Psychiatric Mental Health Nursing 9th Edition Revised Exam Questions With Verified Solutions || Graded A+
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Course
Psychiatric-Mental Health Nursing 9th Edition
Institution
Psychiatric-Mental Health Nursing 9th Edition
Psychiatric Mental Health Nursing
9th Edition Revised Exam Questions
With Verified Solutions || Graded A+
Which information would the nurse include about medications
while teaching a client with behavioral disorder when working in
the therapeutic milieu? Select all that apply. - ANS...
Psychiatric Mental Health Nursing
9th Edition Revised Exam Questions
With Verified Solutions || Graded A+
Which information would the nurse include about medications
while teaching a client with behavioral disorder when working in
the therapeutic milieu? Select all that apply. - ANSWER ✔
Reason for taking medications
Harmless side effects of medications
Side effects of medications that would be reported to the
physician
Which of the following are basic assumptions of milieu therapy?
(Select all that apply. - ANSWER ✔ Each individual owns his or
her own environment.
Each individual owns his or her behavior.
Peer pressure is a useful and powerful tool.
John tells the nurse, "I think lights out at ten o'clock on a
weekend is stupid. We should be able to watch TV until midnight!"
Which of the following is the most appropriate response from the
nurse on the milieu unit? - ANSWER ✔ "You may bring it up
before the others at the community meeting, John."
, In prioritizing care within the therapeutic environment, which of
the following nursing interventions would receive the highest
priority?
a. Ensuring that the physical facilities are conducive to
achievement of the goals of therapy - ANSWER ✔ Attending to
patients' physiological and safety needs
In the community meeting, which of the following actions is most
important for reinforcing the democratic posture of the therapy
setting? - ANSWER ✔ Reviewing group rules and behavioral
limits that apply to all patients
ne of the goals of therapeutic community is for patients to
become more independent and accept self-responsibility. Which
of the following approaches by staff best encourages fulfillment of
this goal? - ANSWER ✔ Including patient input and decisions into
the treatment plan
Patient teaching is an important nursing function in milieu
therapy. Which of the following statements by the patient
indicates the need for knowledge and a readiness to learn? -
ANSWER ✔ "The doctor says I have bipolar disorder. What does
that really mean?"
Which of the following activities would be a responsibility of the
psychiatric clinical nurse specialist on the IDT team? - ANSWER
✔ Conducts group therapies and provides consultation and
education to staff nurses
On the milieu unit, duties of the staff psychiatric nurse include
which of the following? (Select all that apply.) - ANSWER ✔
Medication administration
Patient teaching
,Reality orientation
Relationship development
Sally was sexually abused as a child. She is a client on the milieu
unit with a diagnosis of borderline personality disorder. She has
refused to talk to anyone. Which of the following therapies might
the IDT team recommend for Sally? - ANSWER ✔ a. Music
therapy
b. Art therapy
Temporal Lobe - ANSWER ✔ SAME:Speech
Affect
Memory
Emotions, aggressive or sexual behavior
Pharmacodynamics - ANSWER ✔ refers to the biochemical and
physiological effects of drugs on the body, which include the
mechanisms of drug action and it's effect.
, Pharmacodynamics - ANSWER ✔ refers to the actions of the
body on the drug. determines the blood level of a drug and is
used to guide the dosage schedule.
Anti-anxiety/Hypnotic Drugs - ANSWER ✔ GABA is the major
inhibitory (calming) neurotransmitter in the CNS. the most
commonly used are benzos and more recently anti-depressants.
Benzodiazepines - ANSWER ✔ most commonly used because of
quick onset action. promote the activity of GABA by binding to
specific receptor on GABA-A receptor complex. cellular excitation
is decreased and result is a calming effect. alpha-2 sub-units may
be the most important for decreasing anxiety. all can cause
sedation at higher therapeutic doses. can be used for tx of alcohol
withdrawal convulsions. should be taken with or shortly after
meals/snacks.
Dalmane, Restoril, Halcion, Prosom, Doral - ANSWER ✔ FDA
approved benzos for use in tx of insomnia.
Valium, Klonopin, Xanax - ANSWER ✔ benzos that reduce
anxiety without being as sleep-producing at lower therapeutic
doses.
Risks of Benzodiazepines - ANSWER ✔ do not use with alcohol,
tricyclic anti-depressants, or opiates because of CNS depression.
use caution when engaging in activities that could be dangerous if
reflexes and attention are impaired. can lead to falls and broken
bones in older adults. because of risk for dependence, used for
short periods of time. side effects include sedation, ataxia, and
decreased cognitive function. avoid becoming
pregnant/breastfeeding. cessation of use after 3-4 months can
cause withdrawal symptoms.
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