NSG 212 unit 3 Questions With Complete Solutions
"I don't think my psychiatrist understands me," states the patient.
The nurse will most appropriately respond: Correct Answer
"What concerns do you have?"
Facilitates the patient to go on and forms a basis for assessment;
initiation of therapeutic rapport
A newly admitted patient is mute, nearly immobile, and stands
with one arm raised. The patient resists encouragement to sit or
lie down. Which nursing diagnosis applies? Risk for: Correct
Answer disuse syndrome
An individual who is immobile is at risk for deterioration of
body systems as the result of musculoskeletal inactivity, such as
venous stasis, loss of muscle tone, constipation, and orthostatic
hypotension. Data are not present to suggest the other diagnoses.
A patient experiencing delusions is noted to have more anxiety
and difficulty with attention following 2 days on the inpatient
unit. Which nursing intervention would be most helpful for the
patient? Correct Answer Participating in a noncompetitive
creative activity.
Facilitates engagement with a lower-stress, creative, and
hopefully distracting (from the delusions) activity
A patient has jumbled speech and behavior as well as a flat
affect. The patient prefers to sit alone and often appears to be
listening and responding to unseen stimuli. This patient's signs
, and symptoms most closely conform to which subtype of
schizophrenia? Correct Answer Disorganized
The presence of disorganization and flat affect characterizes the
disorganized type of schizophrenia. Catatonic schizophrenia is
characterized by mobility symptoms: waxy flexibility, rigidity,
frenzied hyperactivity. Paranoid schizophrenia is characterized
by suspicion and delusions of persecution. Residual
schizophrenia refers to continuing symptoms in an attenuated
form.
A patient has just completed her sixth ECT. Which intervention
is most important for the nurse to implement? Correct Answer
Monitor respiratory status.
Maintain patent airway, monitor breathing status, and oxygen
saturation data following general anesthesia
A patient mechanically repeats what the nurse says. The nurse
should document which finding? Correct Answer Echolalia
Echolalia is the patient's repetition of exactly what is said to him
or her. Often, a high-pitched voice is used and little inflection is
present. Echopraxia refers to imitated movement
A patient tells the nurse, "Air Force jets flying overhead are
looking for me. They want to capture me." The patient has not
previously verbalized this information. The nurse's initial
interventions should: Correct Answer voice doubt about
delusions without arguing
"I don't think my psychiatrist understands me," states the patient.
The nurse will most appropriately respond: Correct Answer
"What concerns do you have?"
Facilitates the patient to go on and forms a basis for assessment;
initiation of therapeutic rapport
A newly admitted patient is mute, nearly immobile, and stands
with one arm raised. The patient resists encouragement to sit or
lie down. Which nursing diagnosis applies? Risk for: Correct
Answer disuse syndrome
An individual who is immobile is at risk for deterioration of
body systems as the result of musculoskeletal inactivity, such as
venous stasis, loss of muscle tone, constipation, and orthostatic
hypotension. Data are not present to suggest the other diagnoses.
A patient experiencing delusions is noted to have more anxiety
and difficulty with attention following 2 days on the inpatient
unit. Which nursing intervention would be most helpful for the
patient? Correct Answer Participating in a noncompetitive
creative activity.
Facilitates engagement with a lower-stress, creative, and
hopefully distracting (from the delusions) activity
A patient has jumbled speech and behavior as well as a flat
affect. The patient prefers to sit alone and often appears to be
listening and responding to unseen stimuli. This patient's signs
, and symptoms most closely conform to which subtype of
schizophrenia? Correct Answer Disorganized
The presence of disorganization and flat affect characterizes the
disorganized type of schizophrenia. Catatonic schizophrenia is
characterized by mobility symptoms: waxy flexibility, rigidity,
frenzied hyperactivity. Paranoid schizophrenia is characterized
by suspicion and delusions of persecution. Residual
schizophrenia refers to continuing symptoms in an attenuated
form.
A patient has just completed her sixth ECT. Which intervention
is most important for the nurse to implement? Correct Answer
Monitor respiratory status.
Maintain patent airway, monitor breathing status, and oxygen
saturation data following general anesthesia
A patient mechanically repeats what the nurse says. The nurse
should document which finding? Correct Answer Echolalia
Echolalia is the patient's repetition of exactly what is said to him
or her. Often, a high-pitched voice is used and little inflection is
present. Echopraxia refers to imitated movement
A patient tells the nurse, "Air Force jets flying overhead are
looking for me. They want to capture me." The patient has not
previously verbalized this information. The nurse's initial
interventions should: Correct Answer voice doubt about
delusions without arguing
