AND ANSWERS/ Psychiatric Nursing FINAL EXAM LATEST FOR 2024 WITH
UPDATED QUESTIONS AND ANSWERS
Offering Self - CORRECT ANSWER-I'll sit with you for a while
Silence - CORRECT ANSWER-Observe for nonverbal clues; you don't actually
need to say anything, you just need to sit with the client
Broad opening - CORRECT ANSWER-Always lead with this; patient tells you
exactly how they are feeling; lets the patient choose the topic
General lead - CORRECT ANSWER-Go on
And after that?
Restating - CORRECT ANSWER-Also called rephrasing, one of the most
therapeutic; conveys understanding and shows that someone understands
Client: I can't sleep, I stay awake all night
Nurse: You have difficulty sleeping
Clarifying - CORRECT ANSWER-Client: I'm feeling sick inside [sick can mean a lot
of different meanings]
Nurse: What do you mean by feeling sick inside?
Consensual Understanding - CORRECT ANSWER-Tell me whether my
understanding of it agrees with yours
,Translate into feelings - CORRECT ANSWER-Client: I'm way out in the ocean / I
feel so blue
Nurse: You seem to feel lonely
Verbalizing the implied - CORRECT ANSWER-Client: Life is hard. I just want to put
an end to everything
Nurse: You seem to be having a difficult time, are you planning to harm yourself
Reflecting - CORRECT ANSWER-Client: Do you think I should tell my dad
Nurse: What do you think would work best
Supportive confrontation - CORRECT ANSWER-I know it isn't easy, but you can
do it
It would be difficulty at first, but you'll get through it
CARES - CORRECT ANSWER-Clarify
Acknowledge
Reflect
Rephrase / repeat
Explore
Sit
Silence
Illusion - CORRECT ANSWER-misinterpretation of EXTERNAL stimulus
,such as stethoscope being seen as a snake
Hallucination - CORRECT ANSWER-misinterpretation of SENSORY stimulus
Visual - CORRECT ANSWER-(Type of hallucination)
Marijuana use psychedelics
Tactile - CORRECT ANSWER-(Type of hallucination)
Formication from alcohol withdrawal
Olfactory - CORRECT ANSWER-(Type of hallucination)
Phantosmia from post traumatic stress disorder
Gustatory - CORRECT ANSWER-(Type of hallucination)
Spontaneous dysgeusia from epilepsy (metallic taste)
Auditory - CORRECT ANSWER-(Type of hallucination)
Commands from paranoid schizophrenia, most dangerous
, Reality-based activity - CORRECT ANSWER-Activity interventions for
hallucinations
Talk balk to the voices - CORRECT ANSWER-Effective intervention for
hallucination by saying GO AWAY
Synesthesia - CORRECT ANSWER-mixing of senses (hearing colors, sees the
sounds, taste the words)
Circumstantiality - CORRECT ANSWER-fullness of detail, able to answer the
question
Tangentiality - CORRECT ANSWER-lack of focus, does not answer the question
Looseness of association - CORRECT ANSWER-talking with fragmented ideas,
more common with schizophrenia
Flight of ideas - CORRECT ANSWER-rapid speech, jumping from one topic to
another
Delusion - CORRECT ANSWER-false belief
Grandiose - CORRECT ANSWER-delusion where the patient shows superiority or
invulnerability