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Varcarolis: Chapter 7 - The Nursing Process and Standards of Care for Psychiatric Mental Health Nursing Questions with complete solution $15.49
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Varcarolis: Chapter 7 - The Nursing Process And St
Varcarolis: Chapter 7 - The Nursing Process and St
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Varcarolis: Chapter 7 - The Nursing Process and Standards of Care for Psychiatric Mental Health Nursing Questions with complete solution
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Varcarolis: Chapter 7 - The Nursing Process and St
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Varcarolis: Chapter 7 - The Nursing Process And St
Varcarolis: Chapter 7 - The Nursing Process and Standards of Care for Psychiatric Mental Health Nursing Questions with complete solution A new staff nurse completes an orientation to the psychiatric unit. This nurse will expect to ask an advanced practice nurse to perform which action for patients?...
Varcarolis: Chapter 7 - The Nursing Process and Standards of Care for Psychiatric Mental Health Nursing Questions with complete solution A new staff nurse completes an orientation to the psychiatric unit. This nurse will expect to ask an advanced practice nurse to perform which action for patients?
a. Perform mental health assessment interviews.
b. Prescribe psychotropic medication.
c. Establish therapeutic relationships.
d. Individualize nursing care plans. - correct answer ANS: B
Prescriptive privileges are granted to master's-prepared nurse practitioners who have taken special courses on prescribing medication. The nurse prepared at the basic level performs mental health assessments, establishes relationships, and provides individualized care planning. Note that this question was also offered for Chapter 1.
A newly admitted patient diagnosed with major depression has gained 20 pounds over a
few months and has suicidal ideation. The patient has taken an antidepressant medication for 1 week without remission of symptoms. Select the priority nursing diagnosis.
a. Imbalanced nutrition: more than body requirements
b. Chronic low self-esteem
c. Risk for suicide
d. Hopelessness - correct answer ANS: C
Risk for suicide is the priority diagnosis when the patient has both suicidal ideation and a plan to carry out the suicidal intent. Imbalanced nutrition, hopelessness, and chronic low self-esteem may be applicable nursing diagnoses, but these problems do not affect patient safety as urgently as would a suicide attempt.
A patient diagnosed with major depression has lost 20 pounds in one month, has chronic low self-esteem, and a plan for suicide. The patient has taken an antidepressant
medication for 1 week. Which nursing intervention has the highest priority?
a. Implement suicide precautions.
b. Offer high-calorie snacks and fluids frequently.
c. Assist the patient to identify three personal strengths.
d. Observe patient for therapeutic effects of antidepressant medication. - correct answer ANS: A
Implementing suicide precautions is the only option related to patient safety. The other options, related to nutrition, self-esteem, and medication therapy, are important but are not priorities. The desired outcome for a patient experiencing insomnia is, "Patient will sleep for a minimum of 5 hours nightly within 7 days." At the end of 7 days, review of sleep data shows the patient sleeps an average of 4 hours nightly and takes a 2-hour afternoon nap. The nurse will document the outcome as:
a. consistently demonstrated. b. often demonstrated.
c. sometimes demonstrated.
d. never demonstrated. - correct answer ANS: D
Although the patient is sleeping 6 hours daily, the total is not one uninterrupted session at night. Therefore, the outcome must be evaluated as never demonstrated. See relationship to audience response question.
The desired outcome for a patient experiencing insomnia is, "Patient will sleep for a minimum of 5 hours nightly within 7 days." At the end of 7 days, review of sleep data shows the patient sleeps an average of 4 hours nightly and takes a 2-hour afternoon nap. What is the nurse's next action?
a. Continue the current plan without changes.
b. Remove this nursing diagnosis from the plan of care.
c. Write a new nursing diagnosis that better reflects the problem.
d. Examine interventions for possible revision of the target date. - correct answer ANS: D
Sleeping a total of 5 hours at night remains a reasonable outcome. Extending the period
for attaining the outcome may be appropriate. Examining interventions might result in planning an activity during the afternoon rather than permitting a nap. Continuing the current plan without changes is inappropriate. Removing this nursing diagnosis from the
plan of care would be correct when the outcome was met and the problem resolved. Writing a new nursing diagnosis is inappropriate because no other nursing diagnosis relates to the problem.
A patient begins a new program to assist with building social skills. In which part of the plan of care should a nurse record the item, "Encourage patient to attend one psychoeducational group daily"?
a. Assessment b. Analysis
c. Implementation
d. Evaluation - correct answer ANS: C
Interventions are the nursing prescriptions to achieve the outcomes. Interventions should be specific.
Before assessing a new patient, a nurse is told by another health care worker, "I know that patient. No matter how hard we work, there isn't much improvement by the time of discharge." The nurse's responsibility is to:
a. document the other worker's assessment of the patient.
b. assess the patient based on data collected from all sources.
c. validate the worker's impression by contacting the patient's significant other.
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