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Exam (elaborations)

N222 Mental Health Refresher Assignment Questions And 100% Solved Solutions.

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The Nurse is caring for a patient who is currently in restraints. Which of the following are correct regarding restraints? (Select all that apply) A. Applying restraints PRN for aggressive behavior B. Assessing for skin integrity every two hours C. Ensure that there is one finger space betw...

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  • September 21, 2024
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  • N222
  • N222
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COCOSOLUTIONS
N222 Mental Health Refresher
Assignment Questions And 100% Solved
Solutions.
The Nurse is caring for a patient who is

currently in restraints. Which of the

following are correct regarding restraints?

(Select all that apply)



A. Applying restraints PRN for aggressive behavior

B. Assessing for skin integrity every two hours

C. Ensure that there is one finger space between the restraints and the patient skin

D. Monitor vitals every hour

E. Apply the restraints to the side rail using a quick release tie - Answer B



- it's not as needed

- use two fingers

- monitor VS every 15 mins

- apply the restraints to a non-removable part of the bed



The nurse finds the client crying. The client says, "What do you want? Go away, you can't help me. I hate
you and I hate myself." Which response by the nurse is best?"



A. I'll come back later when you are in a better mood.

B. Why do you dislike me and yourself?

C. It is difficult for me to talk to you when you talk this way.

D. You seem to be in pain, I'll stay with you for a while. - Answer D

, The client responds incorrectly when the nurse asks the date and day of the week. Which term best
describes the client's mental state?



A. Disoriented

B. Euphoric

C. Ambivalent

D. Incoherent - Answer A



A nurse is caring for a client admitted to a mental health facility who asks, "Can I refuse the
electroconvulsive therapy (ECT) treatment scheduled for tomorrow?" Which of the following should be
the nurse's response?



A. You will feel better after the treatment.

B. You can refuse them, but the provider believes they are necessary.

C. You have signed a consent form for the treatment after it was explained to you.

D. You have the right to refuse even though the consent form has been signed. - Answer D



- post procedure: short term memory loss is an expected finding and is usually temporary as is mild
confusion and a headache

- meds: atropine, succinylcholine on hand



The nurse is providing care for a pt demonstrating behaviors associated w/ moderate levels of anxiety.
What questions should the nurse ask initally when attempting to help the pt deescalate their anxiety?



A. Do you know what will help you manage your anxiety

B. Do you need help to manage your anxiety

C. Can you identify what was happening when your anxiety began to increase

D. Are you feeling anxious right now - Answer C



The client has good understanding of deep-breathing exercises when they make which statement?
(SATA)

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