2024 Essentials of Psychiatric Mental Health Nursing Chapters 1-24 With Questions and Correct Verified Answers 100% Graded A+ Topscore!!! New Generation.

2024 Essentials of Psychiatric Mental Health Nursing Chapters 1-24 With Questions and Correct Verified Answers 100% Graded A+ Topscore!!! New Generation.
Which behavior best demonstrates aggression?
a. Stomping away from the nurses' station, going to the day room, and grabbing a pool cue from a patient standing by the pool table.
b. Bursting into tears, leaving the community meeting, and sitting on a bed hugging a pillow and sobbing.
c. Telling the primary nurse, "I felt angry when you said I could not have a second helping at lunch."
d. Telling the medication nurse, "I am not going to take that or any other medication you try to give me." - VERIFIED ANSWER>>ANS: A
Aggression is harsh physical or verbal action that reflects rage, hostility, and the potential for physical or verbal destructiveness. Aggressive behavior violates the rights of others. The incorrect options do not feature violation of another's rights.

2. Which scenario predicts the highest risk for directing violent behavior toward others?
a. Major depression with delusions of worthlessness
b. Obsessive-compulsive disorder; performing many rituals
c. Paranoid delusions of being followed by alien monsters
d. Completing alcohol withdrawal and beginning a rehabilitation program - VERIFIED ANSWER>>ANS: C
The correct answer illustrates the greatest disruption of ability to perceive reality accurately. People who feel persecuted may strike out against those believed to be persecutors. The patients identified in the distracters have better reality-testing ability.

3. A patient is hospitalized after an arrest for breaking windows in the home of a former domestic partner. The history reveals childhood abuse by a punitive parent, torturing family pets, and an arrest for disorderly conduct. Which nursing diagnosis has priority?
a. Risk for injury
b. Posttrauma response
c. Disturbed thought processes
d. Risk for other-directed violence - VERIFIED ANSWER>>ANS: D
The defining characteristics for Risk for other-directed violence include a history of being abused as a child, having committed other violent acts, and demonstrating poor impulse control. The defining characteristics for the other diagnoses are not present in this scenario.

4. A confused older adult patient in a skilled care facility is in bed sleeping. The nurse enters the room quietly and touches the bed to see if it is wet. The patient awakens and hits the nurse in the face. Which statement best explains the patient's action?
a. Older adult patients often demonstrate exaggerations of behaviors used earlier in life.
b. Crowding in skilled care facilities increases individual tendencies toward violence.
c. The patient interpreted the health care worker's behavior as potentially harmful.
d. This patient learned violent behavior by watching other patients act out. - VERIFIED ANSWER>>ANS: C
Confused patients are not always able to evaluate accurately the actions of others. This patient behaved as though provoked by the intrusive actions of the staff member.

5. A patient is pacing the hall near the nurses' station, swearing loudly. An appropriate initial intervention for the nurse would be to address the patient by name and say:
a. "Hey, what's going on?"
b. "Please quiet down immediately."
c. "I'd like to talk with you about how you're feeling right now."
d. "You must go to your room and try to get control of yourself." - VERIFIED ANSWER>>ANS: C
Intervention should begin with an analysis of the patient and situation. With this response, the nurse is attempting to hear the patient's feelings and concerns, which leads to the next step of planning an intervention.

6. A patient was responding to auditory hallucinations earlier in the morning. The patient approaches the nurse, shaking a fist and shouting, "Back off!" and then goes into the day room. As the nurse follows the patient into the day room, the nurse should:
a. make sure adequate physical space exists between the nurse and the patient.
b. move into a position that allows the patient to be close to the door.
c. maintain one arm's length distance from the patient.
d. sit down in a chair near the patient. - VERIFIED ANSWER>>ANS: A
Making sure space is present between the nurse and the patient avoids invading the patient's personal space. Personal space needs increase when a patient feels anxious and threatened. Allowing the patient to block the nurse's exit from the room is not wise. Closeness may be threatening to the patient and provoke aggression. Sitting is inadvisable until further assessment suggests the patient's aggression is abating. One arm's length is inadequate space.