Exam (elaborations)
VARCAROLIS: CHAPTER 7 - THE NURSING PROCESS AND STANDARDS OF CARE FOR PSYCHIATRIC MENTAL HEALTH NURSING QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
Institution
Mental Health
VARCAROLIS: CHAPTER 7 - THE NURSING PROCESS AND STANDARDS OF CARE FOR PSYCHIATRIC MENTAL HEALTH NURSING QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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VARCAROLIS: CHAPTER 7 - THE
NURSING PROCESS AND STANDARDS
OF CARE FOR PSYCHIATRIC MENTAL
HEALTH NURSING QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
AGnewGstaffGnurseGcompletesGanGorientationGtoGtheGpsychiatricGunit.GThisGnurseGwillGexpectGtoGaskGanGadv
ancedGpracticeGnurseGtoGperformGwhichGactionGforGpatients?
a.GPerformGmentalGhealthGassessmentGinterviews.
b.GPrescribeGpsychotropicGmedication.
c.GEstablishGtherapeuticGrelationships.
d.GIndividualizeGnursingGcareGplans.G-GANSWERGANS:GB
PrescriptiveGprivilegesGareGgrantedGtoGmaster's-
preparedGnurseGpractitionersGwhoGhaveGtakenGspecialGcoursesGonGprescribingGmedication.GTheGnurseGpre
paredGatGtheGbasicGlevelGperformsGmentalGhealthGassessments,GestablishesGrelationships,GandGprovidesGin
dividualizedGcareGplanning.GNoteGthatGthisGquestionGwasGalsoGofferedGforGChapterG1.
AGnewlyGadmittedGpatientGdiagnosedGwithGmajorGdepressionGhasGgainedG20GpoundsGoverGaGfewGmonthsGa
ndGhasGsuicidalGideation.GTheGpatientGhasGtakenGanGantidepressantGmedicationGforG1GweekGwithoutGremis
sionGofGsymptoms.GSelectGtheGpriorityGnursingGdiagnosis.
a.GImbalancedGnutrition:GmoreGthanGbodyGrequirements
b.GChronicGlowGself-esteem
c.GRiskGforGsuicide
d.GHopelessnessG-GANSWERGANS:GC
RiskGforGsuicideGisGtheGpriorityGdiagnosisGwhenGtheGpatientGhasGbothGsuicidalGideationGandGaGplanGtoGcarry
GoutGtheGsuicidalGintent.GImbalancedGnutrition,Ghopelessness,GandGchronicGlowGself-
esteemGmayGbeGapplicableGnursingGdiagnoses,GbutGtheseGproblemsGdoGnotGaffectGpatientGsafetyGasGurgent
lyGasGwouldGaGsuicideGattempt.
AGpatientGdiagnosedGwithGmajorGdepressionGhasGlostG20GpoundsGinGoneGmonth,GhasGchronicGlowGself-
esteem,GandGaGplanGforGsuicide.GTheGpatientGhasGtakenGanGantidepressantGmedicationGforG1Gweek.GWhichG
nursingGinterventionGhasGtheGhighestGpriority?
,a.GImplementGsuicideGprecautions.
b.GOfferGhigh-calorieGsnacksGandGfluidsGfrequently.
c.GAssistGtheGpatientGtoGidentifyGthreeGpersonalGstrengths.
d.GObserveGpatientGforGtherapeuticGeffectsGofGantidepressantGmedication.G-GANSWERGANS:GA
ImplementingGsuicideGprecautionsGisGtheGonlyGoptionGrelatedGtoGpatientGsafety.GTheGotherGoptions,Grelate
dGtoGnutrition,Gself-esteem,GandGmedicationGtherapy,GareGimportantGbutGareGnotGpriorities.
TheGdesiredGoutcomeGforGaGpatientGexperiencingGinsomniaGis,G"PatientGwillGsleepGforGaGminimumGofG5Gho
ursGnightlyGwithinG7Gdays."GAtGtheGendGofG7Gdays,GreviewGofGsleepGdataGshowsGtheGpatientGsleepsGanGavera
geGofG4GhoursGnightlyGandGtakesGaG2-hourGafternoonGnap.GTheGnurseGwillGdocumentGtheGoutcomeGas:
a.GconsistentlyGdemonstrated.G
b.GoftenGdemonstrated.
c.GsometimesGdemonstrated.
d.GneverGdemonstrated.G-GANSWERGANS:GD
AlthoughGtheGpatientGisGsleepingG6GhoursGdaily,GtheGtotalGisGnotGoneGuninterruptedGsessionGatGnight.GTher
efore,GtheGoutcomeGmustGbeGevaluatedGasGneverGdemonstrated.GSeeGrelationshipGtoGaudienceGresponseG
question.
TheGdesiredGoutcomeGforGaGpatientGexperiencingGinsomniaGis,G"PatientGwillGsleepGforGaGminimumGofG5Gho
ursGnightlyGwithinG7Gdays."GAtGtheGendGofG7Gdays,GreviewGofGsleepGdataGshowsGtheGpatientGsleepsGanGavera
geGofG4GhoursGnightlyGandGtakesGaG2-hourGafternoonGnap.GWhatGisGtheGnurse'sGnextGaction?
a.GContinueGtheGcurrentGplanGwithoutGchanges.
b.GRemoveGthisGnursingGdiagnosisGfromGtheGplanGofGcare.
c.GWriteGaGnewGnursingGdiagnosisGthatGbetterGreflectsGtheGproblem.
d.GExamineGinterventionsGforGpossibleGrevisionGofGtheGtargetGdate.G-GANSWERGANS:GD
SleepingGaGtotalGofG5GhoursGatGnightGremainsGaGreasonableGoutcome.GExtendingGtheGperiodGforGattainingGt
heGoutcomeGmayGbeGappropriate.GExaminingGinterventionsGmightGresultGinGplanningGanGactivityGduringGth
eGafternoonGratherGthanGpermittingGaGnap.GContinuingGtheGcurrentGplanGwithoutGchangesGisGinappropriat
e.GRemovingGthisGnursingGdiagnosisGfromGtheGplanGofGcareGwouldGbeGcorrectGwhenGtheGoutcomeGwasGmet
GandGtheGproblemGresolved.GWritingGaGnewGnursingGdiagnosisGisGinappropriateGbecauseGnoGotherGnursingG
diagnosisGrelatesGtoGtheGproblem.
, AGpatientGbeginsGaGnewGprogramGtoGassistGwithGbuildingGsocialGskills.GInGwhichGpartGofGtheGplanGofGcareGsh
ouldGaGnurseGrecordGtheGitem,G"EncourageGpatientGtoGattendGoneGpsychoeducationalGgroupGdaily"?
a.GAssessmentG
b.GAnalysis
c.GImplementation
d.GEvaluationG-GANSWERGANS:GC
InterventionsGareGtheGnursingGprescriptionsGtoGachieveGtheGoutcomes.GInterventionsGshouldGbeGspecific.
BeforeGassessingGaGnewGpatient,GaGnurseGisGtoldGbyGanotherGhealthGcareGworker,G"IGknowGthatGpatient.GNo
GmatterGhowGhardGweGwork,GthereGisn'tGmuchGimprovementGbyGtheGtimeGofGdischarge."GTheGnurse'sGresp
onsibilityGisGto:
a.GdocumentGtheGotherGworker'sGassessmentGofGtheGpatient.
b.GassessGtheGpatientGbasedGonGdataGcollectedGfromGallGsources.
c.GvalidateGtheGworker'sGimpressionGbyGcontactingGtheGpatient'sGsignificantGother.
d.GdiscussGtheGworker'sGimpressionGwithGtheGpatientGduringGtheGassessmentGinterview.G-GANSWERGANS:GB
AssessmentGshouldGincludeGdataGobtainedGfromGbothGtheGprimaryGandGreliableGsecondaryGsources.GTheGn
urse,GbearingGinGmindGtheGpossibleGeffectsGofGcounter-
transference,GshouldGevaluateGbiasedGassessmentsGbyGothersGasGobjectivelyGasGpossible.
AGpatientGpresentsGtoGtheGemergencyGdepartmentGwithGmixedGpsychiatricGsymptoms.GTheGadmissionGnur
seGsuspectsGtheGsymptomsGmayGbeGtheGresultGofGaGmedicalGproblem.GLabGresultsGshowGelevatedGBUNG(blo
odGureaGnitrogen)GandGcreatinine.GWhatGisGtheGnurse'sGnextGbestGaction?
a.GReportGtheGfindingsGtoGtheGhealthGcareGprovider.
b.GAssessGtheGpatientGforGaGhistoryGofGrenalGproblems.
c.GAssessGtheGpatient'sGfamilyGhistoryGforGcardiacGproblems.
d.GArrangeGforGtheGpatient'sGhospitalizationGonGtheGpsychiatricGunit.G-GANSWERGANS:GB
ElevatedGBUNG(bloodGureaGnitrogen)GandGcreatinineGsuggestGrenalGproblems.GRenalGdysfunctionGcanGofte
nGimitateGpsychiatricGdisorders.GTheGnurseGshouldGfurtherGassessGtheGpatient'sGhistoryGforGrenalGproblems
GandGthenGshareGtheGfindingsGwithGtheGhealthGcareGprovider.
AGpatientGstates,G"I'mGnotGworthGanything.GIGhaveGnegativeGthoughtsGaboutGmyself.GIGfeelGanxiousGandGsha
kyGallGtheGtime.GSometimesGIGfeelGsoGsadGthatGIGwantGtoGgoGtoGsleepGandGneverGwakeGup."GWhichGnursingGi
nterventionGshouldGhaveGtheGhighestGpriority?