Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Stack #2972889
| Question | Answer |
|---|---|
| To evaluate whether patient teaching for coping skills has been effective, the psychiatric and mental health nurse asks an adolescent patient to: | Perform a return demonstration |
| A patient who was admitted yesterday with an adjustment disorder and depressed mood has not left his or her room. The psychiatric and mental health nurse's most appropriate approach at meal time today is to respond: | “I will walk with you to the dining room and sit with you while you eat.” |
| A 17-year-old, female patient with anorexia nervosa has just been released from the hospital. To facilitate recovery at home, the psychiatric and mental health nurse instructs the family to: | Inform the patient that she is expected to join in routine family meals and clear the dishes after dinner, even if she does not eat. |
| A patient is admitted to the inpatient unit with schizophrenia. The patient has had episodes of school absenteeism, withdrawal from friends, and bizarre behavior, including talking to his or her "keeper." The nurse's most appropriate response is to: | Acknowledge that the patient's perceptions seem real to him or her, and refocus the patient's attention on a task or activity. |
| Nursing staff members at a community mental health center are formulating an outpatient treatment plan with a 30-year-old patient with schizophrenia. A major consideration is that: | The patient's contact with the center will diminish as he or she becomes stable, but the patient will continue to need support. |
| A supervisor observes inconsistency in the psychiatric and mental health nurse's behavior toward a patient; the nurse is unreasonably concerned, overly kind, or irrationally hostile. The most appropriate explanation is that the nurse is displaying: | Countertransference |
| During an initial patient interview, the psychiatric and mental health nurse begins by asking the patient to describe his or her: | Current situation |
| In which circumstance is a breach of patient confidentiality appropriate? | The patient appears sincere in threatening to harm another person. |
| A short-term goal for a patient with Alzheimer's disease is: | Optimum functioning in the least restrictive environment. |
| A 23-year-old patient with borderline personality disorder reports a frequent desire to cut him- or herself and insists that only a specific psychiatric and mental health nurse can help the patient. The nursing care plan for the patient includes: | Holding frequent, interdisciplinary staff meetings to provide consistent care. |
| Older adults have reached Erikson's developmental stage of ego integrity, when they: | Assess their lives and identify actions that had value and purpose. |
| A patient states that unit staff members have been avoiding him or her since an attempt to self-mutilate. The psychiatric and mental health nurse's most appropriate response is to: | Listen, redirect the patient to his or her feelings, and explore the issue with the staff. |
| When planning inpatient psychotherapeutic activities for a patient who has antisocial personality disorder, the psychiatric and mental health nurse: | Provides an organized, structured environment. |
| According to family systems theory, removing the "identified patient" from the environment most likely causes the: | Remaining family members to decompensate, as evidenced by new, dysfunctional behavior. |
| A patient who is admitted with OCD spends a significant amount of time washing his hands. On the third day, he reports feeling more comfortable with the staff and other patients. The nurse knows that the most appropriate nursing intervention is to: | Collaborate with the patient to reduce the amount of time he or she engages in ritualistic behavior. |
| Which factors are associated with the development of post-traumatic stress disorder? | Severity of the stressor and availability of support systems. |
| A selective serotonin reuptake inhibitor targets which part of the brain? | Frontal cortex |
| To obtain an accurate medication list and assess a new patient's understanding of medications, the psychiatric and mental health nurse: | Asks about the patient's current medications, herbs, home remedies, and over-the-counter drugs. |
| The psychiatric and mental health nurse knows that the patient's spouse clearly understands the side effects of lithium carbonate (Eskalith), when he or she says: | “I should call the doctor if my spouse shakes badly.” |
| A school-aged patient with attention-deficit hyperactivity disorder is displaying disruptive behaviors at home. The psychiatric and mental health nurse modifies the treatment plan for the social domain, by advising the patient's parents to: | Initiate a point system, to reward the patient for appropriate behavior. |
| After taking an antidepressant for about a week, a patient reports constipation and blurred vision, with no improvement in mood. The psychiatric and mental health nurse informs the patient: | “It takes approximately two to four weeks for depression to lessen, and side effects usually diminish over time.” |
| A patient is being discharged after spending six days in the hospital, due to depression with suicidal ideation. The psychiatric and mental health nurse knows that an important outcome has been met when the patient states: | “I have a list of support groups and a crisis line that I can call, if I feel suicidal.” |
| When developing a lecture series for nursing home residents, the psychiatric and mental health nurse considers which factor to be the primary barrier to learning? | Information processing impairments. |
| When screening families for post-traumatic stress disorder following a major natural disaster, psychiatric and mental health nurses are practicing which type of disease prevention? | Secondary |
| When a research study is based on a small sample size, the findings may: | Be statistically significant, but will be less generalizable than if the sample size had been larger. |
| What is Hildegard Peplau’s Theory of Interpersonal Relationships? | Believed it was essential for nurses to observe the behavior of the patient and themselves; proposed an approach in which nurses are participants and observers in therapeutic conversations; shifted focus from what nurses do to patients to what nurses do w |
| A client with a diagnosis of major depression who has attempted suicide says to the nurse, "I should have died. I've always been a failure. Nothing ever goes right for me." Which response demonstrates therapeutic communication? | "You've been feeling like this for a while?" |
| When the community health nurse visits a client at home, the client states, "I haven't slept at all the last couple of nights." Which response by the nurse illustrates a therapeutic communication response to this client? | "You're having difficulty sleeping?" |
| A client experiencing disturbed thought processes believes that his food is being poisoned. Which communication technique should the nurse use to encourage the client to eat? | Using open-ended questions and silence |
| A client admitted to a mental health unit for treatment of psychotic behavior spends hours at the locked exit door shouting, "Let me out. There's nothing wrong with me. I don't belong here." What defense mechanism is the client implementing? | Denial |
| A client diagnoses with terminal cancer says to the nurse |
Created by:
mias3