Mental health

Cartton is 70 years old and has recently lost his wife and his best male friend within the past 3 months his daughter brings him to the clinic because he has become forgetful, is not eating has been sleeping poorly, and is frequently complaining of many aches and pains. Which assessment instrument would be most helpful at this time. considering his symptom presentation?

A nurse provides care for an adolescent patient diagnosed with an eating disorder., Which behaviour by this nurse indicates that additional clinical supervision is needed?

A patient diagnosed with depression tells the nurse, "I want to try supplementing my selective serotonin reuptake inhibitor with St John's wort." Which action should the nurse take first?

A 14-year-old belongs to a gang that bullies and punishes other teens, engages sexually promiscuous behaviour, attends school infrequently and argues with her parents, claiming they are just old-fashioned and don't understand her What does the assessment data support about the.patient?

An older adult patient was diagnosed with schizophrenia at age 18, A nurse at the outpatient medication clinic interviews this patient Which communication strategy will be most helpful?.

When determining whether an elderly patients confusion is related to delirium or another problem, what information would be of particular value?

Which nursing intervention demonstrates false imprisonment?

The RPN is unsure if Henry Picard, age 87. is manifesting symptoms of delirium or dementia. Which question might he ask the Picard family?

A patient with Schizophrenia has been prescribed an antipsychotic medication. They return to the clinic complaining they are experiencing leaking from their breasts. What drug would the nurse assume is responsible for this side effect?

Which documentation for patient diagnosed with major depression indicates the treatment plan was effective

Individuals with affective instability personality disorder display a pattern of intense and chaotic relationships with

Mr Olsen, age 75 years,lives in a nursing home and diagnosed with mild dementia. Occasionally he attempts to get out of bed during the night and is a risk tor falls. What nursing intervention should the practical nurse use to ensure his safety?

Patient reveals that she induces vomiting as often as a dozen times a day, Which at the following would the nurse expect assessment findings to reveal?

Which intervention is appropriate an individual diagnosed with antisocial personality disorder who frequently manipulates others?

During a psychiatric assessment, the nurse observes a patients facial expression is without emotion. The patient says, "Life feels so hopeless to me I've been feeling sad for several months." How will the nurse document the patient's affect and mood?

A 79-year-old male tolls a nurse, "1 have felt very sad lately.1 do not have much to live for.My family and friends are all dead, and my- own health I failing." The nurse should analyze this comment as which of the following?

While conducting the initial interview with a patient in crisis, the nurse should do which of the following?

A nurse documents, "Patient is mute despite repeated efforts to elicit speech Makes no eye contact inattentive to staff Gazes off to the side or looks upward rather than at speaker which nursing diagnosis should be considered?

Which indication warrants the use of seclusion?

A patient admitted for injuries sustained while intoxicated has been hospitalized for 48 hours. The patient is now shaky,irritable,anxious and diaphoretic and reports nightmares. The pulse rate is 130 beats/min. The patient shouts, "Bugs are crawling on my bed I've got to get out of here: Select the most accurate assessment of this situation

An older adult patient takes multiple medications daily, Over 2 days the patient developed confusion, incoherent speech, an unsteady gait., and fluctuating levels of orientation. These findings are most characteristic of which of the following?

A 12 year old finds herself feeling anxious and overwhelmed and seeks out the school nurse to report that “ Everything is changing .. my body, the way the boys who were my friends are treating me, everything is so different” Which of the following is likely?

Which of the following statements is true of Fetal Alcohol Syndrome

Which of the following trends is true regarding Aboriginal population and suicide?

Which of the following is true for withdrawn patients diagnosed with schizophrenia?

Which instruction has priority when teaching a patient about clozapine (Clozaril)

A patient diagnosed with Schizophrenia starts to repeat phrases that others have just said. This type of speech is known as:

A patient with Schizophrenia has been on antipsychotic medication to help with positive and negative symptoms. Which drug do you expect this to be

Disturbed body image is a nursing diagnosis established for a patient diagnosed with an eating disorder.Which outcome indicator is most appropriate to monitor?

A desired outcome for a patient diagnosed with schizophrenia who has a nursing diagnosis of "Disturbed sensory perception" auditory hallucinations related to neurological dysfunction would be that the patient will do which of the following?

Which of the following is an important consideration when conducting a culturally sensitive mental health assessment?

A patient with diagnosed bipolar disorder was hospitalized 7 days ago and has been taking Lithium 600 mg TID.Staff observes increased agitation.pressured speech.,poor personal hygiene,and hyperactivity. Which action demonstrates that the nurse understands the most likely cause of the patient's behaviour?

A patient with diagnosed bipolar disorder was hospitalized 7 days ago and has been taking Lithium 600 mg TID. Staff observes increased agitation, pressured speech, poor personal hygiene, and hyperactivity. Which action demonstrates that the nurse understands the most likely cause of the patient's behaviour?

A patient that has recently survived a plane crash has returned to work and reports being unable to sleep at night. Tho nurse meets with the patient once a month to provide ongoing support and encouragement. Which type of crisis intervention is the nurse performing?

Your patient with Bi-polar disorder is exhibiting mania. They are disruptive on the unit, often crossing boundaries with other patients personal space. Where is the best location on the ward for this patient?

Which of the following is the greatest protective factor against the risk of suicide?

Which one of the following characteristics observed in a teenage boy should always alert the nurse to the possibility of suicide?

A patient seeing a design on the wallpaper perceives it as an animal This an example of?

A patient was admitted two weeks ago with depression and suicidal ideation. As the nurse monitoring the patient, what are some "covert" statements that would cause you concern?

What is the legal significance of a nurse's action when a competent patient verbally refuses medication and the nurse gives the medication over the patient's objection?

A nurse works with a child who is sad and irritable because the child's parents are divorcing. Why is establishing a therapeutic alliance with this child a priority?

With clients who have suicidal ideation, when is the most likely time for them to act on their suicidal impulses?

A patient's care plan includes monitoring for auditory hallucinations. Which assessment findings suggest the patient may be hallucinating?

When considering Bulimia Nervosa, an episode is characterized by both of the following

A patient being seen in the clinic for superficial cuts on both wrists is pacing and sobbing. After a few minutes, the patient is calmer. The nurse attempts to determine the patients perception of the precipitating event by saying which of the following?

An older patient diagnosed with severe Late-stage dementia no longer recognizes family members. The family asks how long it will be before this patient recognizes them when they visit. What is the nurse's best reply?

What is the priority nursing diagnosis for a patient diagnosed with antisocial personality disorder who has made threats against staff, ripped art off the walls, and thrown objects?

A family member of a patient with delusions of persecution asks the nurse, "Are there any circumstances under which the treatment team justified in violating i patient's right to confidentiality?" The nurse should reply that confidentiality may be breached in which of the following circumstances. If any?

Which finding best indicates that the goal "Demonstrates mentally healthy behaviour" was achieved?

A patient says to the nurse, "My life doesn't have any happiness in it anymore. I once enjoyed holidays, but now they're just another day. It has felt this way for a long while" The nurse documents this report as an example of which of the following?

Which statement made by a patient during an initial assessment interview should serve as the priority focus for the plan of care

A nurse asks a patient if you had fever and vomiting for three days what will you do? Which aspect of mental health status is the nurse assessing

A person was online continuously for over 24 hours, posting rhymes on official government Websites and inviting politicians to join social networks. The person has not slept or eaten for 3 days, What, features of mania are evident?

A nurse suspects that a new client may be addicted to a substance of abuse. When getting the health history of the client, the nurse- needs to keep in mind that the client may not admit to drug use Which one of the following is a primary symptom of addiction?

Which of the following suicide interventions has the greatest impact on a patient's safety?

Which statement made by a patient during an initial assessment interview should serve as the priority focus for the plan of care?

A nurse asks a patient reporting fever and vomiting for three days, "what will you do?". Which aspect of mental health status is the nurse assessing with this question?

A person was online continuously for over 24 hours, posting rhymes on official government Websites and inviting politicians to join social networks. The person has not slept or eaten for 3 days. What features of mania are evident?

A nurse suspects that a new client may be addicted to a substance of abuse. When getting the health history of the client, the nurse needs to keep in mind that the client may not admit to drug use. Which one of the following is a primary symptom of addiction?

Which of the following suicide interventions has the greatest impact on a patient's safety?

Select the best question for the nurse to ask to assess family's ability to cope.

Which assessment finding for a patient diagnosed with an eating disorder meets criteria for hospitalization?

A patient begins a new program to assist with building social skills. In which part of the plan of care should a nurse record the item, "Encourage patient to attend one psycho-educational group daily"?

A patient diagnosed with borderline personality disorder self inflicted wrist lacerations after gaining new privileges on the unit. In this case, the self-mutilation may have been due which of the following?

A patient fearfully runs from chair to chair, crying, "They're coming! They're coming!" The patient does not follow the staff's directions or respond to verbal interventions. The initial nursing intervention of highest priority is to do which of the following?

A patient diagnosed with major depression has lost 9 kilograms in one month, has chronic low self-esteem and a plan for suicide. The patient has taken an antidepressant medication for a week. Which nursing intervention has the highest priority?

Jason has been brought to the emergency department by the police (Form 2) and initial assessment (Form 1) admitted to the psychiatric unit for investigation of psychosis. Jason would not consent to admission and was admitted as an involuntary patient (Form 3). Which of the following should the nurse tell Jason about his rights as an involuntary patient?

A patient is diagnosed with Alzheimer's disease looks confused when the phone rings and cannot recall many common household objects by name, such as a pencil or glass. The nurse can document this loss of function as which of the following?

A patient diagnosed with bipolar disorder is dressed in a red leotard and bright scarves. The patient twirls and shadow boxes. The patient says excitedly, "Do you like my scarves? Here; they are my gift to you." How should the nurse document the patient's mood?

In older adults, a gradual and progressive decline in mental processing ability that affects short term memory, communication, language, judgment, reasoning and abstract thinking is the definition of which of the following?

Joan is a 17 year old who normally weighs 45 Kg. She has lost 9 kg over past 3 months and has amenorrhea; Joan expresses an intense fear of gaining weight and is preoccupied with food. She is admitted with a diagnosis of anorexia nervosa. Joan's lunch consists of a small salad, a dinner roll and a bowl of soup and tea. What is the responsibility of the nurse in order to assess intake?

What clinical manifestation is Joan (patient with eating disorder) most likely to exhibit?

The spouse of a patient diagnosed with bipolar disorder asks what evidence supports the possibility of genetic transmission of bipolar disorders. Which response should the nurse provide?

Which falls within the parameters of the normal course of treatment of depression with ECT?

Patient diagnosed with depression begins selective serotonin reuptake inhibitor (SSRI) antidepressant therapy. The nurse should provide information to the patient and family about which of the following?

The mother of a 6-year-old child expresses concern over the child's frequent temper outburst. He deals with any frustration by bullying and hitting, and seldom shows any remorse for his actions. The nurse who gathers this data will note that the child's behaviour are most consistent with which DSM-5 diagnosis?

Which factor presents the highest risk for a child to develop a psychiatric disorder?

Erik is a 26-year-old patient who abuses heroin. He states to you, "I have been using more heroin lately. I told my counselor about it and she said I need more and more heroin to feel the effect I want." Which of the following does this describe?

At a unit meeting, the staff discusses decor for a special room for patients with acute mania. Which suggestion is appropriate?

A nurse preparing an education plan includes a component designed to help the patient access and use community supports related to a self-care deficit. The nurse can consider the educational component successful when the patient does which of the following?

A client reports that the narcotic she took for pain on a regular basis made her feel bad and that when she tried an alternative analgesic, she experienced withdrawal symptoms. What is this client suffering from?

Which principle has the highest priority when addressing a behavioral crisis in inpatient setting?

A patient comes to the crisis clinic after an unexpected job termination. The patient paces around the room sobbing, cringes when approached, and responds to questions with only shrugs or monosyllables. Choose the nurse's best initial comment to this patient.

What is an appropriate initial outcome for a patient diagnosed with a personality disorder who has impulse control interferences?

The student nurse is reviewing orders given to a patient with depression. Which order should the student nurse question?

Which of the following patients diagnosed with personality disorder is most likely to be admitted to psychiatric unit?

A newly admitted patient diagnosed with schizophrenia is hypervigilant and constantly scans the environment. The patient states "I saw two doctors (walking in the hall They were plotting to kill me) The nurse may correctly assess this behaviour as which of the following?

A patient experiences a sudden episode of severe anxiety. Of these medications in the patients medical record, which is most appropriate to give as a PRN anxiolytic?

Once the doctor has explained Grace's condition as post-op Delirium, as well as the probable outcome to Grace's family, which of the following statements by the family would indicate understanding of what to expect with regard to the nature and course of Grace's illness?

A voluntarily hospitalized patient tells the nurse, "Get me the forms for discharge. I want to leave now" Select the nurse's best response

Over the past year, a woman cooked gourmet meats for her family but eats only tiny servings. This person wears layered loose clothing Her current weight is 42 kg, a loss of 14 kg, Which medical diagnosis is most likely?

The patients below were evaluated in the emergency department The psychiatric unit has a bed available. which patient should be admitted?

Which of the following suicide interventions has the greatest impact on patient's safety while on the inpatient unit

A patient with psychosis became aggressive, struck another patient, and required seclusion. Select the best documentation

A patient was diagnosed with anorexia nervosa. The history show the patient virtually stopped eating 5 months ago and lost 25% of body) weight. The serum potassium is currently 2.7 mg/dL.Which nursing diagnosis applies?

What is the priority nursing diagnosis for a patient with fluctuating levels of consciousness, disturbed orientation, and hallucinations?

A disheveled patient with severe depression and psychomotor retardation has not showered for several days What will the nurse do?

Grace is 80 years old and is 3 days post-op after having a hip replacement. She is disoriented and agitated, trying to climb over the side-rails, when she previously had no issues with cognitive functioning. What is the most appropriate health teaching to do with the family who is concerned and wanting to help at this time?

A patient checks and rechecks electrical cords related to an obsessive thought that the house may burn down. The nurse and patient explore the likelihood of an actual fire. The patient states this event is not likely. This counselling demonstrates principles of which of the following?

A nurse assesses a 3-year-old diagnosed with an autism spectrum disorder. Which finding is most associated with the child's disorder?

Apraxia can be best described as:

Eric McMaster age 24,is known to be dependent on a variety of chemical substances, including alcohol and cocaine. Which of the following statements is an example of the most common defense mechanism employed by those dependent on chemical substances?

Which situation demonstrates use of primary care related to crisis intervention?

At the last contracted visit in the crisis, intervention clinic, an adult says "I've emerged from this a stronger person,You helped me get life back in balance. The nurse responds, "I think we should have two or more sessions to explore why your reactions were so intense." Which analysis applies?

An elderly patient must be physically restrained. Who is responsible for the patient's safety?

A patient referred to the eating disorders clinic has lost 15 kg during the past 3 months To assess eating patterns, which of the following should the nurse should ask the patient?