NR 1300: ESSENTIALS TO PSYCHIATRIC MENTAL HEALTH NURSING 2ND EDITION EXAM WITH QUALITY ANSWERS
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Course
NURSING
Institution
NURSING
NR 1300: ESSENTIALS TO PSYCHIATRIC MENTAL HEALTH NURSING 2ND EDITION EXAM
WITH QUALITY ANSWERS
1
MULTIPLE RESPONSE
I.The family members of a patient newly diagnosed with schizophrenia state that they do not understandwhat has
caused the illness. The nurse’s response should be based on which...
NR 1300: ESSENTIALS TO PSYCHIATRIC MENTAL HEALTH NURSING 2ND ED
WITH QUALITY ANSWERS
MULTIPLE RESPONSE
I.The family members of a patient newly diagnosed with schizophrenia state that they do not understand
caused the illness. The nurse’s response should be based on which models? Select all that apply.
a. Neurobiological
b. Environmental
c. Family theory
d. Genetic
e. Stress
, NR 1300: ESSENTIALS TO PSYCHIATRIC MENTAL HEALTH NURSING 2ND ED
WITH QUALITY ANSWERS
ANS: A, D
Compelling evidence exists that schizophrenia is a neurologic disorder probably related to neurochemic
normalities, neuroanatomical disruption of brain circuits, and genetic vulnerability. Stress and family dis
contribute but are not considered etiologic factors. Environmental factors are not recognized as causat
schizophrenia.
II.A nurse at the mental health clinic plans a series of psychoeducational groups for persons diagnosed w
schizophrenia. Which two topics would take priority?
a. How to complete an application for employment
b. The importance of correctly taking your medication
c. How to dress when attending community events
d. How to give and receive compliments
e. Ways to quit smoking
ANS: B, E
Stabilization is maximized by the adherence to the antipsychotic medication regimen. Because so many
schizophrenia smoke cigarettes, this topic relates directly to the patients’ physiologic well-being. Theoth
important but are not priority topics.
III.A patient diagnosed with schizophrenia is hospitalized after arguing with co-workers and threatening to
The patient is aloof and suspicious and says, “Two staff members I saw talking were plotting to as-sault
data gathered at this point, which nursing diagnoses relate? Select all that apply.
a. Risk for other-directed violence
b. Disturbed thought processes
, NR 1300: ESSENTIALS TO PSYCHIATRIC MENTAL HEALTH NURSING 2ND ED
WITH QUALITY ANSWERS
c. Risk for loneliness
d. Spiritual distress
e. Social isolation
ANS: A, B
Delusions of persecution and ideas of reference support the nursing diagnosis of Disturbed thought pr
other-directed violence is substantiated by the patient’s paranoia and feeling endangered by persecu- t
individuals may strike out at perceived persecutors or attempt self-harm to get away from perse- cutor
present to support the other diagnoses.
1. A person diagnosed with schizophrenia has had difficulty keeping a job because of arguing with co-wor
them of conspiracy. Today the person shouts, “They’re all plotting to destroy me.” Select the nurse’s m
response.
a. “Everyone here is trying to help you. No one wants to harm you.”
b. “Feeling that people want to destroy you must be very frightening.”
c. “That is not true. People here are trying to help if you will let them.”
d. “Staff members are health care professionals who are qualified to help you.”ANS:
B
Resist focusing on content; instead, focus on the feelings the patient is expressing. This strategy preven
the reality of delusional beliefs. Such arguments increase patient anxiety and the tenacity with which th
the delusion. The other options focus on content and provide opportunity for argument.
2. A newly admitted patient diagnosed with schizophrenia is hypervigilant and constantly scans the
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