Mental Health Nursing Test 5- Ch 17 Highest Grade Review Test 2023 A+

Mental Health Nursing Test 5- Ch 17 Highest Grade Review Test 2023 A+ A person has had difficulty keeping a job because of arguing with coworkers and accusing them of conspiracy. Today the person shouts, "They're all plotting to destroy me. Isn't that true?" Select the nurse's most therapeutic response a. Everyone here is trying to help you. No one wants to harm you. b. Feeling that people want to destroy you must be very frightening c. No, that is not true. People here are trying to help you if you will let them d. Staff members are health care professionals who are qualified to help you - ANS-b A newly admitted patient diagnosed with paranoid schizophrenia is hyper vigilant and constantly scans the environment. the patient states, "I saw two doctors talking in the hall. They were plotting to kill me ." The nurse may correctly assess this behavior as a. echolalia b. idea of reference c. delusion of infidelity d. auditory hallucinations - ANS-b A patient diagnosed with paranoid schizophrenia says, "My coworkers are out to get me. I also saw two doctors plotting to kill me. How does this patient perceive the environment? a. Disorganized b. Dangerous c. Supportive d. Bizarre - ANS-b When a patient with paranoid schizophrenia was discharged 6 months ago, haloperidol (Haldol) was prescribed. The patient now says "I stopped taking those pills. They made me feel like a robot." What common side effects should the nurse validate with the patient? a. sedation and muscle stiffness b. sweating, nausea, and diarrhea c. mild fever, sore throat, and skin rash d. headache, watery eyes, and runny nose - ANS-a A nurse works with a patient with paranoid schizophrenia regarding the importance of medication management. the patient repeatedly says, "I don't like taking pills." Family members say they feel helpless to foster compliance. Which treatment strategy should the nurse discuss with the health care provider? a. use of a long-acting antipsychotic preparation b. addition of a benzodiazepine such as lorazepam (Ativan) c. Adjunctive use of an antidepressant such as elavil d. prolonged hospitalization; this patient is not ready for discharge - ANS-a A patient's care plan includes monitoring for auditory hallucinations. Which assessment findings suggest the patient may be hallucinating? a. Aloofness, haughtiness, suspicion b. darting eyes, tilted head, mumbling to self c. elevated mood, hyperactivity, distractibility d. performing rituals, avoiding open places - ANS-b A health care provider considers which antipsychotic medication to prescribe for a patient with schizophrenia who has auditory hallucinations. Which drug should the nurse advocate? a. clozaril b. geodon c. zyprexa d. abilify - ANS-d a patient with schizophrenia tells the nurse, "I eat skiller. Tend to end. Easter. It blows away. Get it?" Select the nurse's best response a. nothing you are saying is clear b. your thoughts are very disconnected c. try to organize your thoughts, m and then tell me again d. I am having difficulty understanding what you are saying - ANS-d A patient with catatonic schizophrenia exhibits little spontaneous movement and demonstrates waxy flexibility. Which patient needs are of priority importance? a. Psycho social b. Physiologic c. Self actualization d. Safety and security - ANS-b A patient with catatonic schizophrenia is semi step breast, demonstrates little spontaneous movement, and has waxy flexibility. The patient's activities of daily living are severely compromised. Inappropriate outcome is that the patient will: a. Demonstrate increased interest in the environment by the end of week one b. Perform self-care activities with coaching by the end of day three c. Gradually take the initiative for self-care by the end of week two d. Except tube feeding without objection by day two - ANS-b A nurse observes a patient who is in a catatonic state and standing immobile, facing the wall with one arm extended in a salute. The patient remains immobile with this position for 15 minutes, moving only when the nurse gently lowers the arm. What is the name of this phenomenon? a. Echolalia b. Waxy flexibility c. Depersonalization d. Thought withdrawal - ANS-b Which patient with schizophrenia would be able to have the lowest score in global assessment of functioning? a. 39 years old; paranoid ideation since age 35 b. 32 years old; diagnosed as catatonic at age 24 years; stable for three years c. 19 years old; diagnosed with undifferentiated schizophrenia at age 17 d. 40 years old; disorganized schizophrenia since age 18; frequent relapses - ANS-d A patient with delusions of persecution about being poisoned has refused all hospital meals for three days. Which intervention is most likely to be acceptable to the patient? a. Allowing the patient to have supervised access to food vending machines b. Allowing the patient to telephone a local restaurant to deliver meals c. Offering to taste each portion on the tray for the patient d. Providing tube feedings or total parenteral nutrition - ANS-a A community mental health nurse wants to establish a relationship with a very withdrawn patient diagnosed with schizophrenia. The patient lives at home with a supportive family. Select the nurses best plan. a. Visit daily for four days, then visit every other day for one week; stay with the patient for 20 minutes; except silence; state when the nurse will return b. Arrange to spend one hour each day with the patient; focus on asking questions about what the patient is thinking or experiencing; avoid silences c. Visit twice daily; sit beside the patient with a hand on the patient's arm; leave if the patient does not respond within 10 minutes d. Visit every other day; remind the patient of the nurses identity; encourage the patient to talk while the nurse works on reports - Continues...