更多"A client on an inpatient psychiatri"的相关试题:
[单项选择]A client on an inpatient psychiatric unit at a community mental health center is pacing the hallway and appears agitated. When the nurse approaches him, he says loudly, "Leave me alone. " What’s the nurse’s best approach（）
A. Say nothing and pace with the client.
B. Say "You sound upset. I’d like to help. "
C. Say "okay" and walk away.
D. Summon help in case the client becomes aggressive.
[单项选择]A client in a psychiatric clinic unit tells the nurse, "I don’t think I can face going home tomorrow. " The nurse replies, "Do you want to talk more about it" The nurse is using which of the following techniques（）
A. Presenting reality.
B. Making observations.
C. Restating.
D. Exploring.
[单项选择]A client is admitted to the psychiatric unit with a diagnosis of anorexia nervosa. Although she is 5’7" and weighs only 100 lb, she keeps on telling the nurse about how fat she is. What should the nurse do first（）
A. Discuss cultural stereotypes regarding thinness and attractiveness.
B. Explore the reasons why the client doesn’t eat.
C. Teach the client about nutrition, calories, and a balanced diet.
D. Establish a trusting relationship with the client.
[单项选择]The employer of a client on the psychiatric unit calls the nursing station inquiring about the client’s progress. The nurse doesn’t know if the client has given consent to allow the staff to give information out to callers on the phone. Which of the following would be the nurse’s best response（）
A. "I’m not permitted to discuss her progress. "
B. "I’ll give you the name and telephone number of her physician. "
C. "I’ll have her call you. "
D. "I can’t confirm whether your employee is a client here. "
[单项选择]The nurse is teaching a psychiatric client about her prescribed drugs, chlorpromazine and benztropine. Why is benztropine administered（）
A. To reduce psychotic symptoms.
B. To reduce extrapyramidal symptoms.
C. To control nausea and vomiting.
D. To relieve anxiety.
[单项选择]A psychiatric client who was voluntarily admitted now wishes to be discharged from the hospital, against medical advice. What’s the most important assessment the nurse should make of the client
A. Ability to care for himself.
B. Degree of danger to self and others.
C. Level of psychosis.
D. Intended compliance with aftercare.
[单项选择]A 24-year-old client on the labor unit is being coached in the Lamaze method by her husband. On assessment, the nurse finds the client to be 5 cm dilated, 90% effaced, at +1 station with contractions coming every 2 to 3 minutes and lasting 35 to 40 seconds. The client has asked for pain relief. What’s the nurse’s best action（）
A. Check maternal blood pressure and pulse and fetal heart rate in response to contractions.
B. Realize that it’s too early to give pain medication, and encourage the husband to continue with the Lamaze coaching.
C. Arrange for a sonogram to determine fetal position.
D. Perform a vaginal examination to determine dilation, effacement, and station.
[单项选择]A 58-year-old client on a mental health unit has lost control, despite having been properly medicated, and is threatening to harm himself and others. He has been placed in four- point restraints. Which nursing measure should be taken next（）
A. Release one restraint every 15 minutes.
B. Have a staff member stay with the client at all times.
C. Leave the client alone to reduce his sensory stimulation and allow him to regain control.
D. Restrict fluids until the restraint period is over.
[单项选择]A 32-year-old client is admitted to the unit. She states, "I’m a well-known, wealthy designer," and begins to order the nurses to prepare her bath while she orders her tray and telephones her colleagues. Her husband states that she’s too busy to eat and sleep and is losing weight. Her admitting diagnosis is bipolar disorder, manic phase. For which of the following events should the nurse plan（）
A. Erratic and unpredictable behavior if challenged.
B. Boredom and the need for minute-to-minute activities.
C. Rapid mood changes from elation to depression.
D. One-to-one treatment to occupy the client’s time.
[单项选择]A client is being admitted to the labor unit. Because she’s well advanced in labor, the nurse must prioritize the admission questions. Which information is most important to obtain when birth is imminent（）
A. Duration of previous labor.
B. Frequency of contractions.
C. Presence of bloody show.
D. Expected due date.
[简答题]The psychiatric technical program in Cuesta College provides students with both classroom instruction and ______clinical
[单项选择]A 26-year-old male is admitted to an inpatient psychiatric hospital after having been picked up by the local police while walking around the neighborhood at night without shoes in the snow. He appears confused and disoriented. Which of the following is the most immediate nursing action（）
A. Assess and stabilize the client’s medical needs.
B. Assess and stabilize the client’s psychological needs.
C. Attempt to locate the nearest family member to get an accurate history.
D. Arrange a transfer to the nearest medical facility.
[单项选择]The nurse notices that a client with obsessive-compulsive disorder washes his hands for long periods each day. How should the nurse respond to this compulsive behavior（）
A. By designating times during which the client can focus on the behavior.
B. By urging the client to reduce the frequency of the behavior as rapidly as possible.
C. By calling attention to or attempting to prevent the behavior.
D. By discouraging the client from verbalizing anxieties.
[单项选择]A mother of four is remanded to the psychiatric unit by the court for observation. She was arrested and charged with abusing her 2-year-old son, who is in the pediatric intensive care unit in critical condition with a fractured skull and other injuries from a beating. When approaching the client, the nurse should expect the client to（ ）
A. Deny beating her son
B. Express concern for her son
C. Ask where her three other children are
D. Avoid talking about the situation completely
[简答题]
When I was a psychiatric resident, we had a faculty member who was famous for his messy office: stacks of papers and old journals covered every chair and table as well as much of the floor. Eventually, the faculty member had to be given another office in which to see patients.
Not surprisingly, the psychiatric diagnostic manual does riot list "messy room" in the index. But it does mention a tantalizing symptom: inability "to discard worn-out or worthless objects even when they have no sentimental value." It comes under the diagnosis obsessive-compulsive personality disorder, an obscure cousin of the more famous obsessive-compulsive disorder(强迫性神经官能症)
I was barely aware of the diagnosis. Every era has mental disorders that for cultural or scientific reasons become popular. In Freud’s day it was hysteria. Currently, depression has moved to center stage. But other ailments go relatively ignored, and this disorder was one.
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