PRN1562 Exam 1 (2024/2025) Mental Health Nursing Review with Verified Answers, Exams of Nursing

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PRN1 562 / PRN 1 562 Exam 1 (New 2024/

2025 Update) Mental Health Nursing |Review

with Questions and Verified Answers|100%

Correct| A Grade - Rasmussen

QUESTION

Involuntary admission criteria Answer: person presents a danger to self or others, is in need of treatment, or cannot meet their own basic needs. 72 hours before court involvement for an involuntary hold.

QUESTION

Clarifying leads Answer: State what the client has said as you understand it. Asking for more information or details. Ex: am i correct in understanding you're feeling scared? Extract, clarify, reinstate.

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Tarasoff Case/ Duty to warn Answer: a therapist who has reason to believe that a client is dangerous to someone must warn the endangered person or take other steps to prevent harm.

QUESTION

False Imprisonment (Intentional Tort)

Answer: the intentional confinement or restraint of another person's activities without justification.

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Assessing cognition Answer:

• Orientation
• Memory
• Spatial ability
• Attention
• Reasoning

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Maslow's Hierarchy Answer: (level 1) Physiological Needs, (level 2) Safety and Secu- rity, (level 3) Relationships, Love and Affection, (level 4) Self Esteem, (level 5) Self Actualization

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Liability and scope of practice Answer: LPNs cannot diagnose any medical conditions or prescribe medications. Cannot administer IV push meditations or start blood transfusions.

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Remaining Nonjudgmental Answer:

Attempting to understand a client's actions and feelings and have a positive regard towards the client.

QUESTION

What support would be acceptable for a substance abuse client being released from a residential program? Answer: Individual therapy, group or family, therapy and a 12 step program.

QUESTION

Buprenorphine Hydrochloride- Nursing Answer: Monitor LFTs baseline and every 6 months after.

QUESTION

Acamprosate (Campral) Answer: Used to abstain from drinking, by preventing the cravings of alcohol.

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Naltrexone (ReVia, Vivitrol) Answer: Stops the cravings- Blocks endorphin receptors in the brain preventing the pleasure stimulation received from alcohol and opioids.

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Buprenorphine Hydrochloride Answer: Treatment for outpatient detoxification and maintenance monitored by Practitioners.

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Why do we never ask why? Answer: It puts clients on the defensive!

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Involuntary hold Answer: 72 hours- court involved

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Recovery Answer: Is life long

QUESTION

mental status exam Answer: appearance and behavior, thought processes, mood and affect, intellectual functioning, perception.

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appearance Answer: How the client presents, level of hygiene, grooming, or dress.

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Behavior Answer: everything we do that can be directly observed, movements and eye contact.

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thought process Answer: how the client is able to verbalize their thinking pattern. Is it organized and coherent.

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Perceptual Disturbances Answer: hallucinations and illusions

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Affect and mood Answer:

• Affect is the emotional state as it appears to others.
• Mood is the emotional state as described by the patient.
• Observe the patient's facial expression.
• No part of the body is as expressive as the face.
• Feelings of joy, sadness, fear, surprise, anger, and disgust are conveyed by facial expression.

• Facial expressions generally are not consciously controlled.

QUESTION

What medications are given to stop the withdrawal symptoms; ex : hallucinations? Answer: Barbiturates- lithium, vailum

QUESTION

Therapeutic response to - My mother spanked me all the time. Answer: So your mother was a disciplinaria

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On Involuntary holds what rights do clients retain? Answer: All EXCEPT - Right to refuse

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Education for substance abuse clients Answer: Individual therapy Group or family therapy 12 step recovery program Intensive outpatient programs Residential programs

QUESTION

Timetable of Alcohol withdrawal Answer:

Symptoms tend to peak 24-48 hrs after con- sumption has stopped.

QUESTION

Offering Self (therapeutic) Answer: Making oneself available on an unconditional ba- sis, increasing client's feelings of self-worth - shows compassion and empathy. Would you like me to sit with you?

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Therapeutic Questions Answer: Open ended. Listening. Silence. Be Physically at their level. Repeating back.

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Nontherapeutic Communication Techniques. Answer: Excessive questioning Giving approval or disapproval Giving advice Asking "why" questions

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Therapeutic responses Answer: Silence, broad openings, clarification, reflecting.

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General leads (therapeutic) Answer: Giving encouragement to continue "Go on" "And then" "Tell me about it"

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Ethical Principles Answer: Autonomy - client can make their own decisions. Beneficence - to act to the benefit or promoting good. Nonmaleficence - do no harm. Justice - providing fair and equal treatment regardless of the client's situation. Fidelity - commitment and loyalty to the client. Veracity - duty to communicate truthfully.

QUESTION

Veracity Answer: truthfulness, honesty.

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Justice Answer: fairness; rightfulness.

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Non-maleficence Answer: duty to do no harm

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Autonomy Answer: A clients rights to make their own decisions.

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Fidelity Answer: faithfulness; loyalty, commitment to client.

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Beneficence Answer: Doing good or causing good to be done; kindly action.

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Signs and symptoms of active withdrawal Answer: Anxious, agitated, diaphoretic, N/V, hallucinations, headaches, tremors. Paranoid delusions.

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Signs and symptoms of acute withdrawal Answer: Elevated BP, and HR

QUESTION

Definition of dual diagnosis Answer: Multiple disorders.

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CAGE questionnaire Answer: Asks questions of clients to determine how they perceive their current alcohol use.

QUESTION

Effects of Antabuse (disulfiram) Answer: A drug that interferes with the metabolization of alcohol, making the drinker violently ill.

QUESTION

Disulfiram (Antabuse) - Nursing Answer: Monitor LFTs baseline and periodically. ( example of aversion therapy )

QUESTION

Acamprosate (Campral) - Nursing Answer: Monitor BUN, creatine and creatinine clearance.

QUESTION

Therapeutic Milieu Answer: A safe and secure structured environment, with a daily schedule, rules, regulations, expectations, and boundaries.

QUESTION

Therapeutic Boundaries Answer: Boundaries are set in place to ensure the focus remains on the client.