Questions and Correct Detailed Answers
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Client is dx with schizophrenia & refuses to take medications, citing right of
autonomy. When can nurse give the patient medications involuntarily? -
CORRECT ANSWER-Client physically attacks another client (danger to others)
Psych nurse working on inpatient unit receives a call asking if a person has been a
patient in the facility. What is the appropriate nursing response? - CORRECT
ANSWER-Nurse refuses to give information to the caller, citing confidentiality.
Client requests info on medications, nurse should provide info to facilitate which
ethical principle? - CORRECT ANSWER-Autonomy (the person's right to
information)
Diagnosed with schizophrenia receives Fluphenazine deaconate (Prolix-traditional
antipsychotic, injectable: good for a month) from a community home health
nurse. The client refused meds on a regular home visit. What is the nurse's
appropriate response? - CORRECT ANSWER-Allow client to refuse the
medication and document it.
,Geriatric client confused & wandering. What is the least restrictive alternative? -
CORRECT ANSWER-Monitored by ankle bracelet.
Which client action should nurse expect during working phase of nurse-client
relationship?... - CORRECT ANSWER-Client explores personal strengths &
weaknesses that impact behavioral choices.
Mother says child was killed in tragic car accident, says "I can't bare to go on with
my life." Which response conveys empathy? - CORRECT ANSWER-"It must be
horrible to lose a child; I'll stay with you until your husband arrives."
Nurses purpose for providing appropriate feedback... - CORRECT ANSWER-To
give client critical information.
Client exhibiting dependent behaviors says, "Do you think I should move from my
parent's house and get a job?" What nurse response is most appropriate? -
CORRECT ANSWER-Let's discuss and explore all of your options.
Mother rescues two of four children from house fire, "I should've died not them, I
should've wen back and got all of them." Client is exhibiting what? - CORRECT
ANSWER-Guilt
,"You are experiencing feelings of guilt because you were not able to save your
children"
Which statement is most accurate regarding clients dx with psych problems? -
CORRECT ANSWER-Assessment provides holistic view of the client including
biopsychosocial aspects.
Which statement regarding nursing interventions should be identified as
accurate?... - CORRECT ANSWER-Nursing interventions occur independently
but in concert with all treatment goals.
Patient with OCD washes hands continuously, preventing unit activity attendance.
Which nursing statement best addresses this? - CORRECT ANSWER-Let's figure
out a way for you to attend unit activity and still wash your hands.
Within the nurse's scope of practice, which function is exclusive to advanced
practice psych nurse? - CORRECT ANSWER-Using psychotherapy to improve
mental health status.
Which client action should nurse expect during working phase of nurse-client
relationship?... - CORRECT ANSWER-Client explores personal strengths &
weaknesses that impact behavioral choices.
, Mother says child was killed in tragic car accident, says "I can't bare to go on with
my life." Which response conveys empathy? - CORRECT ANSWER-"It must be
horrible to lose a child; I'll stay with you until your husband arrives."
Nurses purpose for providing appropriate feedback... - CORRECT ANSWER-To
give client critical information.
Client exhibiting dependent behaviors says, "Do you think I should move from my
parent's house and get a job?" What nurse response is most appropriate? -
CORRECT ANSWER-Let's discuss and explore all of your options.
Mother rescues two of four children from house fire, "I should've died not them, I
should've wen back and got all of them." Client is exhibiting what? - CORRECT
ANSWER-Guilt
"You are experiencing feelings of guilt because you were not able to save your
children"
Which statement is most accurate regarding clients dx with psych problems? -
CORRECT ANSWER-Assessment provides holistic view of the client including
biopsychosocial aspects.