Essentials of Psychiatric Mental Health Nursing Questions

Essentials of Psychiatric Mental Health Nursing Questions with Complete Solutions In which scenario is it most urgent for the nurse to act as a patient advocate?

• An adult cries and experiences anxiety after a near-miss automobile accident on the way to work.
• A homeless adult diagnosed with schizophrenia lives in a community expecting a category 5

hurricane.

• A 14-year-old girl's grades decline because she consistently focuses on her appearance and social

networking.

• The parents allow the prescription to lapse for 1 day for their 8-year-old child's medication for

attention-deficit/hyperactivity disorder. - Correct Answer Answer: b.

Although all of the scenarios present opportunities for a nurse to intervene, the correct response presents an imminent danger to the patient's safety and well-being.The nurse interacts with a veteran of World War II. The veteran says, "Veterans of modern wars whine and complain all the time. Back when I was in service, you kept your feelings to yourself." Select the nurse's best response.

• "American society in the 1940s expected World War II soldiers to be strong."
• "World War II was fought in a traditional way, but the enemy is more difficult to identify in today's

wars."

• "We now have a better understanding of how trauma affects people and the importance of

research-based, compassionate care."

• "Intermittent explosive devices (IEDs), which were not in use during World War II, produce

traumatic brain injuries that must be treated." - Correct Answer Answer: c.Trauma occurs in many forms, including physical, sexual, and emotional abuse; war; natural disasters; and other harmful experiences. Trauma-informed care provides guidelines for integrating an understanding of how trauma affects patients into clinical programming.A patient reports sleeplessness, fatigue, and sadness to the primary care provider. In our current health care climate, what is the most likely treatment approach that will be offered to the patient?

• Group therapy
• Individual psychotherapy
• Complementary therapy

d. Psychopharmacological treatment - Correct Answer Answer: d.

The patient's report suggests that depression is occurring. With the increased understanding of the biology of psychiatric illnesses, treatment approaches have evolved rapidly into more scientifically grounded methods, particularly psychopharmacology. 1 / 2

The nurse prepares outcomes to the plan of care for an adult diagnosed with mental illness. Which strategy recognizes the current focus of treatment services for this population?

• The patient's diagnoses are confirmed using advanced neuroimaging techniques.
• The nurse confers with the treatment team to verify the patient's most significant disability.
• The nurse prioritizes the patient's problems in accordance with Maslow's hierarchy of needs.
• The patient and family participate actively in establishing priorities and selecting interventions. -

Correct Answer Answer: d.

The correct response recognizes the recovery model, which has the following tenets: Mental health care is consumer and family driven, with patients being partners in all aspects of care; care must focus on increasing the consumer's success in coping with life's challenges and building resilience; and an individualized care plan is at the core of consumer-centered recovery.Which scenario best demonstrates empathic caring?

• A nurse provides comfort to a colleague after an error of medication administration.
• A nurse works a fourth extra shift in 1 week to maintain adequate unit staffing.
• A nurse identifies a violation of confidentiality and makes a report to an agency's privacy officer.
• A nurse conscientiously reads current literature to stay aware of new evidence-based practices. -

Correct Answer Answer: a.

Caring is evidenced by empathic understanding, actions, and patience on another's behalf; actions, words, and presence that lead to happiness and touch the heart; and giving of self while preserving the importance of self. Comforting is a part of caring, which includes social, emotional, physical, and spiritual support.A mentally ill gunman opens fire in a crowded movie theater, killing six people and injuring others.Which comment about this event by a member of the community most clearly shows the stigma of mental illness?

• "Gun control laws are inadequate in our country."
• "It's frightening to feel that it is not safe to go to a movie theater."
• "All these people with mental illness are violent and should be locked up."
• "These events happen because American families no longer go to church together." - Correct

Answer Answer: c.

Stigma refers to the array of negative attitudes and beliefs regarding mental illness. Bias, prejudice, fear, and misinformation contribute to stigma.

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