Mental health practice questions

A patient with schizophrenia approaches the nurses station and shouts "SHUT UP! I told you to be quiet." Looking directly at the nurse the client says "Can't you hear them shouting at me?" Which will be the nurse best response?

" The voices are not real, but I can see how upset it must be for you."

The nurse is caring for a manic patient who say " I don't want you to touch me. I'll take care of myself." the nurse would make which therapeutic response to the patient?

" it sounds like you are pretty upset. What can I do to help?"

A long term care resident with a history of paranoid, schizophrenia, refuse to eat and tails the nurse that she believes that someone is poisoning the food. Which response by the nurse would be most therapeutic?

" this must be frightening. Let's discuss your feelings" * always try to get the patient to discuss their feelings

The nurse is working with a patient who is delusional. The client states "The leaders of a religion cults are being sent to assassinate me." which is the best response by the nurse?

"Tell me what makes you feel a cult is trying to hurt you?"

Which are appropriate interventions for caring for the patient undergoing alcohol withdrawal?

-Address hallucinations therapeutically -Provide reality orientation as appropriate -Monitor vital signs -Provide a safety environment

The nurse is assessing the patient with a diagnosis of schizophrenia. Which characteristics appropriately describes the patient diagnosis.

-grandiose delusions of being king author -Incessant talking that includes sexual innuendo -Outlandish behavior

The nurse is a meeting a client who has a history of bipolar disorder to the hospital and the primary HCP has indicated that the patient is currently in a manic phase. Which of the nurse include in the plan of care.

-set limits on behavior -Decrease environment stimulation -Provide high calorie nutrition intake -distract or redirect the patient

A female patient with anorexia nervosa tells the nurse she needs some new clothes but cannot afford them . the nurse provides the patient with some clothes. The patient feels the clothes are too tight and has reduced her calorie intake to 800 cal per day. Which of the following should the nurse identify this behavior?

Distorted body image

A nurse is caring for a patient with a diagnosis of schizophrenia and is displaying signs of paranoia. What is the appropriate action by the nurse?

Avoid joking or laughing in the presence of the patient

The nurse observes a patient is experiencing delusions of persecution. Which of the following best describes this type of delusion? False belief....

Did they are being singled out for harm by others

The nurse is working with a patient diagnosed with anorexia nervosa. Which of the following should the nurse identify is the primary problem?

Dietary calorie intake

The nurse reviews the activity scheduled for the day and determines that which supervised activity is the best option for the manic patient

Ping pong

The nurse is assisting in conduction, a group therapy session and the patient with a manic disorder is monopolizing the group. The appropriate nursing action is which.

Politely asked the patient to allow others to speak

A patient diagnosed with paranoid schizophrenia, has been exceedingly agitated is threatening and shouting at everyone and is refusing to participate in therapy. The nurse takes which initial action?

Provide safety by recognizing the level of patient, anxiety, and setting limit

The nurse noticed a "paranoid stare" during a conversation which the patient diagnosed with schizophrenia. The patient then begins to fidget and gets up to pace around the room. Which action by the nurse will be best?

Share observations and redirect the patient back to the conversation

A client was schizophrenia tells the other clients on the unit. "I am really a journalist writing about ghost that lives in this facility." What should the nurse do?

Take the patient to a quiet room to discuss delusions

A patient is diagnosed with schizophrenia and is in a manic state. Which of the following would the nurse identify as in central part of care for the patient?

The patient may need assistance with grooming and feeding into behavior are under control.