Kaplan psychiatric nursing C – Flashcards
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Which nursing approach is best when caring for a client diagnosed with a conversion reaction paralysis?
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Minimize the sick role and secondary gains.
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the nurse cares for the client diagnosed with conversion reaction. the nurse identifies that this client utilizes which defense mechanisms?
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repression and symbolism
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fluphenizene is ordered for the client. if the client develops tardive dyskinesia, the nurse expects the client to exhibit which findings?
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bizarre facial movements and difficulty in swallowing
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one day the parent of the client diagnosed with antisocial with antisocial personality disorder says to the nurse, "my child seems much better, i feel my child will finally grow up and assume responsibility." the nurse anticipates which prognosis is probably for this client?
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the prognosis is doubtful because only some antisocial clients change their behavior.
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the nurse assists a terminally ill elderly patient with the morning bath routine. the patient says to the nurse, "why do you bother with me?" which response by the nurse is best
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"I care about you and how you are doing."
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the spouse of a phobic patient is troubled by his wife's sudden fear of cars. he asks the nurse, "what should i do when she gets frightened?" the nurse should urge the husband to
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allow his wife to avoid cars
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the nurse expects which of the following medications to be ordered for a patient experiencing alcohol withdrawal delirium?
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phenobarbital and chlordiazepoxide (Librium)
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the nurse observes a patient for signs of Korsakoff's psychosis. the nurse expects the patient to exhibit which?
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confabulation
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the client diagnosed with schizophrenia is placed on haloperidol 5 mg bid. the nurse should observe the client for which symptoms?
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constipation and dry mouth
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the nurse prepares a patient for surgery to remove a malignant tumor for the large intestines. the patient appears calm and relaxed and remarks to the nurse, "my health is fine. my physician is a pessimist." the nurse identifies that this statement is an example of
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denial
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the nurse is interacting with the client diagnosed with an obsessive-compulsive personality disorder. the client says to the nurse, "I don't understand what is wrong with rules, regulations, and schedules." the nurse understands the client uses defense mechanisms in order to accomplish which goal?
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to provide a feeling of safety and protect the person's sense of self-worth.
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when caring for a patient after electroconvulsive therapy (ECT), it is most important for the nurse to take which of the following actions?
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remind the patient that memory loss is temporary
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the nurse plans care for a patient diagnosed with antisocial personality disorder. the nurse understands that the purpose of group therapy for this patient is to
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set limits on the patient in a nonpunitive manner
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during group therapy on the unit, one client seldom speaks. one morning, the quiet client listens intensely and maintains eye contact with another client who speaks about depression, but the client still doesn't speak. which response by the nurse is most appropriate.
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"it seems as if you have some feelings about what's being said."
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a patient on a psychiatric unit continually complains to the nurse that his stomach is missing. which of the following response by the nurse is most appropriate?
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"it sounds as if you feel very empty and alone."
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the nurse cares for clients in the outpatient clinic. a client relates to the nurse, "I travel only by train because I am terrified of flying." the nurse understands that the phobic client is most understands that the phobic client is most likely to respond to which intervention?
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systemic desnesitization
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the nurse understands that in a psychiatric inpatient setting, milieu therapy is best understand as
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providing a therapeutic physical and social environment
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a client diagnosed with schizophrenia is referred for family therapy at a mental health clinic. in the first session, the client's mother monopolizes the discussion. which of the following actions should the nurse take first?
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ask the rest of the family how they feel about the mother's talking.
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the nurse cares for the client who has taken tricyclic antidepressant for 12 days. which behavior should the nurse be alert for in this client?
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suicidal behaviors
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the parent comes to the mental health clinic seeking help to cope with an oppositional/defiant teenager who is abusing alcohol and drugs. which questions should the nurse ask first?
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"what seems to be the problem?
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Chlordiazepoxide (librium) 10 mg PO bid is prescribed for a patient. the nurse should assess the patient for which of the following?
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drowsiness and confusion
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the nurse instructs a patient's spouse about how to cope with the patient's anxiety. the nurse determines teaching is successful if the spouse makes which of the following statements?
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"anxiety represents an unconscious conflict of needs."
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the nurse finds one patient screaming at the roommate, "you are always meddling in my side of the room and snooping around my property. I can't stand you anymore." the nurse should take which of the following actions?
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Address the patient who is shouting and say, "you sound as if you are very angry with your roommate."
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the nurse meets with the client on the psychiatric unit when another client diagnosed with antisocial personality disorder walks into the room and sits down. which response by the nurse is best?
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"right now we are talking. please leave this room and I'll talk to you later."
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the nurse cares for a patient who has been raped. which of the following actions should the nurse perform first?
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focus on the here and now
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the nurse understands which a the primary problem experienced by the client diagnosed with schizophrenia?
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difficulty forming relationships
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a client newly diagnosed with paranoid schizophrenia tells the nurse, "there are really strange people in the corner of my room laughing at me and saying horrible things." which response by the nurse is most appropriate
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"i don't hear any voices, but I know this is frightening for you."
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when intervening with the client who is in a state of crisis, which statement by the nurse most effectively helps the client cope?
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"what have you done when you felt this anxious before?"
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a patient is slumped on the floor with a razor in hand; blood pours from the wrist. a nurse finds the patient. what is most important for the nurse to do?
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call another nurse for help; stay with the patient.
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the nurse cares for a patient diagnosed with an obsessive-compulsive disorder. the nurse observes that the patient has difficulty getting to meals on time because of handwashing ritual. which of the following statements by the nurse is best?
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"tomorrow I will call you 15 minutes earlier to help you get ready."
