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NUR 326 Psych MH exam questions with complete solutions 2024.
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NUR 326 Psych MH exam questions with complete solutions 2024.
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NUR 326 Psych/MH exam questions withcomplete solutions 2024
1. jA jsuicidal jpatient jis jfound jby jthe jnurse jas jhe jtries jto jhang jhimself jfrom jthe
jshower jin jthe jbathroom. jWhat jnursing jintervention jwould jaddress jthe jpatient's
jneed jfor jsafety jwhile jmaintaining jhis jself-esteem?
a. jAssign ja jstaff jmember jto jremain jwith jhim jat jall jtimes.
b. jPlace jhim jin jthe jseclusion jroom jwith j15 jminute jchecks
c. jRequest jthat jhe jremain jwith jthe jpatient jgroup jat jall jtimes.
d. jTell jhim jhe jmay juse jthe jbathroom jonly jwith jstaff jsupervision. j- jANS✓✓-A
1. jThe jnursing jstudent jlearned jof ja jhigh jschool jclassmate jwho jrecently
jcommitted jsuicide. jThe jclassmate's jdeath jsurprised jthe jstudent, jbecause jthe
jclassmate jhad jalways jseemed jvery jconfident jand jpopular. jThe jstudent jknows,
jhowever, jthat jsuicide jis jusually:
a. jAn jact jwith ja jmessage jand jpurpose
b. jAn jimpulsive jact jwithout jmeaning
c. jA jrandom jact jof jselfishness
d. jA jrandom jact jwithout jmeaning jor jpurpose j- jANS✓✓-a
1. jA jvoluntary jpatient jmutilates jherself jwhenever jshe jleaves jthe junit. jThe jnurse
jsuggests juse jof jfour-point jrestraint jto jprevent jthe jpatient jfrom jfurther jharming
jherself. jWhat jquestion jshould jbe jconsidered jbefore jthis jmeasure jis
jundertaken?
a. jIs jthis jthe jleast jrestrictive jmeasure jpossible?
b. jCan jfour-point jrestraint jbe jused jfor jvoluntary jpatients?
c. jWhat jlitigation jis jlikely jto jfollow jfrom jthis jaction?
d. jWhat jdocumentation jwill jbe jnecessary jafter jrestraint japplication? j- jANS✓✓-a
1. jA jpatient, jwho jhas jrecently jlost ja jspouse, jcalls jthe jcrisis jline jstating jthe
joccurrence jof jsuicidal jideations jthat jinvolve jjumping joff ja jbridge jover jthe jriver
jwhen jno jone jis jaround. jWhat jlevel jof jlethality jwould ja jnurse jassess jfor jthis
jplan?
,a. jLow
b. jModerate
c. jHigh
d. jLethality jcannot jbe jdetermined jfrom jthis jdata j- jANS✓✓-c
1. jWhich jof jthe jfollowing jsymptoms jindicates jNeuroleptic jMalignant jSyndrome
j(NMS), ja jpotentially jfatal jside jeffect jof jan jantipsychotic jmedication jsuch jas
jHaldol j(haloperidol)?
a) jPhotosensitivity jand jan jitchy jrash jon jface, jneck, jchest jand jextremities
b) jHyperthermia jand jmuscle jrigidity
c) jBlurred jvision, jconstipation, jand jurinary jretention
d) jTongue jprotrusion, jlip jsmacking, jand jgrimacing j- jANS✓✓-b
1. jThe jnurse jusing jcognitive jbehavior jtechniques jwhen jworking jwith jpatients
jknows jthat jattributions jare jmeanings jthe jpatient jgives jto jevents jor
jcircumstances jthat:
a. jmay jor jmay jnot jbe jobjectively jaccurate
b. jsupport ja jsense jof jautonomy
c. jpromote jrigidity jand jchaos
d. jisolate jfamily jmembers jfrom jeach jother j- jANS✓✓-a
1. jA jpatient jwas jthe jdriver jof ja jcar jthat jstruck jand jkilled ja jchild. jThe jpatient
jtells ja jnurse, j"I jkilled ja jchild! jI'm jhaunted jby jthe jsight jof jthe jbody jbeing
jthrown jinto jthe jair. jIf jI jhadn't jbeen jdrinking jI jmight jhave jbeen jable jto jstop. jI
jdon't jknow jhow jI jcan jgo jon jliving jwith jmyself!" jThe jcrisis jnurse jshould jgive
jpriority jto jassessing jthe jpatient's:
a. jsuicidal jrisk.
b. jphysical jcondition.
c. jrecent jdrug jdependency.
d. jcurrent jalcohol jconsumption. j- jANS✓✓-a
1. jA jpatient jwho jwas jsavagely jattacked jby ja jbear jhas jno jmemory jof jthe jevent.
jWhich jstatement jbest jexplains jthe jpatients jinability jto jremember jthe jattack?
a.
The jwoman jlost jconsciousness jand jwas jnot jcognitively jaware jof jwhat
jhappened jduring jthe jattack
b.
The jbrain jhas jproduced ja jchemical janemia jthat jwill jrepress jthe jmemories jof
jthe jattack jindefinitely.
c.
The jpatient jis junconsciously jusing ja jdefense jmechanism jto jprotect jagainst jthe
jrepeated jmemory jof jthe jattack.
,d.
It jis ja jtemporary jsuppression jof jthe jattack; jher jmemory jwill jreturn jwhen jshe jis
jphysically jand jemotionally jready jto jhandle jthe jmemories. j- jANS✓✓-c
Defense jmechanisms jare jused junconsciously jto jprotect jus jfrom jthreats jto jthe
jphysical, jmental, jand jsocial jaspects jof jourselves. jThe jmemory jof jthe jevent
jmay jor jmay jnot jcome jback jbut jthis jis jnot jgenerally jrelated jto jthe jpatients
jability jto jhandle jthe jmemories. jMemory jmay jbe jlost jor jimpaired jas ja jresult jof
jbrain jtrauma jbut jnot jas jlikely jfrom ja jchemical jalteration.
2. jWhich jassessment jfinding jexhibited jby ja jpatient jbeing jassessed jfor
jposttraumatic jstress jdisorder j(PTSD) jwould jbe jconsidered ja jdefining jbehavior
jand jsupport jsuch ja jdiagnosis?
a.
Can jdescribe jthe jattack jin jgreat jdetail
b.
Experiences jdramatic jswings jin jaffect
c.
Describes jvivid jflashbacks jof jbeing jattacked
d.
Is jpreoccupied jwith jthe jneed jto jtell jsomeone jabout jthe jattack j- jANS✓✓-c
One jdefining jbehavior jthat jis jseen jwhen jan jindividual jhas jPTSD jis jthat jthe
jperson jre-experiences jthe jtraumatic jevent. jThis jtakes jplace jby jhaving
jrecurrent jand jintrusive jdisturbing jrecollections jof jthe jtrauma, jincluding
jthoughts, jimages, jor jperceptions jabout jthe jincident. jThe jperson jsometimes
jexperiences jrecurrent jdreams jof jthe jincident jand jacts jor jfeels jas jthough jthe
jevent jwas jrecurring jin jthe jpresent j(flashback). jGenerally jthe jPTSD jpatient
jcannot jremember jall jthe jdetails jof jthe jtrauma jnor jare jthey jparticularly
jinterested jin jre-telling jthe jevents jof jthe jtrauma. jThe jpatient jgenerally jhas ja
jvery jlimited jrange jof jaffect.
3. jWhat jis jthe jbasis jfor jassessing ja jmale jpatient jwho jis jagoraphobic jfor jpanic
jattacks?
a.
Men jare jmore jlikely jto jexperience jpanic jattacks.
b.
An joverwhelming jnumber jof jagoraphobic jpatients jalso jhave jpanic jattacks.
c.
Patients jare joften junaware jthat jthe jsymptoms jthey jare jexperiencing jare jthose
jof jpanic.
d.
, Panic jattacks jare jgenerally jthe jcause jof ja jpatient jdeveloping jphobias jlike
jagoraphobia. j- jANS✓✓-b
Almost jall jpatients jwho jpresent jwith jagoraphobia jin jclinical jsamples jhave ja
jcurrent jdiagnosis jor jhistory jof jpanic jdisorder. jMales jare jnot jmore jlikely jthan
jfemales jto jexperience jpanic jattacks. jPatients jare jnot jusually junaware jof jpanic
jattack jsymptoms. jPanic jattacks jdont jcause, jbut jare joften jtriggered jby,
jphobias.
4. jDischarge jpreparation jfor ja jpatient jincludes jthe jadministration jof jthe
jHamilton jAnxiety jScale j(HAS). jWhen jasked jby jthe jpatient jto jexplain jthe
jpurpose jof jthe jassessment jthe jnurse jresponds:
a.
It jis jan jassessment jtool jused jto jevaluate jthe jsymptoms jof janxiety.
b.
The jtool jis jused jto jhelp jconfirm jthe jdiagnosis jof janxiety jdisorder.
c.
This jtool jhelps jdetermine jif jyour jsymptoms jhave jimproved jwith jtreatment.
d.
It jhelps jidentify jthe jpresence jof jany jother jdisorder jassociated jwith janxiety. j-
jANS✓✓-c
The jHAS jis ja jvalid jand jtime-tested jtool jthat jgives jthe jmost jobjective jmeasure
jof jthe jdegree jto jwhich janxiety jhas jbeen jeffectively jtreated. jThe jHAS jdoes jnot
jevaluate jfor jsymptoms jof janxiety jor jact jas ja jdiagnosis jtool jfor janxiety jor
janother jother jassociated jdisorder.
5. jA jpatient jis jadmitted jfor jtreatment jfor jpersistent, jsevere janxiety. jWhich
jnursing jdiagnosis jwould jhelp jeffectively jdirect jpatient jcare?
a.
Disturbed jsensory jperception jrelated jto jnarrowed jperceptual jfield
b.
Risk jfor jinjury jrelated jto jclosed jperception
c.
Hopelessness jrelated jto jtotal jloss jof jcontrol
d.
Risk jfor jother-directed jviolence jrelated jto jcombative jbehavior j- jANS✓✓-a
A jnarrowed jperceptual jfield joccurs jwith jsevere janxiety; jtherefore jthis
jdiagnosis jshould jbe jconsidered. jData jare jnot jpresent jto jsupport jthe jother
jdiagnoses.
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