A nurse on an inpatient psychiatric unit prepares for the arrival of a client who has threatened to kill himself and his wife if his wife follows through with divorce proceedings.
The client has a history of violent behavior toward his wife and their four young children. What should be the priority nursing intervention in the orientation (introductory) phase of this nurseclient relationship?
A) Acknowledging the client's actions and generating alternative behaviors
B) Establishing a rapport and developing treatment goals
C) Attempting to find alternative placement
D) Exploring how the nurse's thoughts and feelings about this client may adversely impact the provision of care.
Question 2
A client receives a diagnosis of major depression and is prescribed imipramine (Tofranil). What information specifically related to this class of antidepressants should a nurse plan to include in client and family education?
A) The medication may cause dry mouth.
B) The medication may cause nausea.
C) The medication should not be discontinued abruptly.
D) The medication may cause photosensitivity.
The nurse assesses the patient's ability to use the walker correctly
B, The nurse teaches the postoperative client to use an incentive spirometer to expand the lungs.
Nurse collaboration
Ben Jones, Black Face and Arm Unit.
Removing the sheet from underneath the client.