Saunders Mental Health and
Pharmacology Psychiatric
A 10-yr-old referred for evaluation after drawing sexually specific scenes says to the psychiatric
nurse, "I simply felt adore it." Which response by means of the nurse is targeted on assessing
for abuse-related signs? - ANS-"I am worried approximately you. Are you now or have you ever
been abused?"
The behaviors that this toddler engaged in are a caution sign of misery. The accurate choice is
the most effective one which in particular addresses abuse. The last alternatives are insensitive,
no longer centered at the feasible sexual abuse, or too oblique to be useful.
A 15-yr-old pregnant, unwed customer tells the nurse, "My existence became unbearable earlier
than I met my partner. One of my parents beats me every day, and my different parent has
sexually abused me considering the fact that I became 10 years old!" Which reaction is
appropriate for the nurse to make? - ANS-"It seems that you wished your accomplice's help to
separate from your family."
Adolescent being pregnant outdoor marriage can rise up from low self-esteem, fears of
inadequacy, and desperation to escape from an abusive and dysfunctional own family. The most
therapeutic conversation technique is the one that makes use of restatement and repeats the
main thought that the client expressed. This assures the client that the nurse is listening and is
attempting to validate what the patron has said. The closing options are nontherapeutic because
they mirror a information deficit on the nurse's part, mean bias, are insensitive, or location duty
at the adolescent.
A battered spouse says, "My spouse is a bully and a cheater and actually doesn't provide for our
circle of relatives, however has never beat me up, so I do not assume I can say my partner
abusive." Which reaction by way of the nurse is healing? - ANS-"Do you consider that there are
different varieties of abuse except the bodily type?"
This query describes the victimized spouse of a culprit who uses a couple of methods to
manipulate the victim. The accurate choice reflects after which gives an possibility to proportion
emotions. It is inappropriate for the nurse to chastise the customer or reply in a sarcastic way. It
is nontherapeutic for the nurse to offer an remark that intellectualizes the scenario because it
does no longer facilitate the expression of emotions. Probing can also motive the client to
experience belittled.
A consumer admitted 72 hours ago with a analysis of melancholy offers for breakfast these days
correctly dressed and nicely groomed, and appears to be calm and relaxed, but extra lively than
earlier than. Which initial action would the nurse take after noting this purchaser's behavior? -
ANS-Ask the consumer at once about the presence of any suicide-associated thoughts.
,A sudden development in a depressed purchaser's temper may additionally imply that the
patron has determined to dedicate suicide. The maximum direct way to validate the nurse's
influence is to invite the customer at once approximately suicidal ideation or plans. The other
options aren't the maximum suitable initial nursing intervention.
A customer admitted to the inpatient unit is being taken into consideration for electroconvulsive
therapy (ECT). While the purchaser is calm, the own family anxiously tells the nurse, "My
figure's brain can be greatly surprised with power. How can the physician even reflect
onconsideration on doing this?" Which reaction by means of the nurse will exceptional deal with
the own family's concerns? - ANS-"It sounds as although you are very worried. Let's speak the
system."
The great responses to a purchaser or family member who's visibly stressful and disappointed
are those that use therapeutic verbal exchange strategies. Therapeutic communication consists
of lively collaboration that facilitates problem fixing, trade, studying, and increase. The correct
alternative addresses the own family's worries even as upholding the consideration of the
consumer. When these worries are verbalized, the nurse can then provide information that could
help allay fears. None of the ultimate alternatives offer such assist to the circle of relatives.
A consumer admitted to the mental fitness unit after attacking a parent who disturbed the patron
whilst operating on the pc interrupts the nurse in the course of morning rounds and says, "I want
to get out of here so I can paintings on my computer undertaking to save the sector!" Which
nursing response may have the greatest therapeutic effect? - ANS-"I could be returned to speak
with you in 15 minutes when I whole nursing rounds."
The therapeutic reaction is one which units limits at the client's interruptive conduct and
assesses the client's potential to control their conduct. The accurate response sets affordable,
manageable expectations for the client. It isn't healing for the nurse to aid the client's delusional
gadget. The nurse would now not interact in any form of social reaction, which may improve the
consumer's behavior, nor would the nurse chastise the consumer for conduct that turned into
not in the client's manipulate.
A patron arrives inside the emergency department in a crisis country, demonstrating signs of
profound anxiety. What might the preliminary nursing assessment attention on? - ANS-The
purchaser's bodily circumstance
The preliminary nursing evaluation of a consumer in a crisis kingdom is to evaluate the bodily
condition of the customer, the ability for self-harm, and the ability for harm to others. Once this
has been determined and appropriate interventions were initiated, the nurse might then continue
with the mental fitness interview that entails the remaining options.
A purchaser asks the nurse about the meaning of behavioral therapy. Which description
describes the purpose of behavioral remedy? - ANS-Fosters fine behavioral alternate
The cause of behavioral therapy is to create effective modifications in behavior. Developing
shape and organizing time describe aspects of milieu management. Insight is a beneficial final
,results of psychotherapy however does no longer usually bring about behavioral exchange.
Relaxation schooling is a treatment modality powerful for lowering strain.
A purchaser starts to enjoy extrapyramidal aspect outcomes from an antipsychotic medicine.
The nurse anticipates that the number one fitness care issuer will prescribe which medicinal
drug to deal with this situation? - ANS-Benztropine
Benztropine is an anticholinergic medicine used to deal with drug-brought about extrapyramidal
reactions (except tardive dyskinesia). The remaining alternatives are antipsychotic medicinal
drugs. Antipsychotic medicines can cause extrapyramidal reactions.
A consumer calls the nurse and reviews feeling worrying. What is the correct preliminary nursing
movement? - ANS-Sit and speak with the consumer approximately the emotions.
The appropriate initial nursing movement is to sit and talk with the client expressing tension. An
assistive personnel is not organized to cope with the patron's tension. Antianxiety remedy can
be necessary, however this will not be the preliminary appropriate nursing movement. While it
can come to be essential, calling the health care company is untimely initially.
A patron comes into the emergency branch in a extreme state of anxiety after a car crash.
Which is the great nursing intervention right now? - ANS-Remain with the consumer.
If left by myself, the seriously annoying consumer may additionally sense abandoned and
emerge as crushed. Placing the patron in a quiet room is likewise critical, but the nurse must live
with the customer. Teaching the customer deep respiratory or rest isn't feasible till the anxiety
decreases. Encouraging the client to talk about concerns and feelings could not take vicinity till
the tension has reduced.
A client involves the sanatorium after dropping all personal property in a storm. The nurse notes
that the consumer is coping ineffectively with the scenario. Which are the most realistic dreams
for this customer? Select all that observe. - ANS-The customer will broaden adaptive coping
styles.
The purchaser will identify a realistic belief of stressors.
The purchaser will express and percentage emotions regarding the prevailing disaster.
The customer will discover powerful coping styles that have worked inside the beyond.
The emotions of negativity related to the loss because of the hurricane are unlikely to stop;
lessening with time is the best reasonable possibility. The ultimate options present a high quality
motion closer to improved shallowness and hassle solving with out requiring a complete shift in
sensible perceptions.
A purchaser comes to the emergency department after an assault and is extraordinarily
agitated, trembling, and hyperventilating. What is the priority nursing motion for this client? -
ANS-Remain with the consumer till the tension decreases.
This client is in a extreme country of tension. When a customer is in a excessive or panic
kingdom of hysteria, it is essential for the nurse to remain with the client. The customer in a
severe nation of hysteria could be not able to analyze rest strategies. Discussing the attack at
, this factor might boom the consumer's stage of anxiety in addition. Placing the customer in a
quiet room alone might also boom the anxiety degree.
A customer diagnosed with a borderline character ailment says to the nurse, "Sometimes I do
things to get my mother and father mad, and every so often I do them because I'm bored. That's
what passed off the night time I crashed the family car. I wasn't inebriated or suicidal or
whatever just like the police concept. It turned into just for kicks!" Which is the maximum
appropriate nursing reaction? - ANS-"It is frightening while you experience out of manipulate
with such feelings of emptiness and anger that you can not stop."
Reflection, a way that prompts the purchaser by means of repeating the main theme in the
patron's process, is a therapeutic communication technique. In option 1 the nurse
inappropriately uses a sardonic response, that is nontherapeutic as it offers advice. Asking the
client what they are able to do next time is premature within the remedy. The nurse could now
not agree or make statements that could be interpreted as threatening.
A consumer recognized with an anxiety disease is prescribed buspirone orally. The client tells
the nurse that it's far hard to swallow the pills. Which is the nice training to offer the client? -
ANS-Crush the pills earlier than taking them.
Buspirone may be administered with out regard to meals, and the drugs can be beaten. Mixing
the tablet uncrushed in apple sauce will now not make certain ease in swallowing. This remedy
is not available in liquid shape. It is premature to recommend the customer to name the primary
fitness care company (PHCP) for a change in remedy without first attempting alternative
interventions.
A consumer recognized with tension is beginning remedy with lorazepam. Which aspect in the
purchaser's history could activate the nurse to visit the primary fitness care issuer earlier than
administering the medication? - ANS-Narrow-attitude glaucoma
Lorazepam is a benzodiazepine and is contraindicated in hypersensitivity, cross-sensitivity with
other benzodiazepines, comatose country, preexisting vital worried machine melancholy,
uncontrolled severe pain, and slender-angle glaucoma because benzodiazepines can further
increase the intraocular pressure. It also is contraindicated in pregnancy and in clients who're
breast-feeding/chest-feeding. None of the opposite options are applicable to the management of
lorazepam.
A consumer recognized with bipolar sickness is prescribed lithium carbonate. The nurse who
administers the medication is aware of that lithium is used more often than not to deal with
which condition? - ANS-The manic segment of bipolar disorder
Lithium is an antimanic remedy and is used to deal with the manic phase of a manic-depressive
disease. The last options are wrong.
A consumer identified with bipolar temper sickness has been given a prescription for
carbamazepine. The nurse teaching the customer approximately medicinal drug aspect and
detrimental effects instructs the client to notify the number one health care provider (PHCP) if
which symptom develops? - ANS-Sore throat
Pharmacology Psychiatric
A 10-yr-old referred for evaluation after drawing sexually specific scenes says to the psychiatric
nurse, "I simply felt adore it." Which response by means of the nurse is targeted on assessing
for abuse-related signs? - ANS-"I am worried approximately you. Are you now or have you ever
been abused?"
The behaviors that this toddler engaged in are a caution sign of misery. The accurate choice is
the most effective one which in particular addresses abuse. The last alternatives are insensitive,
no longer centered at the feasible sexual abuse, or too oblique to be useful.
A 15-yr-old pregnant, unwed customer tells the nurse, "My existence became unbearable earlier
than I met my partner. One of my parents beats me every day, and my different parent has
sexually abused me considering the fact that I became 10 years old!" Which reaction is
appropriate for the nurse to make? - ANS-"It seems that you wished your accomplice's help to
separate from your family."
Adolescent being pregnant outdoor marriage can rise up from low self-esteem, fears of
inadequacy, and desperation to escape from an abusive and dysfunctional own family. The most
therapeutic conversation technique is the one that makes use of restatement and repeats the
main thought that the client expressed. This assures the client that the nurse is listening and is
attempting to validate what the patron has said. The closing options are nontherapeutic because
they mirror a information deficit on the nurse's part, mean bias, are insensitive, or location duty
at the adolescent.
A battered spouse says, "My spouse is a bully and a cheater and actually doesn't provide for our
circle of relatives, however has never beat me up, so I do not assume I can say my partner
abusive." Which reaction by way of the nurse is healing? - ANS-"Do you consider that there are
different varieties of abuse except the bodily type?"
This query describes the victimized spouse of a culprit who uses a couple of methods to
manipulate the victim. The accurate choice reflects after which gives an possibility to proportion
emotions. It is inappropriate for the nurse to chastise the customer or reply in a sarcastic way. It
is nontherapeutic for the nurse to offer an remark that intellectualizes the scenario because it
does no longer facilitate the expression of emotions. Probing can also motive the client to
experience belittled.
A consumer admitted 72 hours ago with a analysis of melancholy offers for breakfast these days
correctly dressed and nicely groomed, and appears to be calm and relaxed, but extra lively than
earlier than. Which initial action would the nurse take after noting this purchaser's behavior? -
ANS-Ask the consumer at once about the presence of any suicide-associated thoughts.
,A sudden development in a depressed purchaser's temper may additionally imply that the
patron has determined to dedicate suicide. The maximum direct way to validate the nurse's
influence is to invite the customer at once approximately suicidal ideation or plans. The other
options aren't the maximum suitable initial nursing intervention.
A customer admitted to the inpatient unit is being taken into consideration for electroconvulsive
therapy (ECT). While the purchaser is calm, the own family anxiously tells the nurse, "My
figure's brain can be greatly surprised with power. How can the physician even reflect
onconsideration on doing this?" Which reaction by means of the nurse will exceptional deal with
the own family's concerns? - ANS-"It sounds as although you are very worried. Let's speak the
system."
The great responses to a purchaser or family member who's visibly stressful and disappointed
are those that use therapeutic verbal exchange strategies. Therapeutic communication consists
of lively collaboration that facilitates problem fixing, trade, studying, and increase. The correct
alternative addresses the own family's worries even as upholding the consideration of the
consumer. When these worries are verbalized, the nurse can then provide information that could
help allay fears. None of the ultimate alternatives offer such assist to the circle of relatives.
A consumer admitted to the mental fitness unit after attacking a parent who disturbed the patron
whilst operating on the pc interrupts the nurse in the course of morning rounds and says, "I want
to get out of here so I can paintings on my computer undertaking to save the sector!" Which
nursing response may have the greatest therapeutic effect? - ANS-"I could be returned to speak
with you in 15 minutes when I whole nursing rounds."
The therapeutic reaction is one which units limits at the client's interruptive conduct and
assesses the client's potential to control their conduct. The accurate response sets affordable,
manageable expectations for the client. It isn't healing for the nurse to aid the client's delusional
gadget. The nurse would now not interact in any form of social reaction, which may improve the
consumer's behavior, nor would the nurse chastise the consumer for conduct that turned into
not in the client's manipulate.
A patron arrives inside the emergency department in a crisis country, demonstrating signs of
profound anxiety. What might the preliminary nursing assessment attention on? - ANS-The
purchaser's bodily circumstance
The preliminary nursing evaluation of a consumer in a crisis kingdom is to evaluate the bodily
condition of the customer, the ability for self-harm, and the ability for harm to others. Once this
has been determined and appropriate interventions were initiated, the nurse might then continue
with the mental fitness interview that entails the remaining options.
A purchaser asks the nurse about the meaning of behavioral therapy. Which description
describes the purpose of behavioral remedy? - ANS-Fosters fine behavioral alternate
The cause of behavioral therapy is to create effective modifications in behavior. Developing
shape and organizing time describe aspects of milieu management. Insight is a beneficial final
,results of psychotherapy however does no longer usually bring about behavioral exchange.
Relaxation schooling is a treatment modality powerful for lowering strain.
A purchaser starts to enjoy extrapyramidal aspect outcomes from an antipsychotic medicine.
The nurse anticipates that the number one fitness care issuer will prescribe which medicinal
drug to deal with this situation? - ANS-Benztropine
Benztropine is an anticholinergic medicine used to deal with drug-brought about extrapyramidal
reactions (except tardive dyskinesia). The remaining alternatives are antipsychotic medicinal
drugs. Antipsychotic medicines can cause extrapyramidal reactions.
A consumer calls the nurse and reviews feeling worrying. What is the correct preliminary nursing
movement? - ANS-Sit and speak with the consumer approximately the emotions.
The appropriate initial nursing movement is to sit and talk with the client expressing tension. An
assistive personnel is not organized to cope with the patron's tension. Antianxiety remedy can
be necessary, however this will not be the preliminary appropriate nursing movement. While it
can come to be essential, calling the health care company is untimely initially.
A patron comes into the emergency branch in a extreme state of anxiety after a car crash.
Which is the great nursing intervention right now? - ANS-Remain with the consumer.
If left by myself, the seriously annoying consumer may additionally sense abandoned and
emerge as crushed. Placing the patron in a quiet room is likewise critical, but the nurse must live
with the customer. Teaching the customer deep respiratory or rest isn't feasible till the anxiety
decreases. Encouraging the client to talk about concerns and feelings could not take vicinity till
the tension has reduced.
A client involves the sanatorium after dropping all personal property in a storm. The nurse notes
that the consumer is coping ineffectively with the scenario. Which are the most realistic dreams
for this customer? Select all that observe. - ANS-The customer will broaden adaptive coping
styles.
The purchaser will identify a realistic belief of stressors.
The purchaser will express and percentage emotions regarding the prevailing disaster.
The customer will discover powerful coping styles that have worked inside the beyond.
The emotions of negativity related to the loss because of the hurricane are unlikely to stop;
lessening with time is the best reasonable possibility. The ultimate options present a high quality
motion closer to improved shallowness and hassle solving with out requiring a complete shift in
sensible perceptions.
A purchaser comes to the emergency department after an assault and is extraordinarily
agitated, trembling, and hyperventilating. What is the priority nursing motion for this client? -
ANS-Remain with the consumer till the tension decreases.
This client is in a extreme country of tension. When a customer is in a excessive or panic
kingdom of hysteria, it is essential for the nurse to remain with the client. The customer in a
severe nation of hysteria could be not able to analyze rest strategies. Discussing the attack at
, this factor might boom the consumer's stage of anxiety in addition. Placing the customer in a
quiet room alone might also boom the anxiety degree.
A customer diagnosed with a borderline character ailment says to the nurse, "Sometimes I do
things to get my mother and father mad, and every so often I do them because I'm bored. That's
what passed off the night time I crashed the family car. I wasn't inebriated or suicidal or
whatever just like the police concept. It turned into just for kicks!" Which is the maximum
appropriate nursing reaction? - ANS-"It is frightening while you experience out of manipulate
with such feelings of emptiness and anger that you can not stop."
Reflection, a way that prompts the purchaser by means of repeating the main theme in the
patron's process, is a therapeutic communication technique. In option 1 the nurse
inappropriately uses a sardonic response, that is nontherapeutic as it offers advice. Asking the
client what they are able to do next time is premature within the remedy. The nurse could now
not agree or make statements that could be interpreted as threatening.
A consumer recognized with an anxiety disease is prescribed buspirone orally. The client tells
the nurse that it's far hard to swallow the pills. Which is the nice training to offer the client? -
ANS-Crush the pills earlier than taking them.
Buspirone may be administered with out regard to meals, and the drugs can be beaten. Mixing
the tablet uncrushed in apple sauce will now not make certain ease in swallowing. This remedy
is not available in liquid shape. It is premature to recommend the customer to name the primary
fitness care company (PHCP) for a change in remedy without first attempting alternative
interventions.
A consumer recognized with tension is beginning remedy with lorazepam. Which aspect in the
purchaser's history could activate the nurse to visit the primary fitness care issuer earlier than
administering the medication? - ANS-Narrow-attitude glaucoma
Lorazepam is a benzodiazepine and is contraindicated in hypersensitivity, cross-sensitivity with
other benzodiazepines, comatose country, preexisting vital worried machine melancholy,
uncontrolled severe pain, and slender-angle glaucoma because benzodiazepines can further
increase the intraocular pressure. It also is contraindicated in pregnancy and in clients who're
breast-feeding/chest-feeding. None of the opposite options are applicable to the management of
lorazepam.
A consumer recognized with bipolar sickness is prescribed lithium carbonate. The nurse who
administers the medication is aware of that lithium is used more often than not to deal with
which condition? - ANS-The manic segment of bipolar disorder
Lithium is an antimanic remedy and is used to deal with the manic phase of a manic-depressive
disease. The last options are wrong.
A consumer identified with bipolar temper sickness has been given a prescription for
carbamazepine. The nurse teaching the customer approximately medicinal drug aspect and
detrimental effects instructs the client to notify the number one health care provider (PHCP) if
which symptom develops? - ANS-Sore throat
