Spiritual Considerations Relevant to Psychiatric Nursing

Spiritual Considerations Relevant to Psychiatric Nursing
Order 5987312
Spiritual Considerations Relevant to Psychiatric Nursing
1. A client is transported to the emergency department
(ED) for head and abdominal trauma sustained in a
physical altercation with a family member. In this situation, which nursing diagnosis would take priority?
1. Risk for other-directed violence R/T anger toward
a family member.
2. Risk for disturbed body image R/T head and abdominal injuries.
3. Risk for injury R/T possible complications secondary to trauma.
4. Risk for anxiety R/T injuries AEB tremors and
crying.
12. Which expected client outcome should a nurse identify as being correctly formulated?
1. Client will lose a significant amount of weight by
discharge.
2. Client will write a list of strengths and weaknesses.
3. Client will resolve marital problems by end of
session.
4. Client will shower, shampoo, and shave by
8:00 a.m. tomorrow.
13. Which nonverbal behavior should a nurse avoid
when gathering assessment data on a newly admitted
client? Select all that apply.
1. Maintaining indirect eye contact with the client.
2. Providing space by leaning back away from the
client.
Spiritual Considerations Relevant to Psychiatric Nursing
3. Sitting squarely, facing the client.
4. Sitting with arms and legs in an open posture.
5. Standing while the client sits.
14. Order the following nursing interventions as they
would proceed through the steps of the nursing
process.
1. Analyze attitude after assertiveness
training session.
2. Score a client’s alcohol withdrawal
symptoms using a Clinical Institute
Withdrawal Assessment (CIWA)
scale.
3. Facilitate an assertiveness training
session.
4. Collaborate with client to set a realistic weight loss goal.
5. Document the client’s problem in
NANDA-I terms.
15. A client diagnosed with an anxiety disorder tells the
nurse, “I’m not sleeping much. My mood is a 4 on
that 10-point scale. I hurt all over and feel sad and
irritable.” Which of the following is subjective
assessment data? Select all that apply.
1. “I’m not sleeping much.”
2. “My mood is a 4 on that 10-point scale.”
3. “I hurt all over.”
4. “I’m feeling sad.”
5. “I’m feeling irritable.”
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