Category A
During a mental status exam, a nurse is assessing a client admitted with a history of major depressive disorder and suicidal ideation. Which of the following behaviors indicates a possible disturbance in the client's emotional state?
A) The client maintains eye contact and expresses coherent thoughts.
B) The client speaks slowly and exhibits psychomotor agitation.
C) The client reports having an elated mood but appears sad and tearful.
D) The client reports experiencing auditory hallucinations.
What is C) The client reports having an elated mood but appears sad and tearful. Rationale: incongruency between mood and affect.
Which factor is most likely to enhance the client's cultural well-being and promote a holistic healing journey, according to the case study?
A) Regular monitoring of vital signs.
B) Engaging in activities like writing and playing music.
C) Facilitating communication with spiritual healers or indigenous liaisons the extent the patient is comfortable with.
D) Encouraging the client to socialize with student nurses.
What is C) Facilitating communication with spiritual healers or indigenous liaisons the extent the patient is comfortable with.
A nurse is caring for a patient diagnosed with substance use disorder. The patient expresses feeling judged and stigmatized by healthcare providers. Which action by the nurse demonstrates cultural humility and sensitivity to the issue of stigma?
A) Avoiding discussions about the patient’s substance use disorder to prevent exacerbating feelings of shame.
B) Providing education to the patient about the negative consequences of substance use without addressing their feelings of stigma.
C) Listening to the patient’s concerns, validating their experiences, and advocating for non-judgmental care from the healthcare team.
D) Confronting the patient about their substance use and insisting on immediate cessation of use without addressing underlying stigma.
What is C) Listening to the patient’s concerns, validating their experiences, and advocating for non-judgmental care from the healthcare team.
Which of the following is not a criteria of substance use disorder according to the DSM-5?
A) Taking the substance in larger amounts or for longer than you're meant to
B) Sourcing the substance illegally
C) Continuing to use, even when it causes problems in relationships
D) Using substances again and again, even when it puts you in danger
E) Needing more of the substance to get the effect you want (tolerance)
What is B) Sourcing the substance illegally
A 35-year-old Indigenous male with a history of substance use disorder, schizoaffective disorder, and has recently been homeless is admitted to the psychiatric unit after displaying erratic behavior. The patient has historically been non-compliant with his medication regime and has limited insight into his illness. Which of the following nursing interventions is MOST appropriate for this patient, especially given his lack of social support?
A. Encourage participation in group therapy sessions, collaborate with other HCP and access other resources to address substance abuse and provide peer support.
B. Focus solely on medication compliance, as it is the primary factor in managing his schizoaffective disorder and the positive symptoms he is experiencing
C. Discharge the patient to a homeless shelter, given his recent episode of homelessness and the need for stable housing.
D. Avoid discussing the patient's substance use, trauma, and mental health history to prevent triggering a relapse.
What is A. Encourage participation in group therapy sessions, collaborate with other HCP and access other resources to address substance abuse and provide peer support.