LCP4809
Assignment 2
(COMPLETE
ANSWERS)
Semester 1 2026 -
DUE 16 April 2026
,A patient comes in to the clinic with nausea, constipation, and "excruciating stomach
pain." Over a period of several years, this patient has come in two or three times a
month with the same report, but multiple diagnostic tests have consistently yielded
negative results for physical disorders. What is the *priority* nursing intervention for this
patient?
•Advocate for the patient to have a psychiatric consultation
•Make appointment as soon as possible with same health care provider (HCP) for
continuity of care
•Perform a physical assessment to identify any physical abnormalities
•Assess for concurrent symptoms of depression or anxiety -
<<<<ANSWERS>>>•Perform a physical assessment to identify any physical
abnormalities
•The health care team must always be vigilant for actual physical disease; however, the
patient most likely has an undiagnosed somatoform disorder, which is a chronic and
severe psychological condition in which the patient experiences physical symptoms but
without apparent organic cause. Depression and anxiety are common among patients
with somatoform disorders. After physical disease has been ruled out, having emotional
support from a consistent HCP is often the most effective approach for somatoform
disorders. Thus, all options should eventually be considered.
An older man was admitted for palliative care of terminal pancreatic cancer. His wife
stated, "We don't want hospice; he wants treatment." The patient requested discharge
and home health visits. Several hours after discharge, the man committed suicide with a
, gun. Which people should participate in a root cause analysis of this sentinel event?
*Select all that apply.*
•The wife and all immediate family members
•Only the health care provider (HCP) who discharged the patient
•Any nurse who cared for the patient during hospitalization
•The case manager who arranged home visits for the patient
•Only the nurse who discharged the patient
•All HCPs who were involved in the care of the patient - <<<<ANSWERS>>>•Any nurse
who cared for the patient during hospitalization
•The case manager who arranged home visits for the patient
•All HCPs who were involved in the care of the patient
•Everyone who was involved in the direct care of the patient should be invited to
participate. The purpose of this root cause analysis is to review the event to identify
behaviors, signs, or signals of risk for suicide. This information would be used to
increase the staff's awareness to prevent future similar events. Inviting the wife and
family is not appropriate because the performance of the staff is internally reviewed to
improve performance. The purpose is not to fix blame or to create a situation that
engenders guilt or conflict for the wife or family (or the staff). Likewise, the purpose of
the analysis is not to provide psychotherapy or emotional support for the wife or family.
(Referrals should be made for this.)
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?
•Older man with psychosis secondary to dementia who lives with his daughter
•Homeless veteran with schizophrenia who occasional sleeps in a nearby shelter
•Housewife with bipolar disorder who is prone to psychotic features during the manic
phase
•Student with recently diagnosed schizophrenia who lives at home with his parents -
<<<<ANSWERS>>>•Homeless veteran with schizophrenia who occasional sleeps in a
nearby shelter
•Depot antipsychotic therapy uses long-acting injectable medications. These
medications are used for long-term maintenance for schizophrenia for patients who may
Assignment 2
(COMPLETE
ANSWERS)
Semester 1 2026 -
DUE 16 April 2026
,A patient comes in to the clinic with nausea, constipation, and "excruciating stomach
pain." Over a period of several years, this patient has come in two or three times a
month with the same report, but multiple diagnostic tests have consistently yielded
negative results for physical disorders. What is the *priority* nursing intervention for this
patient?
•Advocate for the patient to have a psychiatric consultation
•Make appointment as soon as possible with same health care provider (HCP) for
continuity of care
•Perform a physical assessment to identify any physical abnormalities
•Assess for concurrent symptoms of depression or anxiety -
<<<<ANSWERS>>>•Perform a physical assessment to identify any physical
abnormalities
•The health care team must always be vigilant for actual physical disease; however, the
patient most likely has an undiagnosed somatoform disorder, which is a chronic and
severe psychological condition in which the patient experiences physical symptoms but
without apparent organic cause. Depression and anxiety are common among patients
with somatoform disorders. After physical disease has been ruled out, having emotional
support from a consistent HCP is often the most effective approach for somatoform
disorders. Thus, all options should eventually be considered.
An older man was admitted for palliative care of terminal pancreatic cancer. His wife
stated, "We don't want hospice; he wants treatment." The patient requested discharge
and home health visits. Several hours after discharge, the man committed suicide with a
, gun. Which people should participate in a root cause analysis of this sentinel event?
*Select all that apply.*
•The wife and all immediate family members
•Only the health care provider (HCP) who discharged the patient
•Any nurse who cared for the patient during hospitalization
•The case manager who arranged home visits for the patient
•Only the nurse who discharged the patient
•All HCPs who were involved in the care of the patient - <<<<ANSWERS>>>•Any nurse
who cared for the patient during hospitalization
•The case manager who arranged home visits for the patient
•All HCPs who were involved in the care of the patient
•Everyone who was involved in the direct care of the patient should be invited to
participate. The purpose of this root cause analysis is to review the event to identify
behaviors, signs, or signals of risk for suicide. This information would be used to
increase the staff's awareness to prevent future similar events. Inviting the wife and
family is not appropriate because the performance of the staff is internally reviewed to
improve performance. The purpose is not to fix blame or to create a situation that
engenders guilt or conflict for the wife or family (or the staff). Likewise, the purpose of
the analysis is not to provide psychotherapy or emotional support for the wife or family.
(Referrals should be made for this.)
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?
•Older man with psychosis secondary to dementia who lives with his daughter
•Homeless veteran with schizophrenia who occasional sleeps in a nearby shelter
•Housewife with bipolar disorder who is prone to psychotic features during the manic
phase
•Student with recently diagnosed schizophrenia who lives at home with his parents -
<<<<ANSWERS>>>•Homeless veteran with schizophrenia who occasional sleeps in a
nearby shelter
•Depot antipsychotic therapy uses long-acting injectable medications. These
medications are used for long-term maintenance for schizophrenia for patients who may
