Psychiatry Test Bank

Psychiatry Test Bank Related

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In the ECT treatment preparation period the morning of treatment, the nurse should:

  • A. Assess the patient’s cognitive function.
  • B. Have the patient exercise for 10 minutes.
  • C. Ensure that the patient produces a urine sample.
  • D. Allow the patient to eat a heavy meal if they are hungry.
Correct Answer: A

Rationale: The correct action during the ECT treatment preparation period the morning of treatment is to adequately hydrate the patient. Ensuring that the patient is properly hydrated before the procedure is crucial for their safety and well-being. Hydration helps optimize the effects of the treatment and can support the patient's recovery post-treatment. It is important to maintain the patient's fluid balance as ECT can sometimes cause side effects such as nausea, headache, and muscle aches, which can be worsened if the patient is not adequately hydrated. Additionally, hydration can help prevent complications such as dehydration or electrolyte imbalances during and after the ECT procedure.

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During a grief-processing group, an elderly patient stated, For the first time since my husband died, Im having more good days than bad. This statement suggests that the patient has:

  • A. Replaced old memories with new ones
  • B. Reached the phase of reestablishment
  • C. Completed her grief work successfully
  • D. Determined she is ready to terminate the support group
Correct Answer: B

Rationale: Reestablishment is a phase of grief characterized by finding balance, experiencing positive moments, and reduced intensity of sadness.

A nurse wants to assess for suicidal ideation in an elderly patient. Select the best question to begin this assessment.

  • A. What are your beliefs about a person’s right to take his or her own life?
  • B. Are there any things going on in your life that would cause you to consider suicide?
  • C. Do you think you are vulnerable to developing a depressed mood?
  • D. If you felt suicidal, would you tell someone about your feelings?
Correct Answer: B

Rationale: his open-ended question directly addresses the patient’s thoughts about suicide in the context of their current life situation, giving them an opportunity to express any concerns or ideations.

Which statement made by a teenage male hospitalized after a failed suicide attempt is most concerning to the nurse?

  • A. The gun I got for my birthday is my most prized possession.
  • B. I don’t know why I get so depressed and want to die.
  • C. "I don’t feel like I can talk to anyone about my feelings."
  • D. The gun I got for my birthday is my most prized possession.
Correct Answer: D

Rationale: This statement is concerning because it suggests the teenager may still have access to dangerous means (in this case, a gun) and may not fully understand or take responsibility for the gravity of his previous suicidal attempt. The attachment to the gun is alarming.

Immediately after electroconvulsive therapy, in which position should a nurse place the client?

  • A. On his or her side to prevent aspiration.
  • B. In semi-Fowlers position to promote oxygenation

  • C. In Trendelenburg’s position to promote blood flow to vital organs
  • D. In prone position to prevent airway blockage
Correct Answer: A

Rationale: Immediately after ECT, the patient may still be recovering from the effects of muscle relaxants and the seizure. Positioning the client on their side helps prevent aspiration in case of vomiting and maintains an open airwa

A patient tries to gouge out their eye in response to auditory hallucinations. The nurse would analyze this behavior as indicating:

  • A. Derealization
  • B. Inappropriate affect
  • C. Impaired impulse control
  • D. Inability to manage anger
Correct Answer: C

Rationale: Self-harm in response to hallucinations reflects impaired ability to control impulses and respond safely to internal stimuli.

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