B. Succimer is an antidote for lead poisoning. C. Philippe Pinel. A male client is brought to the psychiatric clinic by family members, who tell the admitting nurse that the client repeatedly drives while intoxicated despite their pleas to stop. A 24-year old client with anorexia nervosa tells the nurse, “When I look in the mirror, I hate what I see. A. A girl with cachexia may perceive herself to be overweight when she looks in the mirror. As part of the intake interview, the nurse asks him when he had his last alcoholic drink. 7. Establishing a consistent eating plan and monitoring the client’s weight are important for this disorder. Dopamine drugs. Strict management of dietary intake is necessary. C. Opiate withdrawal Delusion of reference. C. Repeatedly discuss previous suicide attempts with the client Choose the BEST answer. Which of the following goals is a priority? Nurse Bella is aware that assessment finding is most consistent with early alcohol withdrawal? Asking the client why he drove while intoxicated can make him feel defensive and intimidated. A rigid posture, restlessness, and glaring. Encouraging elaboration about his experience while getting high may reinforce the abusive behavior. Options A, B, and D: The eating disorder isn’t typically associated with allergies, cancer, or hepatitis A. When monitoring a female client recently admitted for treatment of cocaine addiction, nurse Aaron notes sudden increases in the arterial blood pressure and heart rate. Option D: There is no evidence to suggest that previous victimization results in a person’s seeking or causing abusive relationships. Option B wouldn’t be therapeutic because other clients may urge the client to eat and give attention for not eating. Option D: Referring the client to a clergyperson may increase the client’s trust or alleviate guilt; however, it isn’t the highest priority. Nurse Taylor is aware that the victims of domestic violence should be assessed for what important information? 26. Police suspect the client was intoxicated at the time of the accident. To promote the client’s physical health, nurse Tair should plan to: severely restrict the client’s physical activities, weigh the client daily, after the evening meal, monitor vital signs, serum electrolyte levels, and acid-base balance, instruct the client to keep an accurate record of food and fluid intake. When monitoring a female client recently admitted for treatment of cocaine addiction, nurse Aaron notes sudden increases in the arterial blood pressure and heart rate. D. A below-normal serum potassium level. 1)Removed cuticle scissors from a suicidal patient. The client at highest risk for suicide is one who plans a violent death (for example, by gunshot, jumping off a bridge, or hanging), has a specific plan (for example, after the spouse leaves for work), and has the means readily available (for example, a rifle hidden in the garage). B. Option A: Controlling shopping for large amounts of food isn’t a goal early in treatment. A. Phencyclidine (PCP) intoxication Nurse Sally is aware that the following conditions might the drug be administered? Antisocial patients. ANS: B Past experiences are occurrences that result in learned patterns that can influence an individuals current adaptation response. 35. Drug effects are unpredictable and prolonged, and the client may lose control easily. 14. A male client is hospitalized with fractures of the right femur and right humerus sustained in a motorcycle accident. Which action should make the nurse suspect that the child was abused? “I’m not addicted to alcohol. B. Fluvoxamine (Luvox) Category: Books. Answer B. A female client who’s at high risk for suicide needs close supervision. D. William Tuke. Options B, C, and D: Violent clients rarely exhibit depression, silence, or hypervigilance. Avoid discussing the client’s perceptions and feelings A. 25. Benzodiazepines, such as chlordiazepoxide (Librium), and neuropleptic agents, such as haloperidol, are used to treat alcohol withdrawal. answer. If two or more answers are alike, choose the option that is different. During an interview with the nurse Linda, which statement by the client most strongly supports a diagnosis of psychoactive substance abuse? Because the client with anorexia nervosa may discard food or induce vomiting in the bathroom, the nurse should provide one-on-one supervision during meals and for 1 hour afterward. C. Emotions Anonymous Sublimation Enter the room quietly and move beside her to assess her injuries, Call for staff back-up before entering the room and restraining her, Move as much glass away from her as possible and sit next to her quietly, Approach her slowly while speaking in a calm voice, calling her name, and telling her that the nurse is here to help her. Following the nurse’s assessment and interventions, what would be the most desirable outcome? Narcissistic personality disorder is marked by a pattern of self-involvement, grandiosity, and demand for constant attention. The child pulls away from contact with the physician. The newly updated Psychiatric Nursing made Incredibly Easy, 3rd Edition addresses numerous mental health nursing issues, defining disorders and management strategies and offering down-to-earth guidance on a range of care issues — all in the enjoyable Made Incredibly Easy® style. The client exhibits gross hand tremors and is screaming for someone to kill the bugs in the bed. B. “Why didn’t you get someone else to drive you?”, “Tell me how you feel about the accident.”, “You should know better than to drink and drive.”, “I recommend that you attend an Alcoholics Anonymous meeting.”. Option D: Narcissistic personality disorder is marked by a pattern of self-involvement, grandiosity, and demand for constant attention. The most appropriate initial goal for a client diagnosed with bulimia is to: A. 22. She can continue her Dehydration, temperature above 101° F (38.3° C), and pruritus. Psychiatric/Mental Health NPs complete a specialty track while in school, but must still become certified upon graduating. The client receiving disulfiram must be taught to read ingredient labels carefully to avoid products containing alcohol such as aftershave lotions. Answer D. Approach her slowly while speaking in a calm voice, calling her name, and telling her that the nurse is here to help her. 6. 16. C. Move as much glass away from him as possible and sit next to him quietly Our ultimate goal is to help address the nursing shortage by inspiring aspiring nurses that a career in nursing is an excellent choice, guiding students to become RNs, and for the working nurse – helping them achieve success in their careers! Clients with bulimia nervosa need to feel in control of the diet because they feel they lack control over all other aspects of their lives. Exploring his anger doesn’t take precedence over safeguarding the client and staff. Here's what psychiatric-mental health nurses on Member Bridge suggest to help you prepare for the ANCC Certification Exam: Answer Practice Questions: Doing so will help you develop a better understanding of the layout of the test and how the questions are presented.If you can, find practice questions that provide rationale for the correct answer. She will need to maintain Alzheimer’s disease. You can watch the above-embedded video before trying this nursing quiz and evaluate your knowledge and try again and again to achieve your set goal. They assess patients who battle mental illness and develop plans to help them. It enhances conversion of toxic metabolites to nontoxic metabolites. Lippincott CoursePoint is the only integrated digital curriculum solution for nursing education. The nurse’s values, beliefs, and attitudes toward self-destructive behavior influence responses to a suicidal client; such responses set the overall mood for the nurse-client relationship. It’s Easy If You Do Solve It Smart, 1st Anniversary – The Nurse (YouTube Channel), Download Admit Card- Online Exam(07/10/2018) for Nursing Officer, Safdarjung Hosptial, psychiatric mental health nursing quizlet, Nursing Administration, Education, Management, and Research MCQ’s -2, Sedative Drugs Exam Questions and Answers, Obstetrics and Gynecology Nursing Quiz Questions, Community Health Nursing Question Papers with Answers-Vaccines & Communicable Disease Questions, CHO Rajasthan Question Paper and Official Answer Key 2020, Kerala PSC Staff Nurse Confirmation For Writing Examination 2021, Kerala CEE MSc. Heart rate of 50 to 60 beats/minute Well rounded The best choice for preventing or treating alcohol withdrawal symptoms is lorazepam, a benzodiazepine. 9. Nurse Sally should tell the client that the only effective treatment for alcoholism is: A female client begins to experience alcoholic hallucinosis. Option A: The reasons they stay in the relationship are complex and can be explored at a later time. When interviewing the parents of an injured child, which of the following is the strongest indicator that child abuse may be a problem? 23. PMHN Practice Test. This article is the first in a new column focusing on evidence-based practice (EBP) in psychiatric mental health nursing. Therefore, the client needs assistance with making decisions about health. A client with anorexia nervosa has an unrealistic body image that causes consumption of little or no food. Initial nursing assessment reveals that the client’s wrists are scratched from a recent suicide attempt. Just one last step remains–the interview. Apathy. D. Blood pressure of 140/80 mmHg. Option C: The client isn’t attempting to commit suicide through starvation; rather, by refusing to eat, she is expressing feelings of despair, worthlessness, and hopelessness. To avoid overstimulating the client, the nurse should check blood pressure every 2 hours. A male client is being admitted to the substance abuse unit for alcohol detoxification. B. B. 48. Option C: Discussing the future and providing anticipatory guidance can help the client prepare for future stress, but this isn’t a priority. Current Nursing Nursing Theories Nursing Quiz Mental Health Nursing Reviews. Answer Key . Nurse Vic caring for her realizes that this exacerbation of anorexia nervosa results from the client’s effort to: By refusing to eat, a client with anorexia nervosa is unconsciously attempting to gain control over the only part of her life she feels she can control. Projection. Get the world best learning app ever developed with all the features that you need and more than you imagine. Providing one-on-one supervision during meals and for one (1) hour afterward. 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