Psych health NUR 162 Test 3 Questions With
./ ./ ./ ./ ./ ./ ./
Correct Answers ./
The./ nurse./ discovers./ a./ client's./ suicide./ note./ that./ details./ the./ time,./ place,./ and./ means./ to./
commit./ suicide../ Which./ would./ be./ the./ priority./ nursing./ intervention./ and./ the./ rationale./ for./
this./ action?
1.
Administering./ lorazepam./ (Ativan)./ prn,./ because./ the./ client./ is./ angry./ about./ the./ discovery./ of./
the./ note
2.
Establishing./ room./ restrictions,./ because./ the./ client's./ threat./ is./ an./ attempt./ to./ manipulate./ the./
staff
3.
Placing./ this./ client./ on./ one-to-one./ suicide./ precautions,./ because./ the./ more./ specific./ the./
plan,./ the./ more./ likely./ the./ client./ will./ attempt./ suicide
4.
Calling./ an./ emergency./ treatment./ team./ meeting,./ because./ the./ client's./ threat./ must./ be./
addressed./ -./ correct./ answer./ ✔✔3
During./ the./ planning./ of./ care./ for./ a./ suicidal./ client,./ which./ correctly./ written./ outcome./ would./
be./ a./ nurse's./ first./ priority?
1.
The./ client./ will./ not./ physically./ harm./ self.
2.
The./ client./ will./ express./ hope./ for./ the./ future./ by./ day./ three.
3.
The./ client./ will./ establish./ a./ trusting./ relationship./ with./ the./ nurse.
4.
The./ client./ will./ remain./ safe./ during./ the./ hospital./ stay../ -./ correct./ answer./ ✔✔4
,A./ client./ diagnosed./ with./ major./ depressive./ disorder./ with./ psychotic./ features./ hears./ voices./
commanding./ self-harm../ The./ client./ refuses./ to./ commit./ to./ developing./ a./ plan./ for./ safety../
Which./ would./ be./ the./ nurse's./ priority./ intervention./ at./ this./ time?
1.
Obtaining./ an./ order./ for./ locked./ seclusion./ until./ client./ is./ no./ longer./ suicidal
2.
Conducting./ 15-minute./ checks./ to./ ensure./ safety
3.
Placing./ the./ client./ on./ one-to-one./ observation./ while./ monitoring./ suicidal./ ideations
4.
Encouraging./ the./ client./ to./ express./ feelings./ related./ to./ suicide./ -./ correct./ answer./ ✔✔3
A./ client./ with./ a./ history./ of./ three./ suicide./ attempts./ has./ been./ taking./ fluoxetine./ (Prozac)./ for./
1./ month../ The./ client./ suddenly./ presents./ with./ a./ bright./ affect,./ rates./ mood./ at./ 9/10,./ and./ is./
much./ more./ communicative../ Which./ action./ would./ be./ the./ nurse's./ priority./ at./ this./ time?
1.
Give./ the./ client./ off-unit./ privileges./ as./ positive./ reinforcement.
2.
Encourage./ the./ client./ to./ share./ mood./ improvement./ in./ group.
3.
Increase./ frequency./ of./ client./ observation.
4.
Request./ that./ the./ psychiatrist./ reevaluate./ the./ current./ medication./ protocol../ -./ correct./ answer./
✔✔3
A./ client./ is./ admitted./ to./ an./ inpatient./ unit./ after./ a./ suicide./ attempt../ The./ health-care./ provider./
prescribes./ amitriptyline./ (Elavil)./ for./ the./ client../ Which./ would./ the./ nurse./ expect./ to./ be./
initiated./ to./ maintain./ this./ client's./ safety./ upon./ discharge?
,1.
Provide./ a./ 6-month./ supply./ of./ Elavil./ to./ ensure./ long-term./ compliance.
2.
Provide./ a./ 3-day./ supply./ of./ Elavil./ with./ refills./ contingent./ on./ follow-up./ appointments.
3.
Provide./ a./ pill./ dispenser./ as./ a./ memory./ aid.
4.
Provide./ education./ regarding./ the./ avoidance./ of./ foods./ containing./ tyramine../ -./ correct./
answer./ ✔✔2
During./ a./ one-to-one./ session./ with./ a./ client,./ the./ client./ states,./ "Nothing./ will./ ever./ get./
better,"./ and,./ "Nobody./ can./ help./ me."./ Which./ nursing./ diagnosis./ is./ most./ appropriate./ for./
this./ client?
1.
Powerlessness./ R/T./ altered./ mood./ AEB./ client./ statements
2.
Risk./ for./ injury./ R/T./ altered./ mood./ AEB./ client./ statements
3.
Risk./ for./ suicide./ R/T./ altered./ mood./ AEB./ client./ statements
4.
Hopelessness./ R/T./ altered./ mood./ AEB./ client./ statements./ -./ correct./ answer./ ✔✔4
The./ treatment./ team./ is./ making./ a./ discharge./ decision./ regarding./ a./ previously./ suicidal./
client../ Which./ client./ assessment./ information./ should./ a./ nurse./ recognize./ as./ contributing./ to./
the./ team's./ decision?
1.
No./ previous./ admissions./ for./ major./ depressive./ disorder
2.
, Vital./ signs./ stable;./ no./ psychosis./ noted
3.
Adheres./ to./ medication./ regimen;./ able./ to./ problem-solve./ life./ issues
4.
Participates./ in./ a./ plan./ for./ safety;./ family./ agrees./ to./ constant./ observation./ -./ correct./ answer./
✔✔4
The./ family./ of./ a./ suicidal./ client./ is./ very./ supportive./ and./ requests./ more./ facts./ related./ to./
caring./ for./ their./ family./ member./ after./ discharge../ Which./ information./ would./ the./ nurse./
provide?
1.
Address./ only./ serious./ suicide./ threats./ to./ avoid./ the./ possibility./ of./ secondary./ gain.
2.
Promote./ trust./ by./ verbalizing./ a./ promise./ to./ keep./ suicide./ attempt./ information./ within./ the./
family.
3.
Offer./ a./ private./ environment./ to./ provide./ needed./ time./ alone./ at./ least./ once./ a./ day.
4.
Be./ available./ to./ actively./ listen,./ support,./ and./ accept./ feelings../ -./ correct./ answer./ ✔✔4
A./ stockbroker./ commits./ suicide./ after./ being./ convicted./ of./ insider./ trading../ In./ speaking./ with./
the./ family,./ which./ statement./ by./ the./ nurse./ demonstrates./ accurate./ and./ appropriate./ sharing./
of./ information?
1.
"Your./ grieving./ will./ subside./ within./ 1./ year;./ until./ then,./ I./ recommend./ antidepressants."
2.
"Support./ groups./ are./ available./ specifically./ for./ survivors./ of./ suicide,./ and./ I./ would./ be./ glad./
to./ work./ with./ the./ health-care./ provider./ to./ locate./ one./ in./ this./ area."
3.
./ ./ ./ ./ ./ ./ ./
Correct Answers ./
The./ nurse./ discovers./ a./ client's./ suicide./ note./ that./ details./ the./ time,./ place,./ and./ means./ to./
commit./ suicide../ Which./ would./ be./ the./ priority./ nursing./ intervention./ and./ the./ rationale./ for./
this./ action?
1.
Administering./ lorazepam./ (Ativan)./ prn,./ because./ the./ client./ is./ angry./ about./ the./ discovery./ of./
the./ note
2.
Establishing./ room./ restrictions,./ because./ the./ client's./ threat./ is./ an./ attempt./ to./ manipulate./ the./
staff
3.
Placing./ this./ client./ on./ one-to-one./ suicide./ precautions,./ because./ the./ more./ specific./ the./
plan,./ the./ more./ likely./ the./ client./ will./ attempt./ suicide
4.
Calling./ an./ emergency./ treatment./ team./ meeting,./ because./ the./ client's./ threat./ must./ be./
addressed./ -./ correct./ answer./ ✔✔3
During./ the./ planning./ of./ care./ for./ a./ suicidal./ client,./ which./ correctly./ written./ outcome./ would./
be./ a./ nurse's./ first./ priority?
1.
The./ client./ will./ not./ physically./ harm./ self.
2.
The./ client./ will./ express./ hope./ for./ the./ future./ by./ day./ three.
3.
The./ client./ will./ establish./ a./ trusting./ relationship./ with./ the./ nurse.
4.
The./ client./ will./ remain./ safe./ during./ the./ hospital./ stay../ -./ correct./ answer./ ✔✔4
,A./ client./ diagnosed./ with./ major./ depressive./ disorder./ with./ psychotic./ features./ hears./ voices./
commanding./ self-harm../ The./ client./ refuses./ to./ commit./ to./ developing./ a./ plan./ for./ safety../
Which./ would./ be./ the./ nurse's./ priority./ intervention./ at./ this./ time?
1.
Obtaining./ an./ order./ for./ locked./ seclusion./ until./ client./ is./ no./ longer./ suicidal
2.
Conducting./ 15-minute./ checks./ to./ ensure./ safety
3.
Placing./ the./ client./ on./ one-to-one./ observation./ while./ monitoring./ suicidal./ ideations
4.
Encouraging./ the./ client./ to./ express./ feelings./ related./ to./ suicide./ -./ correct./ answer./ ✔✔3
A./ client./ with./ a./ history./ of./ three./ suicide./ attempts./ has./ been./ taking./ fluoxetine./ (Prozac)./ for./
1./ month../ The./ client./ suddenly./ presents./ with./ a./ bright./ affect,./ rates./ mood./ at./ 9/10,./ and./ is./
much./ more./ communicative../ Which./ action./ would./ be./ the./ nurse's./ priority./ at./ this./ time?
1.
Give./ the./ client./ off-unit./ privileges./ as./ positive./ reinforcement.
2.
Encourage./ the./ client./ to./ share./ mood./ improvement./ in./ group.
3.
Increase./ frequency./ of./ client./ observation.
4.
Request./ that./ the./ psychiatrist./ reevaluate./ the./ current./ medication./ protocol../ -./ correct./ answer./
✔✔3
A./ client./ is./ admitted./ to./ an./ inpatient./ unit./ after./ a./ suicide./ attempt../ The./ health-care./ provider./
prescribes./ amitriptyline./ (Elavil)./ for./ the./ client../ Which./ would./ the./ nurse./ expect./ to./ be./
initiated./ to./ maintain./ this./ client's./ safety./ upon./ discharge?
,1.
Provide./ a./ 6-month./ supply./ of./ Elavil./ to./ ensure./ long-term./ compliance.
2.
Provide./ a./ 3-day./ supply./ of./ Elavil./ with./ refills./ contingent./ on./ follow-up./ appointments.
3.
Provide./ a./ pill./ dispenser./ as./ a./ memory./ aid.
4.
Provide./ education./ regarding./ the./ avoidance./ of./ foods./ containing./ tyramine../ -./ correct./
answer./ ✔✔2
During./ a./ one-to-one./ session./ with./ a./ client,./ the./ client./ states,./ "Nothing./ will./ ever./ get./
better,"./ and,./ "Nobody./ can./ help./ me."./ Which./ nursing./ diagnosis./ is./ most./ appropriate./ for./
this./ client?
1.
Powerlessness./ R/T./ altered./ mood./ AEB./ client./ statements
2.
Risk./ for./ injury./ R/T./ altered./ mood./ AEB./ client./ statements
3.
Risk./ for./ suicide./ R/T./ altered./ mood./ AEB./ client./ statements
4.
Hopelessness./ R/T./ altered./ mood./ AEB./ client./ statements./ -./ correct./ answer./ ✔✔4
The./ treatment./ team./ is./ making./ a./ discharge./ decision./ regarding./ a./ previously./ suicidal./
client../ Which./ client./ assessment./ information./ should./ a./ nurse./ recognize./ as./ contributing./ to./
the./ team's./ decision?
1.
No./ previous./ admissions./ for./ major./ depressive./ disorder
2.
, Vital./ signs./ stable;./ no./ psychosis./ noted
3.
Adheres./ to./ medication./ regimen;./ able./ to./ problem-solve./ life./ issues
4.
Participates./ in./ a./ plan./ for./ safety;./ family./ agrees./ to./ constant./ observation./ -./ correct./ answer./
✔✔4
The./ family./ of./ a./ suicidal./ client./ is./ very./ supportive./ and./ requests./ more./ facts./ related./ to./
caring./ for./ their./ family./ member./ after./ discharge../ Which./ information./ would./ the./ nurse./
provide?
1.
Address./ only./ serious./ suicide./ threats./ to./ avoid./ the./ possibility./ of./ secondary./ gain.
2.
Promote./ trust./ by./ verbalizing./ a./ promise./ to./ keep./ suicide./ attempt./ information./ within./ the./
family.
3.
Offer./ a./ private./ environment./ to./ provide./ needed./ time./ alone./ at./ least./ once./ a./ day.
4.
Be./ available./ to./ actively./ listen,./ support,./ and./ accept./ feelings../ -./ correct./ answer./ ✔✔4
A./ stockbroker./ commits./ suicide./ after./ being./ convicted./ of./ insider./ trading../ In./ speaking./ with./
the./ family,./ which./ statement./ by./ the./ nurse./ demonstrates./ accurate./ and./ appropriate./ sharing./
of./ information?
1.
"Your./ grieving./ will./ subside./ within./ 1./ year;./ until./ then,./ I./ recommend./ antidepressants."
2.
"Support./ groups./ are./ available./ specifically./ for./ survivors./ of./ suicide,./ and./ I./ would./ be./ glad./
to./ work./ with./ the./ health-care./ provider./ to./ locate./ one./ in./ this./ area."
3.
