The mental health team is determining treatment options for a male patient who is experiencing psychotic symptoms. Which question(s) should the team answer to determine whether a community outpatient or inpatient setting is most appropriate? Select all that apply.

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Psychotropic Medication Questions

Question 1 of 5

The mental health team is determining treatment options for a male patient who is experiencing psychotic symptoms. Which question(s) should the team answer to determine whether a community outpatient or inpatient setting is most appropriate? Select all that apply.

Correct Answer: A

Rationale: Step-by-step rationale: 1. Suicidal thoughts indicate the severity of the patient's condition and the need for immediate intervention. 2. Inpatient settings offer closer monitoring and support for patients at risk of harm to themselves. 3. Community outpatient settings may not provide the level of care and supervision needed for suicidal patients. 4. Assessing for suicidal thoughts is crucial in determining the appropriate level of care for patients with psychotic symptoms. Summary: - Choice A is correct because suicidal thoughts impact the urgency and level of care needed. - Choices B, C, and D are incorrect because they do not directly address the patient's safety and level of risk associated with suicidal ideation.

Question 2 of 5

A nurse identified a nursing diagnosis of self-mutilation for a female diagnosed with borderline personality disorder. The patient has multiple self-inflicted cuts on her forearms and inner thighs. What is the most important patient outcome for this nursing diagnosis?

Correct Answer: B

Rationale: The correct answer is B: Demonstrate a decrease in frequency and intensity of cutting. This outcome is the most important because it directly addresses the behavior of self-mutilation, which is the primary concern in this case. By demonstrating a decrease in cutting, the patient shows progress in managing their impulses and emotions. The other choices are not as critical for addressing the immediate safety and well-being of the patient. Choice A focuses on identifying triggers, which is important but not as urgent as reducing the actual self-harm behavior. Choice C regarding socialization and Choice D regarding self-care are important aspects of treatment but do not directly address the self-mutilation behavior.

Question 3 of 5

Which nursing statement is an example of reflection?

Correct Answer: B

Rationale: The correct answer is B because it demonstrates reflective listening by paraphrasing the patient's statement to show understanding and encourage further exploration of their feelings. Choice A is a statement of reassurance, not reflection. Choice C shows uncertainty rather than reflection. Choice D is an observation, not a reflection of the patient's feelings or thoughts. Reflection involves actively listening, summarizing, and responding to the patient's emotions or thoughts.

Question 4 of 5

Carolina is surprised when her patient does not show for a regularly scheduled appointment. When contacted, the patient states, 'I don't need to come see you anymore. I have found a therapy app on my phone that I love.' How should Carolina respond to this news?

Correct Answer: A

Rationale: The correct answer is A because it shows a supportive and open-minded approach. By expressing interest in the patient's choice and requesting to see the app, Carolina demonstrates respect for the patient's autonomy and willingness to explore new methods. This response can help maintain a positive therapeutic relationship and potentially integrate the app into the treatment plan if appropriate. Choice B is incorrect because it comes off as dismissive and may make the patient feel invalidated. Choice C is incorrect as it guilt-trips the patient and may damage the therapeutic relationship. Choice D is incorrect as it comes off as confrontational and may make the patient defensive.

Question 5 of 5

Which question is focused on the assessment of an individual's personal ability to manage stress? Select all that apply.

Correct Answer: B

Rationale: The correct answer is B because it directly addresses an individual's personal ability to manage stress by inquiring about their engagement in hobbies. Hobbies can serve as a coping mechanism for stress. Choices A, C, and D do not focus on stress management abilities but rather on medical history, medication adherence, and social support, respectively. These factors are important but do not directly assess an individual's personal ability to manage stress.

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