saunders mental health
A 15-12 months-old pregnant, unwed consumer tells the nurse, "My existence turned into
insufferable earlier than I met Bobby. My mom beats me each day, and my dad has sexually
abused me when you consider that I became 10 years old!" Which reaction is suitable for the
nurse to make? - ANS-"It seems that you wanted Bobby's assist to separate out of your family
A consumer admitted 72 hours ago with a prognosis of important depression affords for
breakfast these days appropriately dressed and well groomed, and appears to be calm and
secure, yet greater energetic than before. Which preliminary motion must the nurse take after
noting this customer's conduct? - ANS-Ask the patron without delay approximately the presence
of any suicide-associated mind.
A patron admitted to the inpatient unit is being considered for electroconvulsive therapy (ECT).
While the customer is calm, the daughter anxiously tells the nurse, "My mother's brain can be
stunned with power. How can the physician even think about doing this to her?" Which reaction
with the aid of the nurse will satisfactory address the daughter's issues? - ANS-"It sounds as
though you're very worried. Let's discuss the manner."
A client admitted to the mental fitness unit after attacking his father for stressful him at his
computer, interrupts the nurse at some stage in morning rounds and says, "I need to get out of
here so I can paintings on my computer undertaking to keep the sector!" Which nursing reaction
will have the finest healing impact? - ANS-"I can be returned to speak with you in 15 minutes
when I whole nursing rounds."
A customer arrives in the emergency branch in a crisis nation demonstrating signs and
symptoms of profound tension. What need to the preliminary nursing assessment recognition
on? - ANS-The patron's physical situation
A consumer comes to the sanatorium after dropping all of his personal property in a typhoon.
The nurse notes that the customer is coping ineffectively with the state of affairs. Which are the
maximum realistic dreams for this patron? Select all that practice. - ANS-- The purchaser will
broaden adaptive coping styles.
- The purchaser will become aware of a realistic belief of stressors
- The client will explicit and share emotions regarding the present crisis.
- The customer will become aware of powerful coping styles that have worked in the beyond.
A customer involves the emergency department after an attack and is extremely agitated,
trembling, and hyperventilating. What is the concern nursing action for this purchaser? -
ANS-Remain with the client till the anxiety decreases.
A customer identified with delirium turns into disoriented and pressured at night time. Which
intervention should the nurse put in force first of all? - ANS-Use an indirect mild source and flip
off the tv.
A purchaser diagnosed with despair is scheduled to get hold of three periods of
electroconvulsive remedy. The nurse need to tell the consumer that he or she can probable start
to see development in approximately what time frame? - ANS-1 week after the 3rd treatment
consultation
, A purchaser diagnosed with melancholy stocks with the outclinic nurse, "I misplaced my process
this week and cannot pay my rent. My daughter is my handiest family, however I don't need to
burden her with my problems." Which reaction by the nurse could successfully deal with the
customer's challenge? - ANS-"Wouldn't you want to know if your daughter became having
difficulties so you should assist if you could?"
A client recognized with terminal cancer says to the nurse, "I'm going to die, and I want my
family would prevent hoping for a cure! I get so indignant when they create on like this. After all,
I'm the only who's demise." Which reaction by using the nurse is healing? - ANS-"You're feeling
irritated that your family continues to wish so that it will be cured?"
A client experiencing a extraordinary deal of stress and tension is being taught to apply
willpower therapy. Which assertion with the aid of the customer suggests a need for similarly
coaching approximately the therapy? - ANS-"This form of remedy presents a bad reinforcement
while the stimulus is produced."
A purchaser is admitted to a scientific nursing unit with a prognosis of acute blindness after
being worried in a hit-and-run twist of fate. When diagnostic checking out can not pick out any
natural reason why this customer can not see, a mental fitness seek advice from is prescribed.
The nurse plans care based on which condition that need to be the focal point of this consult? -
ANS-Conversion sickness
A client is admitted with a latest history of intense anxiety following a domestic invasion and
theft. During the initial assessment interview, which announcement by using the patron ought to
indicate to the nurse the feasible analysis of posttraumatic pressure disease? Select all that
practice. - ANS-- I keep reliving the robbery."
- "I see his face everywhere I pass."
- "I may have died over a few dollars in my pocket."
A purchaser is taking part in a therapy group and makes a speciality of viewing all crew
individuals as equally essential in helping the customers to fulfill their dreams. The nurse is
imposing which therapeutic technique? - ANS-Milieu therapy
A purchaser is withdrawn, motionless and mute. Which appropriate movement ought to the
nurse ought to take? - ANS-Sit beside the customer and from time to time introduce open-ended
questions.
A customer lately admitted to the hospital in the manic segment of bipolar ailment is unkempt,
taking antipsychotic medicinal drugs, and complaining of stomach fullness and discomfort.
Which intervention addresses the concern sign/symptom? - ANS-Encourage common fluid
intake and a high-fiber food regimen.
A purchaser who has been hospitalized with a paranoid sickness refuses to show off the lighting
fixtures within the room at night and states, "My roommate will steal me blind." Which is the
correct reaction by means of the nurse? - ANS-"I listen what you're saying, but I haven't any
purpose to agree with your roommate steals."
A customer who has just obtained a analysis of bronchial asthma says to the nurse, "This
condition is just every other nail in my coffin." Which reaction by using the nurse is therapeutic?
- ANS-"You seem very distressed over gaining knowledge of you have allergies."
A customer who's looking tv within the dayroom shares with the nurse that he has all started
seeing his mother being assaulted at the tv display. Which is the nurse's initialintervention? -
ANS-Turn off the tv.
A 15-12 months-old pregnant, unwed consumer tells the nurse, "My existence turned into
insufferable earlier than I met Bobby. My mom beats me each day, and my dad has sexually
abused me when you consider that I became 10 years old!" Which reaction is suitable for the
nurse to make? - ANS-"It seems that you wanted Bobby's assist to separate out of your family
A consumer admitted 72 hours ago with a prognosis of important depression affords for
breakfast these days appropriately dressed and well groomed, and appears to be calm and
secure, yet greater energetic than before. Which preliminary motion must the nurse take after
noting this customer's conduct? - ANS-Ask the patron without delay approximately the presence
of any suicide-associated mind.
A patron admitted to the inpatient unit is being considered for electroconvulsive therapy (ECT).
While the customer is calm, the daughter anxiously tells the nurse, "My mother's brain can be
stunned with power. How can the physician even think about doing this to her?" Which reaction
with the aid of the nurse will satisfactory address the daughter's issues? - ANS-"It sounds as
though you're very worried. Let's discuss the manner."
A client admitted to the mental fitness unit after attacking his father for stressful him at his
computer, interrupts the nurse at some stage in morning rounds and says, "I need to get out of
here so I can paintings on my computer undertaking to keep the sector!" Which nursing reaction
will have the finest healing impact? - ANS-"I can be returned to speak with you in 15 minutes
when I whole nursing rounds."
A customer arrives in the emergency branch in a crisis nation demonstrating signs and
symptoms of profound tension. What need to the preliminary nursing assessment recognition
on? - ANS-The patron's physical situation
A consumer comes to the sanatorium after dropping all of his personal property in a typhoon.
The nurse notes that the customer is coping ineffectively with the state of affairs. Which are the
maximum realistic dreams for this patron? Select all that practice. - ANS-- The purchaser will
broaden adaptive coping styles.
- The purchaser will become aware of a realistic belief of stressors
- The client will explicit and share emotions regarding the present crisis.
- The customer will become aware of powerful coping styles that have worked in the beyond.
A customer involves the emergency department after an attack and is extremely agitated,
trembling, and hyperventilating. What is the concern nursing action for this purchaser? -
ANS-Remain with the client till the anxiety decreases.
A customer identified with delirium turns into disoriented and pressured at night time. Which
intervention should the nurse put in force first of all? - ANS-Use an indirect mild source and flip
off the tv.
A purchaser diagnosed with despair is scheduled to get hold of three periods of
electroconvulsive remedy. The nurse need to tell the consumer that he or she can probable start
to see development in approximately what time frame? - ANS-1 week after the 3rd treatment
consultation
, A purchaser diagnosed with melancholy stocks with the outclinic nurse, "I misplaced my process
this week and cannot pay my rent. My daughter is my handiest family, however I don't need to
burden her with my problems." Which reaction by the nurse could successfully deal with the
customer's challenge? - ANS-"Wouldn't you want to know if your daughter became having
difficulties so you should assist if you could?"
A client recognized with terminal cancer says to the nurse, "I'm going to die, and I want my
family would prevent hoping for a cure! I get so indignant when they create on like this. After all,
I'm the only who's demise." Which reaction by using the nurse is healing? - ANS-"You're feeling
irritated that your family continues to wish so that it will be cured?"
A client experiencing a extraordinary deal of stress and tension is being taught to apply
willpower therapy. Which assertion with the aid of the customer suggests a need for similarly
coaching approximately the therapy? - ANS-"This form of remedy presents a bad reinforcement
while the stimulus is produced."
A purchaser is admitted to a scientific nursing unit with a prognosis of acute blindness after
being worried in a hit-and-run twist of fate. When diagnostic checking out can not pick out any
natural reason why this customer can not see, a mental fitness seek advice from is prescribed.
The nurse plans care based on which condition that need to be the focal point of this consult? -
ANS-Conversion sickness
A client is admitted with a latest history of intense anxiety following a domestic invasion and
theft. During the initial assessment interview, which announcement by using the patron ought to
indicate to the nurse the feasible analysis of posttraumatic pressure disease? Select all that
practice. - ANS-- I keep reliving the robbery."
- "I see his face everywhere I pass."
- "I may have died over a few dollars in my pocket."
A purchaser is taking part in a therapy group and makes a speciality of viewing all crew
individuals as equally essential in helping the customers to fulfill their dreams. The nurse is
imposing which therapeutic technique? - ANS-Milieu therapy
A purchaser is withdrawn, motionless and mute. Which appropriate movement ought to the
nurse ought to take? - ANS-Sit beside the customer and from time to time introduce open-ended
questions.
A customer lately admitted to the hospital in the manic segment of bipolar ailment is unkempt,
taking antipsychotic medicinal drugs, and complaining of stomach fullness and discomfort.
Which intervention addresses the concern sign/symptom? - ANS-Encourage common fluid
intake and a high-fiber food regimen.
A purchaser who has been hospitalized with a paranoid sickness refuses to show off the lighting
fixtures within the room at night and states, "My roommate will steal me blind." Which is the
correct reaction by means of the nurse? - ANS-"I listen what you're saying, but I haven't any
purpose to agree with your roommate steals."
A customer who has just obtained a analysis of bronchial asthma says to the nurse, "This
condition is just every other nail in my coffin." Which reaction by using the nurse is therapeutic?
- ANS-"You seem very distressed over gaining knowledge of you have allergies."
A customer who's looking tv within the dayroom shares with the nurse that he has all started
seeing his mother being assaulted at the tv display. Which is the nurse's initialintervention? -
ANS-Turn off the tv.
