NEW NR 607 DIAGNOSIS AND MANAGEMENT IN PSYCHIATRIC MENTAL HEALTH 3 LATEST UPDATED VERSIONS PREP QUESTIONS EXAM TESTBANK AND STUDYGUIDE COMPLETE

NR 1300: ESSENTIALS TO PSYCHIATRIC MENTAL HEALTH NURSING 2ND ED
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MULTIPLEMRESPONSE
I.The family members of a patient newly diagnosed with schizophrenia state that they do not understan
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ausedMtheMillness.MTheMnurse’sMresponseMshouldMbeMbasedMonMwhichMmodels?MSelectMallMthatMapply.
a. Neurobiological

b. Environmental

c. Family theory
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d. Genetic

e. Stress

, NR 1300: ESSENTIALS TO PSYCHIATRIC MENTAL HEALTH NURSING 2ND ED
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WITH QUALITY ANSWERS M M




ANS:MA,MD

CompellingM evidenceM existsM thatM schizophreniaM isM aM neurologicM disorderM probablyM relatedM toM neurochemi
normalities,MneuroanatomicalMdisruptionMofMbrainMcircuits,MandMgeneticMvulnerability.MStressMandMfamilyMdi
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M tionMmayMcontributeMbutMareMnotMconsideredMetiologicMfactors.MEnvironmentalMfactorsMareMnotMrecognized
ariablesMinMschizophrenia.


DIF:M CognitiveM Level:M ComprehensionM (Understanding)M REF:M Pages:M 306-
307MTOP:MNursingMProcess:MImplementationMMSC:MNCLEX:MPhysiologicalMIntegrity


II.A nurse at the mental health clinic plans a series of psychoeducational groups for persons diagnosed w
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nia.MWhichMtwoMtopicsMwouldMtakeMpriority?
a. How to complete an application for employment
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b. The importance of correctly taking your medication
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c. How to dress when attending community events
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d. How to give and receive compliments
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e. Ways to quit smokingA
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NS:MB,ME
StabilizationMisMmaximizedMbyMtheMadherenceMtoMtheMantipsychoticMmedicationMregimen.MBecauseMsoMmany
M tientsMwithMschizophreniaMsmokeMcigarettes,MthisMtopicMrelatesMdirectlyMtoMtheMpatients’MphysiologicMwell-
being.MTheMotherMtopicsMareMalsoMimportantMbutMareMnotMpriorityMtopics.


DIF:MCognitiveMLevel:MApplicationM(Applying)MREF:MPage:M305M|MPages:M317-
325MTOP:MNursingMProcess:MPlanning|MNursingMProcess:MOutcomesMIdentificationMM
SC:MNCLEX:MHealthMPromotionMandMMaintenance


III.A patient diagnosed with schizophrenia is hospitalized after arguing with co-
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workersMandMthreateningMtoMharmMthem.MTheMpatientMisMaloofMandMsuspiciousMandMsays,M“TwoMstaffMmember
wereMplottingMtoMas-MsaultMme.”MBasedMonMdataMgatheredMatMthisMpoint,MwhichMnursingMdiagnosesMrelate?MSele

a. Risk for other-directed violence
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b. Disturbed thought processes M M

, NR 1300: ESSENTIALS TO PSYCHIATRIC MENTAL HEALTH NURSING 2ND ED
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c. Risk for loneliness
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d. Spiritual distress M




e. Social isolationAM M



NS:MA,MB
DelusionsM ofM persecutionM andM ideasM ofM referenceM supportM theM nursingM diagnosisM ofM DisturbedM thoughtM pr
ther-directedMviolenceMisMsubstantiatedMbyMtheMpatient’sMparanoiaMandMfeelingMendangeredMbyMpersecu-
M tors.MFearfulMindividualsMmayMstrikeMoutMatMperceivedMpersecutorsMorMattemptMself-harmMtoMgetMawayMfrom
M cutors.MDataMareMnotMpresentMtoMsupportMtheMotherMdiagnoses.


DIF:M CognitiveM Level:M ApplicationM (Applying)M REF:M Pages:M 316-
317MTOP:MNursingMProcess:MDiagnosis|MNursingMProcess:MAnalysis

MSC:M NCLEX:M PsychosocialM Integrity




1. A person diagnosed with schizophrenia has had difficulty keeping a job because of arguing with co-
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workersMandMaccusingMthemMofMconspiracy.MTodayMtheMpersonMshouts,M“They’reMallMplottingMtoMdestroyMme.
sMmostMtherapeuticMresponse.

a. “Everyone here is trying to help you. No one wants to harm you.”
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b. “Feeling that people want to destroy you must be very frightening.”
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c. “That is not true. People here are trying to help if you will let them.”
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d. “Staffmembers are health care professionals who are qualified to help you.”ANS:
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B
ResistMfocusingMonMcontent;Minstead,MfocusMonMtheMfeelingsMtheMpatientMisMexpressing.MThisMstrategyMpreven
ingMaboutMtheMrealityMofMdelusionalMbeliefs.MSuchMargumentsMincreaseMpatientManxietyMandMtheMtenacityMwit
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ntMholdsMtoMtheMdelusion.MTheMotherMoptionsMfocusMonMcontentMandMprovideMopportunityMforMargument.


DIF:MCognitiveMLevel:MApplicationM (Applying)M REF:MPages:M320-323

TOP:MNursingMProcess:MImplementationMMSC:MNCLEX:MPsychosocialMIntegrity



2. A newly admitted patient diagnosed with schizophrenia is hypervigilant and constantly scans the env
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