NSG 280 Chapter 22 questions and answers(Marked Quiz) Scored A. 2020/2021

Questions missed = red 1. The nurse is working at a community clinic that specializes in assisting patients who need medication and therapy for mental health disorders. Which patient is the most likely candidate for depot antipsychotic therapy? 1. Older man with psychosis secondary to dementia who lives with his daughter 2. Homeless veteran with schizophrenia who occasional sleeps in a nearby shelter 3. Housewife with bipolar disorder who is prone to psychotic features during the manic phase 4. Student with recently diagnosed schizophrenia who lives at home with his parents 2. The nurse is caring for patients who have schizophrenia. In addition to medication, multidisciplinary nondrug therapies are available. What is the nurse's most important role in helping the patients to benefit from this comprehensive approach? 1. Help identify patients who would benefit from conventional psychotherapy. 2. Refer patients to a psychiatric nurse specialist for education about the disease. 3. Suggest that patients talk to vocational specialists for additional training. 4. Establish a therapeutic relationship with patients and encourage participation. 3. A patient with a diagnosis of hypochondriasis has made multiple clinic visits and undergone diagnostic tests for “cancer,” with no evidence of organic disease. Today he declares, “I have a brain tumor. I can feel it growing. My appointment is tomorrow, but I can’t wait!” What is the most therapeutic response? 1. Present reality: “Sir, you have been seen many times in this clinic and had many diagnostic tests. The results have always been negative.” 2. Encourage expression of feelings: “Let me spend some time with you. Tell me about what you are feeling and why you think you have a brain tumor.” 3. Set boundaries: “Sir, I will take your vital signs, but then I am going to call your case manager so that you can discuss the scheduled appointment.” 4. Respect the patient's wishes: “Sir, sit down and I will make sure that you see the health care provider right away. Don’t worry; we will take care of you.” 4. A patient who was recently diagnosed with conversion disorder is experiencing a sudden loss of vision after witnessing a violent fight between her husband and adult-age son. What is the priority therapeutic approach to use with this patient? 1. Reassure her that her blindness is temporary and will resolve with time. 2. Gently point out that she seems to be able to see well enough to function independently. 3. Encourage expression of feelings and link emotional trauma to the blindness. 4. Teach ways to cope with blindness, such as methodically arranging personal items. 5. The charge nurse is reviewing the assignment sheet for an acute psychiatric unit. Which experienced team member should be reassigned? 1. Male LVN assigned to an older male patient with chronic depression and excessive rumination 2. Young male psychiatric nursing assistant assigned to a female adolescent with anorexia nervosa 3. Female RN assigned to a newly admitted female patient who has command hallucinations and delusions of persecution 4. Older female RN with medical-surgical experience assigned to a male patient with Alzheimer disease