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1. Intimacy vs isolation - ANSWER early adulthood 20-35 years
ability to love and commit
"my husband has been my best friend"
-failure results in emotional isolation
"there is no one out there for me"
2. Generativity vs. Stagnation - ANSWER Middle adulthood 35- 65 years
-ability to care for others
"im joining the committee to help people"
failure results in in ability to grow as a person
"I just want to be alone and watch television"
3. Integrity vs despair - ANSWER late adulthood 65-death
sense of fulfillment looks back on life happy
"ive led a happy life and productive life"
-failure results in dissatisfaction with life
"I have done nothing for my life and will die alone"
4. Safety - ANSWER -keep door open
,-placed between patient and exit
-remove other patients from unsafe are
5. The nurse completes a thorough nursing assessment of a new patient. What
is the nurse's next action? - ANSWER Formulate the nursing diagnoses
6. A nurse is giving information to a patient about problem-solving skills and
self-care activities. What is this type of intervention called? - ANSWER
Health teaching and health promotion
7. When assessing a mentally ill patient, a nurse finds that the patient has
auditory hallucinations. In which category should the nurse consider this
symptom during the mental status examination? - ANSWER Auditory
hallucinations are considered perceptual disturbances as they affect the
patient's perceptions
8. A nurse is caring for a patient with depression. Which tools should the nurse
use to assess the severity of depression in the patient? Select all that apply. -
ANSWER The Beck Inventory, the Zung Self-Report Inventory, and the
Patient Health Questionnaire-9 are used as tools to assess depression in
patients.
9. A nurse is evaluating a student nurse's mental status examination skills. The
nurse asks the student to assess the level of consciousness of the patient.
What question asked of the patient while assessing the level of
consciousness indicates good assessment skills? - ANSWER The level of
consciousness of the patient can be assessed by asking whether the patient is
able to hear the nurse. Based on the response (for example, verbal response
or eye movements), the nurse can determine the level of consciousness of
the patient.
,10.A nurse is performing a follow-up assessment of a patient who has received
de-addiction treatment. Which tool does the nurse use to evaluate the
effectiveness of the treatment in the patient? - ANSWER In order to assess
substance use disorders, the nurse should use the Recovery Attitude and
Treatment Evaluator scale as it is specific to substance abuse
11.what is SOAPIE - ANSWER SOAPIE stands for Subjective, Objective,
Assessment, Planning, and Intervention. In the SOAPIE format
12.Acutal diagnoses - ANSWER Actual diagnoses are the problems that
currently exist.
13.medical diagnoses - ANSWER Medical diagnoses are made by the primary
health care professionals based on the symptoms and the diagnostic tests.
14.Risk diagnoses - ANSWER Risk diagnoses refer to the possibility of
developing problematic occurrences or responses.
15.Health promotion diagnoses - ANSWER Health promotion diagnoses mean
the wish or motivation for improving the health standard.
16.what are the components of the nursing diagnosis - ANSWER The
components of the nursing diagnosis are problem, related factors, and
defining characteristics.
17.The mental status examination aids in the collection of what type of data? -
ANSWER The mental status examination mostly aids in the collection of
objective data.
, 18.A nurse is studying the medical records of a patient who is in the manic
phase of bipolar mood disorder. Which abnormal finding is the nurse
expected to find in the lab reports? - ANSWER A patient who is in the
manic phase of bipolar mood disorder may show signs of hyperthyroidism,
whereas the patient in the depressive phase may show signs of
hypothyroidism. Thus, a thyroid test is useful in determining the phase of the
bipolar mood disorder.
19.Which intervention demonstrates that the nurse understands the principles
that are especially vital to effective communication with an adolescent
patient? Select all that apply - ANSWER Adolescents especially are
concerned with confidentiality and may fear that anything they say to the
nurse will be repeated to their parents. Adolescents need to know that their
records are private; they should receive an explanation as to how and for
what reason information will be shared among the treatment team. The
patient must be told that threats of suicide, homicide, sexual abuse, or
behaviors that put the patient or others at risk for harm must be shared with
other professionals, as well as with the parents. Topics for discussion are
determined not solely by the patient but are determined by the treatment
team and the problems or needs of the patient's condition.
20.What information does the nurse provide to the mentally ill patient while
giving health teaching? Select all that apply. - ANSWER Health teaching
includes identification of the health education needs of the patient and
teaching basic principles of physical and mental health. The teachings
include topics such as adaptive coping skills to deal with stress and self-
hygiene measures.
21.How does the nurse provide evidence-based care to mental health patients?
Select all that apply. - ANSWER Evidence-based practice (EBP) is founded
on the nurse using clinical skills and clinically relevant research when
delivering patient care. This involves using the best available research,
incorporating patient preferences, and making sound clinical judgments
based on industry standards.