NURSING RNSG 2221 jurisprudence QUESTIONS AND 100- CORRECT ANSWERS.pdf

Exam 1 RNSG 1125 with complete k k k k k k




solutions
evidence-based practice - ANSWER- k k k


clinical decision making that integrates the best available research with
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clinical expertise and patient characteristics and preferences
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patient advocate - ANSWER- k k k


one who speaks for and protects the rights of the patient
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psychiatric mental health nursing - ANSWER- k k k k k


promoting mental health through the assessment, diagnosis, and treatme
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nt of human responses to mental health problems and psychiatric disord
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ers

Quality and Safety Education for Nurses (QSEN) - ANSWER-
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addresses the challenge to prepare nurses with the competencies needed
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to continuously improve the quality of care in their work environments
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Diagnostic and Statistical Manual of Mental Disorders (DSM) - k k k k k k k k


ANSWER-
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Official guidebook for categorizing ans diagnosing psychiatric mental h
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ealth disorders in the US. k k k k




Epidemiology - ANSWER- k k


Branch of medical science concerned with the incidence, distribution, a
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nd control of diseases that affect large numbers of people.
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mental disorder - ANSWER- k k k


an illness of the mind that can affect the thoughts, feelings, and behavior
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s of a person, preventing him or her from leading a happy, healthful, and
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productive life k




mental health - ANSWER- k k k


the state of being comfortable with yourself, with others, and with your s
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urroundings

mental illness - ANSWER- k k k

, Exam 1 RNSG 1125 with complete k k k k k k




solutions
a disorder that affects a person's thoughts, emotions, and behaviors
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psychobiological disorder - ANSWER- k k k


A mental disorder caused by neurotransmitter dysfunction, abnormal br
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ain srtructure, inherited genetic factors, or other biological causes. Also
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called biologically based mental illness k k k k




stigma/stigmatizing - ANSWER- k k


an attribute that is deeply discrediting where a person is reduced from a
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whole unusual person to a tainted, discounted one. Stigmatizing comes f
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rom stereotyping, labeling, separating, status, loss, and discrimination i
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n a context of power imbalance all leading to stigmatization
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boundaries - ANSWER- k k


Boundaries are physical, emotional and mental limits we set to protect o
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urselves from being manipulated, used, or harmed by others.
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ego - ANSWER- k k


the largely conscious, "executive" part of personality. Operates on the re
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ality principle, satisfying the id's desires in ways that will realistically bri
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ng pleasure rather than pain.
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id - ANSWER-k k


a reservoir of unconscious psychic energy that, according to Freud, striv
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es to satisfy basic sexual and aggressive drives. Operates on the pleasure
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principle, demanding immediate gratification. k k k




self-actualization - ANSWER- k k


according to Maslow, one of the ultimate psychological needs that arises
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after basic physical and psychological needs are met and self-
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esteem is achieved; the motivation to fulfill one's potential
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HEADSSS psychosocial interview technique - ANSWER- k k k k k


H Home environment (e.g., relations with parents and siblings)
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E Education and employment (e.g., school performance)
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, Exam 1 RNSG 1125 with complete k k k k k k




solutions
A Activities (e.g., sports participation, after-
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school activities, peer relations) k k k


D Drug, alcohol, or tobacco use
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S Sexuality (e.g., whether the patient is sexually active, practices safe se
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x, or uses contraception)
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S Suicide risk or symptoms of depression or other mental disorder
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S "Savagery" (e.g., violence or abuse in home environment or in neighb
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orhood)

Psychiatric Nursing Assessment - ANSWER- k k k k


The psychiatric mental health nurse collects and synthesizes comprehen
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sive health data that are pertinent to the health care consumer's health an
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d/or situation. k




Nurses who work in the mental health field need to assess, or have acces
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s to, past and present medical history, a recent physical examination, and
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kany physical complaints the patient is experiencing, as well as documen
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t any observable physical conditions or behaviors (unsteady gait, abnor
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mal breathing pattern, facial grimacing, or changing position to relieve d
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iscomfort).

mental status exam - ANSWER- k k k k


a set of interview questions and observations designed to reveal the degr
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ee and nature of a client's abnormal functioning
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A new staff nurse completes an orientation to the psychiatric unit. This n
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urse will expect to ask an advanced practice nurse to perform which acti
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on for patients?k k




a. Perform mental health assessment interviews.
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b. Prescribe psychotropic medication.
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c. Establish therapeutic relationships.
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d. Individualize nursing care plans. - ANSWER-ANS: B
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Prescriptive privileges are granted to master's- k k k k k

, Exam 1 RNSG 1125 with complete k k k k k k




solutions
prepared nurse practitioners who have taken special courses on prescribi
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ng medication. The nurse prepared at the basic level performs mental he
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alth assessments, establishes relationships, and provides individualized
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care planning. Note that this question was also offered for Chapter 1.
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A newly admitted patient diagnosed with major depression has gained 2
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0 pounds over a few months and has suicidal ideation. The patient has ta
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ken an antidepressant medication for 1 week without remission of sympt
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oms. Select the priority nursing diagnosis.
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a. Imbalanced nutrition: more than body requirements
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b. Chronic low self-esteem
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c. Risk for suicide
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d. Hopelessness - ANSWER-ANS: C
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Risk for suicide is the priority diagnosis when the patient has both suicid
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al ideation and a plan to carry out the suicidal intent. Imbalanced nutritio
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n, hopelessness, and chronic low self-
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esteem may be applicable nursing diagnoses, but these problems do not
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affect patient safety as urgently as would a suicide attempt.
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A patient diagnosed with major depression has lost 20 pounds in one mo
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nth, has chronic low self-
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esteem, and a plan for suicide. The patient has taken an antidepressant m
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edication for 1 week. Which nursing intervention has the highest priority
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?

a. Implement suicide precautions.
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b. Offer high-calorie snacks and fluids frequently.
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c. Assist the patient to identify three personal strengths.
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d. Observe patient for therapeutic effects of antidepressant medication. -
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ANSWER-ANS: A
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Implementing suicide precautions is the only option related to patient sa k k k k k k k k k k


fety. The other options, related to nutrition, self-
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