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Capstone Final- Psych and Prioritization Questions with
Detailed Verified Answers
patients for nurse floated from med surg Ans: ✓ ✓ ✓ major depression
dementia and depression
both pts require physical care and verbal coaching, med surg nurse will be familiar
patients for female LPN Ans: ✓ ✓ ✓ borderline personality disorder
manic behavior
bizarre behavior with a chronic condition
limit setting from nurse needed
patients for experienced male RN Ans: ✓ ✓ ✓ paranoid schizophrenic
actively suicidal patient
floating UAP should be assigned Ans: ✓ ✓ ✓ pt who needs assistance and encouragement to
complete ADLs but can understand and follow instructions
student should do 1-2hr assessment on pt who Ans: ✓ ✓ ✓ is willing and able to carry on a
coherent conversation
You are receiving a report from a relatively new night shift nurse. She tells you that Ms. G (elderly
patient with dementia) was confused during the evening and kept getting out of bed. Because of
this, an "as needed" (prn) sedative was administered and a temporary chest restraint was placed to
prevent falls. What is your priority action? Ans: ✓ ✓ ✓ assess the patient and obtain additional
information about the incident
assess current mental status and assess for safety and comfort related to use of restraints
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The nursing student is assisting Ms. G. You would intervene to assist the student if he did which of
the following? Ans: ✓ ✓ ✓ Cleaned and rearranged the patient's room and put personal items in
closet- rearranging belongings can increase confusion
Ms. G's daughter says, "I'm tired of waiting for my mother to be transferred to a geropsychiatric
unit. I'm taking her home today!" What is the priority action? Ans: ✓ ✓ ✓ Verify the psychiatric
unit's AMA policies and check on the status of the patient's transfer and explain your findings to the
daughter.
Explain that leaving is against advice and may delay placement
A psychiatric social worker is conducting a community meeting. You are the co-leader. All patients
are attending because there has been theft of personal items. Ms. M continuously interrupts and
loudly announces, "Ms. B stole my lipstick. Look at her lips!" What is your best response to this
situation? Ans: ✓ ✓ ✓ Tell Ms. M that there will be an investigation on the lipstick and to stop
interrupting
this supports therapeutic milieu by demonstrating social norms
A health care provider verbally directs you to seclude Ms. M for several hours because "she was
belligerent and argumentative" during an interview. You request a written order, but he declines
because "it is just temporary and I already explained the consequences of the behavior to the
patient." What is the best approach in dealing with this situation? Ans: ✓ ✓ ✓ Assess the patient
for signs of aggressive or dangerous behavior and discuss your findings and concerns with the
provider
Which laboratory result causes you the most concern for Ms. M, who is receiving lithium? Ans: ✓
✓ ✓ Serum sodium level of 125
Ms. B (borderline personality disorder) says that the male nursing student was flirting and trying to
kiss her and touch her breasts. The student denies the accusation but says, "She asked me if I
thought she was attractive, and I said yes." What is the best way to handle this situation? Ans: ✓ ✓
✓ Advise the student that this type of behavior is typical for Ms. B, but suggest that he contact the
instructor and fill out an incident report
Ms. B requests that you "Talk to her in private about a serious personal issue." You agree to spend
10 minutes with her, and during that time she tells you that her stepfather has raped her several
times in the past and that she plans to "buy a gun and shoot him the next time I see him coming at
© Get it right 2025 Getaway - Stuvia US All rights reserved
Capstone Final- Psych and Prioritization Questions with
Detailed Verified Answers
patients for nurse floated from med surg Ans: ✓ ✓ ✓ major depression
dementia and depression
both pts require physical care and verbal coaching, med surg nurse will be familiar
patients for female LPN Ans: ✓ ✓ ✓ borderline personality disorder
manic behavior
bizarre behavior with a chronic condition
limit setting from nurse needed
patients for experienced male RN Ans: ✓ ✓ ✓ paranoid schizophrenic
actively suicidal patient
floating UAP should be assigned Ans: ✓ ✓ ✓ pt who needs assistance and encouragement to
complete ADLs but can understand and follow instructions
student should do 1-2hr assessment on pt who Ans: ✓ ✓ ✓ is willing and able to carry on a
coherent conversation
You are receiving a report from a relatively new night shift nurse. She tells you that Ms. G (elderly
patient with dementia) was confused during the evening and kept getting out of bed. Because of
this, an "as needed" (prn) sedative was administered and a temporary chest restraint was placed to
prevent falls. What is your priority action? Ans: ✓ ✓ ✓ assess the patient and obtain additional
information about the incident
assess current mental status and assess for safety and comfort related to use of restraints
© Get it right 2025 Getaway - Stuvia US All rights reserved
, Click here for more: Scholars nexus
The nursing student is assisting Ms. G. You would intervene to assist the student if he did which of
the following? Ans: ✓ ✓ ✓ Cleaned and rearranged the patient's room and put personal items in
closet- rearranging belongings can increase confusion
Ms. G's daughter says, "I'm tired of waiting for my mother to be transferred to a geropsychiatric
unit. I'm taking her home today!" What is the priority action? Ans: ✓ ✓ ✓ Verify the psychiatric
unit's AMA policies and check on the status of the patient's transfer and explain your findings to the
daughter.
Explain that leaving is against advice and may delay placement
A psychiatric social worker is conducting a community meeting. You are the co-leader. All patients
are attending because there has been theft of personal items. Ms. M continuously interrupts and
loudly announces, "Ms. B stole my lipstick. Look at her lips!" What is your best response to this
situation? Ans: ✓ ✓ ✓ Tell Ms. M that there will be an investigation on the lipstick and to stop
interrupting
this supports therapeutic milieu by demonstrating social norms
A health care provider verbally directs you to seclude Ms. M for several hours because "she was
belligerent and argumentative" during an interview. You request a written order, but he declines
because "it is just temporary and I already explained the consequences of the behavior to the
patient." What is the best approach in dealing with this situation? Ans: ✓ ✓ ✓ Assess the patient
for signs of aggressive or dangerous behavior and discuss your findings and concerns with the
provider
Which laboratory result causes you the most concern for Ms. M, who is receiving lithium? Ans: ✓
✓ ✓ Serum sodium level of 125
Ms. B (borderline personality disorder) says that the male nursing student was flirting and trying to
kiss her and touch her breasts. The student denies the accusation but says, "She asked me if I
thought she was attractive, and I said yes." What is the best way to handle this situation? Ans: ✓ ✓
✓ Advise the student that this type of behavior is typical for Ms. B, but suggest that he contact the
instructor and fill out an incident report
Ms. B requests that you "Talk to her in private about a serious personal issue." You agree to spend
10 minutes with her, and during that time she tells you that her stepfather has raped her several
times in the past and that she plans to "buy a gun and shoot him the next time I see him coming at
© Get it right 2025 Getaway - Stuvia US All rights reserved
