Psychiatric Nursing Practice Exam Questions with Answers and Essay Papers
Which nursing intervention is best for facilitating communication with a psychiatric client who speaks a foreign language?
| A |
Rely on nonverbal communication. |
| B |
Select symbolic pictures as aids. |
| C |
Speak in universal phrases. |
| D |
Use the services of an interpreter. |
| Question 2 |
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The nurse explains to a mental health care technician that a client’s obsessive-compulsive behaviors are related to unconscious conflict between id impulses and the superego (or conscience). On which of the following theories does the nurse base this statement?
| A |
Behavioral theory |
| B |
Cognitive theory |
| C |
Interpersonal theory |
| D |
Psychoanalytic theory |
The nurse observes a client pacing in the hall. Which statement by the nurse may help the client recognize his anxiety?
| A |
“I guess you’re worried about something, aren’t you? |
| B |
“Can I get you some medication to help calm you?” |
| C |
“Have you been pacing for a long time?” |
| D |
“I notice that you’re pacing. How are you feeling?” |
| Question 4 |
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A client with obsessive-compulsive disorder is hospitalized on an inpatient unit. Which nursing response is most therapeutic?
| A |
Accepting the client’s obsessive-compulsive behaviors |
| B |
Challenging the client’s obsessive-compulsive behaviors |
| C |
Preventing the client’s obsessive-compulsive behaviors |
| D |
Rejecting the client’s obsessive-compulsive behaviors |
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A 45-year-old woman with a history of depression tells a nurse in her doctor’s office that she has difficulty with sexual arousal and is fearful that her husband will have an affair. Which of the following factors would the nurse identify as least significant in contributing to the client’s sexual difficulty?
| A |
Education and work history |
| B |
Medication used |
| C |
Physical health status |
| D |
Quality of spousal relationship |
| Question 6 |
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Which nursing intervention is most appropriate for a client with anorexia nervosa during initial hospitalization on a behavioral therapy unit?
| A |
Emphasize the importance of good nutrition to establish normal weight. |
| B |
Ignore the client’s mealtime behavior and focus instead on issues of dependence and independence. |
| C |
Help establish a plan using privileges and restrictions based on compliance with refeeding. |
| D |
Teach the client information about the long-term physical consequence of anorexia. |
A nurse is evaluating therapy with the family of a client with anorexia nervosa. Which of the following would indicate that the therapy was successful?
| A |
The parents reinforce increased decision making by the client. |
| B |
The parents clearly verbalize their expectations for the client. |
| C |
The client verbalizes that family meals are now enjoyable. |
| D |
The client tells her parents about feelings of low-self-esteem. |
| Question 8 |
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The nurse is working with a client with a somatoform disorder. Which client outcome goal would the nurse most likely establish in this situation?
| A |
The client will recognize signs and symptoms of physical illness. |
| B |
The client will cope with physical illness. |
| C |
The client will take prescribed medications. |
| D |
The client will express anxiety verbally rather than through physical symptoms. |
Which method would a nurse use to determine a client’s potential risk for suicide?
| A |
Wait for the client to bring up the subject of suicide. |
| B |
Observe the client’s behavior for cues of suicide ideation. |
| C |
Question the client directly about suicidal thoughts. |
| D |
Question the client about future plans. |
| Question 10 |
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A client with a bipolar disorder exhibits manic behavior. The nursing diagnosis is Disturbed thought processes related to difficulty concentrating, secondary to flight of ideas. Which of the following outcome criteria would indicate improvement in the client?
| A |
The client verbalizes feelings directly during treatment. |
| B |
The client verbalizes positive “self” statement. |
| C |
The client speaks in coherent sentences. |
| D |
The client reports feelings calmer. |
A client tells a nurse. “Everyone would be better off if I wasn’t alive.” Which nursing diagnosis would be made based on this statement?
| A |
Disturbed thought processes |
| B |
Ineffective coping |
| C |
Risk for self-directed violence |
| D |
Impaired social interaction |
| Question 12 |
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Which information is most essential in the initial teaching session for the family of a young adult recently diagnosed with schizophrenia?
| A |
Symptoms of this disease imbalance in the brain. |
| B |
Genetic history is an important factor related to the development of schizophrenia. |
| C |
Schizophrenia is a serious disease affecting every aspect of a person’s functioning. |
| D |
The distressing symptoms of this disorder can respond to treatment with medications. |
A nurse is working with a client who has schizophrenia, paranoid type. Which of the following outcomes related to the client’s delusional perceptions would the nurse establish?
| A |
The client will demonstrate realistic interpretation of daily events in the unit. |
| B |
The client will perform daily hygiene and grooming without assistance. |
| C |
The client will take prescribed medications without difficulty. |
| D |
The client will participate in unit activities. |
| Question 14 |
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A client with bipolar disorder, manic type, exhibits extreme excitement, delusional thinking, and command hallucinations. Which of the following is the priority nursing diagnosis?
| A |
Anxiety |
| B |
Impaired social interaction |
| C |
Disturbed sensory-perceptual alteration (auditory) |
| D |
Risk for other-directed violence |
A client who abuses alcohol and cocaine tells a nurse that he only uses substances because of his stressful marriage and difficult job. Which defense mechanisms is this client using?
| A |
Displacement |
| B |
Projection |
| C |
Rationalization |
| D |
Sublimation |
| Question 16 |
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An 11-year-old child diagnosed with conduct disorder is admitted to the psychiatric unit for treatment. Which of the following behaviors would the nurse assess?
| A |
Restlessness, short attention span, hyperactivity |
| B |
Physical aggressiveness, low stress tolerance disregard for the rights of others |
| C |
Deterioration in social functioning, excessive anxiety and worry, bizarre behavior |
| D |
Sadness, poor appetite and sleeplessness, loss of interest in activities |
The nurse understands that if a client continues to be dependent on heroin throughout her pregnancy, her baby will be at high risk for:
| A |
Mental retardation. |
| B |
Heroin dependence. |
| C |
Addiction in adulthood. |
| D |
Psychological disturbances. |
| Question 18 |
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The emergency department nurse is assigned to provide care for a victim of a sexual assault. When following legal and agency guidelines, which intervention is most important?
| A |
Determine the assailant’s identity. |
| B |
Preserve the client’s privacy. |
| C |
Identify the extent of injury. |
| D |
Ensure an unbroken chain of evidence. |
Which factor is least important in the decision regarding whether a victim of family violence can safely remain in the home?
| A |
The availability of appropriate community shelters |
| B |
The nonabusing caretaker’s ability to intervene on the client’s behalf |
| C |
The client’s possible response to relocation |
| D |
The family’s socioeconomic status |
| Question 20 |
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The nurse would expect a client with early Alzheimer’s disease to have problems with:
| A |
Balancing a checkbook. |
| B |
Self-care measures. |
| C |
Relating to family members. |
| D |
Remembering his own name. |
Which nursing intervention is most appropriate for a client with Alzheimer’s disease who has frequent episodes emotional lability?
| A |
Attempt humor to alter the client mood. |
| B |
Explore reasons for the client’s altered mood. |
| C |
Reduce environmental stimuli to redirect the client’s attention. |
| D |
Use logic to point out reality aspects. |
| Question 22 |
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Which neurotransmitter has been implicated in the development of Alzheimer’s disease?
| A |
Acetylcholine |
| B |
Dopamine |
| C |
Epinephrine |
| D |
Serotonin |
Which factors are most essential for the nurse to assess when providing crisis intervention foe a client?
| A |
The client’s communication and coping skills |
| B |
The client’s anxiety level and ability to express feelings |
| C |
The client’s perception of the triggering event and availability of situational supports |
| D |
The client’s use of reality testing and level of depression |
| Question 24 |
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The nurse considers a client’s response to crisis intervention successful if the client:
| A |
Changes coping skills and behavioral patterns. |
| B |
Develops insight into reasons why the crisis occurred. |
| C |
Learns to relate better to others. |
| D |
Returns to his previous level of functioning. |
Two nurses are co-leading group therapy for seven clients in the psychiatric unit. The leaders observe that the group members are anxious and look to the leaders for answers. Which phase of development is this group in?
| A |
Conflict resolution phase |
| B |
Initiation phase |
| C |
Working phase |
| D |
Termination phase |
| Question 26 |
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Group members have worked very hard, and the nurse reminds them that termination is approaching. Termination is considered successful if group members:
| A |
Decide to continue. |
| B |
Elevate group progress |
| C |
Focus on positive experience |
| D |
Stop attending prior to termination. |
The nurse is teaching a group of clients about the mood-stabilizing medications lithium carbonate. Which medications should she instruct the clients to avoid because of the increased risk of lithium toxicity?
| A |
Antacids |
| B |
Antibiotics |
| C |
Diuretics |
| D |
Hypoglycemic agents |
| Question 28 |
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When providing family therapy, the nurse analyzes the functioning of healthy family systems. Which situations would not increase stress on a healthy family system?
| A |
An adolescent’s going away to college |
| B |
The birth of a child |
| C |
The death of a grandparent |
| D |
Parental disagreement |
A client taking the monoamine oxidase inhibitor (MAOI) antidepressant isocarboxazid (Marplan) is instructed by the nurse to avoid which foods and beverages?
| A |
Aged cheese and red wine |
| B |
Milk and green, leaf vegetables |
| C |
Carbonated beverages and tomato products |
| D |
Lean red meats and fruit juices |
| Question 30 |
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Prior to administering chlorpromazine (Thorazine) to an agitated client, the nurse should:
| A |
Assess skin color and sclera |
| B |
Assess the radial pulse |
| C |
Take the client’s blood pressure |
| D |
Ask the client to void |
The nurse understands that electroconvulsive therapy is primary used in psychiatric care for the treatment of:
| A |
Anxiety disorders. |
| B |
Depression. |
| C |
Mania. |
| D |
Schizophrenia. |
| Question 32 |
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A client taking the MAOI phenelzine (Nardil) tells the nurse that he routinely takes all of the medications listed below. Which medication would cause the nurse to express concern and therefore initiate further teaching?
| A |
Acetaminophen (Tylenol) |
| B |
Diphenhydramine (Benadryl) |
| C |
Furosemide (Lasix) |
| D |
Isosorbide dinitrate (Isordil) |
The nurse is administering a psychotropic drug to an elderly client who has history of benign prostatic hypertrophy. It is most important for the nurse to teach this client to:
| A |
Add fiber to his diet. |
| B |
Exercise on a regular basis. |
| C |
Report incomplete bladder emptying. |
| D |
Take the prescribed dose at bedtime. |
| Question 34 |
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The nurse correctly teaches a client taking the benzodiazepine oxazepam (Serax) to avoid excessive intake of:
| A |
Cheese |
| B |
Coffee |
| C |
Sugar |
| D |
Shellfish |
The nurse provides a referral to Alcoholics Anonymous to a client who describes a 20-year history of alcohol abuse. The primary function of this group is to:
| A |
Encourage the use of a 12-step program. |
| B |
Help members maintain sobriety. |
| C |
Provide fellowship among members. |
| D |
Teach positive coping mechanisms. |
| Question 36 |
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Which client outcome is most appropriately achieved in a community approach setting in psychiatric nursing?
| A |
The client performs activities of daily living and learns about crafts. |
| B |
The client’s is able to prevent aggressive behavior and monitors his use of medications. |
| C |
The client demonstrates self-reliance and social adaptation. |
| D |
The client experience experiences anxiety relief and learns about his symptoms. |
A client with panic disorder experiences an acute attack while the nurse is completing an admission assessment. List the following interventions according to their level of priority. a. Remain with the client. b. Encourage physical activity. c. Encourage low, deep breathing. d. Reduce external stimuli. e. Teach coping measures.
| A |
ABCDE |
| B |
ADBCE |
| C |
ACDBE |
| D |
ADCBE |
| Question 38 |
The doctor has prescribed haloperidol (Haldol) 2.5 mg. I.M. for an agitated client. The medication is labeled haloperidol 10 mg/2 ml. The nurse prepares the correct dose by drawing up how many milliliters in the syringe?
The nurse enters the room of a client with a cognitive impairment disorder and asks what day of the week it is: what the date, month, and year are; and where the client is. The nurse is attempting to assess:
| A |
Confabulation |
| B |
Delirium |
| C |
Orientation |
| D |
Perseveration |
| Question 40 |
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Which of the following will the nurse use when communicating with a client who has a cognitive impairment?
| A |
Complete explanations with multiple details |
| B |
Picture or gestures instead of words |
| C |
Stimulating words and phrases to capture the client’s attention |
| D |
Short words and simple sentences |
A 75-year-old client has dementia of the Alzheimer’s type and confabulates. The nurse understands that this client:
| A |
Denies confusion by being jovial. |
| B |
Pretends to be someone else. |
| C |
Rationalizes various behaviors. |
| D |
Fills in memory gaps with fantasy. |
| Question 42 |
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An elderly client with Alzheimer’s disease becomes agitated and combative when a nurse approaches to help with morning care. The most appropriate nursing intervention in this situation would be to:
| A |
Tell the client family that it is time to get dressed. |
| B |
Obtain assistance to restrain the client for safety. |
| C |
Remain calm and talk quietly to the client. |
| D |
Call the doctor and request an order for sedation. |
In clients with a cognitive impairment disorder, the phenomenon of increased confusion in the early evening hours is called:
| A |
Aphasia |
| B |
Agnosia |
| C |
Sundowning |
| D |
Confabulation |
| Question 44 |
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Which of the following outcome criteria is appropriate for the client with dementia?
| A |
The client will return to an adequate level of self-functioning. |
| B |
The client will learn new coping mechanisms to handle anxiety. |
| C |
The client will seek out resources in the community for support. |
| D |
The client will follow an establishing schedule for activities of daily living. |
The school guidance counselor refers a family with an 8-year-old child to the mental health clinic because of the child’s frequent fighting in school and truancy. Which of the following data would be a priority to the nurse doing the initial family assessment?
| A |
The child’s performance in school |
| B |
Family education and work history |
| C |
The family’s perception of the current problem |
| D |
The teacher’s attempts to solve the problem |
| Question 46 |
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The parents of a young man with schizophrenia express feelings of responsibility and guilt for their son’s problems. How can the nurse best educate the family?
| A |
Acknowledge the parent’s responsibility. |
| B |
Explain the biological nature of schizophrenia. |
| C |
Refer the family to a support group. |
| D |
Teach the parents various ways they must change. |
The nurse collecting family assessment data asks. “Who is in your family and where do they live?” which of the following is the nurse attempting o identify?
| A |
Boundaries |
| B |
Ethnicity |
| C |
Relationships |
| D |
Triangles |
| Question 48 |
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According to the family systems theory, which of the following best describes the process of differentiation?
| A |
Cooperative action among members of the family |
| B |
Development of autonomy within the family |
| C |
Incongruent messages wherein the recipient is a victim |
| D |
Maintenance of system continuity or equilibrium |
The nurse is interacting with a family consisting of a mother, a father, and a hospitalized adolescent who has a diagnosis of alcohol abuse. The nurse analyzes the situation and agrees with the adolescent’s view about family rules. Which intervention is most appropriate?
| A |
The nurse should align with the adolescent, who is the family scapegoat. |
| B |
The nurse should encourage the parents to adopt more realistic rules. |
| C |
The nurse should encourage the adolescent to comply with parental rules. |
| D |
The nurse should remain objective and encourage mutual negotiation of issues. |
| Question 50 |
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A 16-year-old girl has returned home following hospitalization for treatment of anorexia nervosa. The parents tell the family nurse performing a home visit that their child has always done everything to please them and they cannot understand her current stubbornness about eating. The nurse analyzes the family situation and determines it is characteristic of which relationship style?
| A |
Differentiation |
| B |
Disengagement |
| C |
Enmeshment |
| D |
Scapegoating |
GUESSING ON AN EXAM THE MIDTERM EXAM IN A NURSING COURSE CONSISTS OF 75 TRUE/FALSE QUESTIONS
Nursing HomeworksGUESSING ON AN EXAM THE MIDTERM EXAM IN A NURSING COURSE CONSISTS OF 75 TRUE/FALSE QUESTIONS.
a. Find the mean and standard deviation for the number of correct answers for such students.
b. Would it be unusual for a student to pass this exam by guessing and getting at least 45 correct answers? Why or why not?
Elements of poor leadership essay
Nursing HomeworksElements of poor leadership essay
Overview
Health care management requires leadership skills which will test your ability to make vital decisions. “Like a rapidly mutating cancer cell, poor leadership within healthcare systems can cause toxic symptoms that adversely impact organizational work cultures and staff satisfaction and lead to burnout” (Werberg, 2010, para. 1). Assessments made by leadership have a direct relation to many areas, including but not limited to the following: The quality of care provided, staff morale, and organizational reputation. As a trailblazer of your organization, you will use effective leadership skills to manage/avoid conflict, make effective recommendations, manage staff, and protect the overall quality/efficiency of the organization. To make effective decisions as a leader you should identify the major facts, indicate if or what problems exist, and finally, recommend a solution.
This assignment requires you to review a practical case study and analyze the elements of poor leadership. The case study also explores characteristics of a health care leader while introducing safety culture. Your assessment and responses to the realistic scenario should be based off leadership attributes. Elements of poor leadership essay.
Werberg, D. (2010). Transformational leadership and staff retention: Anevidence review with implications for healthcare systems. Nursing Administration Quarterly. 34(3), 246-258. doi: 10.1097/NAQ.0b013e3181e70298
Read the following case study published by the Institute for Healthcare Improvement:
Griner, P. (2017). Case study: On being transparent. Retrieved from http://www.ihi.org/education/IHIOpenSchool/resources/Documents/Participant_On%20Being%20Transparent.pdf
After reading the case study, you should complete a 2- to 3-page case analysis that includes three distinct sections (in addition to your introduction and conclusion):
Assignment Expectations
Elements of poor leadership essay
Do independent research to determine three (3) key issues that will affect hospitals in your state’s next legislative session.
UncategorizedHospital CEO
For this activity, you must do independent research to determine three (3) key issues that will affect hospitals in your state’s next legislative session. Your state hospital association should have written materials concerning this matter. Also, your local papers, especially those in your state capital, have undoubtedly covered this subject thoroughly. If you are already familiar with a local hospital administrator (CEO, COO, CFO, DON, or similar party) who is active in the State Hospital Association, you may also wish to contact him/her.
Describe the three (3) issues and then for each of the issues, discuss the following.
Examples of issues might include funding for indigent care, Medicaid reimbursement, rural health, mental health coverage, and nursing and tech training and shortages. Your Activity responses should be both grammatically and mechanically correct and formatted in the same fashion as the Activity itself. If there is a Part A, your response should identify a Part A, etc.
Q2
Overview
The purpose of this homework is to introduce you to APA style, as you will be required to use this format for all of your papers in the College of Nursing and Health Innovation. Please be sure to complete all of the steps as outlined below in order to receive full credit.
Rubric
Make sure to use the assignment rubric to guide your work.
Instructions
1. Locate the name of a recent (
2. Find one scholarly article related to your topic and read it.
3. Type a one page (double spaced) summary of the article you read. In your summary, make sure and use in-text citations, including page numbers if you use a direct quote. Remember, even information that is summarized must be cited to avoid plagiarism.
4. At the end of the summary, type the reference to your article in correct APA style.
5. Please include a copy of your article with your assignment submission; this can be a .pdf file. Simply attach both this template (in Word format) and the article to Blackboard when you submit.
Case Study in Human Resource Management
UncategorizedManagement homework help
UncategorizedFor this assignment, you will analyze 6 examples of popular media (e.g., TV, movies, radio, or print) that you have seen that depict the police, courts, and correctional components of the criminal justice system. You will need to select 2 examples for each for the three components of criminal justice: law enforcement, judiciary, and corrections. In your answers to the following questions, you can provide academic or real-life criminal justice examples to support and enhance your answers to each question.
In a 2–3-page paper, address all of the following topics for each of your media examples with the use of headings and subheadings:
The theory and politics of transportation and logistics management
Nursing HomeworksDiscussion
Part I:
Prepare a one page description of your Research Project interest. Post the description here
in the Week 1 forum (review syllabus for potential topics of interest).
My topic: A review of the U.S. economy and its impact on transportation and logistics management.
Part II:
Complete this assignment by discussing the theory and politics of transportation and
logistics management. You will have to conduct online research to determine what theories
exist in the field. Likewise, you need to determine what political factors are at play and how
these factors impact the TLM field. Discuss in detail and provide sources to support your
thoughts, insights, ideas, and statements.
Forum Rubric
Instructions: Your initial post should be at least 250 words. Please post more than 2 reply responses of 100 or more words to your classmates or the instructor. Responses should be a minimum of 100 words and include direct questions. Please review the attached rubric for more
details on the forum requirements.
define what is family and the different types of family
Nursing HomeworksIn your own words and quoting the appropriate evidence-based references define what is family and the different types of family. Please tell us what type of family do you belong?
2. How do you feel that the value system differs from that of your parents? And from your grandparents? Why have these changes come about? As practicing nurses, why is it important to consider these generational differences in values and beliefs?
3. Discuss traditional health beliefs & practices that have been passed down by families. Are these cultural or regional beliefs? Do you continue to practice any of the same things? Why or why not?
4. How do you believe that family members and their upbringing have affected your own health or could affect a patient/individual’s health? Discuss positive & negative effects as well as physical, emotional & spiritual health. Give some examples.
As stated in the syllabus the assignment must be presented in an APA format word document, Arial 12 font attached to the forum on the discussion board. A minimum of 3 evidenced-based references must be used and 2 replies to any of your peers sustained with the appropriate references must be posted. Only the assignment must be attached in a word document in the forum, replies do not. References must be no older than 5 years. A minimum of 700 words is required
Psychiatric Nursing Practice Exam Questions with Answers and Essay Papers
Nursing HomeworksPsychiatric Nursing Practice Exam Questions with Answers and Essay Papers
Which nursing intervention is best for facilitating communication with a psychiatric client who speaks a foreign language?
The nurse explains to a mental health care technician that a client’s obsessive-compulsive behaviors are related to unconscious conflict between id impulses and the superego (or conscience). On which of the following theories does the nurse base this statement?
The nurse observes a client pacing in the hall. Which statement by the nurse may help the client recognize his anxiety?
A client with obsessive-compulsive disorder is hospitalized on an inpatient unit. Which nursing response is most therapeutic?
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A 45-year-old woman with a history of depression tells a nurse in her doctor’s office that she has difficulty with sexual arousal and is fearful that her husband will have an affair. Which of the following factors would the nurse identify as least significant in contributing to the client’s sexual difficulty?
Which nursing intervention is most appropriate for a client with anorexia nervosa during initial hospitalization on a behavioral therapy unit?
A nurse is evaluating therapy with the family of a client with anorexia nervosa. Which of the following would indicate that the therapy was successful?
The nurse is working with a client with a somatoform disorder. Which client outcome goal would the nurse most likely establish in this situation?
Which method would a nurse use to determine a client’s potential risk for suicide?
A client with a bipolar disorder exhibits manic behavior. The nursing diagnosis is Disturbed thought processes related to difficulty concentrating, secondary to flight of ideas. Which of the following outcome criteria would indicate improvement in the client?
A client tells a nurse. “Everyone would be better off if I wasn’t alive.” Which nursing diagnosis would be made based on this statement?
Which information is most essential in the initial teaching session for the family of a young adult recently diagnosed with schizophrenia?
A nurse is working with a client who has schizophrenia, paranoid type. Which of the following outcomes related to the client’s delusional perceptions would the nurse establish?
A client with bipolar disorder, manic type, exhibits extreme excitement, delusional thinking, and command hallucinations. Which of the following is the priority nursing diagnosis?
A client who abuses alcohol and cocaine tells a nurse that he only uses substances because of his stressful marriage and difficult job. Which defense mechanisms is this client using?
An 11-year-old child diagnosed with conduct disorder is admitted to the psychiatric unit for treatment. Which of the following behaviors would the nurse assess?
The nurse understands that if a client continues to be dependent on heroin throughout her pregnancy, her baby will be at high risk for:
The emergency department nurse is assigned to provide care for a victim of a sexual assault. When following legal and agency guidelines, which intervention is most important?
Which factor is least important in the decision regarding whether a victim of family violence can safely remain in the home?
The nurse would expect a client with early Alzheimer’s disease to have problems with:
Which nursing intervention is most appropriate for a client with Alzheimer’s disease who has frequent episodes emotional lability?
Which neurotransmitter has been implicated in the development of Alzheimer’s disease?
Which factors are most essential for the nurse to assess when providing crisis intervention foe a client?
The nurse considers a client’s response to crisis intervention successful if the client:
Two nurses are co-leading group therapy for seven clients in the psychiatric unit. The leaders observe that the group members are anxious and look to the leaders for answers. Which phase of development is this group in?
Group members have worked very hard, and the nurse reminds them that termination is approaching. Termination is considered successful if group members:
The nurse is teaching a group of clients about the mood-stabilizing medications lithium carbonate. Which medications should she instruct the clients to avoid because of the increased risk of lithium toxicity?
When providing family therapy, the nurse analyzes the functioning of healthy family systems. Which situations would not increase stress on a healthy family system?
A client taking the monoamine oxidase inhibitor (MAOI) antidepressant isocarboxazid (Marplan) is instructed by the nurse to avoid which foods and beverages?
Prior to administering chlorpromazine (Thorazine) to an agitated client, the nurse should:
The nurse understands that electroconvulsive therapy is primary used in psychiatric care for the treatment of:
A client taking the MAOI phenelzine (Nardil) tells the nurse that he routinely takes all of the medications listed below. Which medication would cause the nurse to express concern and therefore initiate further teaching?
The nurse is administering a psychotropic drug to an elderly client who has history of benign prostatic hypertrophy. It is most important for the nurse to teach this client to:
The nurse correctly teaches a client taking the benzodiazepine oxazepam (Serax) to avoid excessive intake of:
The nurse provides a referral to Alcoholics Anonymous to a client who describes a 20-year history of alcohol abuse. The primary function of this group is to:
Which client outcome is most appropriately achieved in a community approach setting in psychiatric nursing?
A client with panic disorder experiences an acute attack while the nurse is completing an admission assessment. List the following interventions according to their level of priority. a. Remain with the client. b. Encourage physical activity. c. Encourage low, deep breathing. d. Reduce external stimuli. e. Teach coping measures.
The doctor has prescribed haloperidol (Haldol) 2.5 mg. I.M. for an agitated client. The medication is labeled haloperidol 10 mg/2 ml. The nurse prepares the correct dose by drawing up how many milliliters in the syringe?
The nurse enters the room of a client with a cognitive impairment disorder and asks what day of the week it is: what the date, month, and year are; and where the client is. The nurse is attempting to assess:
Which of the following will the nurse use when communicating with a client who has a cognitive impairment?
A 75-year-old client has dementia of the Alzheimer’s type and confabulates. The nurse understands that this client:
An elderly client with Alzheimer’s disease becomes agitated and combative when a nurse approaches to help with morning care. The most appropriate nursing intervention in this situation would be to:
In clients with a cognitive impairment disorder, the phenomenon of increased confusion in the early evening hours is called:
Which of the following outcome criteria is appropriate for the client with dementia?
The school guidance counselor refers a family with an 8-year-old child to the mental health clinic because of the child’s frequent fighting in school and truancy. Which of the following data would be a priority to the nurse doing the initial family assessment?
The parents of a young man with schizophrenia express feelings of responsibility and guilt for their son’s problems. How can the nurse best educate the family?
The nurse collecting family assessment data asks. “Who is in your family and where do they live?” which of the following is the nurse attempting o identify?
According to the family systems theory, which of the following best describes the process of differentiation?
The nurse is interacting with a family consisting of a mother, a father, and a hospitalized adolescent who has a diagnosis of alcohol abuse. The nurse analyzes the situation and agrees with the adolescent’s view about family rules. Which intervention is most appropriate?
A 16-year-old girl has returned home following hospitalization for treatment of anorexia nervosa. The parents tell the family nurse performing a home visit that their child has always done everything to please them and they cannot understand her current stubbornness about eating. The nurse analyzes the family situation and determines it is characteristic of which relationship style?
Nursing homework help
UncategorizedRemember to support your responses with the topic study materials.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, https://www.khanacademy.org/partner-content/wi-phi/wiphi-value-theory/wiphi-ethics/v/moral-status
Identify and justify the top five objectives for nursing care
Nursing HomeworksIdentify and justify the top five objectives for nursing care
People aged 65 years and older constitute 50% of health service users. As people age, they experience changes to their physical and mental function, and can experience many social changes in terms of family and career. For those requiring health services, these changes are further complicated by illness (Moyle, et al., 2014).
The aim of this assignment is to apply the theoretical knowledge gained from modules 1 and 2 of this course to a case study that you have encountered in a Bachelor of Nursing clinical placement. Examples of case studies may include (but are not limited to) the range of prevalent conditions examined in module 1 and 2:
· Falls and fractures
· Incontinence
· Delirium
· Alzheimer’s Disease and other dementias.
TASK INSTRUCTIONS:
You will need to describe the issues in your case study, and then undertake a process of analysis in order to generate a comprehensive nursing plan of care. Practising this process of analysis will help you to feel more confident in providing nursing care to an older person in the clinical setting.
Your case study must:
1. Reflect upon the impact that various stereotypes of older people may have on the older person and their nursing care;
2. Recommend the nursing requirements for older people diagnosed with, or at risk of, complex health conditions and/or cognitive decline; and
3. Evaluate the outcomes for nursing care of older people.
For this task you need to prepare a 2500 word written assignment in a case study format. There are two parts to this assignment. Part 1 is a case study(750 words) and Part 2 is a plan of care for the person (1750 words).
Review these guides to writing a case study:
· Griffith University Guide to Writing a Case Study
· Monash University How to Write the Case Study
· QUT Writing a Case Study Response
Part 1 – Case Study (750 words)
· Introduce the purpose of the case study.
· Briefly outline the main problems as you recall and reflect on the care of an older person (over 65 years or over 55 years if Australia’s First Peoples) who has at least two (2) co-morbidities which impact on their functional status in an acute care (hospital) setting.
· Write a case study based on this experience. In the case study:
· describe the impact that specific stereotypes of older people may have on the person, and
· identify a specific, and recent environmental change impacting this older person.
Part 2 – Care Plan (1750 words)
· Develop a plan of care for the person. In your plan you must:
· Identify and justify the top five objectives for nursing care,
· Describe and justify evidenced-based nursing interventions to achieve each objective, and
· Create and describe the evaluation criteria that you will use to judge whether the plan addressed the identified objectives.
Throughout your care plan it must be clear how your decisions have been informed by a critical analysis of the case, applying concepts (stereotypes, nursing requirements, outcomes) raised in modules 1 and 2. No fewer than 10 different sources from the scholarly literature should be sourced. NOTE: It is important that you maintain confidentiality as per University guidelines and include no identifying demographic information about patients, colleagues or institutions.
Additional information:
· Ensure that you use scholarly literature[footnoteRef:1] (digitised readings, research articles, relevant Government reports and text books) that has been predominantly published within the last 5 years. [1: Scholarly or peer-reviewed journal articles are written by scholars or professionals who are experts in their fields, as opposed to literature such as magazine articles, which reflect the tastes of the general public and are often meant as entertainment.]
· Use academic language[footnoteRef:2] and health specific terminology throughout. [2: Everyday language is predominantly subjective. It is mainly used to express opinions based on personal preference or belief rather than evidence. Written academic English is formal. It avoids colloquialisms and slang, which may be subject to local and social variations. Formal language is more precise and stable, and therefore more suitable for the expression of complex ideas and the development of reasoned argumentation.]
· Refer to the marking guidelines when writing your assignment. This will assist you in calculating the weightings of the sections for your assignment.
· You may use headings to organise your work and use the first person in your writing.
· State your word count (excluding your reference list) on the Assignment Coversheet.
Assignment 1, Case Study, Marking Guidelines
· The 5 most important nursing requirements are justified using literature/evidence from nursing and ageing sources (5 marks);
· The proposed nursing interventions are evidence-based and justified in relation to the needs of the older person described in the case study (5 marks);
· The evaluation criteria are relevant to the situation in the case, measurable and timely (5 marks).
· No fewer than 10 different sources from the scholarly literature are sourced (5 marks).
· Word limits for assessment items are strictly adhered to.
· The case study is well presented, with correct spelling, grammar, and well-constructed sentence and paragraph structure.
[ weighted at 50%]
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