Nokea
A nurse is assessing a patient with suicidal ideation. Which step of the nursing process involves collecting data about the patient's physical and mental health status, suicide risk level, protective factors, coping skills, and support system?
- A. Diagnosis.
- B. Planning.
- C. Implementation.
- D. Evaluation.
Correct Answer: A
Rationale: The diagnosis phase involves collecting data to identify the patient's condition and needs. Planning, implementation, and evaluation focus on addressing those needs.
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First Rank Symptoms are pathognomic feature of
- A. Schizophrenia
- B. Depression
- C. OCD
- D. Phobia
Correct Answer: A
Rationale: Schneider's First Rank Symptoms are highly suggestive of schizophrenia.
The frequency of Beta rhythm in EEG is
- A. 1-3 Hz
- B. 4-7 Hz
- C. 8-12 Hz
- D. >12 Hz
Correct Answer: D
Rationale: Beta rhythms in EEG have a frequency greater than 12 Hz.
Which of the following is an absolute contraindication for ECT?
- A. Space occupying lesion in brain
- B. H/O Seizures
- C. Diabetes Mellitus
- D. Catatonia
Correct Answer: A
Rationale: A space-occupying lesion in the brain increases intracranial pressure, making ECT dangerous due to risk of herniation.
What should the nurse do first for a patient who is a victim of sexual assault?
- A. Offer a support person or crisis advocate.
- B. Provide appropriate care for injuries.
- C. Contact law enforcement.
- D. Collect evidence for the sexual assault exam.
Correct Answer: A
Rationale: The nurse should offer an advocate from a local crisis center to provide support, reassurance, and resources first. This establishes trust and emotional support, which is critical before proceeding with care, reporting, or evidence collection.
According to Sigmund Freud which of the following best describes primary processes?
- A. Typically, conscious
- B. Non-logical and primitive
- C. Absent during dreaming
- D. Rational and well organized
Correct Answer: B
Rationale: Primary processes (id-driven) are non-logical, primitive, and unconscious, governing dreams and instinctual drives.