A nurse is delegating assignments to a UAP what is acceptable for the UAP to perform
A. Trend monitoring B. Walking a patient with schizophrenia to the bathroom C. Assessing mental status D. Performing inventory/safety precautions in room d The UAP is not able to perform initial assessments, take ...
NUR 233 Exam 2 Practice Questions and
Answers
A nurse is delegating assignments to a UAP what is acceptable for the UAP to perform
A. Trend monitoring
B. Walking a patient with schizophrenia to the bathroom
C. Assessing mental status
D. Performing inventory/safety precautions in room ✅d
The UAP is not able to perform initial assessments, take patients to. The bathroom
alone or monitor trends in vitals
A patient arrives to the ER with visual hallucinations, what is the nurses priority
A. Assess the patients MSE
B. Assess the hallucinations
C. Order labs
D. Send patient to psych unit ✅b
The nurse wants to ensure the patients hallucinations are not unsafe and commanding
SAFETY IS PRIORITY
-the nurse would order labs after to medically clear the patient
A patient diagnosed with schizophrenia has been settling well in the unit, upon arrival to
shift the nurse notices the patient has had a shift in behavior what is the nurses
responsibility?
A. Reassess the patient
B. Send the patient to seclusion
C. Ask the patient how they are feeling
D. Contact the HPC ✅a
Whenever a patient behavior changes the nurse must reassess the patient
Which patient in the psych unit is the nurses priority
A. A bipolar patient refusing to take medications
B. A patient with schizophrenia saying the voices want me to eat your face
C. A patient with alcoholism demanding more drinks
D. A patient with Alzheimer's crying for their mother ✅b the patient is exhibiting
command hallucinations which are a safety risk
The patient with alcoholism has already been cleared if in the psych unit
An alcoholic patient comes into the hospital stating they had there last drink a few hours
ago, what symptoms would the patient exhibit
, Select all that apply
A. Craving food
B. Nausea
C. Hyperactivity
D. Insomnia
E. Tremors
F. Agitation ✅b, d ,e ,f
Patient is in the mild-moderate stage of alcohol withdrawal
A patient has been a heavy user of alcohol for the past few years, they are experiencing
altered gait, confusion, tachycardia, and impaired short term memory what is the nurses
priority
A. Give the patient Ativan
B. Give the patient thiamine/b1
C. Give the patient a bolus of fluids
D. Contact the HPC ✅b the patient is experiencing Wernickes encephalopathy
Which caused by excessive drinking and a thiamine deficiency
A patient going through alcohol withdrawal is currently being cared for in the hospital
what action by the nurse requires further teaching
A. Give the patient Ativan as scheduled
B. Have seizure precautions in place
C. Allow the patient to stay asleep and hold Ativan PRN
D. Perform CIWA scores ✅c
The nurse should wake up the patient to give Ativan not withhold it due to risk of
seizures and death
A nurse is caring for a patient with schizophrenia, which symptoms are negative
symptoms?
Select all that apply
A. The patient does not have pleasure in seeing family anymore
B. The patient states they see spiders crawling on the wall
C. The patient shows no emotional response when stating they are happy
D. The nurse waves their hands so the patient does the same thing
E. The patient states they no longer want to go to church
F. The patient declines going to group activities ✅a (anehdonia)
C (affective blunting)
E (apathy)
F (Asociality)
The others are positive symptoms
A patient is admitted to the psych unit with a diagnosis of schizoaffective disorder what
symptoms will this patient exhibit
Select all that apply
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