RN Mental Health Online Practice 2019 A With NGN Questions And Answers + Rationale| Multiple Choices |

RN Mental Health Online Practice 2019 A With NGN Questions And Answers + Rationale| Multiple Choices | A nurse is caring for a patient who has a history of substance use disorder and was involuntarily admitted to a mental health facility. When the nurse attempts to administer oral Lorazepam, the patient refuses to take the medication and becomes physically aggressive. Which of the following actions should the nurse take? a. Do not administer the Lorazepam b. Request a prescription for IV lorazepam c. Request that another nurse attempt to administer the lorazepam d. Place the lorazepam in the patient's food (Correct Ans: - a. Do not administer the Lorazepam Rationale: Patients who are in a facility due to an involuntary admission retain the right to refuse treatment. Therefore, the nurse should hold the medication and document the patient's refusal b. Requesting a prescription for and administering IV lorazepam violates the patient's right to refuse treatment b. Requesting that another nurse administer the lorazepam violates the patient's right to refuse treatment d. Placing the lorazepam in the patient's food violates the patient's right to refuse treatment A nurse is caring for a patient who has schizophrenia and is experiencing psychosis. The nurse should identify that which of the following findings indicates a potential psychiatric emergency? a. The patient is exhibiting echolalia b. The patient reports command hallucinations c. The patient reports loss of motivation d. The patient is exhibiting blunted affect (Correct Ans: - b. The patient reports command hallucinations Rationale: The nurse should identify that command hallucinations can indicate a potential psychiatric emergency for a patient who has schizophrenia. Command hallucinations can direct the patient to harm themselves or others. a. The nurse should identify that echolalia, or the repeating of another's words, is an expected manifestation of schizophrenia c. The nurse should identify that a loss of motivation, or avolition, is an expected manifestation of schizophrenia A nurse is assessing a patient who has borderline personality disorder. Which of the following findings should the nurse expect? a. Emotional lability b. Self-sacrificing c. Suspicious of others d. Grandiosity (Correct Ans: - a. Emotional lability Rationale: It is the rapid transition from one emotion to another and is a primary feature of borderline personality disorder. Patients who have BPD react to situations with emotional responses that are out of proportion to the circumstances. While observing group therapy, a nurse recognizes that a patient is behaving in a way suggestive of dependent personality disorder. Which of the following behaviors is consistent with this condition? (Correct Ans: - The patient needs excessive external input to make everyday decisions