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RN Mental Health Practice A (2023) Part 3

Nursing22 CardsCreated 4 months ago

This deck covers key nursing interventions, ethical principles, and medication management for mental health scenarios, including conduct disorder, schizophrenia, and personality disorders.

A nurse is talking with a group of parents who have recently experienced the death of a child. Which of the following actions should the nurse take?

Suggest forming a weekly support group for parents who have experienced the death of a child.

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Key Terms

Term
Definition

A nurse is talking with a group of parents who have recently experienced the death of a child. Which of the following actions should the nurse take?

Suggest forming a weekly support group for parents who have experienced the death of a child.

A nurse is caring for a child who has conduct disorder and is behaving in a destructive manner, throwing objects, and kicking others. Which of the following therapeutic nursing interventions is the priority?

Reduce environmental stimuli.

A nurse is caring for an older adult client who is experiencing delirium. Which of the following interventions should the nurse include in the client's plan of care?
Permit the client to perform daily rituals to decrease anxiety.

A nurse on a mental health unit is caring for a group of clients. Which of the following actions by the nurse is an example of the ethical principle of justice?

Spending adequate time with a client who is verbally abusive

A nurse is teaching a newly licensed nurse about nursing care plans for clients who have depressive disorders. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
"I will update the plan of care as a client's manifestations of depression change."
A nurse in a mental health facility is caring for a client who requires the use of restraints. Which of the following actions should the nurse take when caring for the client?
Ensure a staff member checks on the client every 15 min.

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TermDefinition

A nurse is talking with a group of parents who have recently experienced the death of a child. Which of the following actions should the nurse take?

Suggest forming a weekly support group for parents who have experienced the death of a child.

A nurse is caring for a child who has conduct disorder and is behaving in a destructive manner, throwing objects, and kicking others. Which of the following therapeutic nursing interventions is the priority?

Reduce environmental stimuli.

A nurse is caring for an older adult client who is experiencing delirium. Which of the following interventions should the nurse include in the client's plan of care?
Permit the client to perform daily rituals to decrease anxiety.

A nurse on a mental health unit is caring for a group of clients. Which of the following actions by the nurse is an example of the ethical principle of justice?

Spending adequate time with a client who is verbally abusive

A nurse is teaching a newly licensed nurse about nursing care plans for clients who have depressive disorders. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
"I will update the plan of care as a client's manifestations of depression change."
A nurse in a mental health facility is caring for a client who requires the use of restraints. Which of the following actions should the nurse take when caring for the client?
Ensure a staff member checks on the client every 15 min.
A nurse is assessing a client who has schizophrenia. Which of the following findings should the nurse document as a negative symptom of this disorder?
Anhedonia

A nurse is planning care for a client who has made repeated physical threats toward others on the unit. Although the client does not want to leave the unit, the nurse requests the provider transfer the client to a unit that is equipped to manage violent behavior. Which of the following ethical principles should the nurse apply to the situation?

Nonmaleficence

A nurse on a medical surgical unit is assessing a client who sustained injuries 12 hours ago following a motor vehicle crash. The client's admission blood alcohol level was 325mg/dL. Which of the following findings should indicate to the nurse that the client is experiencing alcohol withdrawal?
Blood pressure 154/96 mm Hg
A nurse is performing an admission assessment on a client and notices that the client appears withdrawn and fearful. To establish a trusting nurse client relationship, which of the following actions should the nurse take?
Inform the client that this admission is confidential.
While observing group therapy, a nurse recognizes that a client is behaving in a way suggestive of dependent personality disorder. Which of the following behaviors is consistent with this condition?
The client needs excessive external input to make everyday decisions.
A nurse is assessing a client for risk factors for the development of depression. The nurse should identify that which of the following factors places the client at an increased risk for depression?
The client has COPD.

A nurse is caring for a client who has a personality disorder.
Select the 6 findings in the client's medical record that are manifestations of the client's diagnosed personality disorder.

Stealing money from family to cover credit card charges, Hypersexualization, Incidences of self-injury, Physical altercations

A nurse is caring for a client who has a personality disorder.
For each potential provider's prescription, click to specify if the prescribed therapy is expected with Obsessive Compulsive Disorder, Dementia, or Borderline Personality Disorder. Each therapy can support more than one disease process.

OCD:

Fluoxetine 20mg PO Daily

Systematic Desensitization

Dementia:

Donepezil 5mg PO Daily

Validation Therapy

Borderline PD:

Fluoxetine 20mg PO Daily

Dialectical Behavioral Therapy

A nurse is caring for a client who has a personality disorder. Complete the following sentence by using the lists of options.

Dropdown 1: "The client is at risk for developing __________.

Dropdown 2: "as evidenced by the client's ____________.

Violent Behavior, Increased Agitation

A nurse is caring for a client who has a personality disorder.
For each potential nursing intervention, click to specify if the potential intervention is Anticipated, Nonessential, or Contraindicated for the client.

Anticipated:

Administer Haloperidol 2mg IM

Calmly approach the client and state "You seem agitated. Let's sit quietly and talk about it."

Nonessential:

Request change of diet to mechanical soft

Contraindicated:

Hold next dose of Buspirone

Request prescription for Digoxin 1mg IV Bolus STAT

A nurse is caring for a client who has a personality disorder.
The nurse is caring for the client. Which of the following actions should the nurse take? SELECT ALL THAT APPLY

Maintain continuous observation of the client while in restraints.
Conduct debriefing with the client and other staff.

A nurse is caring for a client who has a personality disorder.
The nurse is caring for a client, who is in seclusion and under mechanical restraints. For each potential assessment finding, click to specify if the finding indicates the client's condition has improved, not changed, or has declined.

No Change:

The client is silent and glaring at the staff

Improved:

The client follows instructions of the nurse

The client verbalizes precipitating factors to violent outbursts

Denied:

The client attempts to bite nursing staff when offered water

A nurse is caring for a client in an outpatient psychiatric clinic who has been applying a selegiline 12mg transdermal patch once daily.

Complete the following sentence by using the list options.

Dropdown 1: "The Client is at risk of developing ________.

Dropdown 2: "due to ________.

Hypertensive Crisis

Consuming foods high in Tyramine

A nurse is caring for a client who has post-traumatic stress disorder and a new prescription for sertraline.

A nurse is monitoring a client who began taking sertraline 3 days ago. Which of the following findings should the nurse report to the provider as potential adverse effects of this new medication? SELECT ALL THAT APPLY

Temperature
Sodium level
Diaphoresis
Insomnia
Headache
Blood pressure

A nurse is preparing to administer prescribed clozapine to a client. Which of the following client laboratory results should the nurse review prior to administering clozapine?

Absolute neutrophil count