PSYCHIATRIC NURSING Contemporary Psychiatric Mental Health Nursing Study Set Chapters 1-5, 8-10, 13, 23

PSYCHIATRIC NURSING Contemporary Psychiatric
Mental Health Nursing Study Set Chapters 1-5, 8-10, 13,
23


Az22-year-oldzsuicidalzclientzacknowledgeszbeingzmolestedzbyzherzstepfatherzsincezshezwaszeight-years-
old.zTheznursezknowszthiszclientszself-destructivezbehaviorziszbestzexplainedzby:z-zCORRECTzANSWER-
Interpersonalztheory.



Azchildzorzadolescentzwhozexperienceszazparentszorzfriendszsuicidezarezatzgreaterzriskzforzsuicidezandzshou
ldzbe:z-zCORRECTzANSWER-Evaluatedzforzdepression.



Azclientzadmittedztozthezinpatientzpsychiatriczunitzafterzazrecentzsuicidezattemptztellsztheznurse,zEvenzthou
ghzsuicideziszagainstzmyzreligion,zIzwaszinzsozmuchzemotionalzdistresszthatzIzdidntzthinkzIzcouldzkeepzonzlivi
ng.zImzreallyzstrugglingzwithzmyzspiritualzconsciencezandzdontzknowzwhatzIzshouldzdo.zWhichzofzthezfollow
ingznursezresponsesziszmostzappropriate?z-zCORRECTzANSWER-
Itzsoundszlikezspiritualityzplayszazsignificantzrolezinzyourzlife.zTellzmezwhatzbeliefszarezmostzimportantztozyo
u.



Azclientzandzhiszwifezarezvisitingzinzthezdayzroomzofzanzinpatientzpsychiatriczunitzwhenzazclientzwithzacutez
psychosiszexperiencingzauditoryzhallucinationszsitszdownznextztozthemzandzbeginsztalkingztozthezvoices.zW
hichzofzthezfollowingznursingzactionsziszmostzappropriate?z-zCORRECTzANSWER-
Remindzthezclientzwithzpsychosisztozrespectzthezprivacyzofzthezotherzclientzandzhiszwife.



Azclientzapproachesztheznursezgrimacing,ztalkingzinzazwhisper,zandzwavingzhiszarms.zWhichzofzthezfollowin
gzactionszbestzdemonstratesztheznurseszabilityztozdevelopzaztherapeuticzrelationship?z-
zCORRECTzANSWER-Greetzthezclientzbyznameztozdemonstratezcaring.




Azclientzasksztheznursezaboutzthezdoctorszcommentzthatzhezmayzhavezproblemszdueztozdelayedzsynapticztr
ansmissionzinzhiszbrain.zTheznursezexplainszthatzthezbestzwayztozdescribezazsynapticztransmissionziszwhichz
ofzthezfollowing?z-zCORRECTzANSWER-Anzelectrochemicalzprocesszcalledzneurotransmission



Azclientzcomesztoztheznurseszstationzyelling,zIzhaveztozcallzthezFBI.zThezbombszarezsetztozdestroyzWashingt
on,zD.C.zatz1:00zp.m.zPleasezhelpzme.zItzwillzbezyourzfaultzifzIzdontzcall.zWhichzinterventionzbestzdemonstra

,tesztheznurseszsensitivity?z-zCORRECTzANSWER-
Listenzcarefullyzforzthezunderlyingzemotionzexpressedzbyzthezclientszrequest.



Azclientziszadmittedztozthezpsychiatriczunitzexhibitingzbehaviorszindicatingzazhighzlevelzofzanxietyzfollowingz
azpersonalzcrisis.zWhichzofzthezfollowingzcommunicationzskillszshouldztheznursezutilizezwhenzinteractingzw
ithzthiszclient?z-zCORRECTzANSWER-Closed-endedzquestions



Azclientzonzthezinpatientzpsychiatriczunitzasksztheznurse,zWhyziszthezdailyzschedulezsozfullzofzactivitieszandz
whyzdozwezhavezsozmanyzrulesztozfollow?zWhichzofzthezfollowingziszthezbestzresponsezbyztheznurse?z-
zCORRECTzANSWER-

Azdailyzroutinezhelpszyouzkeepzonztrackzandzorganizezyourzthoughts.zThezruleszhelpzpeoplezliveztogetherzre
spectfully.



Azclientzstates,zIzjustzknowzmyzbrotherzwillznotzcomezbackzfromzthezwar.zWhichzofzthezfollowingzexamplesz
wouldzbezusedztozencouragezthezclientztozexplorezthiszconcern?z-zCORRECTzANSWER-
Whatzdozyouzfeelzwillzhappenztozhim?



Azclientzwaszadmittedztozthezpsychiatriczunitzonzazsuicidezwatch.zInzanzeffortztozincludezfamilyzmemberszinz
thezclientszcare,ztheznursezmust:

StandardzText:zSelectzallzthatzapply.z-zCORRECTzANSWER-
Bezpreparedztozdealzwithzfamilyzmemberszwhozmayzbezconfused,zangry,zorzuninterested.zStriveztozremainz
neutral,zandzdoznotzmakezassumptionszaboutzthezfamilyszbehavior.



Decidezwithzthezclientzwhichzfamilyzmemberszandzfriendszareztozbezcontactedzandzbyzwhom.



Azclientzwithzchroniczparanoidzschizophreniaziszscheduledztozbezdischargedzfromzthezinpatientzpsychiatricz
unitzinztwozdays.zTheznurseziszworkingzwithzthezclientszfamilyztozdevelopzazplanzforzmanagingzpsychoticzsy
mptomszandzemergencyzbehaviorszafterzdischarge.zWhichzofzthezfollowingznursingzdiagnosesziszmostzappr
opriate?z-zCORRECTzANSWER-
KnowledgezDeficit:zSymptomzManagementzrelatedztozinadequatezunderstandingzofzdiseasezprocesses



Azdelusionalzclientzwalkszupztoztheznursezandzsays,zIzamzthezappointedzoverseer.zWhozarezyouzandzwhyzare
zyouzhere?zThezmostztherapeuticzresponseziszwhichzofzthezfollowing?z-zCORRECTzANSWER-

IzamzyourznursezandzIzwillzbezhereztozhelpzyouzuntilzsuppertime.

, Azfamilyzmemberzcaringzforzazrelativezwithzdementiazcomplainszofzexhaustion.zWhichzofzthezfollowingzres
ponseszbestzconveyszrespectzforzthiszfamilyzmemberszsituation?z-zCORRECTzANSWER-
Itzsoundszlikezyouzarezoverwhelmed.zYouzmayzbenefitzfromzrespitezcarezservices.



Azfemalezclientzhaszmadezthezdecisionztozleavezherzhusband,zwhozabuseszalcohol.zShezstateszsheziszveryzd
epressed.zWhichzofzthezfollowingzstatementszbestzdemonstratesztheznurseszempathy?z-
zCORRECTzANSWER-

Izcanzunderstandzthatzyouzarezfeelingzdepressedzrightznow.zItzmustzhavezbeenzazveryzdifficultzdecisionztozm
ake.zIllzsitzherezwithzyouzforzazwhile.



Azhighzschoolznurseziszsharingzthezresultszofzaznationalzsurveyzwithzschoolzfacultyzandzstaff.zTheznursezstat
eszthat,zifzthezstudentszinztheirzschoolzarezsimilarztozthosezsurveyed,zcloseztozonezoutzofzfivezhavezseriousl
yzconsideredzsuicidezinzthe:z-zCORRECTzANSWER-Pastzyear.



Aznewznurseziszorientedztozazpositionzinzazcommunityzhealthzcenterzthatzserveszazdiversezclientzpopulation
.zTheznewznursezsays,zThezfirstzthingzIzneedztozdoziszlearnzeverythingzpossiblezaboutzthezcultureszofzallzthez
clients.zWhatziszthezbestzresponsezstaffzcanzgiveztheznewznurse?z-zCORRECTzANSWER-
Youzneedztozfirstzunderstandzwhozyouzare.



Aznursezacknowledgeszfeelingzanxiouszaboutzmeetingznewzpeople.zByzacknowledgingzfeelingsztozthezclien
t,ztheznurseziszdemonstrating:z-zCORRECTzANSWER-Genuineness.



Aznursezcasezmanagerziszassignedztozazclientzwithzrecurringzsubstancezabusezissues.zWhichzofzthezfollowin
gzstrategieszwouldzbezmostzimportantzinzprovidingzcareztozthiszclient?z-zCORRECTzANSWER-
Assessmentzandzproblemzidentification



Aznursezeducatorziszteachingzazgroupzofzstudentszthezdefinitionzofzazmentallyzhealthyzindividual.zTheznurs
ezeducatorzknowszthatzanzindividualziszconsideredzmentallyzhealthyzwhenzwhichzofzthezfollowingzconcepts
zgivezevidenceztozpsychological,zemotional,zandzsocialzhealth?z-zCORRECTzANSWER-Behavior




Aznursezhaszcompletedzorientationztozazlockedzpsychiatriczunit.zWhichzstatementzbestzdemonstrateszthatz
theznurseziszpreparedztozfulfillzthezprofessionalzrole?z-zCORRECTzANSWER-
IzwillzaskzforzsupportzfromzcolleagueszwhenzIzneedzit.