A patient presents to the emergency department with mixed psychiatric symptoms The admission nurse suspects the symptoms may be the result of a medical problem Lab results show elevated BUN (blood urea nitrogen) and creatinine What is the nurse’s next best action?

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Question 1 of 5

A patient presents to the emergency department with mixed psychiatric symptoms The admission nurse suspects the symptoms may be the result of a medical problem Lab results show elevated BUN (blood urea nitrogen) and creatinine What is the nurse’s next best action?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

A client is being evaluated for dementia. The nurse knows that a client who is able to complete very few tasks is most likely to have

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

The client spoke of a current event in the national news and described it as it relates to the client. Then the client spoke of a historical event and described it as it relates to the client. Which of the following questions might the nurse ask to determine if the client is experiencing ideas of reference?

Correct Answer: A

Rationale: Ideas of reference are the client's inaccurate interpretation that general events are personally directed to him or her, such as hearing a speech on the news and believing the message had personal meaning. 'Where were you when this happened,' would relate to the place and might give the nurse more information to validate the client's previous comments. 'Why do you think that,' may be interpreted as the nurse challenging the client. 'Are you sure,' is a closed-ended question and does not encourage the client to elaborate. 'That is unbelievable,' is a statement rather than a question and could be interpreted as the nurse's opinion of the information provided by the client.

Question 4 of 5

The client tells the nurse, 'That new TV anchor is telling the world about me.' This is an example of

Correct Answer: A

Rationale: The client's inaccurate interpretation that general events are personally directed to him or her is an example of ideas of reference. Persecutory delusions involve the client's belief that 'others' are planning to harm the client. Thought broadcasting is a delusional belief that others can hear or know what the client is thinking. Thought insertion is a delusional belief that others are putting ideas or thoughts into the client's head.

Question 5 of 5

Under which conditions would it be in the client's best interest for the court to appoint a conservator, or legal guardian? Select one that does not apply.

Correct Answer: C

Rationale: The appointment of a conservator or legal guardian is a separate process from civil commitment. People who are gravely disabled; are found to be incompetent; cannot provide food, clothing, and shelter for themselves even when resources exist; and cannot act in their own best interests may require appointment of a conservator. In these cases, the court appoints a person to act as a legal guardian who assumes many responsibilities for the person.

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