A nurse uses Maslow’s hierarchy of needs to plan care for a psychotic patient. Which problem will receive higher priority? The patient who:
Select one:

needs to be taught about medication action and side eﬀects.

refuses to eat or bathe.

reports feelings of alienation from family.

is reluctant to participate in unit social activities.

Answer and Explanation

The Correct Answer is B

According to Maslow’s hierarchy of needs, physiological needs such as food and hygiene are the most basic and fundamental needs that must be met before higher-level needs can be addressed. Therefore, a patient who refuses to eat or bathe would receive higher priority in care planning.

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Correct Answer is D

Explanation

Refeeding syndrome is a potentially life-threatening condition that can occur when a person with anorexia nervosa begins to eat again after a period of starvation. It is important for the nurse to closely monitor the patient for signs of refeeding syndrome, such as electrolyte imbalances and ﬂuid overload, as the patient begins to gain weight.

A. Suicidal or homicidal ideations B. Sleep patern changes C. Impulsive behaviours D. Only support systems

Correct Answer is A

Explanation

Borderline personality disorder is a serious mental illness characterized by instability in mood, behaviour, and self-image. Patients with borderline personality disorder are at a high risk of self-harm, suicide, and impulsive behaviours. Therefore, the nurse's priority assessment should be to identify any suicidal or homicidal ideations, as these can be life-threatening emergencies. Once identified, appropriate interventions should be initiated, such as suicide precautions, crisis management, and referral to mental health professionals for further evaluation and treatment.

While sleep patern changes, impulsive behaviours, and support systems are also important aspects to assess in patients with borderline personality disorder, they are not the priority when compared to suicidal or homicidal ideations.

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A nurse uses Maslow’s hierarchy of needs to plan care for a psychotic patient. Which problem will receive higher priority? The patient who: Select one:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which nursing intervention has priority as a patient diagnosed with anorexia nervosa begins to gain weight after initiating therapy? Select one:

Correct Answer is D

Explanation

What is the nurse's priority assessment for a patient with borderline personality disorder?

Correct Answer is A

Explanation

A client is diagnosed with cancer and is told that surgery followed by chemotherapy will be necessary. The client states to the nurse, "l have read a lot about complementary therapies. Do you think I should try any?" The nurse should respond by making which appropriate statement? Select one:

A psychiatric registered nurse best implements the ethical principle of autonomy when he or she: Select one:

Which individual with a mental illness may need emergency involuntary hospitalization for mental illness? The individual who: Select one:

Group therapy is encouraged but not mandatory. on an inpatient psychiatric unit, the unit manager's policy is that clients can make a choice about whether or not to attend group therapy. Which ethical principle does the unit manager preserve?

A 26-month-old child displays many negative behaviors. The parent says, "My child refuses toilet training and shouts, 'No, no, no!' when given directions. What do you think is wrong?" Select the registered nurse's best reply: Select one:

A registered nurse in a mental health facility is planning care for a client who has obsessive-compulsive disorder (OCD) and is newly admitted to the unit. Which of the following actions should the nurse plan to take regarding the client's compulsive behaviors?

A registered nurse puts a client who has a psychotic disorder in seclusion overnight because the unit is very short-staﬀed, and the client frequently fights with other clients. the nurse's actions are an example of which of the following torts?

A nurse uses Maslow’s hierarchy of needs to plan care for a psychotic patient. Which problem will receive higher priority? The patient who:
Select one: