NR 326 Exam 1, NR326 Quiz for study (update)
Quiz:> What is needed for involuntary admission to a psychiatric inpatient unit?
{{{Answers}}} {1. Petition needed.
2. The RN will assess the pt for lethality; assess the inability of client to care for self; assess judgment and thought.
3. At f...
what is needed for involuntary admission to a psychiatric inpatient unit
examples of non therapeutic communication techniques
the rapeutic communication t
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NR 326 Exam 1, NR326 Quiz for study (update)
Quiz:> What is needed for involuntary admission to a psychiatric inpatient unit?
{{{Answers}}} {1. Petition needed.
2. The RN will assess the pt for lethality; assess the inability of client to care for self;
assess judgment and thought.
3. At first, clinical certification is needed from a clinical eval done by physician or
psychologist.
4. A second clinical cert from a clinical eval by a psychiatrist is needed within 24 hrs
after initial cert.)
Quiz:> Examples of non-therapeutic communication techniques
{{{Answers}}} {-Offering false reassurance
-Giving opinions
-Asking "why" questions
-Asking too many questions without first establishing rapport or allowing pt to verbalize
judgement; interrupting
-Focusing on the person's character weaknesses vs. strengths, opportunities for
improvement, and behavioral motivation)
Quiz:> The rapeutic communication techniques
{{{Answers}}} {-Active listening skills
-Redirecting patient to healthy ways of coping and interacting
-Providing dignity and respect
-Observing and relating the person's strengths to 1:1 and group interactions
-Identify and focus on the person's strengths, motivations)
Quiz:> What are active listening techniques?
{{{Answers}}} {Clarifying, reflecting, summarizing, emotional labeling, silence, offering
self, exploring (possible options and previous coping that has worked))
Quiz:> Nursing interventions for a pt exhibiting threatening behavior and violence
{{{Answers}}} {-Have staff nearby
-One person talks to the pt with a calm, non-threatening voice
-De-escalation skills
-Redirect pt (let's walk, I have time to listen, let's solve this together))
Quiz:> What are your priority actions during a situational crisis?
{{{Answers}}} {-Determine if the client has psychotic thinking
(Clients experiencing a situational crisis are at greatest risk for injury to themselves or
others))
Quiz:> What do you do for a pt exhibiting panic level anxiety?
,{{{Answers}}} {Remain with the pt for awhile (the nurse should not leave a pt who has
severe anxiety alone. The nurse's priority is to use the least restrictive intervention, such
as staying with the pt and calmly encouraging them to express their feelings))
Quiz:> Repression
{{{Answers}}} {A patient who just got assaulted and can't remember circumstances of
the event)
Quiz:> Denial
{{{Answers}}} {A nurse manager expects the nurse abusing alcohol to demonstrate the
defense mechanism of denial. Denial is the most common defense mechanism,
especially used by people dealing with the problems and missed responsibilities
associated with substance abuse behavior.)
Quiz:> Rationalization
{{{Answers}}} {A pt states they have to drink a bottle of alcohol daily to relax due to a
veery high stress job. Rationalization is when a person creates reasonable and
acceptable explanations for unacceptable behavior.)
Quiz:> Somatization
{{{Answers}}} {A pt indicates they keep feelings nauseated and sick to their stomach,
chest pains, and a headache, every time they are asked to go to art therapy and be with
other people (Somatization is developing physical symptoms in place of anxiety))
Quiz:> Reaction formation
{{{Answers}}} {A pt dislikes his roommate and speaks ill of him to everyone who will
listen; but, when the roommate returns, he offers the roommate a cookie and a snack
(Reaction formation is overcompensating or demonstrating the opposite behavior of
what the person feels))
Quiz:> Displacement
{{{Answers}}} {A pt kicks a chair after emotionally yelling and screaming at a psychiatrist
for prescribing a med (displacement is shifting feelings r/t an object, person, or situation
to another less threatening object, person, or situation))
Quiz:> Regression
{{{Answers}}} {A pt is describing what he does to cope with things not working out the
way he expects (Regression is reverting to an earlier, more primitive and child-like
pattern of behavior))
Quiz:> What does a crisis situation contain?
{{{Answers}}} {A crisis situation contains the potential for psychological growth or
deterioration)
Quiz:> What may be prescribed for a pt experiencing anxiety?
{{{Answers}}} {Paroxetine and Lorazepam (benzo))
,Quiz:> Nursing interventions for a pt experiencing a crisis r/t anxiety
{{{Answers}}} {-Establish rapport with the pt
-Identify the cause of the anxiety
-Validate the client's feelings)
Quiz:> What are usual findings for panic level anxiety?
{{{Answers}}} {Increased pulse rate, respirations, and blood pressure.
*Elevated temp and decreased CO2 are not usual findings)
Quiz:> What does a nurse do if a pt verbalizes that they are better off dead than alive?
{{{Answers}}} {The nurse needs to do a lethality assessment.
"Do you have a plan to harm yourself?" (When a pt expresses suicidal intent, it is the
nurse's priority to determine the seriousness of the content and the lethality of the
means.)
Quiz:> What is the nurse's priority if the pt has hallucinations, is responding to internal
stimuli, and is delusional and/or paranoid?
{{{Answers}}} {The nurse's priority is to place the pt on suicide precautions, monitoring
within line of sight, or 1:1 supervision/monitoring
*Assess TMAPI: thoughts, means, ability, plan, and intent)
Quiz:> Nursing interventions for pts who have a history of panic level anxiety
{{{Answers}}} {Provide continuity of care by assigning the same staff (consistent
interactions are important in any care setting, but especially in mental health. This will
help pts establish trust and a sense of seecurity))
Quiz:> What should the nurse do if a pt gets angry and throws a chair?
{{{Answers}}} {The first action the nurse should take using the safety/risk reduction
priority-setting framework is to attempt to de-escalate the pt's anger and aggression by
talking the pt down in a calm, nonthreatening manner.)
Quiz:> Give examples of patient rights
{{{Answers}}} {•Dignity and Respect
•Freedom from Abuse/Neglect
•Confidentiality
•Access to Record
•Environmental Rights
•Civil Rights
•Treatment and Support
•Person-Centered Planning)
Quiz:> Voluntarily denying unpleasant thoughts and feelings
{{{Answers}}} {•Adaptive use: A student stops thinking about an argument he had earlier
with a family member so he can focus on the test
, •Maladaptive use: A person who has lost his job states he will worry about paying his
bills next month.)
Quiz:> Suppression
{{{Answers}}} {•Unconsciously putting unacceptable ideas, thoughts, and emotions out
of awareness
•Adaptive use: A Clinical Director preparing to give a speech unconsciously forgets the
time when she was in high school and kids laughed at her while on stage
•Maladaptive use: A nursing student who has a fear of dentists consciously forgets to go
to his dental appointments)
Quiz:> Repression
{{{Answers}}} {Sudden use of childlike or primitive behaviors that don't correlate with the
person's current developmental level.
•Adaptive use: A school age child temporarily wets the bed when she learns that her pet
died
•Maladaptive use: A nurse manager who has a nasty disagreement with a staff nurse
starts throwing things around in her office)
Quiz:> Regression
{{{Answers}}} {Shifting feelings related to an object, person, or situation to another less
threatening object, person, or situation.
•Adaptive use: A high school football player angrily punches a punching bag after losing
a game
•Maladaptive use: A dad who is angry about his wife divorcing him destroys his child's
favorite toy)
Quiz:> Displacement
{{{Answers}}} {Performing an act to make up for prior behavior.
•Adaptive use: A adolescent does his chores daily without being prompted after arguing
with his parent
•Maladaptive use: A man brings his wife flowers and gifts every time he visits in the
hospital following repeated incidences of physical and mental abuse)
Quiz:> Undoing
{{{Answers}}} {Dealing with impulses and unfavorable feelings and substituting
acceptable forms of expression.
•Adaptive use: A person feeling anger and hostility to ward his supervisor at work
sublimates these feelings by working out for a long time at the gym during his lunch
period
•Maladaptive use: n/a)
Quiz:> Sublimation
{{{Answers}}} {Overcompensating or demonstrating the opposite behavior of what is felt.
•Adaptive use: A Nurse who is currently trying to stop smoking repeatedly talks daily to
adolescents on the unit about dangers of nicotine
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