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zx patient living in the community and diagnosed with serious and persistent mental
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illness? Within 3 months, the patient will: a. deny suicidal ideation.
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b. report a sense of well-being.zx zx zx zx
c. take medications as prescribed.
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d. attend clinic appointments on time.
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ANS: B zx
Recovery emphasizes managing symptoms, reducing psychosocial disability, and
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improving role performance.
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The goal of recovery is to empower the individual with mental illness to achieve a
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zx sense of meaning and satisfaction in life and to function at the highest possible level of
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zx wellness. The incorrect options focus on the classic medical model rather than
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zx recovery.
DIF: Cognitive Level: Application (Applying) REF:
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2 TOP: Nursing Process: Outcomes
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zx Identification MSC: NCLEX: Health Promotion zx zx zx zx
zx and Maintenance
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2. In the shift-change report, an off-going nurse criticizes a patient who wears
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heavy makeup. Which comment by the nurse who receives the report best
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zx demonstrates advocacy? zx
,a. This is a psychiatric hospital. Craziness is what we are all about.
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b. Lets all show acceptance of this patient by wearing lots of makeup too.
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c. Your comments are inconsiderate and inappropriate. Keep the report objective.
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d. Our patients need our help to learn behaviors that will help them get along in society.
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ANS: D zx
Accepting patients needs for self-expression and seeking to teach skills that will
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contribute to their well-being demonstrate respect and are important parts of
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zx advocacy. The on- zx zx
,coming nurse needs to take action to ensure that others are not prejudiced against the
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zx patient. Humor can be appropriate within the privacy of a shift report but not at the
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zx expense of respect for patients. Judging the off-going nurse in a critical way will create
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zx conflict.
Nurses must show compassion for each other.
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DIF: Cognitive Level: Application (Applying) REF: 8
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TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
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zx 3. A nurse assesses a newly admitted patient diagnosed with major depressive
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disorder. Which statement is an example of attending?
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a. We all have stress in life. Being in a psychiatric hospital isnt the end of the world.
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b. Tell me why you felt you had to be hospitalized to receive treatment for your depression.
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c. You will feel better after we get some antidepressant medication started for you.
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d. Id like to sit with you a while so you may feel more comfortable talking with me.
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ANS: D zx
Attending is a technique that demonstrates the nurses commitment to the relationship
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and reduces feelings of isolation. This technique shows respect for the patient and
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zx demonstrates caring. Generalizations, probing, and false reassurances are non-
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therapeutic.
DIF: Cognitive Level: Application (Applying) REF: 8
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TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity 4. A patient
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zx is hospitalized for depression and suicidal ideation after their spouse asks for a divorce.
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, Select the nurses most caring comment.
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