Evolve Saunders MH
A 10-year-antique lady who has been referred for evaluation for drawing sexually express
scenes in her textbooks says to the psychiatric nurse, "I simply felt adore it." Which response is
therapeutic for the nurse to make with a view to examine abuse-related symptoms? - ANS-"I am
worried about you. Are you now or have you ever been abused?"
A 15-yr-old purchaser who is pregnant and unwed tells the nurse, "My life became unbearable
before I met Johnny. My mother beats me up every day, and my dad has been sleeping with me
seeing that I turned into 10 years old!" Which response is appropriate for the nurse to make? -
ANS-"It appears that you wished assist to separate from your circle of relatives. Do you feel you
are geared up to have a infant with Johnny?"
A 37-yr-old patron who is getting better from benzodiazepine dependence says, "I think I've
walked below a black cloud. I've lost so many human beings. First, my brother dies of the large
C; then my husband leaves me for a 20-year-old bimbo. I desire I had a Xanax right now."
Which statement by using the nurse might be healing? - ANS-"Can you inform me what you
believe you studied the Xanax can do for you? Are there different things you used to do that
would assist you just as well?"
A 45-year-old consumer states that he used to drink a cocktail nightly after paintings and also
had a drink together with his meal. Now he has beverages before dinner and or three extra
drinks for the duration of his meal. As the consumer maintains to explain his alcohol
consumption, the nurse discovers that he additionally has delivered more than one beverages at
night to assist him sleep. Which is the maximum correct evaluation of his alcohol consumption?
- ANS-Tolerance
A sixty three-yr-antique lady whose husband died 2 months ago says to the visiting nurse, "My
daughter came over the day past to assist me flow my husband's things out of our bed room,
and I turned into so irritated with her for shifting his slippers from in which he usually saved them
beneath his facet of our bed. She doesn't realize how much I'm hurting." Which announcement
via the nurse could be healing? - ANS-"It's OK to grieve and be angry with your daughter and
everybody else for a time."
A battered spouse says, "My husband by no means beat me up, so I didn't assume he was
abusive even after he misplaced all our money via bad offers, bullying me into his schemes,
playing, womanizing, and not keeping a real process with advantages. I nevertheless permit him
refinance our mortgage, take cash out of the bank, and placed the house in his call." Which
assertion by using the nurse is healing? - ANS-"So you understand that there are many
methods to erode someone's self-confidence and independence? Can you percentage with me
some approaches that you're feeling you can address this abuse?"
A consumer admitted to a mental fitness unit for remedy of psychotic behavior spends hours at
the locked exit door shouting, "Let me out. There's nothing incorrect with me. I do not belong
here." What defense mechanism is the customer enforcing? - ANS-Denial
A customer admitted to the inpatient unit is being taken into consideration for electroconvulsive
therapy (ECT). The patron is calm, but the purchaser's daughter is hypervigilant and hectic. The
,daughter says to the nurse, "My mother's mind could be bowled over with energy. How can the
medical doctor even reflect onconsideration on doing this to her?" Which reaction by way of the
nurse is healing? - ANS-"It sounds as although you are very concerned approximately the
system. Let's discuss the procedure."
A client admitted to the intellectual health unit with melancholy states to the nurse, "My lifestyles
has been this type of failure. Nothing I do seems proper." Which therapeutic response must the
nurse make? - ANS-"You seem very discouraged. Can you suspect of anything lately that went
as you planned?"
A customer admitted to the mental fitness unit with important despair 3 days ago ought to hardly
get away from bed without coaxing and wanted constant encouragement to dress and take part
in unit activities. Today the client appears in the dayroom dressed and well groomed, without
any steering from the workforce. The customer appears to be calm and comfortable, but extra
active than before. Which initial motion should the nurse take after noting this customer's
conduct? - ANS-Speak to the purchaser personally approximately the nurse's observations, and
ask if the purchaser is considering suicide.
A customer being visible in the emergency branch immediately after being sexually assaulted
seems calm and controlled. The nurse analyzes this behavior as indicating which defense
mechanism? - ANS-Denial
A consumer comes into the emergency branch in a intense nation of hysteria after a car crash.
Which is the right nursing intervention? - ANS-Remain with the client.
A patron involves the health center after dropping all of his private assets in a hurricane. The
nurse notes that the customer is coping ineffectively with the scenario. Which is the least
sensible goal for this client? - ANS-The client will stop blaming himself for the lack of coverage.
A purchaser comes to the emergency branch following an attack and is extremely agitated,
trembling, and hyperventilating. What is the best initial nursing action? - ANS-Remain with the
patron until the anxiety decreases.
A customer identified with delirium turns into disoriented and careworn at night time. Which
intervention ought to the nurse put into effect to begin with? - ANS-Use an oblique light source
and flip off the tv.
A patron identified with terminal cancer says to the nurse, "I'm going to die, and I wish my circle
of relatives would stop hoping for a treatment! I get so irritated whilst they convey on like this.
After all, I'm the one who is death." Which reaction by way of the nurse is therapeutic? -
ANS-"You're feeling angry that your family maintains to wish to be able to be cured?"
A customer experiencing a superb deal of strain and anxiety is being taught to apply strength of
will remedy. Which declaration through the customer indicates a need for in addition coaching
approximately the therapy? - ANS-"This form of therapy gives a negative reinforcement while
the stimulus is produced."
A patron experiencing disturbed notion tactics believes that his meals is being poisoned. Which
conversation method have to the nurse use to inspire the customer to devour? - ANS-Using
open-ended questions and silence
A client has been admitted to the inpatient psychiatric unit because the client has displayed
violent conduct and is at risk for probably harming others. What have to the nurse keep away
from doing while worrying for this patron? - ANS-Closing the door to the consumer's room while
giving care to the purchaser
, A patron has been prescribed disulfiram (Antabuse). Before giving the consumer the first dose
of this medicine, what ought to the psychiatric domestic health nurse decide? - ANS-When the
remaining alcoholic drink became ate up
A client hospitalized within the mental health unit with melancholy is getting ready to be
discharged to outpatient status. The nurse is discussing termination and follow-up plans with the
patron. Which customer declaration might most problem the nurse approximately the client's
discharge and suggest the need for comply with-up remedy? - ANS-"I assume I surely couldn't
have labored that task even supposing the person had given me the time he need to have for
the duration of the interview. It's just as nicely. I absolutely didn't want a process in which I
needed to paintings such lengthy hours. But I had right motive to get depressed and become
here. But it all labored out. I definitely failed to want that task besides."
A purchaser is admitted to a medical nursing unit with a prognosis of acute blindness after being
worried in successful-and-run twist of fate. When diagnostic testing can not identify any organic
motive why this purchaser can not see, a mental fitness seek advice from is prescribed. Which
circumstance might be the point of interest of this seek advice from? - ANS-Conversion disorder
A client is admitted to the sanatorium with a prognosis of primary despair, severe, single
episode. The nurse assesses the client and notes that the customer has poor nutritional intake.
Which is the best nursing intervention? - ANS-Schedule brief nursing interactions with the client
at some stage in several food in which small quantities are offered.
A customer is admitted to the intellectual fitness unit after an tried suicide by using hanging. The
nurse can exceptional ensure client safety by using which action? - ANS-Assigning a group of
workers member to the consumer who will remain with the patron at all times
A patron is admitted to the mental fitness unit with a analysis of melancholy. The nurse need to
expand a plan of care for the consumer that consists of which intervention? - ANS-A dependent
program of sports wherein the consumer can take part
A consumer is admitted to the psychiatric unit with a prognosis of bipolar affective ailment and
mania. The nurse must prioritize that which signs and symptoms or behaviors require
instantaneous intervention? - ANS-steady physical activity and terrible oral intake
A client is found to have rape trauma syndrome. The nurse plans take care of the consumer
understanding that which occurs in this condition? - ANS-Re-experiencing memories of the
trauma
A client is making plans to attend Overeaters Anonymous. Which announcement through the
consumer suggests a want for added records regarding this self-assist organization? -
ANS-"The leader is a nurse or psychiatrist."
A customer is preparing to wait a Gamblers Anonymous meeting for the primary time. The nurse
have to tell the purchaser that that is the first step in this 12-step software? - ANS-Admitting to
having a hassle
A client is unwilling to exit of the house for fear of "creating a idiot of myself in public." Because
of this fear, the patron stays homebound. Based on these statistics, which intellectual health
ailment is the client experiencing? - ANS-Social phobia
A client currently admitted to the clinic inside the manic phase of bipolar disorder is dehydrated,
unkempt, taking antipsychotic medicinal drugs, and complaining of stomach fullness and pain.
The nurse determines that which intervention is most suitable for those court cases? -
ANS-Encourage common fluid intake and a high-fiber weight-reduction plan.
A 10-year-antique lady who has been referred for evaluation for drawing sexually express
scenes in her textbooks says to the psychiatric nurse, "I simply felt adore it." Which response is
therapeutic for the nurse to make with a view to examine abuse-related symptoms? - ANS-"I am
worried about you. Are you now or have you ever been abused?"
A 15-yr-old purchaser who is pregnant and unwed tells the nurse, "My life became unbearable
before I met Johnny. My mother beats me up every day, and my dad has been sleeping with me
seeing that I turned into 10 years old!" Which response is appropriate for the nurse to make? -
ANS-"It appears that you wished assist to separate from your circle of relatives. Do you feel you
are geared up to have a infant with Johnny?"
A 37-yr-old patron who is getting better from benzodiazepine dependence says, "I think I've
walked below a black cloud. I've lost so many human beings. First, my brother dies of the large
C; then my husband leaves me for a 20-year-old bimbo. I desire I had a Xanax right now."
Which statement by using the nurse might be healing? - ANS-"Can you inform me what you
believe you studied the Xanax can do for you? Are there different things you used to do that
would assist you just as well?"
A 45-year-old consumer states that he used to drink a cocktail nightly after paintings and also
had a drink together with his meal. Now he has beverages before dinner and or three extra
drinks for the duration of his meal. As the consumer maintains to explain his alcohol
consumption, the nurse discovers that he additionally has delivered more than one beverages at
night to assist him sleep. Which is the maximum correct evaluation of his alcohol consumption?
- ANS-Tolerance
A sixty three-yr-antique lady whose husband died 2 months ago says to the visiting nurse, "My
daughter came over the day past to assist me flow my husband's things out of our bed room,
and I turned into so irritated with her for shifting his slippers from in which he usually saved them
beneath his facet of our bed. She doesn't realize how much I'm hurting." Which announcement
via the nurse could be healing? - ANS-"It's OK to grieve and be angry with your daughter and
everybody else for a time."
A battered spouse says, "My husband by no means beat me up, so I didn't assume he was
abusive even after he misplaced all our money via bad offers, bullying me into his schemes,
playing, womanizing, and not keeping a real process with advantages. I nevertheless permit him
refinance our mortgage, take cash out of the bank, and placed the house in his call." Which
assertion by using the nurse is healing? - ANS-"So you understand that there are many
methods to erode someone's self-confidence and independence? Can you percentage with me
some approaches that you're feeling you can address this abuse?"
A consumer admitted to a mental fitness unit for remedy of psychotic behavior spends hours at
the locked exit door shouting, "Let me out. There's nothing incorrect with me. I do not belong
here." What defense mechanism is the customer enforcing? - ANS-Denial
A customer admitted to the inpatient unit is being taken into consideration for electroconvulsive
therapy (ECT). The patron is calm, but the purchaser's daughter is hypervigilant and hectic. The
,daughter says to the nurse, "My mother's mind could be bowled over with energy. How can the
medical doctor even reflect onconsideration on doing this to her?" Which reaction by way of the
nurse is healing? - ANS-"It sounds as although you are very concerned approximately the
system. Let's discuss the procedure."
A client admitted to the intellectual health unit with melancholy states to the nurse, "My lifestyles
has been this type of failure. Nothing I do seems proper." Which therapeutic response must the
nurse make? - ANS-"You seem very discouraged. Can you suspect of anything lately that went
as you planned?"
A customer admitted to the mental fitness unit with important despair 3 days ago ought to hardly
get away from bed without coaxing and wanted constant encouragement to dress and take part
in unit activities. Today the client appears in the dayroom dressed and well groomed, without
any steering from the workforce. The customer appears to be calm and comfortable, but extra
active than before. Which initial motion should the nurse take after noting this customer's
conduct? - ANS-Speak to the purchaser personally approximately the nurse's observations, and
ask if the purchaser is considering suicide.
A customer being visible in the emergency branch immediately after being sexually assaulted
seems calm and controlled. The nurse analyzes this behavior as indicating which defense
mechanism? - ANS-Denial
A consumer comes into the emergency branch in a intense nation of hysteria after a car crash.
Which is the right nursing intervention? - ANS-Remain with the client.
A patron involves the health center after dropping all of his private assets in a hurricane. The
nurse notes that the customer is coping ineffectively with the scenario. Which is the least
sensible goal for this client? - ANS-The client will stop blaming himself for the lack of coverage.
A purchaser comes to the emergency branch following an attack and is extremely agitated,
trembling, and hyperventilating. What is the best initial nursing action? - ANS-Remain with the
patron until the anxiety decreases.
A customer identified with delirium turns into disoriented and careworn at night time. Which
intervention ought to the nurse put into effect to begin with? - ANS-Use an oblique light source
and flip off the tv.
A patron identified with terminal cancer says to the nurse, "I'm going to die, and I wish my circle
of relatives would stop hoping for a treatment! I get so irritated whilst they convey on like this.
After all, I'm the one who is death." Which reaction by way of the nurse is therapeutic? -
ANS-"You're feeling angry that your family maintains to wish to be able to be cured?"
A customer experiencing a superb deal of strain and anxiety is being taught to apply strength of
will remedy. Which declaration through the customer indicates a need for in addition coaching
approximately the therapy? - ANS-"This form of therapy gives a negative reinforcement while
the stimulus is produced."
A patron experiencing disturbed notion tactics believes that his meals is being poisoned. Which
conversation method have to the nurse use to inspire the customer to devour? - ANS-Using
open-ended questions and silence
A client has been admitted to the inpatient psychiatric unit because the client has displayed
violent conduct and is at risk for probably harming others. What have to the nurse keep away
from doing while worrying for this patron? - ANS-Closing the door to the consumer's room while
giving care to the purchaser
, A patron has been prescribed disulfiram (Antabuse). Before giving the consumer the first dose
of this medicine, what ought to the psychiatric domestic health nurse decide? - ANS-When the
remaining alcoholic drink became ate up
A client hospitalized within the mental health unit with melancholy is getting ready to be
discharged to outpatient status. The nurse is discussing termination and follow-up plans with the
patron. Which customer declaration might most problem the nurse approximately the client's
discharge and suggest the need for comply with-up remedy? - ANS-"I assume I surely couldn't
have labored that task even supposing the person had given me the time he need to have for
the duration of the interview. It's just as nicely. I absolutely didn't want a process in which I
needed to paintings such lengthy hours. But I had right motive to get depressed and become
here. But it all labored out. I definitely failed to want that task besides."
A purchaser is admitted to a medical nursing unit with a prognosis of acute blindness after being
worried in successful-and-run twist of fate. When diagnostic testing can not identify any organic
motive why this purchaser can not see, a mental fitness seek advice from is prescribed. Which
circumstance might be the point of interest of this seek advice from? - ANS-Conversion disorder
A client is admitted to the sanatorium with a prognosis of primary despair, severe, single
episode. The nurse assesses the client and notes that the customer has poor nutritional intake.
Which is the best nursing intervention? - ANS-Schedule brief nursing interactions with the client
at some stage in several food in which small quantities are offered.
A customer is admitted to the intellectual fitness unit after an tried suicide by using hanging. The
nurse can exceptional ensure client safety by using which action? - ANS-Assigning a group of
workers member to the consumer who will remain with the patron at all times
A patron is admitted to the mental fitness unit with a analysis of melancholy. The nurse need to
expand a plan of care for the consumer that consists of which intervention? - ANS-A dependent
program of sports wherein the consumer can take part
A consumer is admitted to the psychiatric unit with a prognosis of bipolar affective ailment and
mania. The nurse must prioritize that which signs and symptoms or behaviors require
instantaneous intervention? - ANS-steady physical activity and terrible oral intake
A client is found to have rape trauma syndrome. The nurse plans take care of the consumer
understanding that which occurs in this condition? - ANS-Re-experiencing memories of the
trauma
A client is making plans to attend Overeaters Anonymous. Which announcement through the
consumer suggests a want for added records regarding this self-assist organization? -
ANS-"The leader is a nurse or psychiatrist."
A customer is preparing to wait a Gamblers Anonymous meeting for the primary time. The nurse
have to tell the purchaser that that is the first step in this 12-step software? - ANS-Admitting to
having a hassle
A client is unwilling to exit of the house for fear of "creating a idiot of myself in public." Because
of this fear, the patron stays homebound. Based on these statistics, which intellectual health
ailment is the client experiencing? - ANS-Social phobia
A client currently admitted to the clinic inside the manic phase of bipolar disorder is dehydrated,
unkempt, taking antipsychotic medicinal drugs, and complaining of stomach fullness and pain.
The nurse determines that which intervention is most suitable for those court cases? -
ANS-Encourage common fluid intake and a high-fiber weight-reduction plan.
