BNKN601 PRACTISE QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS GRADED A++
Jonathon has been prescribed Risperidone, 2 mg BD. The nurse would assess
neuroleptic malignant syndrome (NMS) if the client had a
temperature reading of 38 degrees C.
Jonathon presents to the emergency department with a broken leg. He comments
to the nurse, "God told me he would protect me from harm, but the devil broke my
leg anyway". This statement would be included in a mental status examination in
which of the following categories?
insight.
Jonathon is observed muttering to himself and is hyper-vigilant. Which of the
following nursing diagnosis is most appropriate for this?
disturbed sensory perception.
Jonathon continues to voice delusional ideation. Which of the following
interventions should the nurse plan to use to reduce his focus on delusional
thinking?
Focusing on feelings suggested by the delusion.
In planning care for a newly admitted client with depression, the highest priority
for the nurse is:
providing a safe environment.
, A client with depression mentions to the nurse, "My mother says depression is a
chemical disorder. What does she mean?" The nurses' response is based on the
theory that depression primarily involves the following neurotransmitters
serotonin and dopamine
A person with depression is struggling to explore and solve a problem. The nurse
determines that it would be therapeutic to offer alternatives. Which of the
following approaches should the nurse use to achieve this objective?
"Have you thought of............?"
Which piece of subjective data obtained during the nurse's psychiatric
assessment of a client experiencing severe anxiety would indicate the possibility
of posttraumatic stress disorder?
"I keep reliving the rape."
When a nurse has assessed a client as experiencing panic- level anxiety, an
intervention that should be implemented immediately is to
reduce stimuli
Sally, 42 year old female client is admitted with a diagnosis of acute mania. Her
husband states that she has not slept, eaten, or drunk for three days. In addition,
he says she is very agitated and has been fighting with the neighbours. He also
states that she stopped taking her lithium last week. The priority nursing
diagnosis for the client would be
risk to self
Which symptom associated with thought flow is the nurse most likely to assess
in a person experiencing mania?
COMPLETE SOLUTIONS GRADED A++
Jonathon has been prescribed Risperidone, 2 mg BD. The nurse would assess
neuroleptic malignant syndrome (NMS) if the client had a
temperature reading of 38 degrees C.
Jonathon presents to the emergency department with a broken leg. He comments
to the nurse, "God told me he would protect me from harm, but the devil broke my
leg anyway". This statement would be included in a mental status examination in
which of the following categories?
insight.
Jonathon is observed muttering to himself and is hyper-vigilant. Which of the
following nursing diagnosis is most appropriate for this?
disturbed sensory perception.
Jonathon continues to voice delusional ideation. Which of the following
interventions should the nurse plan to use to reduce his focus on delusional
thinking?
Focusing on feelings suggested by the delusion.
In planning care for a newly admitted client with depression, the highest priority
for the nurse is:
providing a safe environment.
, A client with depression mentions to the nurse, "My mother says depression is a
chemical disorder. What does she mean?" The nurses' response is based on the
theory that depression primarily involves the following neurotransmitters
serotonin and dopamine
A person with depression is struggling to explore and solve a problem. The nurse
determines that it would be therapeutic to offer alternatives. Which of the
following approaches should the nurse use to achieve this objective?
"Have you thought of............?"
Which piece of subjective data obtained during the nurse's psychiatric
assessment of a client experiencing severe anxiety would indicate the possibility
of posttraumatic stress disorder?
"I keep reliving the rape."
When a nurse has assessed a client as experiencing panic- level anxiety, an
intervention that should be implemented immediately is to
reduce stimuli
Sally, 42 year old female client is admitted with a diagnosis of acute mania. Her
husband states that she has not slept, eaten, or drunk for three days. In addition,
he says she is very agitated and has been fighting with the neighbours. He also
states that she stopped taking her lithium last week. The priority nursing
diagnosis for the client would be
risk to self
Which symptom associated with thought flow is the nurse most likely to assess
in a person experiencing mania?
