*NURSING > EXAM > Mental Health Final Exam Questions & Answers; Verified (Solved) 2022 (All)

Mental Health Final Exam Questions & Answers; Verified (Solved) 2022

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Mental Health Final Exam Questions & Answers; Verified (Solved) 2022 A nurse performed these actions while caring for patients in an inpatient psychiatric setting. Which action violated patients' rig... hts? A psychiatric nurse discusses rules of the therapeutic milieu and patient's rights with a newly admitted patient. Which rights should be included? (Select all that apply) The right to: A nurse prepares to administer a scheduled injection of haloperidol to a patient with schizophrenia. As the nurse swabs the site, the patient shouts, "Stop! I don't want to take that medicine anymore. I hate the side effects." Select the nurse's best action. An Adolescent hospitalized after a violent physical outburst tells the nurse, "i'm going to kill my father, but you can't tell anyone." Select the nurse's best response A voluntary hospitalized patient tells the nurse, "Get me the forms for discharge. I want to leave now." Select the nurse's best response. Which individual diagnosed with mental illness needs psychiatric hospitalization the most? An individual: During which phase of the nurse-patient relationship can the nurse anticipate that identified patient issues will be explored and resolved? A staff nurse completes orientation to a psychiatric unit. The nurse may expert an advanced practice nurse to perform which additional intervention? Which finding best indicates that the goal "Demonstrate mentally healthy behavior" was achieved? A patient: A nurse uses Maslow's Hierarchy of needs to plan care for a patient with mental illness. Which problem will receive priority? Inpatient hospitalization for persons with mental illness is generally reserved for patients who: A nurse inspects an inpatient psychiatric unit and finds that exits are free of obstructions, no one is smoking, and the janitor's close is locked. These observations relate to: An adolescent client is admitted to an acute care unity following an attempt to commit suicide. He hasn't said a word to anyone. Which of the following interventions should the nurse plan to implement first? A nurse is told during change-of shift report that a client is stuporous. When assessing the client, which of the following findings should the nurse expect? Which statement about diagnosis of a mental disorder is true? A cognitive therapist would help a client restructure the thought "I am stupid!" to The premise underlying behavioral therapy is Which of the following is the most vital element of therapeutic inpatient milieu? A client is admired for the third time to a psychiatric hospital with a diagnosis of schizophrenia. During the admission procedure, the nurse notices that the client is limping, quite dirty and unkempt, and seem to be actively hallucinating. Which of the following should the nurse's priority nursing assessment be? Which of the following are documentation of client's affect? (Select all that apply) A patient asks, "What are neurotransmitters? The doctor said mine are imbalanced." Select the nurse's best response. The nurse administers a medication that potentiates the action of gamma-aminobutyric acid (GABA). Which effect would be expected? Exclusive use of Western psychological theories by nurses making client assessments will result in In which part of nursing care plan would the nurse expect to find this statement: Offer snacks and fingers foods frequently. A nurse assess a newly admitted client diagnosed with Alzheimer's disease and a UTI. The nurse asks the client's sibling for information about the home environment, ADLs and medications. What type of information source is the sibling?' A nurse taught a client about important precautions associated with a new prescription. Afterward, the client accurately summarized major self-management strategies associated with his drug. Which step of the nursing process applies the client's summarization Which of the following would be assessed by a negative symptom of schizophrenia? Which symptoms would NOT be assessed as a positive symptoms of Schizophrenia? Which side effect of antipsychotic medication is generally nonreversible? A client diagnosed with disorganized schizophrenia would have greatest difficulty with the nurse: When a client diagnosed with paranoid schizophrenia tells the nurse, " i have to get away. The Volmers are coming to execute me, " An appropriate response for the nurse would be Which assessment finding is the best predictor of violence in a newly admitted client? Which would be the most appropriate response by the nurse to help client who is demonstrating escalating anger? A patient diagnosed with schizophrenia tells the nurse, "the CIA is monitoring us through the fluorescent lights in this room. Be careful what you say." Which response by the nurse would be most therapeutic? A nurse interacts with a newly hospitalized patient. Select the nurse's comment act applies the communication technique of "offering self." A patient tells the nurse, "I don't think i'll ever get out of here." Select the nurse's most therapeutic response. During the First interview with a parent whose child died in a car accident, the nurse felt empathic and reaches out to take the patient's hand. Select the correct analysis of the nurses behavior. During a One-on-One interaction with the nurse, a patient frequently looks nervously at the door. Select the best comment by the nurse regarding this nonverbal communication. A school age child tells the school nurse, "Other kids call me mean names and will not sit with me at lunch. Nobody likes me." Select the nurse's most therapeutic response. A nurse is caring for an older client who begins to cry and states, "I knew God would punish me and I deserve this horrible sickness!" Which of the following responses should the nurse make? Which food choice are best for a bipolar client in the manic phase? (Select all that apply) Which nursing charting entry is documentation of a behavioral symptom of mania? A nurse on an in-patient psychiatric unit receives report at 1500 hours. Which client would need be assessed first? A client states to a nurse, "I feel as though I am the only one in the world feeling so depressed." The nurse responds, "I know what you mean." The nurse is obstructing communication in which of the following ways? A newly admitted client diagnosed with bipolar I disorder is experiencing a manic episode. Which nursing diagnosis is a priority at the time? A client has been hospitalized for a manic episode. Which behavior would suggest that the treatment has been effective? Nadia has been diagnosed with bipolar disorder. Which is an outcome for Nadia in the continuation of treatment phase of bipolar disorder? Which symptom related to communication is likely to be present in a patient experiencing mania? A Client who is diagnosed with bipolar disorder is admitted to an inpatient mental health unit in the manic phase. What is the priority in the initial plan of care? One of the reasons depression is more common in women than in men include what? Men have a higher risk of completed suicide because: The diagnosis of major depressive disorder is made by including the following: (Select all that apply.) The Nurse is evaluating a client who is suicidal. Which is a priority nursing intervention? A manic client begins to make sexual advance towards visitors in the day room. When the nurse firmly states that this is inappropriate and will not be allowed, the client becomes verbally abusive and threatens physically violence to the nurse. Based on the analysis of this situation, which intervention should the nurse implement? Which nursing interventions are appropriate for a hospitalized client with mania who is exhibiting manipulative behavior? (Select all that apply) A nurse is meeting with a physician in the conference room and is approached by a depressed and withdrawn client. Which response by the nurse is most appropriate. Four individuals have given information about their suicide plans. Which plan evidences that greatest lethality? A College student who failed two tests cried for hours and then tried to telephone a parent but got no answer. The student then gave several expensive sweaters to a roommate and asked to be left alone for a few hours. Which behavior provides the strongest clue of an impending suicide attempt? A nurse assess a patient who reports a 3-week history of depression and period of uncontrolled crying. The patient says, "My business is bankrupt, and i was served with divorce papers." Which subsequent statement by the patient alerts the nurse to a concealed suicidal message? Select the most critical questions for the nurse to ask an adolescent who has threatened to take an overdose of pills. A client with chronic ongoing stress complains of physical symptoms. The nurse caring for him is aware that the most common chronic problem caused by stress is which of the following? Stress reduction is likely to result in which of the following? (Select all that apply) What would a client experience during a progressive relaxation session? A patient nervously says, "Financial problems are stressing my marriage. I've heard rumors about cutbacks at works; i am afraid i might get laid off." The patient's pulse is 112/minutes; respirations are 26/ minute; a blood pressure is 166/88. Which nursing intervention will the nurse implement? A 32 year old male client is experiencing severe anxiety over a recent failed relationship. What nursing intervention should be given highest priority? A nurse is closely monitoring a newly admitted client who is anxious. At what anxiety level might this client become assaultive and a potential threat to himself and others? What is the most appropriate therapeutic intervention when helping a patient resolve their agoraphobia? A client is experiencing sudden, moderate level anxiety. The nurse would anticipate that the psychiatrist would most likely prescribed which medication? A assesses severe anxiety in a client. Which symptom would the nurse expect to see as a response of the sympathetic nervous system to anxiety? A nurse is caring for a 23 year old client with schizophrenia. When the patient's father show up during visitation hours, the client lies down in bed, curls up in a ball, and sucks his thumb. Which of the following defense mechanisms is the client exhibiting? Ed, An 18 year old male, hosted a party at his parents's house while his parents were out of town. It was lit, to say the least. When ed's parents returned, they were infuriated by how messy the house was. Ed apologized and gave them a $50 gift card to applebee's. Which defense mechanism is Ed using? According to the attachment theory, relationship disorders are related to trauma associated with A 22 year old patient complains of nightmares, flashbacks, and poor concentration. These symptoms are most consistent with which anxiety disorder? Which statement made by a client with PTSD would indicate improvement to the nurse? Lorazepam is prescribed for a client who has a generalized anxiety disorder. Which of the following instructions is most important for the nurse to give the client? Which scenario demonstrates a dissociative fugue? What is a nurse's responsibility when a child is suspect of being abused or neglected? During an initial interview with parents, a nurse suspects child abuse. What behavior displayed by the parents would lead the nurse to be suspicious? Which intervention is least appropriate for a nurse to use with a rape victim? A client presents in the ER after being sexually assaulted. She is physiologically table, but emotionally distraught. Which nursing action should receive priority? Which nursing diagnosis is universally applicable for children diagnosed with autism spectrum disorders? which behavior indicates that the treatment plan for a child diagnosed with an autism spectrum disorder was effective? A nurse will prepare teaching material for the parents of a child newly diagnosed with ADHD. Which medication will the information focus on? A child diagnosed with ADHD had this nursing diagnosis: Impaired social interaction related to excessive neuronal activity as evidence by aggression and demanding behavior with peers. Which finding indicates the plan for care was effective? the patient of a child diagnosed with Tourette's disorder says to the nurse, "I think my child is faking the tics because they come and go." Which response by the nurse is accurate? the diagnoses of impaired intellectual functioning is best supported when a child diagnosed with IDD Which behavior is most indicative of a 4 year old child diagnosed with Tourette's Syndrome? Sam, A 9-year old patient, has deficits in social functioning, intellectual functioning and cannot manage practical aspected of daily life and functioning. The nurse suspect which diagnosis? Which assessment data would help the health care am distinguish symptoms of conversion disorder from symptoms of illness anxiety disorder? Which prescription medication would the nurse expect to be prescribed for a patient diagnosed with a somatic symptom disorder? a Med Surg nurse works with a patient diagnosed with a somatic symptoms disorder. Care planing is facilitated by understanding that the patient will probably: To assist patients diagnosed with somatic symptoms disorders, nursing interventions of high priority: A patient with feats of serious corny artery disease was referred to the mental health center by a cardiologist. Extensive diagnostic evaluation showed no physical illness. The patient says, "My chest in tight, and my heart misses beats. I"m often absent from work. I don't go out much because i need to rest."" Which health problem is most likely? which treatment modality should a nurse recommend to help a patient diagnosed with a somatic symptom disorder to cope more effectively? The information that is least relent when assessing a patient with a suspect somatization disorder is: When a couple in their early 40s tell the nurse that they ahem no had sexual relations in more than 5 years, the nurse should initially A client explains that he is not homosexual but that he prefers to dress in feminine clothing. This is a characters of A client with paraphilia tendencies tells the nurse that "I"m disgusted with my lifestyle." The nurse most appropriately. When assessing for sexual dysfunction, which way of opening up the subject may increase the patient's comfort in discussing the topic? A new staff nurse tells the clinical nurse specialist, "I am unsure about my role when patients bring up sexual problems." The lingual nurse specialist should give clarification by saying," All nurses: Which of the following is most characteristic of cognitive disorders? The daughter of a 70-year old male client with dementia is attending a caretaker support meeting, and asks a nurse for a definition of dementia. The nurse responds: A 70 year old client with alzheimer's disease becomes verbally abusive toward the nursing staff. What is the most appropriate action for the nurse to take? When planning care for an older adult client with dementia, the nurse would arrange for increase supervision of the client at what time of day? The nurse is caring for a client with delirium which nursing interventions would be highest priority? which factor is least associated with increased incidence of Alzheimer's disease? what is the most appropriate goals of therapy for the client with vascular dementia? Which nursing diagnosis is most appropriate for an older adult client experiencing visual auditory hallucinations A patient diagnosed with an alcohol abuse disorder says, "Drinking helps me cope with being a single parent." Which therapeutic response by the nurse would help the patient conceptualize the drinking objectively? A client is admitted to the detoxification center for alcohol addiction. Not eh day after mission, the client develops hand tremors and asks the nurse about them. Which of the following is an appropriate nursing response? The treatment team discusses the plan of care for patient diagnosed with schizophrenia and family cannabis abuse who is having increased hallucinations and delusions. To plan effective treatment, the team should: A. The patient will demonstrate effective coping skills and identify community resources for treated of substance abuse within 1 week of hospitalization Family members of an individual undergoing a residential alcohol rehab program asks, "How can we help?" Select the nurses's best response Symptoms of withdrawal from opioids of which the nurse should asses include Select the priority outcome for a patient completing the fourth alcohol detoxification program in the past year. Prior to discharge the patient will Which service would be expected to provide resources 24 hours a day, 7 days a week if need for persons with serious mental illness? A patient diagnosed with schizophrenia has had multiple relapses. The patient usually response quickly to antipsychotic medication but soon discontinues the medciation. Discharge plans include follow up at the mental health center, group home placement, and a psychosical day program. Which stargety should apply as the patient transisions from hospital to community? A patient diagnosed with serious mental illens lives independently and attends a psychosial rehabilitation program. The patient prsents at the ER seeing hospitalzation. The patient has no acute asymtpoms by says, "I have no money to pay my rent or refull my prescription.". Select the nurse's best action The nurse wants to enroll a patient with poor social skills in a trianign prgoram for patients diagnosed with schizophrenia. Which description accraretly describe dsocial skill training? A nurse's neighbor says, "My sister has been daingose dwith bipolar disorder but will not take her meidcation. I have tried to help her for over 20 years, but it seems liek everything i do fails. Do you have any suggestion?". Select the nurse's best response [Show More]

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