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Psyche Questions

Psyche Questions

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Published by nursejoy

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Published by: nursejoy on Feb 09, 2010
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01/28/2013

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1.
 
Which of the following medications would the nurse in-charge expectthe doctor to order to reverse a dystonic reaction?
a.
 
Procholorperazine (Compazine)
 b.
 
Diphenhydramine (Benadryl)
c.
 
Haloperidol (Haldol)
d.
 
Midazolam (Versed)
2.
 
While pacing in the hall, a female patient with paranoidschizophrenia runs to the nurse and says, “Why are you poisoningme? I know you work for central thought control! You can keep mythoughts. Give me back my soul!” how should the nurse respond?
a.
 
“I’m a nurse, I’m not poisoning you. It’s against the nursingcode of ethics.”
 b.
 
“I’m a nurse, and you’re a patient in the hospital. I’m not goingto harm you.”
c.
 
“I’m not poisoning you. And how could I possibly steal yoursoul?”
d.
 
“I sense anger, Are you feeling angry today?”
3.
 
After completing chemical detoxification and a 12-step program totreat crack addiction, a male patient is being prepared fordischarge. Which remark by the patient indicates a realistic view of the future?
a.
 
“I’m never going to use crack again.”
 b.
 
“I know what I have to do. I have to limit my crack use.”
 
c.
 
“I’m going to take 1 day at a time. I’m not making anypromises.”
d.
 
“I can’t touch crack again, but I sure could use a drink. I’veearned it.”
4.
 
 The nurse formulates a nursing diagnosis of “impaired verbalcommunication” for a male patient with schizotypal personalitydisorder. Based on this nursing diagnosis, which nursingintervention is most appropriate?
a.
 
Helping the patient to participate in social interactions
 b.
 
Establishing a one-on-one relationship with the patient
c.
 
Establishing alternative forms of communication
d.
 
Allowing the patient to decide when he wants to participate inverbal communication with you
5.
 
A female patient with obsessive-compulsive disorder tells the nursethat he must check the lock on his apartment door 25 times beforeleaving for an appointment. The nurse knows that this behaviorrepresents the patient’s attempt to:
a.
 
Call attention to himself 
 b.
 
Control his thoughts
c.
 
Maintain the safety of his home
d.
 
Reduce anxiety
6.
 
A patient, age 42, is admitted for surgical biopsy of a suspicious lumpin her left breast. When the nurse comes to her surgery, she is
 
tearfully finishing a letter to her children. She tells the nurse, “Iwant to leave this for my children in case anything goes wrongtoday. “Which response by the nurse would be most therapeutic?
a.
 
“In case anything goes wrong? What are your thoughts andfeelings right now?”
 b.
 
“I can’t understand that you’re nervous, but this is really aminor procedure. You’ll be back in your room before you knowit.”
c.
 
“Try to take a few deep breaths and relax. I have somemedication that will help.”
d.
 
“I’m sure your children know how much you love them. You’llbe able to talk to them on the phone in a few hours.”
7.
 
Which nursing intervention is most important when restraining aviolent male patient?
a.
 
Reviewing hospital policy regarding how long the patient canbe restrained
 b.
 
Preparing a p.r.n. dose of the patient’s psychotropic medication
c.
 
Checking that the restraints have been applied correctly
d.
 
Asking if the patient needs to use the bathroom or is thirsty
8.
 
How soon after chlorpromazine administration should the nurse incharge expect to see a patient’s delusion thoughts andhallucinations eliminated?
a.
 
Several minutes

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