NUR 2459 Mental and Behavioral Health Nursing
Mental Health Exam 3
Question:
A client diagnosed with borderline personality disorder states she is hearing voices that tell her to cut herself. She already has several superficial marks on her wrists from scratching herself with the plastic eating utensils. She will not contract for safety. What is the priority nursing intervention?
Answer:
place on one-to-one, constant observation to ensure she does not harm self
Question:
What factor is a precipitating symptom of depression and suicidal intent in the elderly?
Answer:
bereavement overload
Question:
What are the effective interventions to facilitate individual coping/autonomy for a client diagnosed with an eating disorder?
Answer:
have the client input when establishing the expected outcomes
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Question:
A client with antisocial personality disorder states to the nurse "A novice like you can possibly help me. What i need is to get away from you people and enjoy some freedom" What is the response by the nurse?
Answer:
what are you experiencing right now?
Question:
A child diagnosed with autism spectrum disorder makes no eye contact, does not respond to verbal directions from the staff members, and constantly twists, spins, and head bangs. Which of the following would be the best nursing action?
Answer:
Ensure the child does not receive injury from body movements.
Question:
The parent of a child with attention deficit hyperactivity disorder (ADHD) tells the nurse that the child does not follow directions well. What strategy would be best for the nurse to recommend?
Answer:
Try having the child repeat the instructions before starting the task.
Question:
A 79-year-old client admits that his daughter hits him while helping him dress each morning. What is the appropriate nursing action?
Answer:
The nurse is required to make sure the proper authority is informed. 2 / 3
Question:
The nurse is working with a client who is preoccupied with perfection, cannot discard anything, and has trouble relaxing. Which of the following personality disorders is being described within this example?
Answer:
Obsessive Compulsive
Question:
A client is prescribed lorazepam 0.5mg PO four times a day (QID) and 1 mg PT every 8 hours PRN. The maximum daily dose of lorazepam should not exceed 4mg daily. This client would be able to receive____PPRN doses as the maximum number of PRN lorazepam doses. (Round as a whole number.Do not use trailing zero, type the number only, do not include the label)
Answer:
2
Question:
A nurse working on an inpatient psychiatric unit observes a client diagnosed with obsessive compulsive disorder (OCD) rearranging the magazines in the dayroom. The nurse understands this action is primarily meant to do which of the following?
Answer:
Temporarily reduce the anxiety the client is feeling.
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