Synopsis of Psychiatry Test Bank

Questions 28

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Synopsis of Psychiatry Test Bank Questions

Question 1 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 2 of 5

For which patient is the nurse most likely to need to schedule a pre-ECT workup and teaching?

Correct Answer: D

Rationale: The nurse is most likely to need to schedule a pre-electroconvulsive therapy (ECT) workup and teaching for Patient D, who has depression associated with the diagnosis of an inoperable brain tumor. In such cases, ECT may be considered as a treatment option due to the severity of the depression and the limitations in using other treatments. Before ECT can be initiated in a patient with such complex medical conditions, it is crucial to conduct a thorough evaluation and preparation process, which includes obtaining informed consent, assessing the patient's medical history, conducting pre-ECT laboratory tests, and providing patient and family education about the procedure. Given the unique circumstances of Patient D's inoperable brain tumor, the nurse must ensure all necessary steps are taken to ensure the safety and efficacy of ECT as a treatment option.

Question 3 of 5

An advance directive gives legally binding direction for health care interventions when a patient:

Correct Answer: D

Rationale: An advance directive is used when a patient is unable to make their own healthcare decisions, typically due to a serious illness or injury. This legal document outlines the patient�s wishes for treatment and care.

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 19-year-old patient with undifferentiated schizophrenia is acutely psychotic. The nurse assesses the primary deficit as:

Correct Answer: B

Rationale: Acute psychosis primarily affects thought processes, evidenced by delusions or disorganized thinking.

Similar Questions

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