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Which of the following patients on the acute care psychiatric unit needs the immediate attention
of the nurse?
Patient admitted 2 days ago with suicidal ideation
Patient recently admitted with schizophrenia and is an alcoholic
Patient admitted 2 days ago is in the seclusion room yelling out of control
Patient skipping and dancing down the hall singing - (Answer)patient recently admitted with
schizophrenia and is an alcoholic
A nurse is caring for a patient with an addictive disorder who is currently drug free. The patient
is experiencing repeated occurrences of vivid frightening images and thoughts. Which term
would the nurse use to document this finding?
Tolerance
Flashbacks
Withdrawal
,Synergistic effects - (Answer)Flashbacks
Which condition would the nurse be most concerned about when caring for a patient who abuses
alcohol?
Cirrhosis of the liver
Suicidal potential
Wernicke's encephalopathy
Korsakoff syndrome - (Answer)Suicidal potential
Which patient response to the question "have you ever drank more alcohol or used more drugs
that you meant to?" should immediately cause the nurse to assess further?
"No I have never used drugs or alcohol."
"I have drunk alcohol before but have never allowed myself to get drunk."
"I figured you would ask me about that."
"Yes I did that once and will never so it again." - (Answer)"I figured you would ask me about
that."
,Which patient behaviors should the nurse suspect as related to alcohol withdrawal?
Hyperalert state, jerky movements, easily startled
Tachycardia, diaphoresis elevated blood pressure
Peripheral vascular collapse, electrolyte imbalance
Paranoid delusions, fever, fluctuated levels of consciousness - (Answer)hyperalert state, jerky
movements, easily startled
A patient in community mental health centre, smokes up to half a pack of cigarettes daily but has
tried with limited success to cut back over the last two weeks. Today he asked the pharmacist
about various products that could aid his attempts to quit smoking in time for him to manage a
long overseas flight next month with his friends who are allergic to smoke. What phase of
change is this patient demonstrating?
Precontemplation
Contemplation
, Preparation
Action - (Answer)preparation
Which of the following describes characteristics of generalized anxiety disorder (GAD):
Dissociation, avoidance, and repeated hand washing.
Onset is shortly after an event, fear of leaving home, and fear of spiders.
Difficulty concentrating, easily fatigued, and occurs for at least 6 months.
Fear of performing a task in public, fear of a specific object, and fear of losing control. -
(Answer)Difficulty concentrating, easily fatigued, and occurs for at least 6 months.
The nurse is performing health education with a patient who lives with an anxiety disorder. The
patient states that he is eager to adopt new strategies that will help him to deal more effectively
with his anxiety. Which of the following actions should the nurse suggest?