NCLEX
Which statement best defines a safe milieu in a healthcare setting?
A. A place where patients can socialize freely without any restrictions.
B. An environment where patients receive treatment in a safe, therapeutic physical and social setting.
C. A setting where only physical safety measures are prioritized.
D. An area where patients are isolated to prevent any social interactions
B. An environment where patients receive treatment in a safe, therapeutic physical and social setting
What is the diagnostic book called that psychiatrists use to make a mental health diagnosis?
DSM-5
Who is the Mother of psychiatric nursing?
Hildigard Peplau
On review of the patient’s record, the nurse notes the admission was voluntary. Based on this information, the nurse anticipates which patient’s behavior?
A. Fearfulness regarding treatment measures.
B. Anger and aggressiveness directed toward others.
C. An understanding of the pathology and symptoms of the diagnosis.
D. A willingness to participate in the planning of the care and treatment plan.
D. A willingness to participate in the planning of the care and treatment plan.
True or false?
Are patients allowed to refuse treatment?
True
But, can receive emergent meds over objection if an endangerment to self or others
When reviewing the admission assessment, the nurse notes that a patient was admitted to the mental health unit involuntarily. Based on this type of admission, the nurse should provide which intervention for this patient?
A. Monitor closely for harm to self or others.
B. Assist in completing an application for admission.
C. Supply the patient with written information about their mental illness.
D. Provide an opportunity for the family to discuss why they felt the admission was needed
A. Monitor closely for harm to self or others.
A nurse is caring for a client who begins to express feelings of anger and frustration towards the nurse, similar to feelings they have towards their parent. Which concept does this scenario best illustrate?
A. Countertransference
B. Transference
C. Empathy
D. Projection
B. Transference
What is the significance of nurses performing the Columbia Suicide Assessment Scale during every shift?
A. To monitor the patient's level of depression and anxiety
B. To assess the patient's risk of suicide
C. To evaluate the patient's physical health
D. To ensure adequate medication administration
B. To assess the patient's risk of suicide
The nurse is preparing a patient for the termination phase of the nurse-patient relationship. The nurse prepares to implement which nursing task that is most appropriate for this phase?
A. Planning short-term goals
B. Making appropriate referrals
C. Developing realistic solutions
D. Identifying expected outcomes
B. Making appropriate referrals
Which of the following best describes Hildegard Peplau's theory of interpersonal relations?
A. It focuses on the nurse-patient relationship and the phases of interaction.
B. It emphasizes the importance of medication management in psychiatric care.
C. It highlights the role of family dynamics in patient recovery.
D. It centers on the biological aspects of mental illness.
It focuses on the nurse-patient relationship and the phases of interaction.
NAME THAT PHASE?
-all the therapeutic work takes place: teaching new skills, implementing plans, evaluating and modifying goals to achieve tx outcomes
A. Termination Phase
B. Orientation Phase
C. Working Phase
D. Pre-Orientation Phase
Working Phase
During the preorientation phase of Peplau's theory, what must RNs be aware of to avoid transference and countertransference issues?
A. Patient's medical history
B. Their own strengths, weaknesses, actions, reactions, and motivations
C. Hospital policies and procedures
D. Patient's family dynamics
B. Their own strengths, weaknesses, actions, reactions, and motivations
Which of the following measures is essential for maintaining a safe and therapeutic milieu in a psychiatric setting select all that apply?
A. Conducting 15-minute safety checks
B. Providing pencils to fill out patient menu
C. Using Velcro shower curtains
D. Providing plastic trash bags
E. Use of safety blankets
F. Metal spoons
G. Allowing patients their personal clothing which consists of a belt, hoodie and necklace
A, C, E
A. Conducting 15-minute safety checks
C. Using Velcro shower curtains
E. Use of safety blankets
A pt with schizophrenia has delusions and believes that his family members cannot be trusted. According to Maslow’s Hierarchy of needs, the pt’s delusions are interfering with development at the level of?
A. Physiological needs (food, air, water, shelter)
B. Love and belonging needs (interpersonal relationships)
C. Safety needs (freedom of fear, physical comfort, safety)
D. Self esteem needs (desire for respect, success)
E. Self-Actualization (reaching your full potential)
B. Love and belonging needs (interpersonal relationships)
Which statement demonstrates the best understanding of the nurse’s role regarding ensuring that each client’s rights are respected?
A. "Autonomy is the fundamental right of each and every client."
B. "A patient's rights are guaranteed by both state and federal laws."
C. "Being respectful and concerned will ensure that I'm attentive to my patient's rights."
D. "Regardless of the patient's conditions, all nurses have the duty to respect patient rights."
D. "Regardless of the patient's conditions, all nurses have the duty to respect patient rights."