Clinical Considerations. Exam 2025
Questions and Answers
Which of the following should an emergency nurse provide to a boarding psychiatric patient?
A. Patient-centered care that is respectful and responsive
B. Care that is based on strict rules
C. Patient-centered care that maximizes coercion
D. High-stimulus care with many limits - ANS A. Patient-centered care that is respectful and
responsive
Which is the best strategy to assess symptoms and signs of alcohol withdrawal?
A. Monitor the patient's CIWA scale
B. Monitor the patient's blood pressure
C. Monitor the patient's heart rate
D. Ask the patient how he or she is managing alcohol withdrawal - ANS A. Monitor the
patient's CIWA scale
The emergency nurse should incorporate which of the following when caring for the boarding
pediatric psychiatric patient?
A. Collaborate with physical and occupational therapy and child life specialists to offer services.
B. Prevent family from bringing diversional activities.
C. Separate pediatric patients with developmental delays from the general patient population.
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, D. Request hospital volunteers to sit with the patient during their boarding stay. - ANS A.
Collaborate with physical and occupational therapy and child life specialists to offer services.
A 35-year-old boarding patient with bipolar disorder has a history of alcohol dependence.
Which of the following interventions can decrease withdrawal symptoms?
A. Medicating the patient routinely based on CIWA scores
B. Placing seizure pads on the patient's bed or stretcher
C. Frequently assessing pain
D. Drawing routine serum alcohol levels - ANS A. Medicating the patient routinely based on
CIWA scores
Which of the following is an appropriate treatment goal for alcohol withdrawal?
A. Routinely restrain for safety
B. Administration of a sedative
C. Fluid resuscitation
D. Preventing and controlling seizures - ANS D. Preventing and controlling seizures
Which statement about caring for boarding psychiatric patients is correct?
A. A nurse should ensure that the patient has determined his plan of care.
B. A nurse should use persuasion when needed to ensure compliance.
C. A nurse should respectfully offer patient-centered care.
D. Patient care should focus primarily on the family's perceptions. - ANS C. A nurse should
respectfully offer patient-centered care.
Which of the following should only be included in the plan of care of a boarding psychiatric
patient when all other options have failed?
A. Administer routine medications in the emergency department
B. Plan for transfer to an inpatient psychiatric facility
C. Perform interdepartmental consults
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