mental health - davis Questions and Correct
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The nurse is documenting care of a patient following the APIE method.
Which of the following would you expect to see in the nursing note?
Select all that apply. Ans: - pt stated he is 'sad and depressed,' stays in
room, not involved in group activities
- impaired social interaction r/t lack of motivation and depressed mood
- developed therapeutic relationship w patient, stayed with p. while he
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ate dinner, encouraged getting dressed and going to dining room
- pt able to get dressed and eat in dining room
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The nurse is following the nursing process to care for a patient with a
nursing diagnosis of Risk for suicide. Which activity is the priority? Ans:
assess for suicidal ideation
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The nurse is documenting the care of a patient with a nursing diagnosis
of Risk for suicide. Which of the following is correct documentation for
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using problem-oriented recording? Select all that apply. Ans: - pt states
that he doesn't have anything to live for
- pt crying frequently, stays in room alone, superficial scratch marks on
wrist
- initiated therapeutic relationship, spent time w pt, provided positive
feedback for discussing feelings
- pt attended group, reported decreased thoughts of suicide. has no
current plan
The nurse is following the nursing process to care for a patient with a
nursing diagnosis of Hopelessness. Which of the following actions is
appropriate for the outcomes identification step? Ans: pt will verbalize a
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measure of hope and acceptance of life and situations over where there is
no control
A patient has been given a nursing diagnosis of Hopelessness. Which of
the following actions is appropriate for the planning step? Ans:
interventions based on assessment
Arrange the steps of the nursing process in order according to the
standards of practice for psychiatric mental health nursing set by the
American Nurses Association. Ans: assess, diagnosis, outcomes ID, plan,
implement, evaluation
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The estimated length of a hospital stay for a client experiencing alcohol
withdrawal symptoms is 7 days. What is the expected dose of
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chlordiazepoxide administered to the client on the first day of admission
in the hospital? Ans: 200 mg in divided doses
The nurse observes that the client with schizophrenia has an inability to
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trust others. Which problem would the client's treatment team determine
the client exhibits? Ans: paranoid delusions
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How is subjective data about a client obtained for use within the
subjective, objective, assessment, plan, implementation, and evaluation
(SOAPIE) format? Ans: from verbal reports of the client, family, or other
sources
Which standard of psychiatric mental health clinical nursing practice
includes milieu therapy? Ans: implementation
The nurse is caring for a client with schizophrenia in a psychiatric unit.
Which outcome in the client indicates effective treatment? Ans: perofrm
activities of daily living independently by the time of discharge
Which core capability of the electronic documentation system improves
workflow by eliminating ambiguities caused by illegible handwriting?
Ans: order entry/order management