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Psychiatric Mental Health Nursing Nclex Questions With Complete Solutions.

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Psychiatric Mental Health Nursing Nclex Questions With Complete Solutions. A p48-year-old pHispanic pwoman pis pseen pby pa ppsychiatric pclinical pnurse pspecialist pafter preceiving pa pcall pby pher pson. pAccording pto pthe pson, psince phis pfather's pdeath p7 pmonths pago, phis pmother phas plost p30 ppounds pand pcan't psleep. pDuring pher pinitial pvisit, pthe ppatient pstates, p'My phusband ptalks pto pme pin phis pvisits, pbut phis pwords pmake pno psense pto pme. pI pdon't punderstand pwhat phe pwants pme pto pdo.' pWhat pis pan pappropriate pnursing pdiagnosis? A. pIneffective pdenial. B. pBipolar pmood pdisorder. C. pHyper-religiosity. D. pGrieving. p- p p p pcorrect panswer.D. pGrieving. Reason: pGrieving pmay pbe pcharacterized pby pweight ploss, psleep pdisturbances, pand pmessages pfrom pbeyond. Your pneighbor's phusband pcomes pto ptalk pto pyou. pHe psays phis pwife phas pnot pleft pthe phouse pin p2 pweeks, phas pa pflat pmood, pand phas plost pinterest pin pher pusual pactivities. pYou precognize pthese pas pthe pprimary psymptoms pof A. pDepression. B. pSchizophrenia. C. pSuicidal pideation. D. pBipolar pmanic pepisodes. p- p p p pcorrect panswer.A. pDepression. Reason: pDepressed pmood pand panhedonia p(loss pof pinterest por ppleasure pin pactivities) pare pthe pprimary psymptoms pof pmajor pdepression. Your ppatient pis pready pfor pdischarge pafter pa p30-day phospitalization pfor pmanic pdepression. pAbout p30 pminutes pbefore phis pdischarge, phis proommate pcomes pto pyou pand psays, p'He pis ptalking pcrazy.' pWhen pyou pask pyour ppatient phow phe pis pfeeling, phe pstates, p'I pfeel plike pSuperman. pI pcan pdo panything. pI pcan pfly phome ptoday pand pthen pbecome pa pU.S. pSenator.' pWhich ptype pof pmania-related psymptoms pis pthis ppatient pexhibiting? A. pSocial. B. pCognitive. C. pBehavioral. D. pPerceptual. p- p p p pcorrect panswer.B. pCognitive. Reason: pCognitive psymptoms pinclude pinflated pself-esteem pand pgrandiosity. You pneed pto passess pwhether pa ppatient pwho phas pa pmood pdisorder pis pready pfor pdischarge. pWhich pstatement pwould pindicate preadiness pfor pdischarge? A. pRight pnow, pI pcan't pbathe pmyself por pdress pmyself, pbut pI pfeel pgood pabout pthat. B. pGoing phome pwill pbe pfun, pbut pif pit pisn't pfun, pI pcan palways pmake pmy pmother phelp pme por ptell pher pto pdo pso. pShe pbetter phelp pme. C. pI pwill ptake pmy pmedicines pas pI pshould pand pknow pto pcall pthe pnumber pyou pgave pme pif pI phave pbad pthoughts. D. pTaking pcare pof pmyself pis pimportant, pbut pit's pokay pif pI pdon't pwant pto pdo panything. p- p p p pcorrect panswer.C. pI pwill ptake pmy pmedicines pas pI pshould pand pknow pto pcall pthe pnumber pyou pgave pme pif pI phave pbad pthoughts. Reason: pVerbalization pof pa pplan pfor phelp pand pdemonstration pof pcare pare prealistic pdischarge pcriteria. An pangry ppatient pis pin pthe pcommunity proom. pShe ppicks pup pa pchair pand puses pit pto phit panother ppatient pon pthe phead. pWhen pyou pcome pinto pthe pcommunity proom, pwhat pshould pyour pfirst presponse pto pthe ppatient pholding pthe pchair pbe? A. pAre pyou pcrazy? pHitting ppeople pcan phurt pthem! B. pHitting pothers pis punacceptable. pPlease pput pthe pchair pcompletely pdown pon pthe pfloor. C. pHow pwould pyou plike pit pif pI phit pyou pover pthe phead pwith pa pchair? D. pYou're pin pbig ptrouble pnow. pIt's pprobably pprison pyou pare plooking pat! p- p p p pcorrect panswer.B. pHitting pothers pis punacceptable. pPlease pput pthe pchair pcompletely pdown pon pthe pfloor. Reason: pUse pwords pto pindicate pyour plack pof pacceptance pof pthe ppatient's pbehavior pin pa pnonthreatening pvoice por ptone. A p22-year-old pfemale pis padmitted pto pthe punit pfollowing pa psuicide pattempt. pShe phas pa p2-week phistory pof pdepression pas pwell pas pa phistory pof pabusing pmultiple psubstances pand panorexia pnervosa. pWhat pis pyour pfirst pnursing ppriority? A. pSocialization. B. pContracting pfor peating pbehavior. C. pSafety. D. pAdministering pthe pBeck pdepression pscale. p- p p p pcorrect panswer.C. pSafety. Reason: pSafety pis pthe pmajor pprinciple punderlying ppsychiatric pnursing. Gerald pwas padmitted pto pthe ppsychiatric pacute pcare punit pbecause phe pstood pin pthe pcenter pof pa pmain ptwo-way pstreet pin phis punderwear pand pa pT-shirt, pshouting, p'I pam pbeing pheld pagainst pmy pwill. pI phave ppersonal prights.' pGerald pwas pdiagnosed pwith pbipolar pdisorder, pmanic ptype. pWhich pof pthe pfollowing pinterventions pwill padd pto peveryone's psafety pin pthe pacute pcare penvironment? A. pHave phectic psurroundings. B. pHave pconsistent punit proutines. C. pMinimize pstaff pinterventions. D. pMedicate pthe ppatient ponly pif phe phas pprivate phealth pinsurance. p- p p p pcorrect panswer.B. pHave pconsistent punit proutines. Reason: pQuiet penvironments pwith pconsistent proutines pwill phelp pcalm ppatients pand padd pto psafety. Your ppatient phas pjust pbeen pphysically pcleaned pup pafter pslicing phis pleft parm p8 ptimes. pTo pshow pan pappropriate pevaluative presponse, pwhich pof pthe pfollowing pwould pbe pyour pbest pstatement? A. pI pcould pcare pless pif pyou pcut pyourself. pIt pdoesn't phurt pme. B. pIf pyou pwouldn't pcut pyourself, pyou pwould phave pa pmuch phappier plife. C. pYou pare plucky psomeone pfound pyou pin ptime. pNow pyou pcan phelp pus pmake pyou pbetter. D. pThe pbehavior pof pcutting pis pnot pacceptable. p- p p p pcorrect panswer.D. pThe pbehavior pof pcutting pis pnot pacceptable. Reason: pFocus pon pthe pbehavior, pnot pthe pperson. pBe pneutral, pbut pnot pindifferent. A p22-year-old pfemale pwas padmitted pto pthe pmental phealth punit pwith pmajor pdepression pand psuicidal pideation. pShe phas pa phistory pof pcutting pher pwrists pintermittently pthroughout pthe plast p2 pyears. pOn pdays p1 pand p2, pthe ppatient pstays pin pher proom pand peats ponly p20% pof pher pmeals. pOn pday p3, pshe peats p80% pof pher pmeals pand pis ptalking pto pothers pin pgroup. pThe pnurse pshould pconsider pthat pthe ppatient pis A. pShowing pimprovement. B. pHighly psuicidal. C. pExhibiting pmood pswings. D. pIn pneed pof pelectroshock ptherapy. p- p p p pcorrect panswer.A. pShowing pimprovement. Reason: pThe ppatient pimprovement pis pbased pon pincreased psocialization pand pincreased pappetite. A p21-year-old ppatient phas pa pdiagnosis pof pschizophrenia pand pis pstuporous, pyet pexhibits psudden, pexcessive pmotor pactivity pwith prepetitive psit-ups. pWhat pis pthis pbehavior pcalled? A. pDelusional. B. pHallucinogenic. C. pParanoid. D. pCatatonic. p- p p p pcorrect panswer.D. pCatatonic. Reason: pCatatonic pschizophrenia poccurs psuddenly pand pincludes pmotor pimmobility por pexcessive pmotor pactivity. A p16-year-old pgirl pis padmitted pfor pher pfirst ppsychotic pbreak. pHer pparents pfeel pvery pguilty. pWhat pis pyour pbest pnursing presponse? A. pNo pone preally pknows pthe pcause pof pschizophrenia. pIt pis pnot pyour pfault pand pis pnot pdue pto panything pyou pdid pin pthe ppast. pIt pis pimportant pto punderstand pthis, pto psupport pyour pdaughter, pand pto pfind psupport pfor pyourselves. B. pDoes panyone pin pyour pfamily phave pschizophrenia, pas pthis pdisease pis pknown pto pbe pgenetic? C. pYou pmay pfeel pbad pnow, pbut pthere pare pso pmany pother pbad pthings pout pthere, psuch pas pcancer pand pparalysis. D. pLet pme pshare pwith pyou psome pwebsites pto phelp pyou pdeal pwith pyour pguilt. p- p p p pcorrect panswer.A. pNo pone preally pknows pthe pcause pof pschizophrenia. pIt pis pnot pyour pfault pand pis pnot pdue pto panything pyou pdid pin pthe ppast. pIt pis pimportant pto punderstand pthis, pto psupport pyour pdaughter, pand pto pfind psupport pfor pyourselves. Reason: pSchizophrenia phas pa pmultifocal porigin pand pits pcause pmay pinclude pa pgenetic pcomponent. pSupport pis pneeded pfor pboth ppatients pand pcaregivers. A pphysical pindicator pof ppossible pabuse pin pa pbattered pwoman pwould pbe pa pfracture pof pthe pdistal pbones, psuch pas pthe pskull, pface, por pextremities. A. pTRUE B. pFALSE p- p p p pcorrect panswer.A. pTRUE Reason: pMusculoskeletal pfractures pand psprains, pespecially pof pdistal pversus pproximal pbones, pare pindications pof pbattering. pAlso passess pfor pdislocated pshoulders pand pold pfractures. Which pof pthe pfollowing pstatements pindicates pthat pyour ppatient, pwho phas pschizophrenia, pis pready pto pmanage pa prelapse? A. pI pwill pthink pof pa pplan pof paction pbefore pI pget pthese pracing pthoughts pagain. B. pI pwill pnot pdrink palcohol pand pwill pexercise pdaily. pThis pwill phelp pme pstay pwell. C. pIf pI pstart pfeeling pbadly pand pdon't psleep pvery pmuch, pthen pI pwill ptell pmy pfriend pSandy pand ptalk pto pher. pShe por pI pwill pcall pmy ptherapist. D. pWhen pI pfeel pstressed, pI pwill psit pnear pmy pbed pand pwait pto pfeel pbetter. p- p p p pcorrect panswer.C. pIf pI pstart pfeeling pbadly pand pdon't psleep pvery pmuch, pthen pI pwill ptell pmy pfriend pSandy pand ptalk pto pher. pShe por pI pwill pcall pmy ptherapist. Reason: pManaging pa prelapse pincludes pa pplan pof paction, pinvolvement pof pa pfriend por pfamily pmember, pand, pafter pidentification pof psigns, pnotification pof pa ptherapist. Your ppatient phas pa pdiagnosis pof pschizophrenia pand pbelieves pthat phis pthoughts pare pbroadcast pfrom phis phead. pWhat pis pthe pmost pappropriate pnursing pdiagnosis? A. pRisk pfor pself-directed pviolence. B. pDisturbed psensory pperception. C. pImpaired pverbal pcommunication. D. pDisturbed pthought pprocesses. p- p p p pcorrect panswer.D. pDisturbed pthought pprocesses. Reason: pThought pbroadcasting pand pthought pwithdrawal pare pdisturbed pthought pprocesses. As pa pnurse, pyou pwish pto preinforce pfunctional pbehavior pin pyour pschizophrenic ppatient. pWhich pintervention pwill paccomplish preinforcement? A. pPraise pthe ppatient pfor preality-based pperceptions pand pcessation pof pacting-out pbehaviors. B. pEducate pthe ppatient pabout pthe psymptoms pof pschizophrenia. C. pFacilitate plearning pabout pthe pimportance pof pmedication pcompliance pusing pwritten pmaterials pfor preinforcing pmedication puse. D. pFocus pon pthe pfeelings pof pdelusion pto preinforce preality pand pdecrease pfalse pbeliefs pby ptalking pto pthe ppatient. p- p p p pcorrect panswer.A. pPraise pthe ppatient pfor preality-based pperceptions pand pcessation pof pacting-out pbehaviors. Reason: pReinforcement pby ppraise pincreases pfunctional pbehavior. Your ppatient pis ppreoccupied pwith pperfection pand pcontrol, phas pdifficulty prelaxing, pexhibits prule-conscious pbehavior, pand pcannot pdiscard panything. pWhat ptype pof ppersonality pdisorder pdoes pthis pbehavior preflect? A. pAntisocial ppersonality. B. pObsessive-compulsive ppersonality. C. pManic pbehavior. D. pAnxiety pdisorder. p- p p p pcorrect panswer.B. pObsessive-compulsive ppersonality. Reason: pObsessive-compulsive pdisorder pis pa ppersonality pdisorder pthat pincludes pperfection, pcontrol, pprocrastination, pexcessive pdevotion pto pwork, pdifficulty prelaxing, prule-conscious pbehavior, pand pinability pto pdiscard panything. Which pof pthe pfollowing pquestions pis pappropriate pto passess pfor pdisturbances pin pa ppatient's prelationships? A. pWhat pare pyour pmain pworries? B. pHave pyou pever pused palcohol por pillegal pdrugs? C. pHow phas pyour pappetite pbeen pin pthe ppast pmonth? D. pWhat pdo pyou ptalk pabout pwith pfriends? p- p p p pcorrect panswer.D. pWhat pdo pyou ptalk pabout pwith pfriends? Reason: pAsking pwhat pthe ppatient ptalks pabout pwith pfamily por pfriends pand pwhat ptypes pof pactivities phe por pshe pengages pin pcan phelp passess prelationships. Which ptype pof ptherapy phelps ppatients pwith ppersonality pdisorders pexplore pways pto penjoy pthemselves pand pincrease ptheir psocialization pskills? A. pOccupational ptherapy. B. pRecreational ptherapy. C. pMusic ptherapy. D. pMedication ptherapy. p- p p p pcorrect panswer.B. pRecreational ptherapy. Reason: pRecreational ptherapy phelps ppatients pexplore pways pto penjoy pthemselves pwithout pusing palcohol por pdrugs pand pstrengthens psocial pskills. Which pof pthe pfollowing psymptoms pof palcohol pdetoxification pwould pyou pbe pmost pconcerned pabout? A. pVitamin pand pmineral pdepletion. B. pDiaphoresis. C. pIncreased pheart prate. D. pHallucinations pand pdelusions. p- p p p pcorrect panswer.D. pHallucinations pand pdelusions. Reason: pHallucinations pand pdelusions pcan presult pin pproblems pwith psafety pand ppossibly plead pto psuicide. What pis pthe ppriority pnursing pintervention pto phelp porient pa ppatient pwho phas pAlzheimer's pdisease? A. pPost pa pschedule pin pthe pdining proom pof pdaily pactivities. B. pUse pan poverhead ploudspeaker pto pannounce pupcoming pevents. C. pProvide pa pdaily proutine pand peasy-to-read pclocks. D. pHave pthe ppatient plive palone pin pa pprivate proom. p- p p p pcorrect panswer.C. pProvide pa pdaily proutine pand peasy-to-read pclocks. Reason: pDaily proutines pand plarge pclocks phelp ppatients' pfunctional pstatus. You pare pcaring pfor pa ppatient pand ppour pout phis pevening prisperidone p(Risperdal) p2 pmg ptablet. pThe ppill pfalls pon pthe pcountertop. pWhat pis pyour pnext pintervention? A. pPick pthe ppill pup pfrom pthe pcounter pand pplace pit pin pa pcup. B. pWash pthe ppill poff pwith palcohol pand pplace pit pin pa pcup. C. pDiscard pthe ppill pand prepour pthe pmedication. D. pCall pthe ppatient pup pto pthe ppill pline pto preceive phis pmedication. p- p p p pcorrect panswer.C. pDiscard pthe ppill pand prepour pthe pmedication. Reason: pThe ppill pis pcontaminated ponce pdropped, pso pfor pinfection pcontrol ppurposes pyou pdiscard pit pand prepour pthe pmedication. Your ppatient phas pjust pshown pyou psome pfresh, pself-inflicted, psuperficial pcuts-eight pof pthem pgoing pup pand pdown phis pright parm. pWhat pis pyour pinitial pintervention pbased pon pinfection pcontrol pprinciples? A. pSend pthe ppatient pback pto phis proom pas ppart pof pbehavioral pmodification. B. pSuture pthe pcuts pusing pa plarge-bore pneedle pand pnondissolving psutures. C. pCleanse pthe pwounds pwith psoap pand pwater. D. pAdminister ptetanus ptoxoid pinjection pintramuscularly. p- p p p pcorrect panswer.C. pCleanse pthe pwounds pwith psoap pand pwater. Reason: pCleansing pthe pwound pwith psoap pand pwater pis pthe pinitial pintervention. A phypomanic ppatient ptells pyou pthat pshe phas pbeen p'picking pup penergy pfrom pmy pcar pengine pand pcar pCD pplayer' pwhile pdriving pand phas preceived pfive pspeeding ptickets pin pthe ppast p6 pmonths. pWhat pwould pbe pone peffective pintervention pto pavoid pfast pdriving? A. pMake pa pcontract pnot pto pdrive pmore pthan p55 pmiles pper phour pand pdrive pwith pthe pCD pplayed pturned poff. B. pCall pthe plocal ppolice pand palert pthem pto pthe ppatient's pcar plicense pplate pnumber pand pthe pmake pand pmodel pof pher pcar. C. pAsk pthe ppatient pto p"hand pover pthe pkeys" pto pyou, pand ptell pher pthat pnow pshe pmust puse pa pcab por pother ppublic ptransportation puntil pyour pnext psession. D. pShare pwith pthe ppatient pthat pshe pcannot pdrink pand pdrive. p- p p p pcorrect panswer.A. pMake pa pcontract pnot pto pdrive pmore pthan p55 pmiles pper phour pand pdrive pwith pthe pCD pplayed pturned poff. Reason: pContracts pcan psee pa ppatient pthrough pperiod pof phypomanic pagitation. Patients pwho prequire pclose psurveillance pdue pto pthe ppotential pfor psafety phazards pgive pup pthe pright pof A. pContinued pconfusion. B. pDecision pmaking. C. pSocial pcontact. D. pPrivacy. p- p p p pcorrect panswer.D. pPrivacy. Reason: pPrivacy pand pautonomy pare poften pgiven pup pfor pthe psake pof psafety. patient pis pextremely pagitated pand pis pthrowing pbody pfluids pat panyone pwho pcomes pnear phim. pWhat pis pthe pbest pway pto pprotect pyourself pas pyou pand pothers pphysically prestrain pthe ppatient? A. pWash pyour pclothes pwithin p30 pminutes pof pbecoming psoiled pwith pbody pfluids. B. pWear pprotective peyewear pand pa pface pshield. C. pCheck pthat pyour ptetanus pand phepatitis pB ptiters pare pwithin pnormal plimits. D. pWear pa pgown pover pyour pclothes pand pshoe pcovers. p- p p p pcorrect panswer.B. pWear pprotective peyewear pand pa pface pshield. Reason: pProtective pgear phelps pprevent pinfections pthat pmay pgain pentry pthrough popenings pin pthe pskin, pthe peyes, por pthe pmouth. A ppatient pwho pis ppsychotic phas pa pformed pbowel pmovement pon pthe pfloor pof phis proom. pHow pshould pyou pclean pup pthis pexcrement? A. pUse pa pthick pdiaper por ppad. B. pWear pgloves pand puse psome ppaper ptowels por ptoilet ppaper. C. pWear pgloves, puse ptoilet ppaper, pand pwash pthe parea pwith pa p1:10 pbleach psolution. D. pWear pa pgown, pshoe pcovers, pmask, pand pchemotherapy-impervious pgloves, pand pwash pthe parea pwith pan pammonia pwith pbleach p1:1 psolution. p- p p p pcorrect panswer.C. pWear pgloves, puse ptoilet ppaper, pand pwash pthe parea pwith pa p1:10 pbleach psolution. Reason: pClean pall pbody pfluids pwith pan pappropriate pdisinfectant psuch pas p1:10 pbleach psolution, pusing puniversal pprecautions. Your ppatient pis pscheduled pfor pa pone-on-one ptherapy psession. pUpon phis pentry pinto pyour poffice, pyou pnote pthat pthe ppatient phas pa pcough, pis psweating, pis pcoughing pup pa psmall pamount pof pblood, pand phas pa pfever. pWhat pis pyour pinitial pintervention pregarding pinfection pcontrol? A. pWash pall pof pthe ppatient's psheets pand pclothes. B. pPlace pa pmask pon pthe ppatient pand pyourself. C. pTake pthe ppatient's ptemperature. D. pPlace presuscitation pequipment pin pthe ppatient's proom. p- p p p pcorrect panswer.B. pPlace pa pmask pon pthe ppatient pand pyourself. Reason: pThe ppatient pmight phave ptuberculosis, pso pwear pa pmask, pespecially pgiven pthat pthe ppatient pis pcoughing. You phave pjust pgiven pyour ppatient pan pintramuscular pinjection pof pfluphenazine p(Prolixin) pwith pa psyringe pthat pdoes pnot phave pa psafety plock. pWhat pis pyour pnext pstep? A. pRecap pthe pneedle. B. pSnap pthe pneedle poff pand pplace pit pin pthe pneedle pbox. C. pImmediately pplace pthe psyringe pin pa pnearby pimpermeable pcontainer. D. pClip pthe pneedle poff pwith pa psyringe pneedle pcutter p(SNC). p- p p p pcorrect panswer.C. pImmediately pplace pthe psyringe pin pa pnearby pimpermeable pcontainer. Reason: pPlace pthe psyringe pin pa pnearby pcontainer pspecific pfor pneedles. pDo pnot precap, pbend, pclip, por pmanipulate pthe pneedle pin pany pway. In pan pinpatient pacute ppsychiatric punit, pit pis pimportant pto pshut pand plock pthe punit pdoor pbehind pyou. A. pTRUE B. pFALSE p- p p p pcorrect panswer.A. pTRUE Reason: pThis pbehavior penhances psafety. You pdrive pup pto pthe phouse pof pyour ppatient, pwho pis pknown pto phave pschizophrenia pwith pmanic pepisodes. pThis pis pyour pfifth pvisit. pOn pthis poccasion, pthe ppatient pis psitting pon phis pfront pporch pin pa procking pchair pwith pa pshotgun pin phis parms. pWhat pshould pyour pnext pintervention pbe? A. pBeep pyour pcar phorn pto pget pyour ppatient's pattention. B. pYell pyour ppatient's pname pout pyour pcar pwindow pand pwave pat phim pto psay phello. C. pKeep pdriving pin pa ppath pthat pis pgoing paway pfrom pthe ppatient's phouse. D. pStop pthe pcar pin pthe ppatient's pdriveway pand pcall pyour pboss pon pyour pcell pphone. p- p p p pcorrect panswer.C. pKeep pdriving pin pa ppath pthat pis pgoing paway pfrom pthe ppatient's phouse. Reason: pSafety pincludes pnot pplacing pyourself pin pvulnerable psituations. Your ppatient, pwho pis pin pa pcommunity ppsychiatric pprogram, pshows pup pat pyour phome ppeeping pthrough pyour pkitchen pwindow. pYou palso pnoticed pthe ppatient pyesterday pwhen pyou pwent pto pthe pgrocery pstory pand pthe phairdresser. pYou pbelieve phe pis pstalking pyou. pWhat pshould pyou pdo? A. pCall pthe plocal ppolice pand preport pyour psuspicion pof pstalking. B. pCall pthe ppatient's pspouse pand pdiscuss phis pbehavior. C. pInvite pthe ppatient pto phave pa pcup pof pcoffee pwith pyou pat pa plocal pcafé pto pdiscuss phis pbehavior. D. pWait puntil pthe ppatient's pnext pgroup pmeeting pto pdiscuss phis pstalking pbehavior. p- p p p pcorrect panswer.A. pCall pthe plocal ppolice pand preport pyour psuspicion pof pstalking. Reason: pStalking pbehavior pneeds pto pbe pdealt pwith pby pthe ppolice pfor pyour psafety. Your ppatient's pauditory, pvisual, pand ptactile phallucinations pare pcontrolled pwith pbimonthly pinjections pof phaloperidol p(Haldol) pthat pthe pcommunity phealth pnurse padministers pduring phome pvisits. pYou pare pthe pnew pnurse pon pthis pcase; pthe pprevious pnurse phas pretired. pThe pprevious pnurse phas pstated pin pher pcare pplan pthat pthe ppatient pwill plet pthe pnurse pin pthe phouse ponly pif pthe pnurse pcarries pa ppublic phealth-issued pblue pbag pand pwears pblack ppants. pYou pare pscheduled pto pvisit pthis ppatient ptomorrow. pWhat pshould pyou pdo? A. pCall pthe ppatient pand ptell pher pthat pyou pare pa pnew pnurse pand pwill pbe pwearing pwhite ppants. B. pShow pup pas pscheduled pcarrying ponly pa pstethoscope, pvial, palcohol pwipe, pand pmedication psyringe. C. pShow pup pas pscheduled pwith pa ppolice pofficer. D. pTelephone pthe ppatient, pintroduce pyourself, pand pshow pup pcarrying pa pblue pbag pand pwearing pblack ppants. p- p p p pcorrect panswer.D. pTelephone pthe ppatient, pintroduce pyourself, pand pshow pup pcarrying pa pblue pbag pand pwearing pblack ppants. Reason: pThe ppatient pneeds pher pmedication, pand pfollowing pthe pcare pplan pis pthe poptimal pcourse pof paction. Your ppatient phas pan padmitting pdiagnosis pof palcohol pwithdrawal psyndrome. pYou preceive pa pphone pcall pat pthe pnurses' pstation pfrom pa pperson pwho psays phe pis pthe ppatient's pminister pand pwants pto pknow pif pthe ppatient p'fell poff pthe pwagon pagain' pand pwhen pvisitation phours pare. pWhat pis pyour pbest presponse? A. pYes, pthe ppatient pdrank ptoo pmuch, pbut phe pshould pbe pfine pin pa pfew pdays. pVisiting phours pare p9 pA.M. pto p6 pP.M. B. pWe pdo pnot pgive pout pany pinformation. pVisitation phours pin pthe phospital pare pfrom p9 pA.M. pto p6 pP.M. pdaily. C. pPlease ppray pfor pthe ppatient; phe pis pin pbad pshape. pYou pcan pvisit phim panytime pbetween p9 pA.M. pand p6 pP.M. pdaily. D. pPlease pcontact pthe phospital's pchief pexecutive pofficer, pwho pcan pgive pyou pthe pinformation pyou pare prequesting. p- p p p pcorrect panswer.B. pWe pdo pnot pgive pout pany pinformation. pVisitation phours pin pthe phospital pare pfrom p9 pA.M. pto p6 pP.M. pdaily. Reason: pPatient pconfidentiality pis prequired, pand pthere pis pno pway pto pverify pthe pidentity pof pthe pperson pcalling. Your ppatient phas pbeen phospitalized pfor pacute palcohol pwithdrawal. pIt pis pthe pfifth pday, pand phe pis phaving pvisual phallucinations pfollowed pby pa pseizure. pWhat pis pthe pmost plikely psource pof pthe ppatient's pproblem?

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Psychiatric Mental Health Nursing Nclex
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