Which finding best indicates that the goal 'Demonstrate mentally healthy behavior' was achieved for an adult patient?

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Nursing Mental Health Practice Questions Questions

Question 1 of 5

Which finding best indicates that the goal 'Demonstrate mentally healthy behavior' was achieved for an adult patient?

Correct Answer: A

Rationale: The correct answer is A because seeing oneself as capable of achieving ideals and meeting demands is a sign of positive self-esteem and mental health. This indicates a healthy level of self-awareness and confidence. Choice B is incorrect as it suggests impulsivity and lack of consideration for consequences, which are not indicative of mental health. Choice C is incorrect as it demonstrates selfish behavior and disregard for others, which are not characteristics of mentally healthy behavior. Choice D is incorrect as seeking help when needed is a positive trait, but it does not necessarily indicate mental health achievement as much as self-reliance and independence do.

Question 2 of 5

When a nurse uses therapeutic communication with a withdrawn patient who has major depression, an effective method of managing the silence is to:

Correct Answer: C

Rationale: The correct answer is C: Use the technique of making observations. This is effective because it acknowledges the patient's silence and encourages them to open up without pressuring them to respond. By making observations, the nurse can reflect back what they see, hear, or sense, prompting the patient to share more. A: Meditating does not actively engage the patient or encourage communication. B: Asking questions may overwhelm the withdrawn patient and further discourage them from opening up. D: Simply sitting quietly and leaving when the patient falls asleep does not actively support the patient in engaging in therapeutic communication.

Question 3 of 5

Which person is at the highest risk for suicide?

Correct Answer: C

Rationale: The correct answer is C because this individual exhibits multiple risk factors for suicide: alcohol dependence, hopelessness, impulsivity, recent rejection, and access to a gun. These factors increase the immediate risk of suicide due to the combination of emotional distress and means to carry out the act. Choice A has a plan but lacks the impulsivity and immediate means. Choice B has a history of suicide attempts but lacks the current impulsivity and availability of means. Choice D expresses a desire for death but lacks the impulsivity and immediate access to means.

Question 4 of 5

The dying patient with a neurocognitive disorder such as Alzheimer's disease is especially challenging to provide care for. They may have symptoms or pain that they are unable to adequately describe or define. Reversible conditions that respond to treatment that may affect level of consciousness, anxiety, or agitation include:

Correct Answer: B

Rationale: The correct answer is B: Distended bladder, constipation, or nausea. These conditions can cause discomfort and affect the patient's level of consciousness, anxiety, or agitation. Addressing these reversible conditions can improve the patient's overall well-being. Other choices are incorrect because: A: Inability to communicate does not directly address the reversible physical conditions affecting the patient's symptoms. C: Reduced urinary output may be a symptom of underlying issues, but it does not directly address the reversible conditions mentioned in the question. D: Weakness due to the dying process is a natural progression and not a reversible condition that responds to treatment to improve the patient's symptoms.

Question 5 of 5

What is a true statement about the nursing process?

Correct Answer: A

Rationale: The correct answer is A because in the nursing process, cues are indeed analyzed during the assessment phase to gather data and identify patient needs. This step is crucial for developing an accurate nursing diagnosis and planning appropriate interventions. Choice B is incorrect as hypotheses are formed during the planning phase, not evaluation. Choice C is incorrect because nurses use a combination of primary and secondary data. Choice D is incorrect as unmet goals are not automatically discontinued but rather reassessed and modified as needed.

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