NUR2488 / NUR 2488 Mental Health Nursing | Final Exam 2 Questions and Answers | Latest 2023/2024

NUR2488 / NUR 2488 Mental Health Nursing | Final Exam 2 Questions and Answers | Latest 2023/2024. A patient with schizophrenia begins to talks about “volmers” hiding in the warehouse at work. Which of the following should the term “volmers” be assessed as? Selected Answer: A neologism Answers: A neologism Concrete thinking Thought insertion An idea of reference Response Feedback : A neologism is a newly coined word having special meaning to the patient. “Volmer” is not a known common noun. Concrete thinking refers to the inability to think abstractly. Thought insertion refers to the idea that the thoughts of others are being planted in one’s mind. Ideas of reference are a type of delusion in which trivial events are given personal significance.  Question 12 1 out of 1 points The nurse is caring for a female patient diagnosed with schizophrenia who believes that her thoughts are broadcast to others. What is the most appropriate nursing diagnosis for this patient? Selected Answer: Disturbed Thought Processes Answers: Risk for Self-Directed Violence Impaired Communication Disturbed Thought Processes Disturbed Sensory Perception Response Feedback : Thought broadcasting and thought withdrawal are disturbed thought processes. There is no indicated that the patient is planning self-harm. Disturbed Sensory Perception would refer to the interpretation of sensory stimuli, such as sights and sounds. The patient does not have a problem with communication, but with her thought process.  Question 13 1 out of 1 points A nurse receives this laboratory result: lithium level 1.7 mEq/L. How should the nurse interpret this lab value? Selected Answer: Above therapeutic limits Answers: Within therapeutic limits Below therapeutic limits Above therapeutic limits Incorrect because of inaccurate testing Response Feedback: Normal range for a blood sample taken 8 to 12 hours after the last dose of lithium is 0.8 to 1.4 mEq/L for maintenance. This lab value represents likely lithium toxicity.  Question 14 1 out of 1 points Which of the following interventions should the nurse prioritize for a patient with severe depression? Selected Answer: Careful unobtrusive observation around the clock Answers: Allowing the patient to spend long periods alone in meditation. Careful unobtrusive observation around the clock Encouraging the patient to spend a major portion of each day in bed Provide opportunities for the patient to assume a leadership role on the unit Response Feedback: Approximately two thirds of people with depression contemplate suicide. Patients with depression who exhibit feelings of worthlessness are at higher risk. Regular planned observations of the patient with depression may prevent a suicide attempt on the unit  Question 15 1 out of 1 points Which comment by a patient experiencing severe anxiety would indicate the possibility of obsessive-compulsive disorder? Selected Answer: “I have to keep checking to see where my car keys are.” Answers: “I have to keep checking to see where my car keys are.” “My legs feel weak most of the time.” “I’m afraid to go out in public.” “I keep reliving the car accident.”