1.Nurse Anne notices that Ken is exhibiting speech pattern. Which of the following respnses by Ken should Nurse Anne Identify as an example of associative looseness?
Video A (First one).
2. Nurse Anne observes that Ken is becoming increasingly anxious. Which of the following action should Nurse Anne take?
a) stand directly in front of Ken within arm’s reach
b) stand next to Ken, gently touching his forearm with her hand
c) stand off to the side of Ken, more than an arm’s reach away
d) stand facing ken with him between her and the door.
c) stand off to the side of Ken, more than an arm’s reach away
3. Nurse Anne is teaching Ken and Emily about the positive and negative symptoms of schizophrenia. Which of the following manifestations should Nurse Anne include as positive symptoms? (Select all that apply):
a. DELUSIOn
b. HALLUCINATION
c. MOTOR AGITATION
d. FLAT AFFECT
e. ANHEDONIA
f. ALOGIA
a DELUSION
b. HALLUCINATION
c. MOTOR AGITATION
4. The Nurse (Anne) identifies that Ken is experiencing a delusion. Which of the following types of delusions should she document in Ken’s medical record?
a. delusion of grandeur
b. Nihilistic delusion
c. Somatic delusion
d. delusion of persecution
d. delusion of persecution
5. Nurse Anne is continuing to assess Ken. Which of the following manifestations should Anne assess for first?
a. decreasing appetite
b. command hallucinations
c. episodes of impaired balance
d. occasional difficulty when swallowing
command hallucinations
6. Nurse Anne continues to assess Ken. Which of the following assessment tools should Anne use?
a. The Fear questionnaire
b. The Simpson Neurological Rating scale
c. The recovery Attitude and treatment Evaluate-research (RAATE-R)
d. The suicidal assessment five step evaluation and triage (SAFE-T).
The suicidal assessment five step evaluation and triage (SAFE-T).
7. Nurse Anne is teaching Emily and Ken about the effects of cocaine use. Which of the following findings should Nurse Anne identify as a manifestation of cocaine intoxication?
a. Psychosis
b. Feeling of relaxation
c. Depression
d. Social Isolation
Psychosis
8. Nurse Anne is teaching Ken and Emily about actions that can decrease Ken’s anxiety and increase his socialization. Which of the following statements should Anne make?
a. Emily, you should avoid giving ken a choice about participating in a social activity
b. Ken, you should avoid talking about your feelings when you are anxious
c. ken, when you feel anxious, increase the television volume and room lighting to provide a distraction
d. Emily, visiting and talking with Ken on a regular basis will help him maintain his social interactions
Emily, visiting and talking with Ken on a regular basis will help him maintain his social interactions
9. Nurse Anne is teaching Ken and Emily about the adverse effects of paliperidone. Which of the following statements should Anne include:
You should let your provider know if you experiencing abnormal body movements
10. Nurse Anne is preparing to administer Ken’s first injection of paliperidone. which of the following statements should she make?
The medication will reach peak effectiveness in about 13 days.
11. Nurse Anne is discussing group Therapy with Ken and Emily. Which of the following recommendations should Nurse Anne make?
Establish a goal for long-term commitment to attending therapy
12. Nurse Anne confirms that Ken is not experiencing command hallucinations. Which of the following responses should Nurse Anne make when further communicating with Ken about his auditory hallucinations?
Hearing voices must be frightening, but you are safe
13. Nurse Anne is talking with ken about substance use and the results of this drug screen. Which of the following statements should Nurse Anne say when discussing this topic with Ken?
Tell me some of your reasons for using marijuana
14. Nurse Anne is teaching Emily about ways to decrease Ken’s paranoia at home. Which of the following actions should Nurse Anne recommend?
Avoid whispering or talking quietly to others when in the same room as Ken
15. Nurse Anne is providing information to Ken and Emily about a durable power about a durable power of attorney for health care (DPAHC). Which of the following information should Nurse Anne include in the teaching?
A DPAHC can be terminated by the client
16. Nurse Anne is teaching ken and Emily about relapses of Schizophrenia. Which of the following information should Nurse Ann include? (Select all that apply):
a. Group therapy can help prevent relapse
b. Notify the priver if a relapse last more than 2 days
c. Learning new coping skills can help prevent relapse
d. Increased sleep is an early warning of relapse
e. Substance use can cause a relapse
f. Notify trusted people if there is a desire for social withdrawal.