NUR256 / NUR 256 Exam 3 Questions and Verified Answers 100% Correct Latest 2024/2025 Guide - Galen
- What is the priority nursing objective of the therapeutic psychiatric environment for a confused
- Assist the client to relate to others
- Make the hospital atmosphere more home-like
- Help the client become accepted in a controlled setting
- Maintain the highest level of safe, independent functioning
client?
- Martin Sanchez is a nine (9)-year-old child admitted to a psychiatric treatment unit accompanied
by Mr. and Mrs. Sanchez. To establish trust and position of neutrality, which action would the nurse take?
- Encourage Mr. and Mrs. Sanchez to leave while Martin is being interviewed.
- Interview Martin with his parents together, observing their interaction.
- Provide diversion for Martin, and interview Mr. and Mrs. Sanchez alone.
- Review the clinical record prior to interviewing Mr. and Mrs. Sanchez.
- Which behavioral assessment in a child is most consistent with a diagnosis of conduct disorder?
- Arguing with adults.
- Gross impairment in communication.
- Physical aggression toward others.
- Refusal to separate from caretaker
- A 15-year-old boy was hospitalized in a psychiatric unit because he initiates frequent fights with
peers. Which implementation is most appropriate?
- Anticipate and neutralize potentially explosive situations.
- Ignore minor infractions of rules against fighting.
- Isolate the adolescent from contact with peers.
- Talk to the adolescent each time fighting occurs.
- Nurse Tiffany reinforces the behavioral contract for a child having difficulty controlling
aggressive behaviors on the psychiatric unit. Which of the following is the best rationale for this method of treatment?
- It will assist the child to develop more adaptive coping methods.
- It will avoid having the nurse be responsible for setting the rules.
- It will maintain the nurse’s role in controlling the child’s behavior.
- It will prevent the child from manipulating the nurse. 1 / 2
- The nursing diagnosis that would be most appropriate for a 22-year old client who uses ritualistic
behavior would be:
- Ineffective coping
- Impaired adjustment
- Personal identity disturbance
- Sensory/perceptual alterations
- A 20-year old college student has been brought to the psychiatric hospital by her parents. Her
admitting diagnosis is borderline personality disorder. When talking with the parents, which information would the nurse expect to be included in the client’s history? Select all that apply.
• A. Impulsiveness
• B. Lability of mood
• C. Ritualistic behavior
• D. Psychomotor retardation
• E. Self-destructive behavior
- A person with antisocial personality disorder has difficulty relating to others because of never
having learned to:
- Count on others.
- Empathize with others.
- Be dependent on others.
- Communicate with others socially.
- A nurse notices that a client is mistrustful and shows hostile behavior. Which of the following
types of personality disorder is associated with these characteristics?
- Antisocial
- Avoidant
- Borderline
- / 2