PSYCHIATRIC NURSING REVIEW TEST QUESTIONS PART 1 EXAM STUDY GUIDE

PSYCHIATRIC NURSING REVIEW TEST QUESTIONS PART 1 EXAM STUDY GUIDE Az48-year-oldzHispaniczwomanziszseenzbyzazpsychiatriczclinicalznursezspecialistzafterzreceivingzazcallzbyzherzson.zAccordingztozthezson,zsincezhiszfather'szdeathz7zmonthszago,zhiszmotherzhaszlostz30zpoundszandzcan'tzsleep.zDuringzherzinitialzvisit,zthezpatientzstates,z'Myzhusbandztalksztozmezinzhiszvisits,zbutzhiszwordszmakeznozsenseztozme.zIzdon'tzunderstandzwhatzhezwantszmeztozdo.'zWhatziszanzappropriateznursingzdiagnosis? A.zIneffectivezdenial. B.zBipolarzmoodzdisorder. C.zHyper-religiosity. D.zGrieving.z-zCORRECTzANSWER-D.zGrieving. Reason:zGrievingzmayzbezcharacterizedzbyzweightzloss,zsleepzdisturbances,zandzmessageszfromzbeyond. Yourzneighbor'szhusbandzcomesztoztalkztozyou.zHezsayszhiszwifezhasznotzleftzthezhousezinz2zweeks,zhaszazflatzmood,zandzhaszlostzinterestzinzherzusualzactivities.zYouzrecognizezthesezaszthezprimaryzsymptomszof A.zDepression. B.zSchizophrenia. C.zSuicidalzideation. D.zBipolarzmaniczepisodes.z-zCORRECTzANSWER-A.zDepression. Reason:zDepressedzmoodzandzanhedoniaz(losszofzinterestzorzpleasurezinzactivities)zarezthezprimaryzsymptomszofzmajorzdepression. Yourzpatientziszreadyzforzdischargezafterzaz30-dayzhospitalizationzforzmaniczdepression.zAboutz30zminuteszbeforezhiszdischarge,zhiszroommatezcomesztozyouzandzsays,z'Hezisztalkingzcrazy.'zWhenzyouzaskzyourzpatientzhowzheziszfeeling,zhezstates,z'IzfeelzlikezSuperman.zIzcanzdozanything.zIzcanzflyzhomeztodayzandzthenzbecomezazU.S.zSenator.'zWhichztypezofzmania-relatedzsymptomsziszthiszpatientzexhibiting? A.zSocial. B.zCognitive. C.zBehavioral. D.zPerceptual.z-zCORRECTzANSWER-B.zCognitive. Reason:zCognitivezsymptomszincludezinflatedzself-esteemzandzgrandiosity. Youzneedztozassesszwhetherzazpatientzwhozhaszazmoodzdisorderziszreadyzforzdischarge.zWhichzstatementzwouldzindicatezreadinesszforzdischarge? A.zRightznow,zIzcan'tzbathezmyselfzorzdresszmyself,zbutzIzfeelzgoodzaboutzthat. B.zGoingzhomezwillzbezfun,zbutzifzitzisn'tzfun,zIzcanzalwayszmakezmyzmotherzhelpzmezorztellzherztozdozso.zShezbetterzhelpzme. C.zIzwillztakezmyzmedicineszaszIzshouldzandzknowztozcallztheznumberzyouzgavezmezifzIzhavezbadzthoughts. D.zTakingzcarezofzmyselfziszimportant,zbutzit'szokayzifzIzdon'tzwantztozdozanything.z-zCORRECTzANSWER-C.zIzwillztakezmyzmedicineszaszIzshouldzandzknowztozcallztheznumberzyouzgavezmezifzIzhavezbadzthoughts. Reason:zVerbalizationzofzazplanzforzhelpzandzdemonstrationzofzcarezarezrealisticzdischargezcriteria. Anzangryzpatientziszinzthezcommunityzroom.zShezpickszupzazchairzandzuseszitztozhitzanotherzpatientzonzthezhead.zWhenzyouzcomezintozthezcommunityzroom,zwhatzshouldzyourzfirstzresponseztozthezpatientzholdingzthezchairzbe? A.zArezyouzcrazy?zHittingzpeoplezcanzhurtzthem! B.zHittingzothersziszunacceptable.zPleasezputzthezchairzcompletelyzdownzonzthezfloor. C.zHowzwouldzyouzlikezitzifzIzhitzyouzoverzthezheadzwithzazchair? D.zYou'rezinzbigztroubleznow.zIt'szprobablyzprisonzyouzarezlookingzat!z-zCORRECTzANSWER-B.zHittingzothersziszunacceptable.zPleasezputzthezchairzcompletelyzdownzonzthezfloor. Reason:zUsezwordsztozindicatezyourzlackzofzacceptancezofzthezpatient'szbehaviorzinzaznonthreateningzvoicezorztone. Az22-year-oldzfemaleziszadmittedztozthezunitzfollowingzazsuicidezattempt.zShezhaszaz2-weekzhistoryzofzdepressionzaszwellzaszazhistoryzofzabusingzmultiplezsubstanceszandzanorexiaznervosa.zWhatziszyourzfirstznursingzpriority? A.zSocialization. B.zContractingzforzeatingzbehavior. C.zSafety. D.zAdministeringzthezBeckzdepressionzscale.z-zCORRECTzANSWER-C.zSafety. Reason:zSafetyziszthezmajorzprinciplezunderlyingzpsychiatricznursing. Geraldzwaszadmittedztozthezpsychiatriczacutezcarezunitzbecausezhezstoodzinzthezcenterzofzazmainztwo-wayzstreetzinzhiszunderwearzandzazT-shirt,zshouting,z'Izamzbeingzheldzagainstzmyzwill.zIzhavezpersonalzrights.'zGeraldzwaszdiagnosedzwithzbipolarzdisorder,zmanicztype.zWhichzofzthezfollowingzinterventionszwillzaddztozeveryone'szsafetyzinzthezacutezcarezenvironment? A.zHavezhecticzsurroundings. B.zHavezconsistentzunitzroutines. C.zMinimizezstaffzinterventions. D.zMedicatezthezpatientzonlyzifzhezhaszprivatezhealthzinsurance.z-zCORRECTzANSWER-B.zHavezconsistentzunitzroutines. Reason:zQuietzenvironmentszwithzconsistentzroutineszwillzhelpzcalmzpatientszandzaddztozsafety. Yourzpatientzhaszjustzbeenzphysicallyzcleanedzupzafterzslicingzhiszleftzarmz8ztimes.zTozshowzanzappropriatezevaluativezresponse,zwhichzofzthezfollowingzwouldzbezyourzbestzstatement? A.zIzcouldzcarezlesszifzyouzcutzyourself.zItzdoesn'tzhurtzme. B.zIfzyouzwouldn'tzcutzyourself,zyouzwouldzhavezazmuchzhappierzlife. C.zYouzarezluckyzsomeonezfoundzyouzinztime.zNowzyouzcanzhelpzuszmakezyouzbetter. D.zThezbehaviorzofzcuttingzisznotzacceptable.z-zCORRECTzANSWER-D.zThezbehaviorzofzcuttingzisznotzacceptable. Reason:zFocuszonzthezbehavior,znotzthezperson.zBezneutral,zbutznotzindifferent. Az22-year-oldzfemalezwaszadmittedztozthezmentalzhealthzunitzwithzmajorzdepressionzandzsuicidalzideation.zShezhaszazhistoryzofzcuttingzherzwristszintermittentlyzthroughoutzthezlastz2zyears.zOnzdaysz1zandz2,zthezpatientzstayszinzherzroomzandzeatszonlyz20%zofzherzmeals.zOnzdayz3,zshezeatsz80%zofzherzmealszandzisztalkingztozotherszinzgroup.zTheznursezshouldzconsiderzthatzthezpatientzis A.zShowingzimprovement. B.zHighlyzsuicidal. C.zExhibitingzmoodzswings. D.zInzneedzofzelectroshockztherapy.z-zCORRECTzANSWER-A.zShowingzimprovement. Reason:zThezpatientzimprovementziszbasedzonzincreasedzsocializationzandzincreasedzappetite. Az21-year-oldzpatientzhaszazdiagnosiszofzschizophreniazandziszstuporous,zyetzexhibitszsudden,zexcessivezmotorzactivityzwithzrepetitivezsit-ups.zWhatziszthiszbehaviorzcalled? A.zDelusional. B.zHallucinogenic. C.zParanoid. D.zCatatonic.z-zCORRECTzANSWER-D.zCatatonic.