Synopsis of Psychiatry Test Bank

Questions 28

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Synopsis of Psychiatry Test Bank Questions

Question 1 of 5

An outcome for a patient experiencing anticipatory grieving for a spouse diagnosed with terminal cancer would be that the patient will:

Correct Answer: D

Rationale: Anticipatory grieving involves preparing emotionally for the upcoming loss. The patient may begin to focus on caregiving and emotional preparation. Agreeing to care for the spouse with assistance reflects an adaptive coping mechanism during this period.

Question 2 of 5

A novice mental health nurse shares that, �I�ll never get used to playing cards or other games with patients. It seems like a poor use of scarce nursing time.� The best response for the nurse�s mentor would be:

Correct Answer: C

Rationale: The best response for the nurse�s mentor would be to highlight the importance of activities in mental health nursing. Participating in activities such as playing cards or games with patients is not just about passing time, but it also serves a therapeutic purpose. Engaging in activities helps patients to develop social skills, build relationships, and take small risks in a safe environment. As mental health nurses, it is crucial to understand that these activities are not a waste of time but rather an essential part of the therapeutic process. By participating in activities with patients, nurses can actively support their mental well-being and contribute to their overall treatment and recovery.

Question 3 of 5

A friend says to a nurse, �I am not going to get vaccines for my baby. I hear that vaccines cause autism.� The nurse�s best reply is:

Correct Answer: C

Rationale: This response provides factual, evidence-based information to address the common misconception linking vaccines to autism. It is clear and reassuring for the parent.

Question 4 of 5

The desired outcome for a patient experiencing insomnia is, "Patient will sleep for a minimum of 5 hours nightly within 7 days." At the end of 7 days, review of sleep data shows the patient sleeps an average of 4 hours nightly and takes a 2-hour afternoon nap. What is the nurse�s next action?

Correct Answer: D

Rationale: When goals are partially met, the plan of care should be re-evaluated, and adjustments should be made to interventions or timelines.

Question 5 of 5

A new nurse asks the mentor, �How can I be sure I�m developing a therapeutic environment for my unit?� The mentor uses as a basis for the response the fact that a therapeutic milieu is characterized by:

Correct Answer: D

Rationale: A therapeutic milieu is characterized by focusing on the needs and goals of the patients. By establishing specific patient-centered goals that are agreed upon mutually by the patient and the staff, it ensures that the care provided is individualized and tailored to the patient's needs. This approach fosters a collaborative and empowering environment where the patient feels heard and supported in their recovery journey. It also promotes a sense of ownership and accountability for both the patient and the staff in working towards these goals together. In contrast, rigid adherence to timelines and unit routine (option A) may not always take into account the unique needs of each patient, and relaxation of boundaries (option B) can potentially compromise the therapeutic process by blurring professional boundaries. Therefore, establishing patient-centered goals is a key component of creating a therapeutic environment on a nursing unit.

Similar Questions

A new nurse asks the mentor, �How can I be sure I�m developing a therapeutic environment for my unit?� The mentor uses as a basis for the response the fact that a therapeutic milieu is characterized by:
Which strategy will the nurse include in the plan of care for a 6-year-old child for whom operant conditioning has been recommended?
The community health nurse is visiting a patient diagnosed with dysfunctional grieving since the death of his wife and child over a year ago. Which actions should the nurse implement first?
Which nursing diagnosis is appropriate for a patient who insists on being called "Your Highness" and demonstrates loosely associated thoughts?
A 19-year-old patient with undifferentiated schizophrenia is acutely psychotic. The nurse assesses the primary deficit as:

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