Test Bank for Advanced Practice Psychiatric Nursing, 2nd Edition by Kathleen Tusaie, Joyce J. Fitzpatrick, 9780826132536, Covering Chapters 1-26 Includes Rationales

PsychiatricgNursinggContemporarygPracticeg7thgEditiongBoydgLuebbertgTestgBank

Chapterg1 Psychiatric–MentalgHealthgNursinggandgEvidence-BasedgPractice
1 Whichgofgthegfollowinggquestionsgwouldgbegmostg helpful
.
ingbeginningganginitialgassessmentginterviewgforgagpatientgwhoghasgjustg
beengadmittedgtogagpsychiatricginpatientg unit?
A)
Havegyoughadganygpreviousgpsy
chiatricgadmissions?
B) Whatgbringsgyougintogtheghospitalgtoday?

C) Havegyoughadganygthoughtsgaboutgtryinggtogharmgyourself?


D) Howgwouldgyougdescribegyourgrelationshipgwithgyourgspouse?



2.
Agpatientgisgbeinggadmittedgtogthegpsychiatricgunit.gWhilegexplainingg
hisgreasongforgseekinggadmission,ghegdescribesghowghisg32-year-
oldgsongrecentlygdiedgofgagheartgattack.gWhichgresponsegbygthegnursegw
ouldgenhancegthegeffectivenessgofgthisginterview?


A) Howgisgyourgwifeghandlinggyourgsonsg death?

B)
Dogyoughaveganygotherglivinggchildrengthatgcanghelpgyougcopeg
withgthisgloss?
C) Thisgmustgbegagverygdifficultgtimegforg you.

,D) Igknowgexactlyghowgyouregfeeling;gmyg23-year-
oldgsongdiedgunexpectedlyglastgyear.


3.
Agpatientgwasgadmittedgtogtheghospitalgaftergagsuicidegattemptgmadegaft
erghisgdaughtergwasgkilledgingangautomobilegaccidentgduringgwhichghegha
dgbeengdrivinggandgsurvivedgwithgonlygminorginjuries.gEvengthoughgthega
ccidentgwasgunavoidable,ghegfeelsgresponsible.gDuringgthegassessmentgint
erview,gthegpatientgbeginsgtogdescribegtheglastgconversationgheghadgwithg
hisgdaughtergbeforegheglostgcontrolgofgthegautomobile.gAsghegspeaksgabou
tghisgdaughter,ghisgvoicegtrembles,gandgagsilentgteargrollsgdownghisgface.g
Hegmakesgagvisiblegattemptgtogstraightengupgandgsmilesgsuperficiallygatgt
hegnurse,gstating,gIllggetgovergthis.g Igjustgneedgtogkeepgagstiffgupperglip.gIgt
hinkgallgIgneedgtogdogisgstaygovernight.gIllgbegasggoodgasgnewgbygtomorro
w.gWhichgresponsegbygthegnursegwouldgbegmostg appropriate?




A)
Tellgmegaboutgyourgdaughter.gHowgwouldgyougdescribegthegrela
tionshipgyoughadgwithgher?
B) Imgsuregyougaregright;gaggoodgnightsgrestgshouldgmakegagbiggdifference.


C) Asggoodgasgnew?

D)
Yougmadegagseriousgattemptgongyourglife;gyougwillgnotgbeg
readyggoghomegbygtomorrow.

,4.
Aftergassessinggagpatient,gthegnursegnotedgthegfollowing:ghegwasgtearful,
ghegtriedgtogkillghimselfgbeforegcominggintogtheghospital,gheghadgnogimme
diategplangforganothergsuicidegattempt,ghegwasgunablegtogconcentrate,gand
ghegreportedghavinggtroublegsleepinggandghavingglittlegorgnogappetite.gThe
gnursegalsognotedgthatgthegpatientsgappearancegwasgunkempt,gthatghegspok
egingaglowgmonotone,gandgthatghegwasgunablegtogestablishgandgmaintainge
yegcontact.gBasedgongthisginformation,gwhichgnursinggdiagnosesgwouldgbe
gthegmostgappropriate?




A) IneffectivegRolegPerformance

B) RiskgforgInfection

C) RiskgforgSuicide

D) RiskgforgSelf-Mutilation


5.
Agstaffgnursegongagpsychiatricgunitgknowsgthatgpatientsgoftenghavegtrou
blegsleepinggbecausegofgtheirgpsychiatricgconditions.gWhichgofgthegfollo
winggwouldgreflectgagpsychiatricgnursingginterventiongtogappropriatelyga
ddressgthisgproblem?


A) Limitinggamountsgofgeveninggsnacksgandg beverages

B) Involvinggpatientsgingagvolleyballggamegimmediatelygbeforegbedtime


C)
Enforcinggthegrulegthatgallgpatientsgbegingbedgwithglightsgoutg
byg10:30gPM
D) Encouraginggpatientsgtogtakegshortgnapsgingthegafternoons



6.
Thegnursegisgdetermininggthegsuccessgofgagpatientsgplangofgcaregbygeval
uatinggoutcomegindicators.gThegnursegunderstandsgthatgthesegindicatorsgare
gusuallygdeterminedginitiallygatgwhichgtime?

, A) Ongthegdaygofgdischarge

B) Duringgthegassessmentgprocess

C) Atgtheginitialginterview

D) Withggoal-settinggprocess


7.
Basedgongassessmentgdata,gthegnursegformulatesgthegnursinggdiagno
sisgforgagpatientgasgsleepgpatterngdisturbance.gAftergteachinggthegpati
entghowgtogrelaxgbeforegbedtime,gthegnursegdeterminesgthatgthegteach
inggwasgeffectivegbygwhichgoutcome?


A) Discussesgfeelingsgaboutgnotgbeinggablegtogfallg asleep

B) Reportsgfeelinggrestedgongawakeninggingthegmorninggwithing3gdays


C) Requestsgsleepinggmedicationgeachgnightgbeforegbedtime


D) Isgablegtogsleepgforgshortgintervalsgthroughoutgtheg night


8.
Agpatientgwasgbroughtgtogthegemergencygdepartmentgforganginjuryghegre
ceivedgwhilegworkinggasgagmigrantgworker.gItgsoongbecomesgevidentgthatg
thegpatientgcannotgspeakgEnglish.gAgnursegongdutygoffersgtogfindganginter
pretergsogthegpatientgcangcommunicategwithgthegmedicalgstaff.gThegnurses
goffergisgangexamplegofgwhichgtypegofgnursinggintervention?




A) Milieugtherapy

B) Conflictgresolution

C) Culturalgbrokering

D) Structuredginteraction