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NUR 2488 MENTAL HEALTH NURSING MH EXAM3 | QUESTIONS & ANSWERS | GRADED A+ | CA$12.39   Add to cart
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NUR 2488 MENTAL HEALTH NURSING MH EXAM3 | QUESTIONS & ANSWERS | GRADED A+ |

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NUR 2488 MENTAL HEALTH NURSING MH EXAM3 | QUESTIONS & ANSWERS | GRADED A+ | Question 1 A 70-year-old client is admitted to the locked psychiatric unit, diagnosed with delirium. Later in the day, he tries to get out of the locked unit several times. He yells, "I have to leave and get to my...

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  • November 8, 2023
  • 57
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

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  • nur 2488 mental health nursing mh exam3 questio

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NUR 2488 MENTAL HEALTH NURSING
MH EXAM3 | QUESTIONS & ANSWERS |
GRADED A+ | 2023-2024




Question 1

A 70-year-old client is admitted to the locked psychiatric unit, diagnosed with

delirium. Later in the day, he tries to get out of the locked unit several times.

He yells, "I have to leave and get to my barber. I see him every Wednesday.

Let me out!” The most therapeutic response by the nurse would be:

Selected Answer:

,For help mail. nicholasmwololo30@gmail.com

"You need to come and take a shower before you can go get your hair cut."

Answers: "You need to come and take a shower before you can go get your

hair cut."

"Please stop banging on the door. Your room is right over there. "

"The door is locked so that you don’t leave and get hurt." "It's Monday and

you’re in the hospital. I'm your nurse."

Response The best response is to orient the client to the day, place and the

Feedback people around him. Telling him to stop banging on the door and to

: go to his room is a non-therapeutic response. Explaining why the

door is locked does not provide orientation and is irrelevant to his

concern about needing to get to the barber.

Promising that he can go to the barber after a shower does not

present reality.

Question 2

Which intervention is most effective in managing excessive demands from a

client with borderline personality disorder?

Selected Be consistent in responses to client demands.

Answer:

Answers: Assign two staff members per shift to this client.

Hold a quick staff meeting whenever the client has a complaint

Be consistent in responses to client demands. Be flexible and willing to change

your mind

,For help mail. nicholasmwololo30@gmail.com

Response Because people with borderline personality disorder have

Feedback emotional lability and inconsistency in behavior, it’s important for

: the nurse to be consistent in responses and limits. The person with

borderline personality will often test boundaries and rules; being

consistent and not changing one’s mind frequently will help the

individual feel safe in the environment. Assigning two people per

shift can contribute to the tendency to pit two people against

each other in order to create conflict. Holding a quick staff

meeting in response to client complaints does not keep firm

boundaries and allows staff to be manipulated.

Question 3

A client is admitted for acute alcohol withdrawal. Which of the following

clinical manifestations indicate the need for treatment of acute alcohol

withdrawal?

, For help mail. nicholasmwololo30@gmail.com


Selected Tachycardia, paranoid delusions, and elevated blood pressure

Answer:

Answers: Myopia, hypothermia, and elevated mood. Bradycardia,

hypotension and drowsiness.

Decreased reflexes, somnolence and hypothermia.

Tachycardia, paranoid delusions, and elevated blood pressure

Response Tachycardia, delusions, hallucinations, and elevated blood

Feedback: pressure are symptoms of alcohol withdrawal.

Question 4

A client with vascular dementia is experiencing agnosia. She sits at her dining

table looking at her food, but doesn’t pick up a utensil and try to eat. Which

intervention is most appropriate for the nurse to try first?

Selected Hand the fork to the client and say, “Use this fork to eat your meat

Answer: loaf.”

Answers: Send the food back to the kitchen and try something else.

Help the client by feeding her.

Hand the fork to the client and say, “Use this fork to eat your meat loaf.”

Tell the client, “It's time to start eating. Those potatoes look good”

Response A client with agnosia does not recognize objects or understand

Feedback what they’re used for, so the nurse should give the client concrete

: directions. It should not be assumed that the client doesn’t like

the food without attempting other interventions first. Feeding the

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