Psychiatric Nursing Pt. 9

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| By C23lemon
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Quizzes Created: 20 | Total Attempts: 76,779
| Attempts: 317
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  • 1/10 Questions

    During the initial care of rape victims the following are to be considered EXCEPT:

    • Assure privacy.
    • Touch the client to show acceptance and empathy
    • Accompany the client in the examination room.
    • Maintain a non-judgmental approach.
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About This Quiz

This quiz, titled 'Psychiatric Nursing pt. 9', assesses knowledge in handling psychiatric emergencies, with a focus on crisis intervention and patient advocacy. It covers scenarios like sexual assault and severe anxiety in cancer diagnosis, aiming to evaluate the nurse's ability to manage patients effectively and empathetically.

Psychiatric Nursing Quizzes & Trivia

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  • 2. 

    Five months after the incident the client complains of difficulty to concentrate, poor appetite, inability to sleep and guilt. She is likely suffering from:

    • Adjustment disorder

    • Somatoform Disorder

    • Generalized Anxiety Disorder

    • Post traumatic disorder

    Correct Answer
    A. Post traumatic disorder
    Explanation
    Post traumatic disorder
    Post traumatic stress disorder is characterized by flashback, irritability, difficulty falling asleep and concentrating following an extremely traumatic event. This lasts for more that one month A. Adjustment disorder is the maladaptive reaction to stressful events characterized by anxiety, depression and work or social impairments. This occurs within 3 months after the event B. Somatoform disorders are anxiety related disorders characterized by presence of physical symptoms without demonstrable organic basis C. Generalized anxiety disorder is characterized by chronic, excessive anxiety for at least 6 months

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  • 3. 

    Anxiety is caused by:

    • An objective threat

    • A subjectively perceived threat

    • Hostility turned to the self

    • Masked depression

    Correct Answer
    A. A subjectively perceived threat
    Explanation
    a subjectively perceived threat
    Anxiety is caused by a subjectively perceived threat A. Fear is caused by an objective threat C. A depressed client internalizes hostility D. Mania is due to masked depression

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  • 4. 

    Which of the following is included in the health teachings among clients receiving Valium?:

    • Avoid foods rich in tyramine.

    • Take the medication after meals.

    • It is safe to stop it anytime after long term use.

    • Double up the dose if the client forgets her medication.

    Correct Answer
    A. Take the medication after meals.
    Explanation
    Take the medication after meals.
    Antianxiety medications cause G.I. upset so it should be taken after meals. A. This is specific for antidepressant MAOI. Taking tyramine rich food can cause hypertensive crisis. C. Valium causes dependency. In which case, the medication should be gradually withdrawn to prevent the occurrence of convulsion. D The dose of Valium should not be doubled if the previous dose was not taken. It can intensify the CNS depressant effects.

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  • 5. 

    It would be most helpful for the nurse to deal with a client with severe anxiety by:

    • Give specific instructions using speak in concise statements.

    • Ask the client to identify the cause of her anxiety.

    • Explain in detail the plan of care developed

    • Urge the client to focus on what the nurse is saying

    Correct Answer
    A. Give specific instructions using speak in concise statements.
    Explanation
    Give specific instructions using speak in concise statements.
    The client has narrowed perceptual field. Lengthy explanations cannot be followed by the client. B. The client will not be able to identify the cause of anxiety C and D. The client has difficulty concentrating and will not be able to focus.

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  • 6. 

    The nurse acts as a patient advocate when she does one of the following:

    • She encourages the client to express her feeling regarding her experience.

    • She assesses the client for injuries.

    • She postpones the physical assessment until the client is calm

    • Explains to the client that her reactions are normal

    Correct Answer
    A. She postpones the physical assessment until the client is calm
    Explanation
    She postpones the physical assessment until the client is calm
    The nurse acts as a patient advocate as she protects the client from psychological harm A. The nurse acts a a counselor B. The nurse acts as a technician D. This exemplifies the role of a teacher

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  • 7. 

    Which of the following medications will likely be ordered for the client?”

    • Prozac

    • Vaium

    • Risperdal

    • Lithium

    Correct Answer
    A. Vaium
    Explanation
    Valium
    Antianxiety A. Antidepressant C. Antipsychotic D. Antimanic

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  • 8. 

    Situation: A 29 year old client newly diagnosed with breast cancer is pacing, with rapid speech headache and inability to focus with what the doctor was saying.   The nurse assesses the level of anxiety as:

    • Mild

    • Moderate

    • Severe

    • Panic

    Correct Answer
    A. Severe
    Explanation
    Severe
    The client’s manifestations indicate severe anxiety. A Mild anxiety is manifested by slight muscle tension, slight fidgeting, alertness, ability to concentrate and capable of problem solving. B. Moderate muscle tension, increased vital signs, periodic slow pacing, increased rate of speech and difficulty in concentrating are noted in moderate anxiety. D. Panic level of anxiety is characterized immobilization, incoherence, feeling of being overwhelmed and disorganization

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  • 9. 

    Crisis intervention carried out to the client has this primary goal:

    • Assist the client to express her feelings

    • Help her identify her resources

    • Support her adaptive coping skills

    • Help her return to her pre-rape level of function

    Correct Answer
    A. Help her return to her pre-rape level of function
    Explanation
    Help her return to her pre-rape level of function
    The goal of crisis intervention to help the client return to her level of function prior to the crisis. A,B and C are interventions or strategies to attain the goal

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  • 10. 

    Situation: An 18 year old female was sexually attacked while on her way home from work. She is brought to the hospital by her mother.   Rape is an example of which type of crisis:

    • Situational

    • Adventitious

    • Developmental

    • Internal

    Correct Answer
    A. Adventitious
    Explanation
    Adventitious
    Adventitious crisis is a crisis involving a traumatic event. It is not part of everyday life. A. Situational crisis is from an external source that upset ones psychological equilibrium C and D. Are the same. They are transitional or developmental periods in life

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Quiz Review Timeline (Updated): Mar 20, 2023 +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Mar 20, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Jan 28, 2012
    Quiz Created by
    C23lemon
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