Psychiatric Mental Health Nursing 9th Edition 2024 Exam Questions With Revised Answers || Graded A+ || 117 Pages
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Course
Psychiatric-Mental Health Nursing 9th Edition
Institution
Psychiatric-Mental Health Nursing 9th Edition
Psychiatric Mental Health Nursing
9th Edition 2024 Exam Questions
With Revised Answers || Graded A+
|| 117 Pages
A patient whose hearing or sight is impaired may have difficulty
providing information if these items have been removed from his
or her possession. Assisting the patien...
Psychiatric Mental Health Nursing
9th Edition 2024 Exam Questions
With Revised Answers || Graded A+
|| 117 Pages
A patient whose hearing or sight is impaired may have difficulty
providing information if these items have been removed from his
or her possession. Assisting the patient in getting and wearing
these assistive devices is the best initial intervention.
Assessment of children should be accomplished by a
combination of which of the following techniques?
a. Interview and observation
b. Standardized testing and interview
c. Creative therapies
d. Collateral data from school and family - ANSWER ✔ a.
Interview and observation
Assessment of children should be accomplished by a combination
of interview and observation.
When interviewing an adolescent patient, the nurse can expect
the patient to be most concerned about which of the following
issues?
a. Confidentiality
b. Sexual orientation
c. Substance use or abuse
,d. Family mental problems - ANSWER ✔ a. Confidentiality
Adolescents are often concerned that what they reveal to the
nurse or health care team will be shared with parents.
Confidentiality should be explained at the outset of the interview.
The nurse best assesses the patient's spiritual life by asking
which of the following?
a. "Do you practice a specific religion?"
b. "To whom do you turn in times of crisis?"
c. "Do you attend church regularly?"
d. "What role does religion or spiritual practice play in your life?" -
ANSWER ✔ d. "What role does religion or spiritual practice play
in your life?"
Asking the patient to define the role of religion or spirituality in his
or her life allows for discussion related to the other topics.
Which nursing diagnosis for a psychiatric patient is correctly
structured and worded?
a. Hopelessness related to severe chronic depression
b. Spiritual distress as evidenced by patient stating, "God has
abandoned me because I'm a bad person"
c. Defensive coping related to lack of insight associated with illicit
drug use
d. Imbalanced nutrition: less than body requirements related to
poor self-concept as evidenced by reporting, "I don't deserve to
eat." - ANSWER ✔ d. Imbalanced nutrition: less than body
requirements related to poor self-concept as evidenced by
reporting, "I don't deserve to eat."
,This diagnosis contains all the required components: problem
statement, the etiology, and supporting data.
The patient's priority nursing diagnosis has been established as
Risk for self-directed violence: suicide related to multiple losses.
The priority outcome would be that the patient will do which of the
following?
a. Refrain from attempting suicide
b. Be placed on suicide precautions
c. Attend self-help group daily
d. State absence of feelings of powerlessness - ANSWER ✔ a.
Refrain from attempting suicide
Refraining from suicidal attempts is the only outcome that
addresses the risk for self-directed violence. The absence of a
feeling of powerlessness is not appropriate for the stated nursing
diagnosis. The remaining options are interventions.
You are conducting an admission interview with an adolescent,
Zoe, who was raped 2 weeks ago. When you ask Zoe about the
rape, she becomes very anxious and upset and begins to sob.
Which would be your best course of action?
a. Push Zoe gently for more information about the rape because
you need to document this in her chart.
b. Acknowledge that the topic of the rape is upsetting to Zoe and
reassure her that it can be discussed at another time when she
feels more comfortable.
c. Use silence as a therapeutic tool and wait until Zoe is done
sobbing to continue discussing the rape.
d. Reassure Zoe that anything she says to you will remain
confidential. - ANSWER ✔ b. Acknowledge that the topic of the
, rape is upsetting to Zoe and reassure her that it can be discussed
at another time when she feels more comfortable.
The best atmosphere for conducting an assessment is one with
minimal anxiety on the patient's part. If a topic causes distress, it
is best to abandon the topic at that time. It is important not to pry
or push for information that is difficult for the patient to discuss.
The use of silence continues the expectation that the patient will
discuss the topic now. While confidentiality is an important issue
for adolescent patients in particular, reassurance of confidentiality
continues to expect the patient to discuss the topic now.
You are interviewing Jamie, a 17-year-old female patient. She
confides that she has been thinking of ways to kill a female peer
who is her rival for the volleyball team captain position. She asks
you if you can keep it a secret. Which of the following is the most
appropriate response for you to make?
a. "I will keep it a secret, but you and I need to discuss ways to
deal with this situation appropriately without committing a crime."
b. "Yes, I will keep it confidential. We have laws to protect
patients' confidentiality."
c. "Jamie, issues of this kind have to be shared with the treatment
team and your parents."
d. "Jamie, I will have to share this with the treatment team, but we
will not share it with your parents." - ANSWER ✔ c. "Jamie, issues
of this kind have to be shared with the treatment team and your
parents."
Although adolescent patients request confidentiality, issues of
sexual abuse, threats of suicide or homicide, or issues that put
the patient at risk for harm must be shared with the treatment
team and the parents. A threat of this nature must be discussed
with the treatment team and the parents. Confidentiality laws do
not protect information that would lead to harm to the patient or
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