A pt who was sexually assaulted is brought to the ED. What is the priority intervention?

Provide emotional support during evidence collection.

You are reviewing info about crisis. Which statement indicates learning has NOT occurred?

A crisis is associated with psychopathology.

A pt is tense and needs help to solve problems. Which intervention is a behavioral approach?

Encourage the patient to use deep breathing techniques.

You are planning care for a pt in crisis. Which is your first priority?

Establish a working relationship by active listening.

A pt with schizophrenia is hearing voices telling him to kill his parents. What's the priority?

Ensure a safe environment for him and others

Which of the following is the primary goal in working with a psychotic & suspicious pt?

Decrease anxiety and increase trust

A pt who is experiencing a panic attack has just arrived to the ED. What is the priority?

Stay with the pt and ensure their safety.

A severely anxious pt has HA, palpitations, and inattention. Which intervention takes priority?

Sit with the patient. Use a calm, but directive approach.

You are providing information to a pt experiencing moderate anxiety. What intervention is best?

Demonstrate a calm manner while using simple clear language.

Your pt tells you the CIA is plotting to kill him. Which is the most appropriate response?

"I know you believe that, but it's really hard for me to.

Which statement would support the diagnosis ineffective coping r/t recent loss of spouse.

"A glass or two of wine before bed helps me sleep."

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MH Week 3 & 4 Review

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Review of Psychosis, Anxiety, Coping, and Interpersonal Violence

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Questions 19

Answers

1
A pt who was sexually assaulted is brought to the ED. What is the priority intervention?
Provide emotional support during evidence collection.
Help them bathe and clean up.
Discuss importance of follow-up visits to assess for STDs.
Provide them with community resources for survivors of rape.
2
You are reviewing info about crisis. Which statement indicates learning has NOT occurred?
A crisis is associated with psychopathology.
A crisis is specific to an individual. The cause may vary.
A crisis is precipitated by a specific identifiable event.
There is potential for psychological deterioration or growth
3
A patient experiencing a panic attack would display which physical symptom?
Restlessness and pacing.
Depersonalization.
Sweating and palpitations.
Fear of dying.
4
A pt is tense and needs help to solve problems. Which intervention is a behavioral approach?
Encourage journal writing to express feelings.
Assess the patient's family history for anxiety disorders.
Encourage the patient to use deep breathing techniques.
Ask patient to think of a time when anxiety was manageable.
5
All of the following are risk factors for violence EXCEPT:
Economic stress.
Past history of violence.
Adaptive coping mechanisms.
Substance abuse.
6
You are planning care for a pt in crisis. Which is your first priority?
Develop an action plan for dealing with future stressors.
Discuss coping skills used in past & if they were effective.
Establish a working relationship by active listening.
Evaluate the developed plan's effectiveness.
7
A pt with schizophrenia is hearing voices telling him to kill his parents. What's the priority?
Place him in restraints
Order him a nutritious diet
Ensure a safe environment for him and others
Give him an injection of Thorazine
8
Which of the following is the primary goal in working with a psychotic & suspicious pt?
Decrease anxiety and increase trust
Promote interaction with others
Improve his relationship with his parents
Encourage participation in therapy activities
9
A pt with OCD spends many hours washing her hands. What is the most likely reason for this?
To gain a feeling of control over her life.
To reduce the probability of infection.
To relieve her anxiety.
To increase her self concept.
10
Which is an example of a cognitive response to a mild level of anxiety?
Increased concentration
Feelings of horror or dread
Pacing the hall
Increased respirations
11
All of the following are examples of the coping technique mindfulness EXCEPT:
reflecting on the past
focusing on the present moment
attending to your breathing
observing what is around you
12
A pt who is experiencing a panic attack has just arrived to the ED. What is the priority?
Leave the pt alone in a quiet room so they can calm down.
Encourage them to talk about what triggered the attack.
Stay with the pt and ensure their safety.
Administer a dose of diazepam.
13
A smoker states "I'm coughing because I always have a cold." Select the defense mechanism.
Displacement
Denial
Reaction formation
Sublimination
14
A severely anxious pt has HA, palpitations, and inattention. Which intervention takes priority?
Encourage the patient to express feelings.
Use a distraction, such as having the patient attend group.
Discuss alternative coping strategies with the patient.
Sit with the patient. Use a calm, but directive approach.
15
You are providing information to a pt experiencing moderate anxiety. What intervention is best?
Demonstrate a calm manner while using simple clear language.
Use a low pitched voice and speak slowly.
Reassure them that everything will be okay.
Ignore the anxiety so you don't embarrass the patient.
16
Your pt tells you the CIA is plotting to kill him. Which is the most appropriate response?
"I know you believe that, but it's really hard for me to.
"That's ridiculous. No one is going to hurt you."
"The CIA isn't interested in people like you."
"Why do you think the CIA wants to kill you?"
17
Which statement would support the diagnosis ineffective coping r/t recent loss of spouse.
"I know I need help. Therapy can help me get through this."
"I use the gym to take my mind off the loss."
"A glass or two of wine before bed helps me sleep."
"My doctor prescribed Ambien for 1 week to help me sleep."
18
Xanax 2mg BID & 1.5mg Q6 PRN is ordered. Max dose is 10mg/day. How many PRN doses can they get?
4
3
2
6
19
A pt with wounds caused by her husband says "I didn't want to come here." The best response is:
"You should leave him before he kills you."
"You were right to come here."
"How many times has he done this to you?"
"How often does he do this to you?"

MH Week 3 & 4 Review Flashcards | StudBud