CAPSTONE QUIZ ASSESSMENT MENTAL HEALTH QUESTION AND ANSWERS LATEST UPDATE 2023 Considering the plan of care for a hospitalized patient, the nurse recognizes which of the following measures as being the most effective way to reduce the risk of

CAPSTONE QUIZ ASSESSMENT MENTAL HEALTH QUESTION AND ANSWERS LATEST UPDATE 2023 Considering the plan of care for a hospitalized patient, the nurse recognizes which of the following measures as being the most effective way to reduce the risk of a lawsuit? - CORRECT ANSWER-Selecting the least restrictive treatment environment for the patient A patient, who has been disruptive on the unit, was placed in locked seclusion without trying other least restrictive nursing intervention first to control their behaviors. The nurse recognizes this nursing action as? - CORRECT ANSWER-False imprisonment What is the best first approach to take when a severely psychotic patient needs to give consent prior to administering psychotropic medications? - CORRECT ANSWER-Offer the medication with a brief explanation to see if the patient is willing to take it. The 5 Bioethical Principles - CORRECT ANSWER--Beneficence -Autonomy -Justice -Fidelity -Veracity The nurse tells the patient "I've noticed that you seem unhappy when we discussed your relationship with your spouse." The nurse has used the therapeutic technique of: - CORRECT ANSWER-Making an observation Which of these statements by the nurse indicates the best response to convey a caring, respectful attitude toward the patient? - CORRECT ANSWER-I want to be sure I understand what you're saying to me A patient reports to the nurse feelings of nausea, weakness, and headache every day when the scheduled therapy session is about to begin. The nurse recognizes this as? - CORRECT ANSWER-Conversion reaction A patient states to the nurse: "I am tired of all these groups, it's just too much for me to handle." Using supportive confrontation, the best response by the nurse would be: - CORRECT ANSWER-"I know you're finding this difficult, but I believe you can get through it." Elisa, a 19 year old patient told you that she cannot talk about her recent miscarriage as it's to painful for her. She states "I become very anxious just thinking about it and I'm unsure if I can go through another pregnancy." - CORRECT ANSWER-Suppression A woman was brought to the emergency room by the local policy after she was found wandering at a state park during the night. She was unable to tell the police or nurse her name, where she lives, or where she works. - CORRECT ANSWER-Dissociation A student majoring in accounting failed the first two exams of the semester and then complained to you that all of the lectures given by her professor were disorganized and unclear. - CORRECT ANSWER-Rationalization A college male has an impulsive, explosive and aggressive nature. He tried out for the college boxing team where he has worked hard and become a successful member of the team. He is regarded by his team mates as a star player. - CORRECT ANSWERSublimation A patient in the hospital told the nurse "You are a wonderful person." The next day the same patient states "You are the worst nurse ever! How can you keep your job?" - CORRECT ANSWER-Splitting A woman who has repressed her attraction and feelings toward other women working in her office refuses to socialize as she fears those women will make homosexual advances towards her. - CORRECT ANSWER-Projection A 10-year-old child told her preschool-aged sister not to scribble in her book, but rather explained she should look at the pictures in the book, thus expressing the values of their parents. - CORRECT ANSWER-Introjection A mother, who has an unconscious hostility towards her pre-teen daughter, is overprotective and hovers over her. The mother explains she is protecting her daughter from potential harm. The mother's behaviors is interfering with the child's growth and development. - CORRECT ANSWER-Reaction Formation An adolescent female came home and angrily kicked the family dog numerous ties stating she was very upset that her boyfriend of 3 years was breaking up with her. - CORRECT ANSWER-Displacement Four-year-old Jackson, who has been potty trained for 2 years, began to wet and soil his pants when his new baby sister was brought home from the hospital. - CORRECT ANSWER-Regression "I wouldn't worry about that right now" - CORRECT ANSWER-False reassurance "Id rather you to talk about cutting yourself" - CORRECT ANSWER-Disapproving "Why did you skip the groups this morning?" - CORRECT ANSWER-Demanding an explanation "I think you should take back your boyfriend, he's not that bad." - CORRECT ANSWERAdvising "If you're dead, why is your heart still beating?" - CORRECT ANSWER-Challenging A patient notifies a nurse of current suicidal ideation, which nursing assessments the highest priority? - CORRECT ANSWER-Asses if the patient has a specific plan to commit suicide A patient who has been severely depressed for two weeks stated to the nurse that she feels like "ending it all" as there is no hope anymore. What would be the best response by the nurse back to the patient? - CORRECT ANSWER-What specifically have you thought about doing to harm yourself? A professor develops laryngitis on the day he is scheduled to defend a research proposal to a group of peers. This scenario is an example of what defense mechanism? - CORRECT ANSWER-Somatization Your patient was recently started on an antidepressant medication, as the nurse you are aware that this medication could cause anticholinergic side effects. Which complaint from the patient would likely indicate the side effect is occurring? - CORRECT ANSWER-Dry mouth urinary retention blurred vision There are many legal issues so a nurse must have sufficient psychiatric knowledge when working with mental health patients. How does the State of Wisconsin best define a chapter 51 or Emergency Detention? - CORRECT ANSWER-an involuntary admission for an acute mental illness when the individual demonstrates dangerous behaviors such as a massive overdose of prescription medications A nurse has been accused of defaming a patient's character. Which situation would most likely have led to this complaint by the patient? - CORRECT ANSWER-libel: documenting critical and judgmental statements about the patient in the medical record A patient who has just retired from his job of 40 years expresses concerns of loneliness due to the loss of interacting with his co-workers that he enjoyed working with all these years 'both young and old'. Which response by the nurse is the most therapeutic to help this patient overcome feelings of loneliness? Hint: Consider developmental level/stage