Safety
When working psychiatric facilities or with psychiatric patients it is imperative to never?
a. Befriend all psychiatric patients to provide upmost quality of care.
b. Be on guard, never turn your back to a psychiatric client and always assess the environment before intervening.
c. Ask judgmental questions to introduce open ended questions.
d. all of the above
b. Be on guard, never turn your back to a psychiatric client and always assess the environment before intervening.
Nurse Dorothy is evaluating care of a client with schizophrenia; the nurse should keep which point in mind?
The client was an awkward child who was ridiculed by his father for his inability to catch a ball. As an adult, the client developed panic attacks at the time his company established after-work team sporting activities. The advanced practice nurse determines that the
client’s anxiety occurs in relation to:
1. A signal that predicts a feared event
2. His physiologic responses to sports
3. A genetic deficiency of neurotransmitters
4. An unresolved desire to be a baseball player
1. A signal that predicts a feared event
An individual with depression has a deficiency in which neurotransmitters, based on the biogenic amine theory?
Nurse Martha is teaching her students about anxiety medications; she explains that benzodiazepines affect which brain chemical?
The primary nursing intervention for a victim of child abuse is:
The etiology of schizophrenia is best described by:
Mandy, a nurse who works at Nurseslabs Rehabilitation Center is assessing a client for recent stressful life events. She recognizes that stressful life events are both:
B. Positive and negative
What would be the best response to the client’s repeated complaints of pain:
During a mother’s class, the nurse who is teaching the participants on stress management is questioned about the use of alternative treatments, such as herbal therapy and therapeutic touch. She explains that the advantage of these methods would include all of the following except:
The client admitted for alcohol detoxification develops increased tremors, irritability, hypertension, and fever. The nurse should be alert for impending:
64. Question
A man with a 5-year history of multiple psychiatric admissions is brought to the emergency department by the police. He was found wandering the streets disheveled, shoeless, and confused. Based on his previous medical records and current behavior, he is diagnosed with chronic undifferentiated schizophrenia. The nurse should assign the highest priority to which nursing diagnosis?
Marty is pacing and complains of racing thoughts. Nurse Lally asks the client if something upsetting happened, and Marty’s response is vague and not focused on the question. Nurse Lally assess Marty’s level of anxiety as:
C. Severe
Nurse Rica is teaching a client and her family about the causes of depression. Which of the following causative factors should the nurse emphasize as the most significant?
A client is admitted with needle tracks on his arm, stuporous and with pinpoint pupil will likely be managed with:
Situation: A 24-year-old female has an intense fear of spiders. Initial intervention for the client should be to:
A client with schizophrenia tells the nurse he hears the voices of his dead parents. To help the client ignore the voices, the nurse should recommend that he:
B. Listen to a personal stereo through headphones and sing along with the music.
Mr. Johnson was recently admitted to a psychiatric unit because of severe obsessive-compulsive behavior. Which initial response by the nurse would be most therapeutic for him?
Using cognitive-behavioral therapy, which treatment would be appropriate for a client with depression?
Yesterday, a client with schizophrenia began treatment with haloperidol (Haldol). Today, the nurse notices that the client is holding his head to one side and complaining of neck and jaw spasms. What should the nurse do?
A nurse is orienting a new client to the unit when another client rushes down the hallway and asks the nurse to sit down and talk. The client requesting the nurse’s attention is extremely manipulative and uses socially acting-out behaviors when demands are unmet. The nurse should:
The nurse is caring for a client who experiences false sensory perceptions with no basis in reality. These perceptions are known as:
B. Hallucinations
A group of community nurses sees and plans care for various clients with different types of problems. Which of the following clients would they consider the most vulnerable to post-traumatic stress disorder?
Clients who are diagnosed with depressive disorders should be closely monitored for what life threatening complication?
risk for suicide
The client is concerned about his coming discharge, manifested by being unusually sad. Which is the most therapeutic approach by the nurse?