjoy close interpersonal relationships to the degree expected socially.

🌹 They frequently choose hobbies, recreation, and daily activities that can be performed independently.

🌹 The client's preference to remain in their room with their dog and absence of participation in group activities strongly reflects this pattern.

🌹 The history suggests that the preference for being alone has been longstanding, which supports a personality pattern more than an isolated depressive episode.

🌹 Depression can certainly cause temporary social withdrawal, but choosing solitary activities as an enduring preference is more characteristic of schizoid personality disorder.

🌹 Antisocial personality disorder is characterized by disregard for others' rights, rather than a preference for being alone.

🌹 Therefore, choosing solitary activities most specifically supports schizoid personality disorder.

❌ Why Antisocial Personality Disorder Is Not Supported

🌹 The scenario provides no evidence of aggression, deceitfulness, repeated unlawful behavior, impulsivity, manipulation, reckless disregard for safety, or violation of others' rights.

🌹 Antisocial personality disorder also requires an adult diagnosis with evidence of conduct disorder beginning before age 15, making simple adolescent social isolation insufficient.

🌹 The client's prominent findings are social detachment, limited relationships, lack of interest, and withdrawal, which point toward depression and/or schizoid features rather than antisocial behavior.

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Answer 5

Correct Highlights :

Reports loss of appetite
Reports sleeping most of the day
Became teary when asked about plans for activities
Questions reason to live if not working
Reports having no energy

Rationale :

🌻 Questions reason to live if not working — Highest Priority

🌻 The statement questioning a reason to live is the most urgent finding because it can indicate hopelessness and possible suicidal ideation.

🌻 Expressions suggesting that life lacks meaning require an immediate, direct suicide-risk assessment.

🌻 The nurse should ask clearly about thoughts of self-harm, suicidal intent, a specific plan, access to means, and previous attempts.

🌻 Asking directly about suicide does not increase suicidal behavior and is necessary for client safety.

🌻 The client already demonstrates significant social isolation, loss of interest, and declining functioning, which increases concern when hopelessness appears.

🌻 The nurse should ensure the client is not left without appropriate supervision and safety precautions while the risk is being evaluated.

🌻 The provider and mental health professional should be notified promptly because further psychiatric assessment may be required.

🌻 Therefore, questioning the reason to live is the finding requiring the most immediate follow-up.

🌻 Reports loss of appetite — Requires Follow-Up

🌻 A significant decrease in appetite is a common neurovegetative manifestation of depression.

🌻 Appetite changes can lead to weight loss, nutritional deficiencies, weakness, and worsening physical health if they persist.

🌻 In this client, the finding represents a change occurring alongside several other symptoms suggestive of worsening depression.

🌻 Depression can alter normal regulation of hunger, motivation, and pleasure associated with eating.

🌻 The nurse should assess the client's weight trend, nutritional intake, hydration status, and severity of appetite loss.

🌻 Reduced appetite combined with hypersomnia and low energy suggests a broader deterioration in daily functioning.

🌻 The finding should not be dismissed as simple adolescent behavior because it occurs with significant psychological symptoms.

🌻 Therefore, the client's loss of appetite warrants prompt follow-up.

🌻 Reports sleeping most of the day — Requires Follow-Up

🌻 Sleeping most of the day represents hypersomnia, which can occur with depressive disorders.

🌻 Excessive sleeping can interfere with school attendance, social interaction, physical activity, and normal daily routines.

🌻 This client already has impaired academic and social functioning, making the new sleep disturbance particularly concerning.

🌻 Depression can produce either insomnia or hypersomnia, depending on the individual.

🌻 The nurse should assess the amount and quality of sleep as well as whether the client is using sleep to withdraw from daily activities.

🌻 Excessive sleeping can further worsen social isolation and inactivity, reinforcing depressive symptoms.

🌻 When hypersomnia occurs together with hopelessness, appetite loss, tearfulness, and low energy, the overall pattern strongly suggests significant mood deterioration.

🌻 Therefore, sleeping most of the day requires further assessment.

🌻 Became teary when asked about plans for activities — Requires Follow-Up

🌻 Becoming tearful when discussing future activities can indicate significant sadness, emotional distress, or hopelessness.

🌻 The response is especially concerning because the client already demonstrates a marked loss of interest and social withdrawal.

🌻 Difficulty identifying enjoyable future activities may reflect anhedonia, one of the hallmark symptoms of depression.

🌻 Tearfulness suggests the client's emotional state may be worsening rather than remaining an isolated personality characteristic.

🌻 The nurse should assess the client's mood, coping ability, perceived stressors, and thoughts about the future.

🌻 Emotional distress combined with questioning the purpose of living increases the need for a comprehensive mental-health and suicide-risk assessment.

🌻 The client's worsening symptoms also indicate increasing impairment in daily and interpersonal functioning.

🌻 Therefore, the episode of tearfulness should be reported and evaluated.

🌻 Reports having no energy — Requires Follow-Up

🌻 A persistent lack of energy or fatigue is another common manifestation of depression.

🌻 Low energy can interfere with the client's ability to complete schoolwork, self-care, social activities, and household responsibilities.

🌻 The client's declining academic performance and withdrawal from activities can therefore be partly related to this symptom.

🌻 Depression can produce both psychological and physical manifestations, including fatigue, psychomotor slowing, and reduced motivation.

🌻 The nurse should assess how long the fatigue has been present and how severely it affects the client's daily functioning.

🌻 Medical causes of fatigue should also be considered, but the clustering of symptoms strongly supports a significant depressive process.

🌻 Fatigue occurring with hypersomnia, appetite loss, tearfulness, and hopelessness represents a meaningful change requiring evaluation.

🌻 Therefore, the client's report of having no energy warrants follow-up.

❌ Dry, nonproductive cough with bilateral breath sounds

🌻 A dry, nonproductive cough alone does not represent the immediate psychiatric safety concern present in this scenario.

🌻 Breath sounds are present bilaterally, and there is no documentation of respiratory distress, abnormal oxygenation, or significant pulmonary findings.

🌻 The nurse should continue routine assessment, but this finding does not take priority over the client's possible suicidal ideation and worsening depressive symptoms.

❌ Occasional muscle “aches and pains”

🌻 Nonspecific muscle aches and pains can occur for many reasons and are not, by themselves, an immediate threat.

🌻 Somatic complaints can accompany depression, but these occasional symptoms are less urgent than the client's hopelessness and functional decline.

🌻 The nurse should assess them as appropriate after addressing the client's immediate mental-health and safety concerns.

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Answer 6

Correct Answers:

Hallucinations Illogical thinking
Delusions

Rationale :

🖍️ Hallucinations — Correct

🖍️ Hallucinations are false sensory perceptions that occur without an external stimulus and are classified as positive symptoms of schizophrenia.

🖍️ They can involve auditory, visual, tactile, olfactory, or gustatory sensations, although auditory hallucinations are particularly common in schizophrenia.

🖍️ The client's statement that the FBI has called many times to warn of danger can reflect an abnormal perceptual experience, depending on the nature of the reported communication.

🖍️ Clients experiencing auditory hallucinations may report hearing voices, warnings, conversations, commands, or commentary that others cannot perceive.

🖍️ Hallucinations are considered positive symptoms because an abnormal sensory experience has been added to the client's normal functioning.

🖍️ The nurse should assess whether hallucinations contain commands, particularly instructions to harm the client or another person.

🖍️ The nurse should acknowledge the client's experience without validating the hallucination as reality and should present reality-based information calmly.

🖍️ Therefore, hallucinations are a positive symptom of schizophrenia.

🖍️ Illogical thinking — Correct

🖍️ Illogical or disorganized thinking is classified as a positive manifestation of schizophrenia because normal thought organization has become distorted.

🖍️ The client's thinking can become difficult to follow because thoughts may lack a clear logical connection or sequence.

🖍️ Disorganized thinking can manifest through loose associations, tangential speech, incoherence, or other disturbances in thought organization.

🖍️ The nurse specifically documents illogical thinking and poor concentration, demonstrating impairment in the client's thought processes.

🖍️ These disturbances can interfere with the client's ability to communicate, solve problems, make decisions, and interact effectively with others.

🖍️ Nursing communication should therefore be simple, clear, concrete, and brief to decrease confusion.

🖍️ The nurse should avoid arguing with distorted thoughts and instead maintain a calm, reality-oriented approach.

🖍️ Therefore, illogical thinking represents a positive symptom of schizophrenia.

🖍️ Delusions — Correct

🖍️ Delusions are fixed false beliefs that persist despite evidence demonstrating that the beliefs are inaccurate.

🖍️ The client's belief that they are a “highly ranked military officer” demonstrates a grandiose delusion involving exaggerated importance, status, or power.

🖍️ The belief that the client's safety is in jeopardy and that they must run can also reflect a persecutory delusion.

🖍️ Persecutory delusions involve believing that an individual or organization intends to harm, threaten, spy on, or persecute the client.

🖍️ Delusions are positive symptoms because they represent abnormal beliefs that have been added to the client's thought content.

🖍️ The nurse should not argue with, reinforce, or validate the delusion as factual.

🖍️ The nurse should acknowledge the client's feelings while presenting reality-based information and assessing whether the belief creates an immediate safety risk.

🖍️ Therefore, the client's delusions clearly represent positive symptoms of schizophrenia.

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Answer 7

Correct Answers:

A client who has bipolar disorder and is experiencing extreme hyperactivity

Rationale :

✍️ A client with bipolar disorder who is experiencing extreme hyperactivity may be in a manic episode and is at increased risk for injury, exhaustion, dehydration, and impulsive behavior.

✍️ Severe hyperactivity can prevent the client from resting, eating, or drinking adequately, which can rapidly lead to physiological compromise.

✍️ Mania can also involve poor judgment, impulsivity, decreased awareness of danger, and agitation, increasing the risk of harm to the client or others.

✍️ The nurse should prioritize clients with the greatest immediate safety risk using frameworks such as ABCs, safety, and acute versus chronic conditions.

✍️ Interventions may include reducing environmental stimulation, setting clear limits, offering high-calorie finger foods and fluids, and monitoring for escalating behavior.

✍️ The nurse should also assess for aggression, psychosis, sleep deprivation, and inability to meet basic needs.

✍️ Extreme hyperactivity represents an acute and potentially unstable condition, making it more urgent than the relatively expected or chronic findings in the other clients.

✍️ Therefore, the client experiencing extreme hyperactivity related to bipolar disorder should be assessed first.

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Answer 8

Correct Answers:

"I would like to have information about support groups."

Rationale :

♦️ Requesting information about support groups demonstrates that the client recognizes and is beginning to accept the responsibilities associated with the caregiver role.

♦️ Acceptance of a role change involves acknowledging that the situation exists and identifying realistic resources and coping strategies for managing the new responsibilities.

♦️ Support groups allow caregivers to interact with others who have similar experiences caring for individuals with serious mental illness.

♦️ These groups can provide emotional support, practical caregiving strategies, education, and community resources that help the caregiver adjust to the role.

♦️ Seeking assistance also demonstrates recognition that caregiving does not have to be managed independently or without support.

♦️ Appropriate support can reduce caregiver burden, stress, social isolation, and burnout, allowing the caregiver to maintain their own well-being.

♦️ Caregivers who successfully adapt to role changes often develop realistic expectations, use available resources, and maintain appropriate self-care and social support.

♦️ Therefore, requesting information about support groups most clearly demonstrates healthy acceptance and adaptation to the caregiver role.

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Answer 9

Correct Answers:

Install locks at the tops of doors.

Rationale :

🖍️ Wandering is common in clients with Alzheimer's disease and can become particularly dangerous when it occurs at night.

🖍️ Installing locks high on exterior doors can reduce the client's ability to leave the home unnoticed because the locks are less likely to be within the client's usual visual field.

🖍️ Alzheimer's disease causes progressive impairment in memory, judgment, orientation, and safety awareness, increasing the risk of becoming lost or injured.

🖍️ Environmental modifications are preferred because they provide protection while using the least restrictive approach possible.

🖍️ Other safety measures can include door alarms, motion sensors, adequate lighting, identification information, and removal of environmental hazards.

🖍️ The caregiver should maintain a predictable daily routine because unfamiliar surroundings and disrupted schedules can increase confusion and wandering.

🖍️ The client should also have opportunities for appropriate daytime activity and supervised exercise, which can support healthier nighttime sleep.

🖍️ Therefore, installing locks at the tops of doors is an appropriate intervention for managing nighttime wandering while promoting safety.

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Answer 10

Correct Answers:

Initiate a seizure precaution protocol for the client.

Rationale :

✏️ Severe alcohol withdrawal places the client at significant risk for generalized tonic-clonic seizures, making immediate safety precautions a priority.

✏️ Alcohol chronically suppresses central nervous system activity, and abrupt cessation can cause CNS hyperexcitability as the body loses alcohol's inhibitory effects.

✏️ Severe withdrawal can progress to seizures, hallucinations, severe autonomic hyperactivity, and delirium tremens, which can become life-threatening.

✏️ Using the safety and risk-reduction priority framework, the nurse should immediately protect the client from injury if seizure activity occurs.

✏️ Seizure precautions can include padding side rails, keeping the bed low, maintaining airway and suction equipment nearby, and removing environmental hazards according to facility protocol.

✏️ The nurse should closely monitor level of consciousness, vital signs, withdrawal severity, and neurological status because symptoms can worsen rapidly.

✏️ Medication treatment remains essential, but immediate environmental preparation helps prevent serious traumatic injury and airway complications if a seizure occurs unexpectedly.

✏️ Therefore, initiating seizure precautions is the first nursing action for a client exhibiting severe alcohol withdrawal manifestations

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Assessment Findings	Depression	Schizoid personality disorder	Antisocial personality disorder
Self-isolation because of behaviour
Completion of school assignments
Lack of peer support group
Lack of interest in activities
Chooses solitary activities

QLexNursing

1 :
A nurse is performing a home visit on a client who has Alzheimer's disease and their partner. The partner states, "I wish I had some time to myself and run errands, but I need to be here all the time." Which of the following referrals should the nurse recommend to the client's partner?

2 :
A nurse is caring for a client who is at a follow-up appointment. The client was prescribed clozapine 3 months ago. Which of the following statements indicates an understanding of the teaching?

3 :
A nurse is caring for an older adult in an outpatient clinic.

Correct Highlights :

4 :
A nurse in the health care provider's office is caring for a client.

Correct Answers

5 :
A nurse in the health care provider's office is caring for a client.

Correct Highlights :

6 :
A nurse on an inpatient mental health unit is assessing a client.

Answer Options

7 :
A nurse is providing care for clients in an acute mental health facility. Which of the following clients should the nurse see first?

8 :
A nurse is working with a client who is the caregiver of a family member who has a serious mental illness. Which of the following statements by the client indicates acceptance of the role change?

9 :
A home care nurse is speaking with the adult child of a client who has Alzheimer's disease and is having difficulty managing their parent's wandering behaviour at night. The nurse should instruct the client's child to take which of the following actions?

10 :
A nurse is caring for a client who has alcohol use disorder and is exhibiting severe withdrawal manifestations. Which of the following actions should the nurse take first?

QLexNursing

1 : A nurse is performing a home visit on a client who has Alzheimer's disease and their partner. The partner states, "I wish I had some time to myself and run errands, but I need to be here all the time." Which of the following referrals should the nurse recommend to the client's partner?

2 : A nurse is caring for a client who is at a follow-up appointment. The client was prescribed clozapine 3 months ago. Which of the following statements indicates an understanding of the teaching?

3 : A nurse is caring for an older adult in an outpatient clinic.

Correct Highlights :

4 : A nurse in the health care provider's office is caring for a client.

Correct Answers

5 : A nurse in the health care provider's office is caring for a client.

Correct Highlights :

6 : A nurse on an inpatient mental health unit is assessing a client.

Answer Options

7 : A nurse is providing care for clients in an acute mental health facility. Which of the following clients should the nurse see first?

8 : A nurse is working with a client who is the caregiver of a family member who has a serious mental illness. Which of the following statements by the client indicates acceptance of the role change?

9 : A home care nurse is speaking with the adult child of a client who has Alzheimer's disease and is having difficulty managing their parent's wandering behaviour at night. The nurse should instruct the client's child to take which of the following actions?

10 : A nurse is caring for a client who has alcohol use disorder and is exhibiting severe withdrawal manifestations. Which of the following actions should the nurse take first?

1 :
A nurse is performing a home visit on a client who has Alzheimer's disease and their partner. The partner states, "I wish I had some time to myself and run errands, but I need to be here all the time." Which of the following referrals should the nurse recommend to the client's partner?

2 :
A nurse is caring for a client who is at a follow-up appointment. The client was prescribed clozapine 3 months ago. Which of the following statements indicates an understanding of the teaching?

3 :
A nurse is caring for an older adult in an outpatient clinic.

4 :
A nurse in the health care provider's office is caring for a client.

5 :
A nurse in the health care provider's office is caring for a client.

6 :
A nurse on an inpatient mental health unit is assessing a client.

7 :
A nurse is providing care for clients in an acute mental health facility. Which of the following clients should the nurse see first?

8 :
A nurse is working with a client who is the caregiver of a family member who has a serious mental illness. Which of the following statements by the client indicates acceptance of the role change?

9 :
A home care nurse is speaking with the adult child of a client who has Alzheimer's disease and is having difficulty managing their parent's wandering behaviour at night. The nurse should instruct the client's child to take which of the following actions?

10 :
A nurse is caring for a client who has alcohol use disorder and is exhibiting severe withdrawal manifestations. Which of the following actions should the nurse take first?