Nokea
An individual is being admitted for psychiatric treatment. The initial role of the nurse regarding this individual's psychopharmacologic therapy is to:
- A. Gather data to create a baseline assessment that includes a medication history.
- B. Assess the individual's understanding of the therapeutic value of his or her current medications.
- C. Evaluate the effectiveness of the medication regime by focusing on the client's current symptoms.
- D. Begin the admission interview in such a manner that will foster a therapeutic nurse-client relationship.
Correct Answer: A
Rationale: Correct Answer: A
Rationale:
1. Gathering data to create a baseline assessment is crucial to understanding the individual's medication history and current status.
2. This baseline assessment helps identify potential interactions, allergies, and previous responses to medications.
3. It allows the nurse to make informed decisions regarding the individual's psychopharmacologic therapy.
4. Assessing understanding (B) and evaluating effectiveness (C) are important but come after establishing the baseline assessment.
5. Building a therapeutic relationship (D) is essential but not the initial step in psychopharmacologic therapy.
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An adult in the emergency department states, 'I feel restless. Everything I look at wavers. Sometimes I’m outside my body looking at myself. I hear colors. I think I’m losing my mind.' Vital signs are slightly elevated. The nurse should suspect a(n):
- A. schizophrenic episode
- B. cocaine overdose
- C. phencyclidine (PCP) intoxication
- D. D-lysergic acid diethylamide (LSD) ingestion
Correct Answer: D
Rationale: The correct answer is D, D-lysergic acid diethylamide (LSD) ingestion. LSD causes visual disturbances, dissociation, heightened sensory perceptions, and altered sense of reality, matching the client's symptoms. Vital signs being slightly elevated are consistent with LSD use. Schizophrenic episodes (A) involve long-term symptoms, not acute onset. Cocaine overdose (B) would present with more severe vital sign changes. PCP intoxication (C) typically causes aggression and hallucinations, not the described symptoms.
The mentally retarded can be gainfully placed in the work in three situations i.e. selfemployment, ----------------employment and open employment:
- A. Sheltered
- B. Protected
- C. Cushy
- D. Comfortable
Correct Answer: A
Rationale: Sheltered employment provides a supportive work setting for those with intellectual disabilities.
The role of Primary care physician's in the treatment of mental illnesses in the community is deemed:
- A. More costly.
- B. Less convenient.
- C. Only for continuing the care of follow-up or discharged cases.
- D. Ideal for detecting and treating early illnesses.
Correct Answer: D
Rationale: PCPs are well-placed to detect and treat mental illnesses early due to their accessibility and ongoing patient relationships.
Which of the following is most likely to improve a patient's adherence to taking medications?
- A. Providing free samples in the office
- B. Creating a system of punishments for nonadherent patients
- C. Discussing alternative therapies with patients
- D. Having continuity of care during office visits
Correct Answer: D
Rationale: Continuity of care builds trust and consistency, key to improving adherence.
Which action by a nurse on the psychiatric nursing unit best supports effective use of evidence-based practice on the unit?
- A. Asking that the nurse manager arrange for a subscription to an evidence-based nursing journal to be included in the unit's yearly budget
- B. Suggesting that the unit staff take part in a research study that involves care of the newly diagnosed obsessive-compulsive client
- C. Recommending changes to a client's care plan based on information provided from randomized controlled research trials
- D. Volunteering to recruit clients for a unit-based research project that focuses on the abused teenage client
Correct Answer: C
Rationale: The correct answer is C because recommending changes to a client's care plan based on information from randomized controlled research trials directly aligns with evidence-based practice. This action involves using the best available evidence to inform and improve client care, which is a key principle of evidence-based practice. By utilizing research trials, the nurse ensures that interventions are based on proven effectiveness rather than assumptions or personal beliefs.
Option A is incorrect because subscribing to a journal alone does not guarantee application of evidence-based practice. Option B involves participation in a research study, which may not directly translate to immediate improvement in client care. Option D focuses on recruiting clients for a research project rather than directly applying evidence to individual client care plans.