Exam 1 RNSG 1125 with complete k k k k k k
solutions
evidence-based practice - ANSWER- k k k
clinical decision making that integrates the best available research with
k k k k k k k k k k
clinical expertise and patient characteristics and preferences
k k k k k k
patient advocate - ANSWER- k k k
one who speaks for and protects the rights of the patient
k k k k k k k k k k
psychiatric mental health nursing - ANSWER- k k k k k
promoting mental health through the assessment, diagnosis, and treatme
k k k k k k k k
nt of human responses to mental health problems and psychiatric disord
k k k k k k k k k k
ers
Quality and Safety Education for Nurses (QSEN) - ANSWER-
k k k k k k k k
addresses the challenge to prepare nurses with the competencies needed
k k k k k k k k k k
to continuously improve the quality of care in their work environments
k k k k k k k k k k
Diagnostic and Statistical Manual of Mental Disorders (DSM) - k k k k k k k k
ANSWER-
k
Official guidebook for categorizing ans diagnosing psychiatric mental h
k k k k k k k k
ealth disorders in the US. k k k k
Epidemiology - ANSWER- k k
Branch of medical science concerned with the incidence, distribution, a
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nd control of diseases that affect large numbers of people.
k k k k k k k k k
mental disorder - ANSWER- k k k
an illness of the mind that can affect the thoughts, feelings, and behavior
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s of a person, preventing him or her from leading a happy, healthful, and
k k k k k k k k k k k k k k
productive life k
mental health - ANSWER- k k k
the state of being comfortable with yourself, with others, and with your s
k k k k k k k k k k k k
urroundings
mental illness - ANSWER- k k k
, Exam 1 RNSG 1125 with complete k k k k k k
solutions
a disorder that affects a person's thoughts, emotions, and behaviors
k k k k k k k k k
psychobiological disorder - ANSWER- k k k
A mental disorder caused by neurotransmitter dysfunction, abnormal br
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ain srtructure, inherited genetic factors, or other biological causes. Also
k k k k k k k k k k
called biologically based mental illness k k k k
stigma/stigmatizing - ANSWER- k k
an attribute that is deeply discrediting where a person is reduced from a
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whole unusual person to a tainted, discounted one. Stigmatizing comes f
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rom stereotyping, labeling, separating, status, loss, and discrimination i
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n a context of power imbalance all leading to stigmatization
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boundaries - ANSWER- k k
Boundaries are physical, emotional and mental limits we set to protect o
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urselves from being manipulated, used, or harmed by others.
k k k k k k k k
ego - ANSWER- k k
the largely conscious, "executive" part of personality. Operates on the re
k k k k k k k k k k
ality principle, satisfying the id's desires in ways that will realistically bri
k k k k k k k k k k k
ng pleasure rather than pain.
k k k k
id - ANSWER-k k
a reservoir of unconscious psychic energy that, according to Freud, striv
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es to satisfy basic sexual and aggressive drives. Operates on the pleasure
k k k k k k k k k k k k
principle, demanding immediate gratification. k k k
self-actualization - ANSWER- k k
according to Maslow, one of the ultimate psychological needs that arises
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after basic physical and psychological needs are met and self-
k k k k k k k k k k
esteem is achieved; the motivation to fulfill one's potential
k k k k k k k k
HEADSSS psychosocial interview technique - ANSWER- k k k k k
H Home environment (e.g., relations with parents and siblings)
k k k k k k k k
E Education and employment (e.g., school performance)
k k k k k k
, Exam 1 RNSG 1125 with complete k k k k k k
solutions
A Activities (e.g., sports participation, after-
k k k k k
school activities, peer relations) k k k
D Drug, alcohol, or tobacco use
k k k k k
S Sexuality (e.g., whether the patient is sexually active, practices safe se
k k k k k k k k k k k
x, or uses contraception)
k k k
S Suicide risk or symptoms of depression or other mental disorder
k k k k k k k k k k
S "Savagery" (e.g., violence or abuse in home environment or in neighb
k k k k k k k k k k k
orhood)
Psychiatric Nursing Assessment - ANSWER- k k k k
The psychiatric mental health nurse collects and synthesizes comprehen
k k k k k k k k
sive health data that are pertinent to the health care consumer's health an
k k k k k k k k k k k k
d/or situation. k
Nurses who work in the mental health field need to assess, or have acces
k k k k k k k k k k k k k
s to, past and present medical history, a recent physical examination, and
k k k k k k k k k k k
kany physical complaints the patient is experiencing, as well as documen
k k k k k k k k k k
t any observable physical conditions or behaviors (unsteady gait, abnor
k k k k k k k k k
mal breathing pattern, facial grimacing, or changing position to relieve d
k k k k k k k k k k
iscomfort).
mental status exam - ANSWER- k k k k
a set of interview questions and observations designed to reveal the degr
k k k k k k k k k k k
ee and nature of a client's abnormal functioning
k k k k k k k
A new staff nurse completes an orientation to the psychiatric unit. This n
k k k k k k k k k k k k
urse will expect to ask an advanced practice nurse to perform which acti
k k k k k k k k k k k k
on for patients?k k
a. Perform mental health assessment interviews.
k k k k k
b. Prescribe psychotropic medication.
k k k
c. Establish therapeutic relationships.
k k k
d. Individualize nursing care plans. - ANSWER-ANS: B
k k k k k k k
Prescriptive privileges are granted to master's- k k k k k
, Exam 1 RNSG 1125 with complete k k k k k k
solutions
prepared nurse practitioners who have taken special courses on prescribi
k k k k k k k k k
ng medication. The nurse prepared at the basic level performs mental he
k k k k k k k k k k k
alth assessments, establishes relationships, and provides individualized
k k k k k k k
care planning. Note that this question was also offered for Chapter 1.
k k k k k k k k k k k
A newly admitted patient diagnosed with major depression has gained 2
k k k k k k k k k k
0 pounds over a few months and has suicidal ideation. The patient has ta
k k k k k k k k k k k k k
ken an antidepressant medication for 1 week without remission of sympt
k k k k k k k k k k
oms. Select the priority nursing diagnosis.
k k k k k
a. Imbalanced nutrition: more than body requirements
k k k k k k
b. Chronic low self-esteem
k k k
c. Risk for suicide
k k k
d. Hopelessness - ANSWER-ANS: C
k k k k
Risk for suicide is the priority diagnosis when the patient has both suicid
k k k k k k k k k k k k
al ideation and a plan to carry out the suicidal intent. Imbalanced nutritio
k k k k k k k k k k k k
n, hopelessness, and chronic low self-
k k k k k
esteem may be applicable nursing diagnoses, but these problems do not
k k k k k k k k k k k
affect patient safety as urgently as would a suicide attempt.
k k k k k k k k k
A patient diagnosed with major depression has lost 20 pounds in one mo
k k k k k k k k k k k k
nth, has chronic low self-
k k k k
esteem, and a plan for suicide. The patient has taken an antidepressant m
k k k k k k k k k k k k
edication for 1 week. Which nursing intervention has the highest priority
k k k k k k k k k k
?
a. Implement suicide precautions.
k k k
b. Offer high-calorie snacks and fluids frequently.
k k k k k k
c. Assist the patient to identify three personal strengths.
k k k k k k k k
d. Observe patient for therapeutic effects of antidepressant medication. -
k k k k k k k k k
ANSWER-ANS: A
k k
Implementing suicide precautions is the only option related to patient sa k k k k k k k k k k
fety. The other options, related to nutrition, self-
k k k k k k k
solutions
evidence-based practice - ANSWER- k k k
clinical decision making that integrates the best available research with
k k k k k k k k k k
clinical expertise and patient characteristics and preferences
k k k k k k
patient advocate - ANSWER- k k k
one who speaks for and protects the rights of the patient
k k k k k k k k k k
psychiatric mental health nursing - ANSWER- k k k k k
promoting mental health through the assessment, diagnosis, and treatme
k k k k k k k k
nt of human responses to mental health problems and psychiatric disord
k k k k k k k k k k
ers
Quality and Safety Education for Nurses (QSEN) - ANSWER-
k k k k k k k k
addresses the challenge to prepare nurses with the competencies needed
k k k k k k k k k k
to continuously improve the quality of care in their work environments
k k k k k k k k k k
Diagnostic and Statistical Manual of Mental Disorders (DSM) - k k k k k k k k
ANSWER-
k
Official guidebook for categorizing ans diagnosing psychiatric mental h
k k k k k k k k
ealth disorders in the US. k k k k
Epidemiology - ANSWER- k k
Branch of medical science concerned with the incidence, distribution, a
k k k k k k k k k
nd control of diseases that affect large numbers of people.
k k k k k k k k k
mental disorder - ANSWER- k k k
an illness of the mind that can affect the thoughts, feelings, and behavior
k k k k k k k k k k k k
s of a person, preventing him or her from leading a happy, healthful, and
k k k k k k k k k k k k k k
productive life k
mental health - ANSWER- k k k
the state of being comfortable with yourself, with others, and with your s
k k k k k k k k k k k k
urroundings
mental illness - ANSWER- k k k
, Exam 1 RNSG 1125 with complete k k k k k k
solutions
a disorder that affects a person's thoughts, emotions, and behaviors
k k k k k k k k k
psychobiological disorder - ANSWER- k k k
A mental disorder caused by neurotransmitter dysfunction, abnormal br
k k k k k k k k
ain srtructure, inherited genetic factors, or other biological causes. Also
k k k k k k k k k k
called biologically based mental illness k k k k
stigma/stigmatizing - ANSWER- k k
an attribute that is deeply discrediting where a person is reduced from a
k k k k k k k k k k k k k
whole unusual person to a tainted, discounted one. Stigmatizing comes f
k k k k k k k k k k
rom stereotyping, labeling, separating, status, loss, and discrimination i
k k k k k k k k
n a context of power imbalance all leading to stigmatization
k k k k k k k k k
boundaries - ANSWER- k k
Boundaries are physical, emotional and mental limits we set to protect o
k k k k k k k k k k k
urselves from being manipulated, used, or harmed by others.
k k k k k k k k
ego - ANSWER- k k
the largely conscious, "executive" part of personality. Operates on the re
k k k k k k k k k k
ality principle, satisfying the id's desires in ways that will realistically bri
k k k k k k k k k k k
ng pleasure rather than pain.
k k k k
id - ANSWER-k k
a reservoir of unconscious psychic energy that, according to Freud, striv
k k k k k k k k k k
es to satisfy basic sexual and aggressive drives. Operates on the pleasure
k k k k k k k k k k k k
principle, demanding immediate gratification. k k k
self-actualization - ANSWER- k k
according to Maslow, one of the ultimate psychological needs that arises
k k k k k k k k k k
after basic physical and psychological needs are met and self-
k k k k k k k k k k
esteem is achieved; the motivation to fulfill one's potential
k k k k k k k k
HEADSSS psychosocial interview technique - ANSWER- k k k k k
H Home environment (e.g., relations with parents and siblings)
k k k k k k k k
E Education and employment (e.g., school performance)
k k k k k k
, Exam 1 RNSG 1125 with complete k k k k k k
solutions
A Activities (e.g., sports participation, after-
k k k k k
school activities, peer relations) k k k
D Drug, alcohol, or tobacco use
k k k k k
S Sexuality (e.g., whether the patient is sexually active, practices safe se
k k k k k k k k k k k
x, or uses contraception)
k k k
S Suicide risk or symptoms of depression or other mental disorder
k k k k k k k k k k
S "Savagery" (e.g., violence or abuse in home environment or in neighb
k k k k k k k k k k k
orhood)
Psychiatric Nursing Assessment - ANSWER- k k k k
The psychiatric mental health nurse collects and synthesizes comprehen
k k k k k k k k
sive health data that are pertinent to the health care consumer's health an
k k k k k k k k k k k k
d/or situation. k
Nurses who work in the mental health field need to assess, or have acces
k k k k k k k k k k k k k
s to, past and present medical history, a recent physical examination, and
k k k k k k k k k k k
kany physical complaints the patient is experiencing, as well as documen
k k k k k k k k k k
t any observable physical conditions or behaviors (unsteady gait, abnor
k k k k k k k k k
mal breathing pattern, facial grimacing, or changing position to relieve d
k k k k k k k k k k
iscomfort).
mental status exam - ANSWER- k k k k
a set of interview questions and observations designed to reveal the degr
k k k k k k k k k k k
ee and nature of a client's abnormal functioning
k k k k k k k
A new staff nurse completes an orientation to the psychiatric unit. This n
k k k k k k k k k k k k
urse will expect to ask an advanced practice nurse to perform which acti
k k k k k k k k k k k k
on for patients?k k
a. Perform mental health assessment interviews.
k k k k k
b. Prescribe psychotropic medication.
k k k
c. Establish therapeutic relationships.
k k k
d. Individualize nursing care plans. - ANSWER-ANS: B
k k k k k k k
Prescriptive privileges are granted to master's- k k k k k
, Exam 1 RNSG 1125 with complete k k k k k k
solutions
prepared nurse practitioners who have taken special courses on prescribi
k k k k k k k k k
ng medication. The nurse prepared at the basic level performs mental he
k k k k k k k k k k k
alth assessments, establishes relationships, and provides individualized
k k k k k k k
care planning. Note that this question was also offered for Chapter 1.
k k k k k k k k k k k
A newly admitted patient diagnosed with major depression has gained 2
k k k k k k k k k k
0 pounds over a few months and has suicidal ideation. The patient has ta
k k k k k k k k k k k k k
ken an antidepressant medication for 1 week without remission of sympt
k k k k k k k k k k
oms. Select the priority nursing diagnosis.
k k k k k
a. Imbalanced nutrition: more than body requirements
k k k k k k
b. Chronic low self-esteem
k k k
c. Risk for suicide
k k k
d. Hopelessness - ANSWER-ANS: C
k k k k
Risk for suicide is the priority diagnosis when the patient has both suicid
k k k k k k k k k k k k
al ideation and a plan to carry out the suicidal intent. Imbalanced nutritio
k k k k k k k k k k k k
n, hopelessness, and chronic low self-
k k k k k
esteem may be applicable nursing diagnoses, but these problems do not
k k k k k k k k k k k
affect patient safety as urgently as would a suicide attempt.
k k k k k k k k k
A patient diagnosed with major depression has lost 20 pounds in one mo
k k k k k k k k k k k k
nth, has chronic low self-
k k k k
esteem, and a plan for suicide. The patient has taken an antidepressant m
k k k k k k k k k k k k
edication for 1 week. Which nursing intervention has the highest priority
k k k k k k k k k k
?
a. Implement suicide precautions.
k k k
b. Offer high-calorie snacks and fluids frequently.
k k k k k k
c. Assist the patient to identify three personal strengths.
k k k k k k k k
d. Observe patient for therapeutic effects of antidepressant medication. -
k k k k k k k k k
ANSWER-ANS: A
k k
Implementing suicide precautions is the only option related to patient sa k k k k k k k k k k
fety. The other options, related to nutrition, self-
k k k k k k k
