Sharon is a 52-year-old woman who was brought into the emergency department 1 week ago following an overdose. She is admitted to an inpatient hospital unit for psychiatric stabilization and monitoring. Medical History: Bipolar Disorder Substance Use Disorder No known allergies Medications: none, patient lost to follow-up in community x 3 years ago Orders: VS q 4 hours and PRN Psychotherapy appointment once daily Therapeutic appointment with staff twice daily Electroconvulsant Therapy (ECT) Seroquel 200mg qHS titrate to 400mg pHS by day 4 Benztropine 1mg qHS GENERATE SOLUTIONS: The nurse notices that Sharon has pressured speech and has stopped and sleeping. What interventions should the nurse plan? Select 5 correct answer(s) Question 36 options: Limiting caffeine intake Give seroquel at bedtime as prescribed Encourage physical exercise Record intake and output Providing soft music at bedtime Offer high-calorie, high-protein drinks throughout the day Encourage high-concentration activities Question 37 (1 point) 2) Ravi is a 28-year-old man admitted to a psychiatric inpatient unit for stabilization and monitoring at the request of his family. Medical History: Schizophrenia Depression Asthma Denies tobacco or alcohol use No known allergies Medications: Aripiprazole 30mg PO daily ANALYZE CUES: What statement from Ravi would alert the nurse to implement immediate safety precautions for others? Question 37 options: “I was speaking to Prime Minister Trudeau about actions for climate change” “God spoke to me and we prayed together” “There are deadly poisons in my room” “I saw bugs crawling on the walls” Question 38 (1 point) 3) Dawn is a 36-year-old Indigenous woman. She was admitted to a local short-term psychiatric facility for treatment and stabilization following a psychotic episode at a community mental health drop-in centre. Medical History: Social anxiety Schizophrenia No known allergies Medications: not currently taking any Orders: Olanzapine 10 mg PO once daily RECOGNIZE CUES: What positive symptoms of schizophrenia would indicate to the nurse that the Olanzapine is not yet therapeutic? Select 2 correct answer(s) Question 38 options: Poverty of speech Avolition Anhedonia Delusions of grandeur Auditory hallucinations Question 39 (1 point) 4) Manuel is an 82-year-old male resident newly admitted to a long-term care facility (nursing home). Medical History: Moderate Stage Alzheimer Disease Hypertension Atrial Fibrillation Non-smoker, occasional alcohol GENERATE SOLUTIONS: What activity should the nurse initiate for a client with Alzheimer Disease who is admitted to a long-term care facility? Question 39 options: Psychotherapy Daily weights Keep the client in pajamas and robe for most of the day Establish a schedule of activities with periods of rest Question 40 (1 point) 5) Jordan is a 23-year-old male in the Emergency Department. Jordan’s partner states that he attempted suicide by overdosing on alcohol and has been drinking heavily for the past 6 months. Jordan is now awake with stupor and incoordination. Medical History: None Orders: Consult social services and mental health CIWA Protocol ACTION: What intervention is a priority for the nurse to implement to prevent suicide? Question 40 options: Allow client to has cell phone and charger in the room Keep the door closed for privacy Monitor bathroom activities Allow client to self-manage medications Question 41 (1 point) 6) Justin is 19-year-old man brought to a Mental Health Clinic for assessment by his friends. The friends report that Justin: Recently quit his job Changed his major from business administration to religion Is sleeping very little Is engaging in high-risk drinking and sexual relation behaviours that are unusual for him Is very irritable Believes he is immortal PRIORITIZE HYPOTHESIS: Which of the following nursing diagnoses is the priority for Justin? Question 41 options: Ineffective coping Risk for injury Acute confusion Self-care deficit Question 42 (1 point) 7) Jessica is a 16 year old adolescent girl. She is attending a community education and support group for teens living with suicidal ideation. EVALUATE: What desired outcome would indicate that Jessica’s treatment is effective? Question 42 options: The client appears clean and well-dressed at 3 consecutive meetings. The client reports feelings of anxiety have decreased from 9/10 to 8/10 in 4 weeks. The client reports that she is thinking about suicide less and no longer has a plan in 4 weeks. The client reports to the group she has a plan for suicide at the next meeting.
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[Verified Answer]: Sharon is a 52-year-old woman who…