Psychiatric Mental Health Nursing Test Part 3

Daisy Jane Antipuesto RN MN

Currently a Nursing Local Board Examination Reviewer. Subjects handled are Pediatric, Obstetric and Psychiatric Nursing. Previous work experiences include: Clinical instructor/lecturer, clinical coordinator (Level II), caregiver instructor/lecturer, NC2 examination reviewer and staff/clinic nurse. Areas of specialization: Emergency room, Orthopedic Ward and Delivery Room. Also an IELTS passer.

9 Responses

  1. SinnerNurse says:

    Aiza with paranoid schizophrenia has been experiencing auditory hallucinations for many years. One approach that has proven to be effective for hallucinating clients is to:

    a. take an as-needed dose of psychotropic medication whenever they hear voices.
    b. practice saying "Go away" or "Stop" when they hear voices.
    c. sing loudly to drown out the voices and provide a distraction.
    d. go to their room until the voices go away

    please do a review for this item. we do not teach our client to practice letter B bcuz its one way of reinforcing the symptom of the client which is a big NO in dealing with a client experiencing hallucinations. one of the best technique are as follows:
    1. recognize the feeling
    2. assess what are the voices are saying
    3. present reality
    4. provide higher stimulus. "which is the 3rd from the choices given."

    im not saying that i am right and your wrong but im asking u to do a review bcuz nurses and student nurses are relying on your website… thanks.

    • epinephrine09 says:

      maybe that approach is proven to be effective for clients with hallucination,as what has been asked..try to analyze the question, "approach that is proven to be effective for clients with hallucination".. ur ryt with ur rationale but..what have been asked was "proven to be effective",i think that is more on researched-based…do not just rely on what is written on the books..try to read new updates and new researches and trends….

      Researchers have found that some clients can learn to control bothersome hallucinations by telling the voices to go away or stop. Taking an as needed dose of psychotropic medication whenever the voices arise may lead to overmedication and put the client at risk for adverse effects. Because the voices aren't likely to go away permanently, the client must learn to deal with the hallucinations without relying on drugs. Although distraction is helpful, singing loudly may upset other clients and would be socially unacceptable after the client is discharged. Hallucinations are most bothersome in a quiet environment when the client is alone, so sending the client to his room would increase, rather than decrease, the hallucinations.

    • pg jolien tomugdan says:

      as a matter of fact this is true. letters b and c are thesame. because you just acknowledged what the patient has heard which is a big NONO in dealing with clients with hallucinations. PLS. kindly check your test questions.

    • alea says:

      i think letter b is the right answer because psychotropic medications should be given continuously not just when the patient is hallucinating.

  2. CoSynX says:

    You have completed Psychiatric Mental Health Nursing part 3.
    You scored 19 out of 25.
    Your performance have been rated as 'Good'

    kulang pa.. ^^

  3. von says:

    hi. can you look at number 17 again?
    17. Bryan, with a 5-year history of multiple psychiatric admissions is brought to the emergency department by the police. He was found wandering the streets disheveled, shoeless, and confused. Based on his previous medical records and current behavior, he is diagnosed with chronic undifferentiated schizophrenia. Nurse Tryzz should assign highest priority to which nursing diagnosis?
    b.Impaired verbal communication
    c.Disturbed thought processes
    d.Self-care deficient: Dressing/grooming
    For this client, the highest-priority nursing diagnosis is Anxiety (severe to panic-level), manifested by the client's extreme withdrawal and attempt to protect himself from the environment. (WHERE DO THESE THINGS – LIKE EXTREME WITHDRAWAL AND ATTEMPT TO PROTECT HIMSELF – CAME FROM?) IT'S NOT ON THE SITUATION.. thanks…

    • epinephrine09 says:

      extereme withdrawal and attempt to protect himself from environment are some manifestations of a person eith chronic undifferentiated schizophrenia.. try analyzing the situation ,do not rely on what is only written on the question.

  4. beauty says:

    You have completed Psychiatric Mental Health Nursing part 3.

    You scored 19 out of 25.

    Your performance have been rated as 'Good'

    Good thank you :o

  5. kaela says:

    You have completed Psychiatric Mental Health Nursing part 3.

    You scored 21 out of 25.

    Your performance have been rated as 'Very Good'

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