PSYCHIATRIC NURSING Q&A

Question 1

1. Nurse Mica shared the statistic that intentional self-harm was found to be the 9th leading cause of death among 20-24 years old filipino adults. Increasing number of mental health problems may be related to

Answer 1

1. Poverty
2. Family unemployment
3. Changes in family structure
4. Lost of community social support

Question 2

Most common anxiety disorder

Answer 2

Phobias

Question 3

2. In the care of families, crisis intervention is an important part of

Answer 3

Secondary prevention

Question 4

Crisis by definition is self limiting and is resolved

Answer 4

within 4 to 6 weeks

Question 5

a type of brief therapy that is more directive than typical psychoterapy or counseling.

Answer 5

Crisis intervention

Question 6

LEVELS OF CRISIS INTERVENTION

Answer 6

1. Primary level
2. Secondary Level
3. Tertiary level

Question 7

•Prevention
*Finding shelter for an abused woman and her children, offering sick leave, shelter for homeless

Answer 7

Primary level

Question 8

•Intervention
*crisis intervention

Answer 8

Secondary level

Question 9

•Rehabilitation
*Assist client in planning a regular lifestyle and minimizing sources of stress. Educate client and family regarding medication adverse effects and potential interactions

Answer 9

Tertiary level

Question 10

3 TYPES OF CRISIS

Answer 10

1. Malnutritional/developmental
2. Situational crisis
3. Adventitious crisis

Question 11

arises from developmental changes in life cycle of person
Ex: Marriage, Adolescence, parenthood, retirement

Answer 11

Maturational/developmental

Question 12

arises from external events like
*Abortion, Financial status, divorce, severe illness

Answer 12

Situational Crisis

Question 13

results from accidental or unplanned events like; natural disarters (earthquake, flood, typhoon), man made disasters (riots, explosions) or crime of violence

Answer 13

Adventitious Crisis

Question 14

3. The nurse observes that a client with bipolar disorder is pacing in the hall, talking loudly and rapidly, and using elaborate hand gestures. The nurse concludes that the client is demonstrating which of the following.

A. Aggression
B. Anger
C. Anxiety
D. Psychomotor Agitation

Answer 14

D. Psychomotor agitation
*Psychomotor agitatiob is a symptom related to a wide range of mood disorders. People with this condition engage in movements that serve no purpose. Ex: Pacing around the room, tapping feet/toes in floor, tapping their fingers on any surface, or rapid talking.

Question 15

4. Rowena revealed she has a tendency to manipulate others. What would be the MOST APPROPRIATE short-term goal for her? For Rowena to

A. Have an intimate relationship
B. Acknowledge her own behavior
C. Stop arguing with other people
D. Express her feeling verbally

Answer 15

B. Acknowledge her own behavior
*Manipulation is the practice of using indirect tactics to control behavior, emotions, and relationships.
*Manipulation is particularly common with personality disorder diagnoses such as borderline personality (BPD) and narcissistic personality (NPD)
*Boarderline personality disorder characteristically demonstrates manipulative, splitting, and self-destructive behaviors.
*Cosistent limit setting is vital for the patient’s safety, but also to prevent splitting other staff.

“Why” questions are not therapeutic.

Question 16

5. Rina says “My dead mother ordered me to kill my two children before the devil could get theme” What behavior is being manifested by Rina?

A. Auditory Hallucination
B. Tactile stimulation
C. Visual hallucination
D. Olfactory hallucination

Answer 16

A. Auditory hallucination
*Hallucinations are: False sensory experience
*Most common hallucinations are: Autitory
-Most common in SCHIZOPHRENIA
*Most common auditory hallucination are: Hearing voices telling you to harm yourself.
*Second most common hallucination is: Visual
-Common in DEMENTIA

Question 17

TYPES OF HALLUCINATION

Answer 17

1. Auditory hallucination
2. Visual hallucination
3. Gustatary hallucination
4. Olfactory hallucination
5. Somatic hallucination
6. Tactile hallucination
7. Hypnogogic hallucination
8. Hypnopompic hallucinations

Question 18

Involves the perception of sound, typically of voices

Answer 18

Auditory hallucination

Question 19

Involves sight, which may consist of formed images (people) or unformed images (flashes of light)

Answer 19

Visual hallucination

Question 20

Involves perception of taste, usually upleasant

Answer 20

Gustatory hallucination

Question 21

Involves perception of odor, such as burning rubber or decaying fish

Answer 21

Olfactory hallucination

Question 22

Involves perception of a physical experience localized within the body

Answer 22

Somatic hallucination

Question 23

Involves perception of being touched or of something being under one’s skin, such as something creeping or crawling on or under the skin, also known as formication

Answer 23

Tactile Hallucination

Question 24

Having hallucinations while falling asleepsl

Answer 24

Hypnogogic hallucinations

Question 25

Having hallucinations while waking up

Answer 25

Hypnopompic hallucinations

Question 26

6. Context of a verval communication is the:

A. Use of understandable
B. Use of literal words
C. Use of clear sentences
D. Environment where communication occurs

Answer 26

D. Environment where communication occurs

Question 27

THE COMMUNICATION PROCESS

Answer 27

1. Source-Where the message begings
2. Message-The information you want to communicate
3. Encoding-Transforming message into an understandable sign and symbol system. Speaking is encoding ,as are writing, printing, and filming a television program.
4. Channel- The method of communication used.
   Ex: verval, written, and nonverbal
5. Decoding- Interpreting the encoded signs and symbols. Decoding occurs through listening, reading, or watching a television show.
6. Receiver- The listener, reader, or observer in the communication process. Another name for receiver is audience.
7. Feedback- A receiver’s response to a sender’s message
8. Context the situation in which your message is delivered. This may include the surrounding environment or boarder culture (Corporate culture, international cultures, and so on).

TAKE NOTE: Breakdown in communication can occur in any stage of the communication process

Question 28

7. Verbal communication is the use of words when talking to your patient. The use of literal words when you speak is the:

A. Understandable phrases
B. Content
C. The circumtances
D. Understandable sentences

Answer 28

B. Content

Question 29

8. Which of the following give meaning and context to the message

A. Process
B. Phrases and sentences
C. Context
D. Thoughts and feelings

Answer 29

A. Process

Question 30

9. Which of the following situation is an example of incongruent message

A. When the nurse means what she says
B. When the words and behavior of the nurse agree
C. When what the nurse says and does do not agree
D. When content and process agree

Answer 30

C. When what the nurse says and does do not agree

Question 31

10. The nurse is caring for a client hospitalized with bipolar disorder, manic phase. Which of the following snacks would be best for the client with mania?

A. Potato chips
B. Apple
C. Diet cola
D. Milkshake

Answer 31

D. Milkshake
RATIONALE: finger foods, or things clients can eat while moving around, are the best options to improve nutrition like PEANUT BUTTER, SANDWICH AND MILK. Such foods should be a high in calories and protein as possible. The milkshake will provide needed calories and nutrients for the client with mania. Milk is the only beverage listed that provides protein, fat and carbohydrates. In addition, milk is fortified with vitamins.