A client with a diagnosis of schizophrenia

A client with a diagnosis of schizophrenia has been mute and in bed with almost no movement for several days prior to admission. Upon arrival to the unit, the client refuses to eat and drink and lays in bed facing the wall without moving or responding to the nurse. Which nursing action takes the highest priority? Approaching the client every hour to offer food and fluids. Talking about non-treatment related topics to build trust and rapport. Initiating one to one monitoring for safety. Assessing the client for fluid volume deficit. When evaluating outcomes for client with a diagnosis of psychosis being treated with haloperidol (Haldol), which symptoms would the nurse expect to see improvements in? Select all that apply. Social interaction Emotional responsiveness Distorted thoughts Cognitive functioning Hallucinations The nurse is reviewing medication administration record (MAR) for clients diagnosed with mental health issues. Which statement indicates the client is likely to have the greatest risk for metabolic syndrome? Client taking long-acting risperidone (Risperdal: Consta) and having history of medication compliance. Client taking Lithium carbonate (Eskalith) and aripiprazole (Abilify) Client taking Sertraline (Zoloft) and benztropine (Cogentin) Client taking Olanzapine (Zyprexa) and having family history of Diabetes Mellitus A client who was admitted to the hospital on a involuntary basis declines to take a new antidepressant medication ordered by the provider. The client states, “No one told me about this medication. I want to speak with the doctor before I take this” Which intervention by the nurse is most appropriate? Give the medication via injection since involuntary clients do not have the right to refuse medication. Allow the client to decline the medication and document the client’s reason for refusal and statements in the medical record. Tell the client that the medication is necessary to get better and ask the client, “Don’t you want to get better?” Crush the medication and then sprinkle it into the client’s food when the breakfast trays are delivered to the unit. After assessing a client prescribed quetiapine (Seroquel), the nurse identifies that the client is at risk for injury related to sedation from this medication. Which nursing intervention best addresses the identified nursing concern? Allowing the client time to adjust to the increased level of sedation. Asking the provider to change this medication to once daily dosing. Encouraging the client to increase fluid intake. Removing clutter from the environment. A client has been drinking a liter of vodka daily for the past 3 months. Which medication would the nurse expect to administer to support the client safely withdrawing from alcohol? Naltrexone (Revia) Alprazolam (Xanax) Chlordiazepoxide (Librium) Acamprosate (Campral) Which of the following nursing action is LEAST relevant when restraints are used? The nurse confirms first whether the client is voluntarily or involuntarily committed. The nurse coordinates an in-person evaluation within one hour of the initiation of the restraints. The nurse explores alternatives to minimize the use of restraints. The nurse considers whether the use of restraints is the least restrictive measure possible given the situation. SCIENCE HEALTH SCIENCE NURSING NURS 1060

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