MENTAL HEALTH Nursing_knowledge_Assessment_Practice_Exam Exam 2022 Questions and Answers

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if a female client is sitting alone in the group room of psychiatric unit, nodding head and talking to herself, hearing voices and they are telling her to turn herself in to FBI, what should the PN do... ? - ANSWER Distract her by turning on tv An OCD patient repeatedly washing a table top. What intervention should the PN do? - ANSWER Allow time for behavior and then redirect to other activities A highly successful businessman presents to community mental health after complaining of sleepiness and anxiety over his financial status. What should the PN do to diminish his anxiety? - ANSWER Teach him to limit sugar and caffeine intake. A patient is being discharged from psychiatric facility with a prescription for the anti psychotic agent (Mellaril). What should the PN tell the patient to do? - ANSWER Stand up slowly because the medication can cause hypotension. An 18 year old has been told he has Hodkins disease when the PN enters the room. He yells to get out, I want to die. What should the PN tell him? - ANSWER Tell me what the health care provider said. The grandmother of a young adult male admitted to psychiatric unit request info about his treatment. What should the PN do? - ANSWER Ensure a signed release of info includes grandma. A client experiencing withdrawal from Xanax is having severe agitation and tremors. What should the PN do? - ANSWER Initiate seizure precaution. A daughter gained weight because she is under so much stress deciding whether to send dad to nursing home or her home. What should the PN do? - ANSWER Offer to assist her in examining the pros and cons of the choices for him A man complains of decrease concentration at work, tired during day, sleeps four to five hours at night. What should the PN ask? - ANSWER Do you often feel sad. A PN attempts to assist an 18 year old female with mild mental disability to ambulate first day post op after appendectomy. She refuses. What should you tell her? - ANSWER I'll be back in 30 minutes to get you out of bed and walk around the room today. A CLIENT IS DIAGNOSED WITH TERMINAL CANCER, THE DOCTOR TOLD ME I HAVE CANCER.I DO NOT HAVE LONG TO LIVE.WHICH RESPONSE SHOULD THE PN OFFER? - ANSWER YES, YOUR CONDITION IS SERIOUS. WHILE CONDUCTING A MENTAL STATUS EXAMINATION OF A NEWLY ADMITTED MALE CLIENT HEAD LOWERED AND STARES AT HIS HANDS BASED ON THIS OBSERVATION WHAT SHOULD THE PN RESPOND? - ANSWER HOW ARE YOU FEELING TODAY ALCOHOLIC ADMITTED TO THE HOSPITAL WITH EARLY STAGE OF CIRRHOSIS OF THE LIVER, HE TELLS THE PN THAT HE KNOWS HE CAN NOT STOP DRINKING WHAT RESPONSES IS BEST TO PROVIDE - ANSWER TELL ME WHAT YOU THINK WILL HAPPEN TO YOU IF YOU DO CONTINUE TO DRINK A 4 YEAR OLD IS BROUGHT TO THE CLINIC WITH A FRACTURED ARM.WHICH INFORMATION SHOULD BE A BASIS FOR THE PRACTICAL NURSE TO SUSPECT CHILD ABUSE - ANSWER THE CHILD HAS HAD 4 PREVIOUS VISITS TO 3 NUMBER OF EMERGENCY DEPARTMENT NURSING MEASURE FOR VICODIN - ANSWER OBSERVE THE CLIENT FOR FURTHER NARCOTIC EFFECTS OLDER CLIENT BECOME DISORIENTED AND CONFUSED. SIGNS OF LEFT EXTREMITY WEAKNESS BUT NO NEURO CHANGES. - ANSWER CALL AN AMBULANCE TO TAKE THE CLIENT TO THE HOSPITAL HALDOL INCREASE TEMP: 104 F AND MUSCULAR RIGIDITY - ANSWER CALL AN AMBULANCE ALZHEIMER'S PATIENT ADMITTED TO AN EXTENDED CARE FACILITY. WHAT SHOULD YOU DO? - ANSWER PLAN TO HAVE THE SAME NURSING STAFF PROVIDE CARE FOR THE CLIENT WHENEVER POSSIBLE A FEMALE CLIENT COULD NOT SLEEP LAST NIGHT BECAUSE SHE IS UNHAPPY IN HER JOB.WHAT TYPE OF THOUGHTS IS THE CLIENT HAVING - ANSWER OBSESSIVE THOUGHT THAT THE CLIENT IS UNABLE TO CONTROL Alcohol withdrawal-hospitalization - ANSWER Alcohol detoxification precipitates a withdrawal syndrome that includes neurological and cardiovascular changes that require constant monitoring and medical management to safely move the client to an alcohol-free physiology. The other responses are ineffective and may contribute to the client's defensiveness. Depression-1st priority - ANSWER Maslow's hierarchy or needs begins with ensuring physiologic needs and safety as primary needs. The priority investigation is to provide a safe stable, and predictable routine that will meet the client's basic needs. The other actions are indicated, but first an environment that is predictable should be ensured to [Show More]

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