Question 1 of 5.

Extract:The following scenario applies to the next 1 items The nurse in the psychiatric unit is preparing to admit a client. Item 1 of 1 Psychiatry Consultation 1349: 19-year-old female admitted inpatient following being rushed to the emergency department via EMS. For the past two months, she has intensified her training and trains for several hours during the day after what she perceives to be being overweight. She started to diet and lost 9 lbs (4.1 kg) over the past two weeks. This 9 lb (4.1 kg) weight loss is combined with the 11 lbs (5 kg) she lost the month prior. The weight loss has stemmed from her joining her college's track team. She was criticized for her appearance of being 'fat.' During the past two weeks, her performance has considerably declined, and she pushed herself even harder in her training regimen. Her food intake became restricted, and she stopped eating anything containing fat. Her father was interviewed for collateral information as he became suspicious that she was using over-the-counter laxatives and was making herself vomit. However, he isn't sure that this is occurring. The client reports that her menstrual periods became irregular but did not cease. Her current body mass index is 17. She has a medical history of asthma and acne vulgaris. Nurses' Notes 1359: Client admitted and oriented to the room. She is drowsy but aroused to verbal stimuli. On assessment, the client's breathing is unlabored, and clear lung sounds are noted in the bilateral lung fields. Skin dry and flaky pale in tone; pulses 2+ and regular. Capillary refill is 3 seconds. Hypoactive bowel sounds in all quadrants. No abdominal tenderness. She reports nausea. Full range of motion in all extremities. Reports lower extremity muscle cramps. Denies any pain. Awaiting orders from the physician. Vital Signs 1359: T 97.8° F (36.6° C) P 91 RR 18 BP 113/67 Pulse oximetry reading 98% on room air

The client is at highest risk for developing......... based on the client's.............and.............

Question 2 of 5.

The nurse is planning care with a Mexican American client who is diagnosed with depression. The client believes in 'mal ojo' (the evil eye), and uses treatment by a root healer. The nurse should do which of the following?

Question 3 of 5.

The nurse is reviewing the laboratory report with the client's lithium level taken that morning prior to administering the 5 p.m. dose of lithium. The lithium level is 1.8 mEq/L. The nurse should:

Question 4 of 5.

After a few minutes of conversation, a female client who is depressed wearily asks the nurse, 'Why pick me to talk to? Go talk to someone else.' Which of the following replies by the nurse is best?

Question 5 of 5.

A male client who is very depressed exhibits psychomotor retardation, a flat affect, and apathy. The nurse observes the client to be in need of grooming and hygiene. Which of the following nursing actions is most appropriate?