NSG 325 MENTAL HEALTH_QUIZ_4 {2020} | NSG325 MENTAL HEALTH_QUIZ_4 - Graded A

NSG 325 MENTAL HEALTH_QUIZ_4 A nurse caring for an attractive patient of similar age and background begins fantasizing about having a social and sexual relationship with the patient. The most effective means of dealing with these feelings is to: Select one: a. limit contact with the patient to include only care. b. ask to change patient assignments immediately. c. seek advice from an experienced peer. d. make a personal promise to not act on the feelings. A nurse who facilitates a group for parents of children diagnosed with schizophrenia joins a peer support group for advanced practice psychiatric nurses. Which comment indicates that the nurse is using this group appropriately? Select one: a. "Are any of you married or have young children? Working as a nurse is certainly challenging if you have children at home." b. "Do any of you have a family member or friend who has been diagnosed with schizophrenia? We can talk about your concerns after the meeting." c. "I love my work, but if you measure your success by the money you earn, nursing is not the profession for you." d. "I am feeling so ineffective since a member's child was found dead after having spent the night sleeping outside in the cold." A nursing diagnosis universally appropriate for patients who abuse mood-altering drugs would be: Select one: a. confusion. b. ineffective coping. c. imbalanced nutrition. d. impaired environmental interpretation syndrome A patient being treated for cellulitis tells a nurse, "I feel like you and I should get romantic tonight. What do you say to closing the door and crawling into bed with me?" The nurse should respond by saying: Select one: a. "Stop joking around. You've got to be kidding." b. "Sex is not part of our relationship. Your comment makes me uncomfortable." c. "Now that you've gotten my attention, tell me what you really need." d. "I wonder what I did to make you think I would be willing to have sex with you." A patient has a maladaptive response to eating regulation. Findings include the following: T, 96.6° F; BP, 68/40; P, 40; R, 20; poor skin turgor; admits to restricting intake to 350 calories daily; and diagnostic testing reveals serum potassium of 2.9 mEq/L and urine specific gravity of 1.028. What is the highest priority nursing diagnosis for this patient? Select one: a. Imbalanced nutrition, less than body requirements b. Deficient fluid volume c. Powerlessness d. Disturbed body image A patient in a therapeutic group expresses resistance by stating, "I need to drop out of this group because I don't think I'm getting enough from it." Which outcome would be most appropriate for this patient? Select one: a. The patient leaves the group and enters one that provides more one-on-one time. b. The patient stays in the group but enters long-term psychotherapy. c. The patient stays in the group and works out problems. d. The patient leaves the group and enters individual therapy. A patient is brought to the emergency department to be assessed after an auto accident. The patient has slurred speech and ataxia and reacts aggressively when examined. The patient's blood alcohol level (BAL) is 0.4 g/dl. From the relationship between the behavior and the BAL, the nurse can make the assessment that the patient: Select one: a. is experiencing alcohol poisoning. b. has a significantly high tolerance to alcohol. c. takes disulfiram (Antabuse). d. has ingested acamprosate (Campral). A patient is seeking help after being diagnosed with hypertension. A nurse plans to include questions about sexual health in the assessment. Which question would be most effective to introduce this topic? Select one: a. "How are you and your partner getting along sexually since you've developed hypertension?" b. "I assume your hypertension hasn't caused you any significant problems with sex, has it?" c. "Which elements of sexual dysfunction have you noticed since your diagnosis of hypertension?" d. "Can you identify any changes in your sexual activity since you learned about your hypertension?" A patient with an eating disorder states, "I heard people laughing behind me in the check-out line at the department store. I bet they thought it was funny that I gained a pound in the last few days." The patient is exhibiting which cognitive distortion related to maladaptive eating regulation responses? Select one: a. Overgeneralization - - - -- Continued