NR 326 Exam 1, NR326 Quiz for study (update)
g g g g g g g g
Quiz:> Whatgisgneededgforginvoluntaryg admissiongtogagpsychiatricginpatientgunit?
{{{Answers}}}g {1.gPetitiongneeded.
2. ThegRNgwillgassessgthegptgforglethality;g assessgtheginabilitygofgclientgtogcaregforgsel
f;gassessgjudgmentg andgthought.
3. Atgfirst,gclinicalgcertificationgisgneededgfromgagclinicalgevalgdonegbygphysiciango
rgpsychologist.
4. Agsecondgclinicalgcertgfromgagclinicalgevalgbygagpsychiatristg isgneededgwithing24ghr
sgafterginitialgcert.)
Quiz:>gExamplesgofgnon-therapeuticg communicationgtechniques
{{{Answers}}}g {-Offeringg falsegreassurance
-Givinggopinions
-Askingg"why"gquestions
-
Askinggtoogmanygquestionsgwithoutgfirstgestablishinggrapportgorgallowingg ptgtogverbalizegj
udgement;g interrupting
-
Focusinggongthegperson'sgcharactergweaknessesgvs.gstrengths,gopportunitiesgforgimprov
ement,gandgbehavioralgmotivation)
Quiz:>gThegrapeuticgcommunicationgtechniques
{{{Answers}}}g {-Activeg listeningg skills
-Redirectinggpatientgtoghealthyg waysgofgcopinggandginteracting
-Providinggdignitygandgrespect
-Observingg andgrelatinggthegperson'sgstrengthsg tog1:1gandggroupginteractions
-Identifygandgfocusgongthegperson'sgstrengths,gmotivations)
Quiz:>gWhatgaregactiveglisteninggtechniques?
{{{Answers}}}g {Clarifying,greflecting,gsummarizing,gemotionalglabeling,gsilence,gofferinggs
elf,gexploringg(possiblegoptionsgandgpreviousgcopinggthatghasgworked))
Quiz:>gNursingginterventionsg forgagptgexhibitinggthreateningg behaviorgandgviolence
{{{Answers}}}g {-Haveg staffgnearby
-Onegpersongtalksgtogthegptgwithgagcalm,gnon-threateningg voice
-De-escalationg skills
-Redirectgptg(let'sgwalk,gIghavegtimegtoglisten,g let'sgsolvegthisgtogether))
Quiz:>gWhatgaregyourgprioritygactionsgduringgagsituationalg crisis?
{{{Answers}}}g {-Determinegifgthegclientghasgpsychoticgthinking
(Clientsgexperiencinggagsituationalg crisisgaregatggreatestgriskgforginjuryg togthemselvesg org
others))
Quiz:>g Whatgdogyougdogforgagptgexhibitingg panicglevelganxiety?
,{{{Answers}}}g {Remaingwithgthegptgforgawhileg(thegnurseg shouldgnotgleavegagptgwhogha
s
severe ganxietyg alone.gThegnurse'sgprioritygisgtogusegthegleastgrestrictivegintervention,g suc
hgasgstayingg withgthegptgandgcalmlygencouraginggthemgtogexpressgtheirgfeelings))
Quiz:>g Repression
{{{Answers}}}g {Agpatientgwhogjustggotgassaultedgandgcan'tgremembergcircumstancesg ofg
thegevent)
Quiz:>g Denial
{{{Answers}}}g {Agnurseg managergexpectsgthegnursegabusinggalcoholgtogdemonstrategtheg
defensegmechanismg ofgdenial.gDenialgisgthegmostgcommongdefensegmechanism,gespeci
allygusedgbygpeoplegdealinggwithgthegproblemsgandgmissedgresponsibilitiesgassociatedg
withgsubstancegabusegbehavior.)
Quiz:>g Rationalization
{{{Answers}}}g {Agptgstatesgtheyghavegtogdrinkgagbottlegofgalcoholgdailygtogrelaxgduegtogagv
eeryghighgstressgjob.gRationalizationgisgwhengagpersongcreatesgreasonablegandgaccepta
blegexplanationsg forgunacceptableg behavior.)
Quiz:>gSomatization
{{{Answers}}}g {Agptgindicatesgtheygkeepgfeelingsgnauseatedg andgsickgtogtheirgstomach,gc
hestgpains,gandgagheadache,g everygtimegtheygaregaskedgtoggogtogartgtherapygandgbegwith
gothergpeopleg(Somatizationgisgdevelopinggphysicalgsymptomsgingplacegofganxiety))
Quiz:>gReactiongformation
{{{Answers}}}g {Agptgdislikesghisgroommategandgspeaksgillgofghimgtogeveryoneg whogwillglis
ten;gbut,gwhengthegroommategreturns,g hegoffersgthegroommategagcookiegandgagsnackg(R
eactiongformationgisgovercompensatingg orgdemonstratingg thegoppositegbehaviorgofgwhat
gthegpersongfeels))
Quiz:>g Displacement
{{{Answers}}}g {Agptgkicksgagchairgaftergemotionallyg yellinggandgscreaminggatgagpsychiatri
stgforgprescribinggagmedg(displacementgisgshiftinggfeelingsgr/tgangobject,gperson,gorgsitua
tiongtoganotherg lessgthreateningg object,gperson,gorgsituation))
Quiz:>g Regression
{{{Answers}}}g {Agptgisgdescribinggwhatghegdoesgtogcopegwithgthingsgnotgworkinggoutgtheg
wayghegexpectsg(Regressiongisgrevertinggtogangearlier,gmoregprimitivegandgchild-
likegpatterngofgbehavior))
Quiz:>g Whatgdoesgagcrisisgsituationgcontain?
{{{Answers}}}g {Agcrisisgsituationgcontainsgthegpotentialgforgpsychologicalggrowthgorgdeteri
oration)
Quiz:>gWhatgmaygbegprescribedgforgagptgexperiencingg anxiety?
{{{Answers}}}g {ParoxetinegandgLorazepamg(benzo))
,Quiz:>gNursingg interventionsg forgagptgexperiencinggagcrisisgr/tganxiety
{{{Answers}}}g {-Establishgrapportgwithgthegpt
-Identifyg thegcausegofgtheganxiety
-Validategthegclient'sgfeelings)
Quiz:>gWhatgaregusualgfindingsgforgpanicglevelganxiety?
{{{Answers}}}g {Increasedg pulsegrate,grespirations,gandgbloodgpressure.
*ElevatedgtempgandgdecreasedgCO2garegnotgusualg findings)
Quiz:>g Whatgdoesgagnurseg dogifgagptgverbalizesg thatgtheyg aregbettergoffgdeadgthang alive?
{{{Answers}}}g{Thegnurseg needsgtogdogaglethalityg assessment.
"Dogyoughavegagplangtogharmgyourself?"g (Whengagptgexpressesgsuicidalgintent,g itgisgthegn
urse'sg prioritygtogdeterminegthegseriousnessgofgthegcontentgandgtheglethaligtyg ofgthegmea
ns.)
Quiz:>gWhatgisgthegnurse'sgprioritygifgthegptghasghallucinations,g isgrespondinggtoginternalg
stimuli,gandgisgdelusionalgand/orgparanoid?
{{{Answers}}}g {Thegnurse'sg prioritygisgtogplacegthegptgongsuicidegprecautions,gmonitoringg
withinglinegofgsight,gorg1:1gsupervision/monitoring
*AssessgTMAPI:gthoughts,g means,gability,gplan,gandgintent)
Quiz:>gNursingg interventionsg forgptsgwhoghavegaghistorygofgpanicglevelganxiety
{{{Answers}}}g {Providegcontinuityg ofgcaregbygassigninggthegsamegstaffg(consistentgintera
ctionsgaregimportantginganygcaregsetting,gbutgespeciallygingmentalghealth.g Thisgwillghelpgpt
sgestablishgtrustg andgagsensegofgseecurity))
Quiz:>gWhatgshouldg thegnurseg dogifgagptggetsgangrygandgthrowsg agchair?
{{{Answers}}}g {Thegfirstgactiongthegnurseg shouldgtakegusinggthegsafety/riskgreductiongpr
iority-settingg frameworkgisgtogattemptgtogde-
escalategthegpt'sgangergandgaggressiongbygtalkinggthegptgdowngingagcalm,gnonthreateni
ngg manner.)
Quiz:>g Givegexamplesgofgpatientgrights
{{{Answers}}}g {•DignitygandgRespect
• Freedomgfromg Abuse/Neglect
• Confidentiality
• AccessgtogRecord
• EnvironmentalgRights
• CivilgRights
• TreatmentgandgSupport
• Person-Centeredg Planning)
Quiz:>gVoluntarilyg denyingg unpleasantg thoughtsg andgfeelings
{{{Answers}}}g {•Adaptiveguse:gAgstudentgstopsgthinkingg aboutgangargumentg heghadgearlie
rgwithgagfamilygmembergsoghegcangfocusgongthegtest
, • Maladaptiveguse:gAgpersongwhoghasglostghisgjobgstatesghegwillgworrygaboutgpayingghi
sgbillsgnextgmonth.)
Quiz:>gSuppression
{{{Answers}}}g {•Unconsciouslyg puttinggunacceptablegideas,gthoughts,gandgemotionsgout
gofgawareness
• Adaptiveguse:gAgClinicalgDirectorgpreparinggtoggivegagspeechgunconsciouslyg forgetsgth
egtimegwhengshegwasginghighgschoolgandgkidsglaughedgatghergwhilegongstage
• Maladaptiveguse:gAgnursingg studentg whoghasgagfeargofgdentistsgconsciouslygforgetsgtogg
ogtoghisgdentalgappointments)
Quiz:>g Repression
{{{Answers}}}g {Suddengusegofgchildlikegorgprimitivegbehaviorsgthatgdon'tgcorrelategwithgth
egperson'sgcurrentg developmentalglevel.
• Adaptiveguse:gAgschoolgagegchildgtemporarilygwetsgthegbedgwhengsheglearnsgthatghergp
etgdied
• Maladaptiveguse:gAgnurseg managergwhoghasga gnastygdisagreementgwithgagstaffgnurs
egstartsgthrowingg thingsgaroundginghergoffice)
Quiz:>g Regression
{{{Answers}}}g {Shiftinggfeelingsgrelatedgtogangobject,gperson,gorgsituationgtoganotherg lessg
threateningg object,gperson,gorgsituation.
• Adaptiveguse:gAghighgschoolgfootballgplayergangrilygpunchesg agpunchingg baggafterglosin
ggaggame
• Maladaptiveguse:gAgdadgwhogisgangrygaboutghisgwifegdivorcingghimgdestroysghisgchild'
sgfavoritegtoy)
Quiz:>g Displacement
{{{Answers}}}g {Performingg angactgtogmakegupgforgpriorgbehavior.
• Adaptiveguse:gAgadolescentgdoesghisgchoresgdailygwithoutg beinggpromptedgaftergarguin
ggwithghisgparent
• Maladaptiveguse:gAgmangbringsghisgwifegflowersgandggiftsgeverygtimeghegvisitsgingth
eghospitalgfollowinggrepeatedgincidencesgofgphysicalgandgmentalgabuse)
Quiz:>g Undoing
{{{Answers}}}g {Dealinggwithgimpulsesgandgunfavorableg feelingsgandgsubstitutinggaccepta
blegformsgofgexpression.
• Adaptiveguse:gAgpersongfeelinggangergandghostilitygtogwardghisgsupervisorg atgwork
gsublimatesgthesegfeelingsgbygworkinggoutgforgaglonggtimegatgtheggymgduringghisglun
chgperiod
• Maladaptiveguse:gn/a)
Quiz:>gSublimation
{{{Answers}}}g {Overcompensatingg orgdemonstratingg thegoppositegbehaviorgofgwhatgisgfelt
.
• Adaptiveguse:gAgNursegwhogisgcurrentlyg tryingg togstopgsmokinggrepeatedlygtalksgdailygt
ogadolescentsgongthegunitgaboutgdangersgofgnicotine
g g g g g g g g
Quiz:> Whatgisgneededgforginvoluntaryg admissiongtogagpsychiatricginpatientgunit?
{{{Answers}}}g {1.gPetitiongneeded.
2. ThegRNgwillgassessgthegptgforglethality;g assessgtheginabilitygofgclientgtogcaregforgsel
f;gassessgjudgmentg andgthought.
3. Atgfirst,gclinicalgcertificationgisgneededgfromgagclinicalgevalgdonegbygphysiciango
rgpsychologist.
4. Agsecondgclinicalgcertgfromgagclinicalgevalgbygagpsychiatristg isgneededgwithing24ghr
sgafterginitialgcert.)
Quiz:>gExamplesgofgnon-therapeuticg communicationgtechniques
{{{Answers}}}g {-Offeringg falsegreassurance
-Givinggopinions
-Askingg"why"gquestions
-
Askinggtoogmanygquestionsgwithoutgfirstgestablishinggrapportgorgallowingg ptgtogverbalizegj
udgement;g interrupting
-
Focusinggongthegperson'sgcharactergweaknessesgvs.gstrengths,gopportunitiesgforgimprov
ement,gandgbehavioralgmotivation)
Quiz:>gThegrapeuticgcommunicationgtechniques
{{{Answers}}}g {-Activeg listeningg skills
-Redirectinggpatientgtoghealthyg waysgofgcopinggandginteracting
-Providinggdignitygandgrespect
-Observingg andgrelatinggthegperson'sgstrengthsg tog1:1gandggroupginteractions
-Identifygandgfocusgongthegperson'sgstrengths,gmotivations)
Quiz:>gWhatgaregactiveglisteninggtechniques?
{{{Answers}}}g {Clarifying,greflecting,gsummarizing,gemotionalglabeling,gsilence,gofferinggs
elf,gexploringg(possiblegoptionsgandgpreviousgcopinggthatghasgworked))
Quiz:>gNursingginterventionsg forgagptgexhibitinggthreateningg behaviorgandgviolence
{{{Answers}}}g {-Haveg staffgnearby
-Onegpersongtalksgtogthegptgwithgagcalm,gnon-threateningg voice
-De-escalationg skills
-Redirectgptg(let'sgwalk,gIghavegtimegtoglisten,g let'sgsolvegthisgtogether))
Quiz:>gWhatgaregyourgprioritygactionsgduringgagsituationalg crisis?
{{{Answers}}}g {-Determinegifgthegclientghasgpsychoticgthinking
(Clientsgexperiencinggagsituationalg crisisgaregatggreatestgriskgforginjuryg togthemselvesg org
others))
Quiz:>g Whatgdogyougdogforgagptgexhibitingg panicglevelganxiety?
,{{{Answers}}}g {Remaingwithgthegptgforgawhileg(thegnurseg shouldgnotgleavegagptgwhogha
s
severe ganxietyg alone.gThegnurse'sgprioritygisgtogusegthegleastgrestrictivegintervention,g suc
hgasgstayingg withgthegptgandgcalmlygencouraginggthemgtogexpressgtheirgfeelings))
Quiz:>g Repression
{{{Answers}}}g {Agpatientgwhogjustggotgassaultedgandgcan'tgremembergcircumstancesg ofg
thegevent)
Quiz:>g Denial
{{{Answers}}}g {Agnurseg managergexpectsgthegnursegabusinggalcoholgtogdemonstrategtheg
defensegmechanismg ofgdenial.gDenialgisgthegmostgcommongdefensegmechanism,gespeci
allygusedgbygpeoplegdealinggwithgthegproblemsgandgmissedgresponsibilitiesgassociatedg
withgsubstancegabusegbehavior.)
Quiz:>g Rationalization
{{{Answers}}}g {Agptgstatesgtheyghavegtogdrinkgagbottlegofgalcoholgdailygtogrelaxgduegtogagv
eeryghighgstressgjob.gRationalizationgisgwhengagpersongcreatesgreasonablegandgaccepta
blegexplanationsg forgunacceptableg behavior.)
Quiz:>gSomatization
{{{Answers}}}g {Agptgindicatesgtheygkeepgfeelingsgnauseatedg andgsickgtogtheirgstomach,gc
hestgpains,gandgagheadache,g everygtimegtheygaregaskedgtoggogtogartgtherapygandgbegwith
gothergpeopleg(Somatizationgisgdevelopinggphysicalgsymptomsgingplacegofganxiety))
Quiz:>gReactiongformation
{{{Answers}}}g {Agptgdislikesghisgroommategandgspeaksgillgofghimgtogeveryoneg whogwillglis
ten;gbut,gwhengthegroommategreturns,g hegoffersgthegroommategagcookiegandgagsnackg(R
eactiongformationgisgovercompensatingg orgdemonstratingg thegoppositegbehaviorgofgwhat
gthegpersongfeels))
Quiz:>g Displacement
{{{Answers}}}g {Agptgkicksgagchairgaftergemotionallyg yellinggandgscreaminggatgagpsychiatri
stgforgprescribinggagmedg(displacementgisgshiftinggfeelingsgr/tgangobject,gperson,gorgsitua
tiongtoganotherg lessgthreateningg object,gperson,gorgsituation))
Quiz:>g Regression
{{{Answers}}}g {Agptgisgdescribinggwhatghegdoesgtogcopegwithgthingsgnotgworkinggoutgtheg
wayghegexpectsg(Regressiongisgrevertinggtogangearlier,gmoregprimitivegandgchild-
likegpatterngofgbehavior))
Quiz:>g Whatgdoesgagcrisisgsituationgcontain?
{{{Answers}}}g {Agcrisisgsituationgcontainsgthegpotentialgforgpsychologicalggrowthgorgdeteri
oration)
Quiz:>gWhatgmaygbegprescribedgforgagptgexperiencingg anxiety?
{{{Answers}}}g {ParoxetinegandgLorazepamg(benzo))
,Quiz:>gNursingg interventionsg forgagptgexperiencinggagcrisisgr/tganxiety
{{{Answers}}}g {-Establishgrapportgwithgthegpt
-Identifyg thegcausegofgtheganxiety
-Validategthegclient'sgfeelings)
Quiz:>gWhatgaregusualgfindingsgforgpanicglevelganxiety?
{{{Answers}}}g {Increasedg pulsegrate,grespirations,gandgbloodgpressure.
*ElevatedgtempgandgdecreasedgCO2garegnotgusualg findings)
Quiz:>g Whatgdoesgagnurseg dogifgagptgverbalizesg thatgtheyg aregbettergoffgdeadgthang alive?
{{{Answers}}}g{Thegnurseg needsgtogdogaglethalityg assessment.
"Dogyoughavegagplangtogharmgyourself?"g (Whengagptgexpressesgsuicidalgintent,g itgisgthegn
urse'sg prioritygtogdeterminegthegseriousnessgofgthegcontentgandgtheglethaligtyg ofgthegmea
ns.)
Quiz:>gWhatgisgthegnurse'sgprioritygifgthegptghasghallucinations,g isgrespondinggtoginternalg
stimuli,gandgisgdelusionalgand/orgparanoid?
{{{Answers}}}g {Thegnurse'sg prioritygisgtogplacegthegptgongsuicidegprecautions,gmonitoringg
withinglinegofgsight,gorg1:1gsupervision/monitoring
*AssessgTMAPI:gthoughts,g means,gability,gplan,gandgintent)
Quiz:>gNursingg interventionsg forgptsgwhoghavegaghistorygofgpanicglevelganxiety
{{{Answers}}}g {Providegcontinuityg ofgcaregbygassigninggthegsamegstaffg(consistentgintera
ctionsgaregimportantginganygcaregsetting,gbutgespeciallygingmentalghealth.g Thisgwillghelpgpt
sgestablishgtrustg andgagsensegofgseecurity))
Quiz:>gWhatgshouldg thegnurseg dogifgagptggetsgangrygandgthrowsg agchair?
{{{Answers}}}g {Thegfirstgactiongthegnurseg shouldgtakegusinggthegsafety/riskgreductiongpr
iority-settingg frameworkgisgtogattemptgtogde-
escalategthegpt'sgangergandgaggressiongbygtalkinggthegptgdowngingagcalm,gnonthreateni
ngg manner.)
Quiz:>g Givegexamplesgofgpatientgrights
{{{Answers}}}g {•DignitygandgRespect
• Freedomgfromg Abuse/Neglect
• Confidentiality
• AccessgtogRecord
• EnvironmentalgRights
• CivilgRights
• TreatmentgandgSupport
• Person-Centeredg Planning)
Quiz:>gVoluntarilyg denyingg unpleasantg thoughtsg andgfeelings
{{{Answers}}}g {•Adaptiveguse:gAgstudentgstopsgthinkingg aboutgangargumentg heghadgearlie
rgwithgagfamilygmembergsoghegcangfocusgongthegtest
, • Maladaptiveguse:gAgpersongwhoghasglostghisgjobgstatesghegwillgworrygaboutgpayingghi
sgbillsgnextgmonth.)
Quiz:>gSuppression
{{{Answers}}}g {•Unconsciouslyg puttinggunacceptablegideas,gthoughts,gandgemotionsgout
gofgawareness
• Adaptiveguse:gAgClinicalgDirectorgpreparinggtoggivegagspeechgunconsciouslyg forgetsgth
egtimegwhengshegwasginghighgschoolgandgkidsglaughedgatghergwhilegongstage
• Maladaptiveguse:gAgnursingg studentg whoghasgagfeargofgdentistsgconsciouslygforgetsgtogg
ogtoghisgdentalgappointments)
Quiz:>g Repression
{{{Answers}}}g {Suddengusegofgchildlikegorgprimitivegbehaviorsgthatgdon'tgcorrelategwithgth
egperson'sgcurrentg developmentalglevel.
• Adaptiveguse:gAgschoolgagegchildgtemporarilygwetsgthegbedgwhengsheglearnsgthatghergp
etgdied
• Maladaptiveguse:gAgnurseg managergwhoghasga gnastygdisagreementgwithgagstaffgnurs
egstartsgthrowingg thingsgaroundginghergoffice)
Quiz:>g Regression
{{{Answers}}}g {Shiftinggfeelingsgrelatedgtogangobject,gperson,gorgsituationgtoganotherg lessg
threateningg object,gperson,gorgsituation.
• Adaptiveguse:gAghighgschoolgfootballgplayergangrilygpunchesg agpunchingg baggafterglosin
ggaggame
• Maladaptiveguse:gAgdadgwhogisgangrygaboutghisgwifegdivorcingghimgdestroysghisgchild'
sgfavoritegtoy)
Quiz:>g Displacement
{{{Answers}}}g {Performingg angactgtogmakegupgforgpriorgbehavior.
• Adaptiveguse:gAgadolescentgdoesghisgchoresgdailygwithoutg beinggpromptedgaftergarguin
ggwithghisgparent
• Maladaptiveguse:gAgmangbringsghisgwifegflowersgandggiftsgeverygtimeghegvisitsgingth
eghospitalgfollowinggrepeatedgincidencesgofgphysicalgandgmentalgabuse)
Quiz:>g Undoing
{{{Answers}}}g {Dealinggwithgimpulsesgandgunfavorableg feelingsgandgsubstitutinggaccepta
blegformsgofgexpression.
• Adaptiveguse:gAgpersongfeelinggangergandghostilitygtogwardghisgsupervisorg atgwork
gsublimatesgthesegfeelingsgbygworkinggoutgforgaglonggtimegatgtheggymgduringghisglun
chgperiod
• Maladaptiveguse:gn/a)
Quiz:>gSublimation
{{{Answers}}}g {Overcompensatingg orgdemonstratingg thegoppositegbehaviorgofgwhatgisgfelt
.
• Adaptiveguse:gAgNursegwhogisgcurrentlyg tryingg togstopgsmokinggrepeatedlygtalksgdailygt
ogadolescentsgongthegunitgaboutgdangersgofgnicotine
