Evolve Saunders MH
A 10-year-vintage girl who has been referred for evaluation for drawing sexually express scenes
in her textbooks says to the psychiatric nurse, "I just felt find it irresistible." Which reaction is
therapeutic for the nurse to make with the intention to determine abuse-related symptoms? -
ANS-"I am involved approximately you. Are you presently or have you ever been abused?"
A 15-year-old consumer who is pregnant and unwed tells the nurse, "My lifestyles turned into
insufferable before I met Johnny. My mother beats me up each day, and my dad has been
sound asleep with me on the grounds that I changed into 10 years vintage!" Which response is
suitable for the nurse to make? - ANS-"It seems which you wanted help to split from your own
family. Do you sense you're equipped to have a toddler with Johnny?"
A 37-year-vintage patron who's convalescing from benzodiazepine dependence says, "I assume
I've walked under a black cloud. I've lost such a lot of people. First, my brother dies of the large
C; then my husband leaves me for a 20-12 months-antique bimbo. I desire I had a Xanax right
now." Which assertion through the nurse would be therapeutic? - ANS-"Can you inform me what
you watched the Xanax can do for you? Are there other stuff you used to do that would assist
you just as nicely?"
A 45-12 months-antique client states that he used to drink a cocktail nightly after work and also
had a drink together with his meal. Now he has drinks before dinner and two or three extra
beverages at some point of his meal. As the consumer keeps to describe his alcohol intake, the
nurse discovers that he additionally has delivered more than one drinks at night time to help him
sleep. Which is the maximum accurate evaluation of his alcohol intake? - ANS-Tolerance
A sixty three-12 months-antique girl whose husband died 2 months in the past says to the
traveling nurse, "My daughter came over the day prior to this to assist me flow my husband's
things out of our bedroom, and I changed into so angry along with her for transferring his
slippers from in which he usually stored them underneath his facet of our bed. She would not
understand how a good deal I'm hurting." Which announcement through the nurse would be
therapeutic? - ANS-"It's OK to grieve and be angry with your daughter and every body else for a
time."
A battered wife says, "My husband by no means beat me up, so I didn't assume he become
abusive even after he lost all our money through terrible deals, bullying me into his schemes,
gambling, womanizing, and no longer retaining a actual activity with advantages. I nevertheless
allow him refinance our mortgage, take cash out of the bank, and placed the house in his
name." Which assertion by using the nurse is therapeutic? - ANS-"So you realise that there are
numerous approaches to erode someone's self-self assurance and independence? Can you
share with me some methods that you feel you may deal with this abuse?"
A purchaser admitted to a mental fitness unit for remedy of psychotic behavior spends hours at
the locked exit door shouting, "Let me out. There's not anything incorrect with me. I do not
belong here." What defense mechanism is the customer imposing? - ANS-Denial
A consumer admitted to the inpatient unit is being considered for electroconvulsive remedy
(ECT). The customer is calm, however the patron's daughter is hypervigilant and stressful. The
,daughter says to the nurse, "My mother's brain can be taken aback with strength. How can the
medical doctor even consider doing this to her?" Which response by means of the nurse is
therapeutic? - ANS-"It sounds as although you're very involved about the manner. Let's talk the
process."
A patron admitted to the mental health unit with melancholy states to the nurse, "My existence
has been such a failure. Nothing I do seems proper." Which healing response should the nurse
make? - ANS-"You appear very discouraged. Can you suspect of some thing these days that
went as you deliberate?"
A customer admitted to the mental health unit with fundamental melancholy 3 days in the past
may want to hardly get away from bed without coaxing and wished steady encouragement to
get dressed and take part in unit sports. Today the purchaser seems inside the dayroom
dressed and nicely groomed, with none steerage from the staff. The customer seems to be calm
and at ease, but greater active than earlier than. Which initial motion should the nurse take after
noting this patron's behavior? - ANS-Speak to the purchaser for my part approximately the
nurse's observations, and ask if the consumer is thinking about suicide.
A customer being seen inside the emergency department right away after being sexually
assaulted appears calm and managed. The nurse analyzes this conduct as indicating which
defense mechanism? - ANS-Denial
A customer comes into the emergency department in a extreme country of anxiety after a
vehicle crash. Which is the precise nursing intervention? - ANS-Remain with the client.
A client involves the clinic after losing all of his non-public belongings in a typhoon. The nurse
notes that the patron is coping ineffectively with the scenario. Which is the least realistic aim for
this customer? - ANS-The customer will forestall blaming himself for the lack of insurance.
A customer comes to the emergency branch following an attack and is extraordinarily agitated,
trembling, and hyperventilating. What is the appropriate initial nursing motion? - ANS-Remain
with the client until the tension decreases.
A client identified with delirium will become disoriented and pressured at night time. Which
intervention should the nurse put in force to begin with? - ANS-Use an indirect light supply and
flip off the television.
A client diagnosed with terminal cancer says to the nurse, "I'm going to die, and I want my family
could prevent hoping for a treatment! I get so angry when they convey on like this. After all, I'm
the only who's loss of life." Which response via the nurse is therapeutic? - ANS-"You're feeling
indignant that your circle of relatives maintains to pray with a purpose to be cured?"
A consumer experiencing a excellent deal of strain and tension is being taught to apply
self-discipline therapy. Which assertion via the consumer suggests a want for similarly coaching
approximately the therapy? - ANS-"This shape of remedy gives a poor reinforcement when the
stimulus is produced."
A client experiencing disturbed idea methods believes that his meals is being poisoned. Which
communication technique ought to the nurse use to inspire the client to consume? - ANS-Using
open-ended questions and silence
A customer has been admitted to the inpatient psychiatric unit because the patron has displayed
violent conduct and is at risk for potentially harming others. What need to the nurse keep away
from doing whilst being concerned for this purchaser? - ANS-Closing the door to the purchaser's
room while giving care to the consumer
, A client has been prescribed disulfiram (Antabuse). Before giving the customer the primary dose
of this medicinal drug, what have to the psychiatric domestic fitness nurse determine? -
ANS-When the ultimate alcoholic drink changed into ate up
A client hospitalized within the mental health unit with depression is making ready to be
discharged to outpatient fame. The nurse is discussing termination and comply with-up plans
with the purchaser. Which client declaration would most problem the nurse about the customer's
discharge and suggest the need for follow-up remedy? - ANS-"I assume I really couldn't have
labored that job even supposing the man had given me the time he ought to have all through the
interview. It's simply as properly. I simply failed to need a task in which I needed to paintings
such long hours. But I had proper cause to get depressed and turn out to be right here. But it all
labored out. I virtually didn't want that activity anyway."
A purchaser is admitted to a clinical nursing unit with a analysis of acute blindness after being
involved in a hit-and-run twist of fate. When diagnostic testing cannot perceive any organic
motive why this purchaser can't see, a mental health consult is prescribed. Which condition will
be the focal point of this consult? - ANS-Conversion sickness
A patron is admitted to the medical institution with a analysis of most important melancholy,
severe, unmarried episode. The nurse assesses the customer and notes that the client has
negative dietary intake. Which is the proper nursing intervention? - ANS-Schedule short nursing
interactions with the client at some stage in several meals in which small quantities are
supplied.
A client is admitted to the mental fitness unit after an tried suicide via striking. The nurse can
quality ensure purchaser safety through which motion? - ANS-Assigning a staff member to the
purchaser who will continue to be with the client always
A consumer is admitted to the mental health unit with a analysis of despair. The nurse have to
expand a plan of care for the patron that includes which intervention? - ANS-A structured
program of sports wherein the client can participate
A customer is admitted to the psychiatric unit with a diagnosis of bipolar affective disorder and
mania. The nurse need to prioritize that which symptoms or behaviors require instantaneous
intervention? - ANS-consistent bodily hobby and negative oral intake
A patron is found to have rape trauma syndrome. The nurse plans care for the patron knowing
that which occurs in this condition? - ANS-Re-experiencing reminiscences of the trauma
A patron is planning to wait Overeaters Anonymous. Which announcement by the consumer
indicates a need for added records regarding this self-help institution? - ANS-"The chief is a
nurse or psychiatrist."
A customer is preparing to wait a Gamblers Anonymous meeting for the first time. The nurse
have to inform the patron that that is the first step on this 12-step software? - ANS-Admitting to
having a problem
A client is unwilling to go out of the house for fear of "making a idiot of myself in public."
Because of this fear, the client remains homebound. Based on these information, which mental
fitness ailment is the client experiencing? - ANS-Social phobia
A purchaser these days admitted to the sanatorium inside the manic section of bipolar disease
is dehydrated, unkempt, taking antipsychotic medications, and complaining of belly fullness and
soreness. The nurse determines that which intervention is most appropriate for these
complaints? - ANS-Encourage frequent fluid intake and a high-fiber weight loss plan.
A 10-year-vintage girl who has been referred for evaluation for drawing sexually express scenes
in her textbooks says to the psychiatric nurse, "I just felt find it irresistible." Which reaction is
therapeutic for the nurse to make with the intention to determine abuse-related symptoms? -
ANS-"I am involved approximately you. Are you presently or have you ever been abused?"
A 15-year-old consumer who is pregnant and unwed tells the nurse, "My lifestyles turned into
insufferable before I met Johnny. My mother beats me up each day, and my dad has been
sound asleep with me on the grounds that I changed into 10 years vintage!" Which response is
suitable for the nurse to make? - ANS-"It seems which you wanted help to split from your own
family. Do you sense you're equipped to have a toddler with Johnny?"
A 37-year-vintage patron who's convalescing from benzodiazepine dependence says, "I assume
I've walked under a black cloud. I've lost such a lot of people. First, my brother dies of the large
C; then my husband leaves me for a 20-12 months-antique bimbo. I desire I had a Xanax right
now." Which assertion through the nurse would be therapeutic? - ANS-"Can you inform me what
you watched the Xanax can do for you? Are there other stuff you used to do that would assist
you just as nicely?"
A 45-12 months-antique client states that he used to drink a cocktail nightly after work and also
had a drink together with his meal. Now he has drinks before dinner and two or three extra
beverages at some point of his meal. As the consumer keeps to describe his alcohol intake, the
nurse discovers that he additionally has delivered more than one drinks at night time to help him
sleep. Which is the maximum accurate evaluation of his alcohol intake? - ANS-Tolerance
A sixty three-12 months-antique girl whose husband died 2 months in the past says to the
traveling nurse, "My daughter came over the day prior to this to assist me flow my husband's
things out of our bedroom, and I changed into so angry along with her for transferring his
slippers from in which he usually stored them underneath his facet of our bed. She would not
understand how a good deal I'm hurting." Which announcement through the nurse would be
therapeutic? - ANS-"It's OK to grieve and be angry with your daughter and every body else for a
time."
A battered wife says, "My husband by no means beat me up, so I didn't assume he become
abusive even after he lost all our money through terrible deals, bullying me into his schemes,
gambling, womanizing, and no longer retaining a actual activity with advantages. I nevertheless
allow him refinance our mortgage, take cash out of the bank, and placed the house in his
name." Which assertion by using the nurse is therapeutic? - ANS-"So you realise that there are
numerous approaches to erode someone's self-self assurance and independence? Can you
share with me some methods that you feel you may deal with this abuse?"
A purchaser admitted to a mental fitness unit for remedy of psychotic behavior spends hours at
the locked exit door shouting, "Let me out. There's not anything incorrect with me. I do not
belong here." What defense mechanism is the customer imposing? - ANS-Denial
A consumer admitted to the inpatient unit is being considered for electroconvulsive remedy
(ECT). The customer is calm, however the patron's daughter is hypervigilant and stressful. The
,daughter says to the nurse, "My mother's brain can be taken aback with strength. How can the
medical doctor even consider doing this to her?" Which response by means of the nurse is
therapeutic? - ANS-"It sounds as although you're very involved about the manner. Let's talk the
process."
A patron admitted to the mental health unit with melancholy states to the nurse, "My existence
has been such a failure. Nothing I do seems proper." Which healing response should the nurse
make? - ANS-"You appear very discouraged. Can you suspect of some thing these days that
went as you deliberate?"
A customer admitted to the mental health unit with fundamental melancholy 3 days in the past
may want to hardly get away from bed without coaxing and wished steady encouragement to
get dressed and take part in unit sports. Today the purchaser seems inside the dayroom
dressed and nicely groomed, with none steerage from the staff. The customer seems to be calm
and at ease, but greater active than earlier than. Which initial motion should the nurse take after
noting this patron's behavior? - ANS-Speak to the purchaser for my part approximately the
nurse's observations, and ask if the consumer is thinking about suicide.
A customer being seen inside the emergency department right away after being sexually
assaulted appears calm and managed. The nurse analyzes this conduct as indicating which
defense mechanism? - ANS-Denial
A customer comes into the emergency department in a extreme country of anxiety after a
vehicle crash. Which is the precise nursing intervention? - ANS-Remain with the client.
A client involves the clinic after losing all of his non-public belongings in a typhoon. The nurse
notes that the patron is coping ineffectively with the scenario. Which is the least realistic aim for
this customer? - ANS-The customer will forestall blaming himself for the lack of insurance.
A customer comes to the emergency branch following an attack and is extraordinarily agitated,
trembling, and hyperventilating. What is the appropriate initial nursing motion? - ANS-Remain
with the client until the tension decreases.
A client identified with delirium will become disoriented and pressured at night time. Which
intervention should the nurse put in force to begin with? - ANS-Use an indirect light supply and
flip off the television.
A client diagnosed with terminal cancer says to the nurse, "I'm going to die, and I want my family
could prevent hoping for a treatment! I get so angry when they convey on like this. After all, I'm
the only who's loss of life." Which response via the nurse is therapeutic? - ANS-"You're feeling
indignant that your circle of relatives maintains to pray with a purpose to be cured?"
A consumer experiencing a excellent deal of strain and tension is being taught to apply
self-discipline therapy. Which assertion via the consumer suggests a want for similarly coaching
approximately the therapy? - ANS-"This shape of remedy gives a poor reinforcement when the
stimulus is produced."
A client experiencing disturbed idea methods believes that his meals is being poisoned. Which
communication technique ought to the nurse use to inspire the client to consume? - ANS-Using
open-ended questions and silence
A customer has been admitted to the inpatient psychiatric unit because the patron has displayed
violent conduct and is at risk for potentially harming others. What need to the nurse keep away
from doing whilst being concerned for this purchaser? - ANS-Closing the door to the purchaser's
room while giving care to the consumer
, A client has been prescribed disulfiram (Antabuse). Before giving the customer the primary dose
of this medicinal drug, what have to the psychiatric domestic fitness nurse determine? -
ANS-When the ultimate alcoholic drink changed into ate up
A client hospitalized within the mental health unit with depression is making ready to be
discharged to outpatient fame. The nurse is discussing termination and comply with-up plans
with the purchaser. Which client declaration would most problem the nurse about the customer's
discharge and suggest the need for follow-up remedy? - ANS-"I assume I really couldn't have
labored that job even supposing the man had given me the time he ought to have all through the
interview. It's simply as properly. I simply failed to need a task in which I needed to paintings
such long hours. But I had proper cause to get depressed and turn out to be right here. But it all
labored out. I virtually didn't want that activity anyway."
A purchaser is admitted to a clinical nursing unit with a analysis of acute blindness after being
involved in a hit-and-run twist of fate. When diagnostic testing cannot perceive any organic
motive why this purchaser can't see, a mental health consult is prescribed. Which condition will
be the focal point of this consult? - ANS-Conversion sickness
A patron is admitted to the medical institution with a analysis of most important melancholy,
severe, unmarried episode. The nurse assesses the customer and notes that the client has
negative dietary intake. Which is the proper nursing intervention? - ANS-Schedule short nursing
interactions with the client at some stage in several meals in which small quantities are
supplied.
A client is admitted to the mental fitness unit after an tried suicide via striking. The nurse can
quality ensure purchaser safety through which motion? - ANS-Assigning a staff member to the
purchaser who will continue to be with the client always
A consumer is admitted to the mental health unit with a analysis of despair. The nurse have to
expand a plan of care for the patron that includes which intervention? - ANS-A structured
program of sports wherein the client can participate
A customer is admitted to the psychiatric unit with a diagnosis of bipolar affective disorder and
mania. The nurse need to prioritize that which symptoms or behaviors require instantaneous
intervention? - ANS-consistent bodily hobby and negative oral intake
A patron is found to have rape trauma syndrome. The nurse plans care for the patron knowing
that which occurs in this condition? - ANS-Re-experiencing reminiscences of the trauma
A patron is planning to wait Overeaters Anonymous. Which announcement by the consumer
indicates a need for added records regarding this self-help institution? - ANS-"The chief is a
nurse or psychiatrist."
A customer is preparing to wait a Gamblers Anonymous meeting for the first time. The nurse
have to inform the patron that that is the first step on this 12-step software? - ANS-Admitting to
having a problem
A client is unwilling to go out of the house for fear of "making a idiot of myself in public."
Because of this fear, the client remains homebound. Based on these information, which mental
fitness ailment is the client experiencing? - ANS-Social phobia
A purchaser these days admitted to the sanatorium inside the manic section of bipolar disease
is dehydrated, unkempt, taking antipsychotic medications, and complaining of belly fullness and
soreness. The nurse determines that which intervention is most appropriate for these
complaints? - ANS-Encourage frequent fluid intake and a high-fiber weight loss plan.
