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. During admission to the psychiatric unit, a female client is extremely anxious and states that
she is worried about the sun coming up the next day. What intervention is most important
for the RN to implement during the admission process?
A. Assist the client in developing alternative coping skills.
B. Remain calm and use a matter-of-fact approach.
C. Ask the client why she isso anxious
D. Administer a PRN sedative to help relieve her anxiety.
2. A female client is brought to the emergency department after police officers found her
disoriented, disorganized, and confused. The RN also determines that the client is homeless
and is exhibiting suspiciousness. The client’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 the hospital. The employee states, “I can’t
believe this. What should I do?†Which response is best for the RN to provide in this crisis?
A. Tell me what you think should happen.
B. How serious wasthe collision?
C. What do you think you should do?
D. Call fortransportation to the hospital.
4. A client tells the RN 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 the priority nursing problem for admission to the psychiatric
unit?
A. Ineffective sexual patterns.
B. Impaired environmental interpretation.
C. Disturbed sensory perception.
D. Compromised family coping.
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