Questions 9

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Psychiatry Test Bank Questions

Question 1 of 5

What milieu factor would need most attention from the nurse who is caring for a patient who has received six ECT treatments and has two more sc\

Correct Answer: C

Rationale: When caring for a patient who has received multiple electroconvulsive therapy (ECT) treatments and has more scheduled, the most critical milieu factor that needs attention is safety. ECT is a medical procedure that involves inducing seizures through electrical stimulation, and patients may be at risk of physical harm during or after the treatments. The nurse should prioritize ensuring the patient's safety during and after the ECT sessions, including monitoring for any adverse effects, providing support, and taking necessary precautions to prevent accidents. Safety measures, such as fall prevention protocols and close observation, are essential in the care of patients undergoing ECT to ensure their well-being. Therefore, safety is the milieu factor that requires the most attention in this situation.

Question 2 of 5

An elderly patient brings a bag of medications to the clinic. The nurse finds a bottle labeled Ativan and one labeled lorazepam, both of which are to be taken BID. There are also bottles labeled hydrochlorothiazide, Inderal, and rofecoxib, each to be taken once daily. Which conclusion is accurate?

Correct Answer: B

Rationale: Ativan and lorazepam are the same drug, so the patient is taking an excessive dose of lorazepam. This requires intervention by the nurse to prevent harm.

Question 3 of 5

An advanced practice nurse is qualified to perform which action for patients?

Correct Answer: B

Rationale: Advanced practice nurses, such as psychiatric-mental health nurse practitioners, are qualified to prescribe medications, including psychotropics, as part of their expanded scope of practice. Other listed actions can also be performed by registered nurses.

Question 4 of 5

A patient tries to gouge out their eye in response to auditory hallucinations. The nurse would analyze this behavior as indicating:

Correct Answer: C

Rationale: Self-harm in response to hallucinations reflects impaired ability to control impulses and respond safely to internal stimuli.

Question 5 of 5

In a sad voice, an elderly patient tells the nurse of the recent deaths of a spouse and close friend. The patient has no other family and only a few acquaintances in the community. The nurse’s priority is to determine whether which nursing diagnosis applies to this patient?

Correct Answer: A

Rationale: The patient’s sadness and recent significant losses (spouse and friend) put them at risk for depression and suicidal ideation. The nurse should assess for suicidal thoughts and behaviors.

Similar Questions

In a sad voice, an elderly patient tells the nurse of the recent deaths of a spouse and close friend. The patient has no other family and only a few acquaintances in the community. The nurse’s priority is to determine whether which nursing diagnosis applies to this patient?
Immediately after electroconvulsive therapy, in which position should a nurse place the client?
In the ECT treatment preparation period the morning of treatment, the nurse should:
Which statement best explains how a mother of several children should prepare to help them cope with the loss of a dear aunt?
A nurse wants to assess for suicidal ideation in an elderly patient. Select the best question to begin this assessment.

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