Chapter 3 Flashcards
(12 cards)
Which nursing intervention addresses the lowest level of Maslow’s Hierarchy of Needs?
Talking with the patient about their feelings
Assisting the patient with toileting and bathing
Monitoring all patients on the unit for signs of aggression
Helping the patient discuss areas where they have been successful in life
Assisting the patient with toileting and bathing
(Toileting and bathing are basic physical needs in the lowest level of Maslow’s Hierarchy of Needs.)
A nurse planning interventions that address a patient’s current developmental stage is using whose theory?
Freud
Peplau
Sullivan
Erickson
Erickson
(Erickson’s Ego Theory is focused on psychosocial development that continues through adulthood and until death. Nurses can use this theory to implement interventions that address the patient’s current developmental stage.)
Which body production alteration occurs in the brain with light therapy?
Serotonin
Dopamine
Melatonin
Norepinephrine
Melatonin
(Light therapy alters production of melatonin in the brain, thus decreasing the effects of seasonal affect disorder.)
Which qualities express the art of nursing?
Select all that apply.
Being a patient advocate
Attending to patient needs
Being aware of new medications
Using caring behaviors with patients
Using evidence-based interventions in practice
Being a patient advocate.
Attending to patient needs.
Using caring behaviors with patients.
Which are components of goals for a mental health patient?
Include a timeframe
Challenge the patient
Include pharmacological information
Focus on specific nursing interventions
Include a timeframe
(Patient goals should include a realistic timeframe for achievement.)
Which components are part of the nurse’s patient assessment in a mental health setting?
Should be on-going and systematic
Data is collected only from the patient
Focuses only on the patient’s mental status
Occurs after the nursing diagnosis is selected
Should be on-going and systematic
(Assessment is systematic and ongoing throughout the patient’s care. Even when the initial assessment is complete, each encounter with a patient involves a continuing assessment that might or might not be congruent with the initial assessment.)
Which type of theoretical perspective is the nurse using when assisting the patient to work on reframing his or her thoughts in a realistic manner?
Psychodynamic theory
Developmental theory
Cognitive-behavioral theory
Humanistic psychology theory
Cognitive-behavioral theory
(CBT focuses on understanding and reframing thoughts as a way to change behaviors.)
Which disorders can be improved by animal-assisted therapy?
Select all that apply.
Autism
Anxiety
Schizophrenia
Personality disorder
Post-traumatic stress disorder (PTSD)
Autism
Anxiety
Post-traumatic stress disorder (PTSD)
Which patient is most appropriate for electroconvulsive therapy (ECT)?
A patient with resistant depression
A patient with borderline personality disorder
A patient with post-traumatic stress disorder (PTSD)
A patient with attention deficit hyperactivity disorder (ADHD)
A patient with resistant depression.
(ECT is usually reserved for treating depression that has not responded to other therapies, such as resistant depression (or when the patient poses a severe threat to self and others and it is too dangerous to wait until medication takes effect).
Which nursing actions align with the mental health recovery model?
Select all that apply.
Focus on the expectation of recovery.
Focus on the disability of the patient.
Empower the patient to make decisions.
Encourage the patient to learn self-regulation.
Encourage the patient to allow family members to make care decisions.
Focus on the expectation of recovery.
Empower the patient to make decisions.
Encourage the patient to learn self-regulation.
Which interventions can the nurse perform in the mental health setting?
Select all that apply.
Lead a psychotherapy group
Inform patients of their rights while hospitalized
Prepare an education session to teach patients about their treatment modalities
Use communication techniques to build a relationship with a depressed patient
Discontinue medications that may be causing dangerous side effects in patients
Inform patients of their rights while hospitalized.
Prepare an education session to teach patients about their treatment modalities.
Use communication techniques to build a relationship with a depressed patient.
Which is part of the nurse’s role during the diagnosis stage of the nursing process?
Assigning the patient a medical diagnosis
Selecting only diagnoses that apply to currently existing problems
Planning the patient outcomes prior to selecting the nursing diagnoses
Selecting the nursing diagnoses after completing a thorough assessment of the patient
Selecting the nursing diagnoses after completing a thorough assessment of the patient.
(The nurse completes a comprehensive physical and mental exam before selecting the nursing diagnoses.)
