Real Life RN Mental Health 3.0( 60 questions with 100% verified answers)
4 views 0 purchase
Course
Real Life RN
Institution
Real Life RN
Real Life RN Mental Health 3.0( 60 questions with 100% verified answers)/Real Life RN Mental Health 3.0( 60 questions with 100% verified answers)/Real Life RN Mental Health 3.0( 60 questions with 100% verified answers)
Nurse Anne noticed that Ken is exhibiting an altered speech pattern. Which of the following
respnses by Ken should Nurse Anne identify as an example of associative looseness? - correct
answer A. Altered speech pattern of communication in which the pt shifts from one idea to
another.
2. Schizophrenia
Murse Anne observes that Ken is becoming increasingly anxious. Which of the following actions
should Nurse Anne take? - correct answer Stand off to the side of Ken, more than arms reach
away...... To avoid increasing the pt's anxiety.
Pts who are exhibiting anxious behaviors are at risk ofr violence. The nurse should have a direct
path to the door in case the client becomes violent & the nurse needs to leave the room
immediately.
3. Schizophrenia
Nurse Anne is teaching Ken and sister about positive and negarive symptoms of schizophrenia.
Which of the following manifestations should the nurse include as positve symptoms? - correct
answer Delusions
Motor agitation
Hallucinations
Manifestations of altered mental functioning. Delusions, Hallucications (visual, auditory,
gustatory, olfatory), altered speech (eholalia, clang association, associatice looseness), Motor
agication.
Negative schizophrenic Sx=decreased physical and mental functioning such as Flat Affect,
Anhedonia, Alogia, Apathy, and Avolition.
4. Schizophrenia
,Real Life RN Mental Health 3.0
Nurse Anne identifies that Ken is experiencing a delusion. Which of the following types of
delusions should she document in the pts medical record? - correct answer Delusion of
Persecution:
The pts false belief that others are trying to harm or persecute them in some way.
The pt does not want to take the medication becuase he thinks the pharmacyst is trying to
poison him.
Delusion of Grandeur: False belief in one's own superiority, greatness, or intelligence. People
experiencing delusions of grandeur do not just have high self-esteem; instead, they believe in
their own greatness and importance even in the face of overwhelming evidence to the
contrary.
Nihilistic Delusion: Negative belief of the world or one being dead, decomposed or annihilated,
having lost one's own internal organs or even not existing entirely as a human being.
Somatic Delusion: The pt is convinced their organs are damaged or malfunctioning, or that they
are suffering from some type of hidden malady, or that their physical appearance has somehow
been altered or distorted.
5. Schizophrenia
Nurse Anne is continuing to assess Ken. Which of the following manifestations should Anne
Assess for first? - correct answer Command Hallucinations
Auditory Hallucinations is the risk for self or other directed harm due to cmmand hallucinations.
The nurse should continue assessing the pt to determine exactly what the voices are
commanding.
6. Schizophrenia
Nurse Anne is continuing to assess Ken. Which of the following tools should Anne use? -
correct answer The Suicide Assessment Five Step Evaluation and Triage (SAFE-T).
, Real Life RN Mental Health 3.0
Tool comprise of 5 steps that ssess a pt's risk for suicide. Identifies both risk and protective
factors related to suicide risk. The pt may be at an increased risk for suicide due to psychosis or
depression.
7. Schizophrenia
Nurse A is teaching E & K abut the effects of cocaine use. Which of the following findings should
Nurse A indentify as a manifestation of cocaine intoxication? - correct answer Psychosis
Cocaine is an stimulant. Other intoxication manifestations include fellings of exhilaration,
anxiety, panic, and anger. An increased desire for socialization, hypertansion, tachycardia,
decrease appetite, and dialated pupils.
8. Schizophrenia
Nurse A is teaching K and E about actions that can decrease K's anxiety and increase this
socialization. Which of the following statement should A make? - correct answer "Emily,
visiting and talking with ken on a regular basis will help him maintain his social interactions."
Regular but brief visits to the pt about topics that do not cause anxiety is recommended.
Gradually increasing the length and number of interactions to let the pt get more comfortable.
9. Schizophrenia
Nurse A is teaching K and E about the adverse effects of paliperidone. Whichc of the following
statements should A include? - correct answer "You should let your provider know if you
experiencing abnormal body movements"
Paliperidone can cause Extrapyramidal Effects such as unusual body movements, tremors, or
muscle contractions. The pt should notify the provider immediately if they experience these
adverse effects.
10. Schizophrenia
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller NGNs. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.49. You're not tied to anything after your purchase.
