RN Mental Health Online Practice 2019 A With NGN Questions and Answers Updated 2024

A nurse is caring for a group of patients. For which of the following situations should the nurse complete an incident report? - Correct Answer: A client was administered one-half of the prescribed dose of medication Rationale: An incident report is a recording of any occurrence that does not meet the standard of care. The nurse should report medication errors using the facility's incident or occurrence form. A nurse is caring for a group of patients. Which of the following findings is the nurse required to report? - Correct Answer: A client who has borderline personality disorder threatened to harm their roommate Rationale: Signs and symptoms of BPD include interpersonal relationships accompanied by threats and other-directed violence. While it is important for the nurse to maintain the patients confidentiality, when another individual might be in danger, the nurse is required by law to report it to authorities. A nurse is caring for a patient who has borderline personality disorder. Which of the following goals is the priority when planning care for this patient? a. The patient will take the prescribed medications as scheduled b. The patient will express feelings of frustration c. The patient will refrain from self-mutilation d. The patient will participate in group therapy - Correct Answer: c. The client will refrain from self- mutilation Rationale: The greatest risk to the patient is injury to self and others. Therefore, the priority goal is for the patient to refrain from self-mutilation a. Taking prescribed medications as scheduled to maintain therapeutic blood levels is an important goal. However, this is not the priority goal b. Expressing feelings of frustration to acknowledge these feelings is an important goal. However, this is not the priority goal d. Participating in group therapy as part of the treatment plan is an important goal. However, this is not the priority goal A nurse is discussing the home care