The nurse is caring for Mary, an adolescent diagnosed with ...

[TFauchery]

The nurse is caring for Mary, an adolescent diagnosed with depression and substance abuse. The nurse should:
 
  A) Determine if Mary is hyperactive.
  B) Ask Mary if she is having thoughts of harming herself.
  C) Determine if Mary is exhibiting Wernicke's syndrome.
  D) Ask Mary if she has had problems with excessive anxiety.

Question 2

When interacting with a client in the day room, the nurse determines that a violent outburst is imminent. Which of the following should the nurse do first?
 
  A) Call for assistance.
  B) Give the client choices.
  C) Remove the other clients.
  D) Talk to the client calmly.

[swimkari]

Answer to Question 1

B

Answer to Question 2

A
Feedback: Safety is the priority; the nurse needs assistance to remove other clients and deal with the violent outburst. Answers B, C, and D may be done after safety has been maintained.