Saunders PN Mental Health
A client arrives in the emergency branch in a crisis kingdom. The customer demonstrates signs
of profound tension and is unable to awareness on whatever however the item of the crisis and
the effect on self. The initial facts series would attention on which information? - ANS-The
physical situation of the patron
A purchaser is admitted to a psychiatric unit for observation following extreme anxiety attacks.
On admission, the consumer states, "There's nothing incorrect with me. I should not also be
here. I am taking over a room, and there is probably someone else who absolutely wishes it."
Although the nurse translates this reaction as denial, which findings support a extreme degree
of anxiety? Select all that observe. - ANS--Inability to think truly
-Inability to hassle resolve
A patron is admitted to the in-patient unit and is being taken into consideration for
electroconvulsive therapy (ECT). The patron seems calm, however the own family is
hypervigilant and traumatic. The consumer's mother starts offevolved to cry and states, "My
toddler's brain can be destroyed. How can the physician do that?" The nurse ought to make
which healing reaction? - ANS-"It sounds as although you've got a few concerns about the ECT
technique. Why do not we take a seat down together and discuss any issues you could have?"
A client is admitted to the intellectual fitness unit with a prognosis of possible somatic symptom
sickness. Besides anxiety, the nursing evaluation is particularly important in figuring out which
purchaser symptoms/symptoms are contributing to the somatic symptom ailment? Select all that
follow. - ANS--Depression
-Substance Abuse
-Adverse Childhood Events
-PTSD
A consumer is admitted to the psychiatric unit after a severe suicidal strive via placing. What is
the nurse's most essential intervention to preserve client protection? - ANS-Assign a group of
workers member to the client who will remain with her or him always.
A purchaser is admitted to the psychiatric unit following a serious suicide try via a drug
overdose. Which movement should the nurse put into effect? - ANS-Remain with the consumer
always
A client is being organized for electroconvulsive remedy (ECT). The nurse's plan of care for the
night time earlier than ECT treatment need to include which intervention? - ANS-The patron
shampoos and dries the hair, releasing it of all hair spray and creams.
A customer is identified with schizophrenia. The nurse is requested to help in getting ready a
nursing care plan for the client. Which is critical for the nurse to apprehend when planning? -
ANS-Until the customer's thinking is cleared, the nurse might also need to help the consumer
with grooming and vitamins.
A consumer is scheduled to have electroconvulsive remedy (ECT). Which data should the nurse
tell the consumer? - ANS-Amnesia of occasions happening close to the length of the therapy is
not unusual.
, A purchaser is scheduled to have electroconvulsive therapy (ECT). Which problem have to the
nurse consist of in the plan as a priority? - ANS-Risk for aspiration
A purchaser says to the nurse, "I'm going to die, and I want my own family might stop hoping for
a 'therapy'! I get so angry while they bring about on like this! After all, I'm the only who is loss of
life." Which therapeutic response need to the nurse make to the consumer? - ANS-"You're
feeling irritated that your family continues to wish that allows you to be 'cured'?"
A purchaser tells the nurse that he is feeling out of control. The nurse observes that the
purchaser is pacing to and fro. Which technique by way of the nurse is suitable to hold a safe
surroundings? - ANS-Move the client to a quiet room and talk approximately his feelings.
A purchaser who excessively uses alcohol and who's stimulated to stop tells the nurse, "I
recognise that there's a remedy which can assist humans like me quit drinking." Which
medication ought to the nurse give an explanation for is available for this reason? -
ANS-Disulfiram
A customer who has developed paralysis of the lower extremities is admitted to the sanatorium.
The customer stocks facts with the nurse regarding a excessive emotional trauma that occurred
6 weeks ago. The nurse develops a plan of care, understanding which action is the priority? -
ANS-Look for organic causes of the paralysis.
A patron who has simply obtained a prognosis of allergies says to the nurse, "This situation is
just any other nail in my coffin." Which reaction by the nurse is healing? - ANS-"You seem very
distressed over getting to know you have got bronchial asthma."
A customer who has efficiently adjusted to a colostomy declines the invitation to talk to a help
organization with reference to alteration in frame picture. The customer reviews an intense
worry of public speaking. The nurse acknowledges that this patron is stricken by social phobia.
Which are a few other manifestations of social phobias? Select all that apply. - ANS--Performing
badly on degree
-Looking awkward while eating or consuming in public
-Not being capable of answer questions in a lecture room
-Fear of pronouncing some thing that sounds foolish in public
A consumer who is recognized with pedophilia and lately has been paroled as a intercourse
perpetrator says, "I'm in treatment and I have served my time. Now this organization has posters
all around the community with my photo and info of my crime." Which is the proper response via
the nurse? - ANS-"You understand that human beings worry for their youngsters, but you are
feeling unfairly dealt with?"
A client who's experiencing suicidal mind says to the nurse, "It simply would not appear to be
really worth it anymore. Why no longer just cease it all?" Which preliminary nursing reaction is
appropriate? - ANS-"What do you imply with the aid of that?"
A client who is suicidal tells the nurse, "All I need to do is end all of it." Which is the appropriate
nursing reaction? - ANS-What do you suggest by means of that?
A consumer who turned into hospitalized for despair is being prepared via the nurse for
discharge. In comparing the coping techniques learned at some point of hospitalization, the
nurse should understand which declaration by the consumer is a sign that similarly coaching is
needed? - ANS-"I realize that I might not turn out to be depressed once more."
A patron with a analysis of anorexia nervosa, who is in a state of hunger, is in a -mattress health
facility room. A newly admitted customer could be assigned to this client's room. Which client
A client arrives in the emergency branch in a crisis kingdom. The customer demonstrates signs
of profound tension and is unable to awareness on whatever however the item of the crisis and
the effect on self. The initial facts series would attention on which information? - ANS-The
physical situation of the patron
A purchaser is admitted to a psychiatric unit for observation following extreme anxiety attacks.
On admission, the consumer states, "There's nothing incorrect with me. I should not also be
here. I am taking over a room, and there is probably someone else who absolutely wishes it."
Although the nurse translates this reaction as denial, which findings support a extreme degree
of anxiety? Select all that observe. - ANS--Inability to think truly
-Inability to hassle resolve
A patron is admitted to the in-patient unit and is being taken into consideration for
electroconvulsive therapy (ECT). The patron seems calm, however the own family is
hypervigilant and traumatic. The consumer's mother starts offevolved to cry and states, "My
toddler's brain can be destroyed. How can the physician do that?" The nurse ought to make
which healing reaction? - ANS-"It sounds as although you've got a few concerns about the ECT
technique. Why do not we take a seat down together and discuss any issues you could have?"
A client is admitted to the intellectual fitness unit with a prognosis of possible somatic symptom
sickness. Besides anxiety, the nursing evaluation is particularly important in figuring out which
purchaser symptoms/symptoms are contributing to the somatic symptom ailment? Select all that
follow. - ANS--Depression
-Substance Abuse
-Adverse Childhood Events
-PTSD
A consumer is admitted to the psychiatric unit after a severe suicidal strive via placing. What is
the nurse's most essential intervention to preserve client protection? - ANS-Assign a group of
workers member to the client who will remain with her or him always.
A purchaser is admitted to the psychiatric unit following a serious suicide try via a drug
overdose. Which movement should the nurse put into effect? - ANS-Remain with the consumer
always
A client is being organized for electroconvulsive remedy (ECT). The nurse's plan of care for the
night time earlier than ECT treatment need to include which intervention? - ANS-The patron
shampoos and dries the hair, releasing it of all hair spray and creams.
A customer is identified with schizophrenia. The nurse is requested to help in getting ready a
nursing care plan for the client. Which is critical for the nurse to apprehend when planning? -
ANS-Until the customer's thinking is cleared, the nurse might also need to help the consumer
with grooming and vitamins.
A consumer is scheduled to have electroconvulsive remedy (ECT). Which data should the nurse
tell the consumer? - ANS-Amnesia of occasions happening close to the length of the therapy is
not unusual.
, A purchaser is scheduled to have electroconvulsive therapy (ECT). Which problem have to the
nurse consist of in the plan as a priority? - ANS-Risk for aspiration
A purchaser says to the nurse, "I'm going to die, and I want my own family might stop hoping for
a 'therapy'! I get so angry while they bring about on like this! After all, I'm the only who is loss of
life." Which therapeutic response need to the nurse make to the consumer? - ANS-"You're
feeling irritated that your family continues to wish that allows you to be 'cured'?"
A purchaser tells the nurse that he is feeling out of control. The nurse observes that the
purchaser is pacing to and fro. Which technique by way of the nurse is suitable to hold a safe
surroundings? - ANS-Move the client to a quiet room and talk approximately his feelings.
A purchaser who excessively uses alcohol and who's stimulated to stop tells the nurse, "I
recognise that there's a remedy which can assist humans like me quit drinking." Which
medication ought to the nurse give an explanation for is available for this reason? -
ANS-Disulfiram
A customer who has developed paralysis of the lower extremities is admitted to the sanatorium.
The customer stocks facts with the nurse regarding a excessive emotional trauma that occurred
6 weeks ago. The nurse develops a plan of care, understanding which action is the priority? -
ANS-Look for organic causes of the paralysis.
A patron who has simply obtained a prognosis of allergies says to the nurse, "This situation is
just any other nail in my coffin." Which reaction by the nurse is healing? - ANS-"You seem very
distressed over getting to know you have got bronchial asthma."
A customer who has efficiently adjusted to a colostomy declines the invitation to talk to a help
organization with reference to alteration in frame picture. The customer reviews an intense
worry of public speaking. The nurse acknowledges that this patron is stricken by social phobia.
Which are a few other manifestations of social phobias? Select all that apply. - ANS--Performing
badly on degree
-Looking awkward while eating or consuming in public
-Not being capable of answer questions in a lecture room
-Fear of pronouncing some thing that sounds foolish in public
A consumer who is recognized with pedophilia and lately has been paroled as a intercourse
perpetrator says, "I'm in treatment and I have served my time. Now this organization has posters
all around the community with my photo and info of my crime." Which is the proper response via
the nurse? - ANS-"You understand that human beings worry for their youngsters, but you are
feeling unfairly dealt with?"
A client who's experiencing suicidal mind says to the nurse, "It simply would not appear to be
really worth it anymore. Why no longer just cease it all?" Which preliminary nursing reaction is
appropriate? - ANS-"What do you imply with the aid of that?"
A client who is suicidal tells the nurse, "All I need to do is end all of it." Which is the appropriate
nursing reaction? - ANS-What do you suggest by means of that?
A consumer who turned into hospitalized for despair is being prepared via the nurse for
discharge. In comparing the coping techniques learned at some point of hospitalization, the
nurse should understand which declaration by the consumer is a sign that similarly coaching is
needed? - ANS-"I realize that I might not turn out to be depressed once more."
A patron with a analysis of anorexia nervosa, who is in a state of hunger, is in a -mattress health
facility room. A newly admitted customer could be assigned to this client's room. Which client
