Nursing behaviors associated with the implementation phase of the nursing process are concerned with the responsibilities of the psychiatric mental health nurse?
Comparing patient responses and expected outcomes
Carrying out interventions and coordinating care
Gathering accurate and sufficient patient-centered data
Participating in the mutual identification of patient outcomes
The Correct Answer is B
A. This is more aligned with the evaluation phase of the nursing process, ensuring that interventions are achieving the intended results.
B. During implementation, nurses execute the care plan, carry out interventions, and coordinate care with other healthcare team members to meet the patient's needs.
C. This is primarily part of the assessment phase, ensuring a thorough understanding of the patient's situation.
D. This involves collaborative goal-setting and is more aligned with the planning phase, ensuring that patient goals are agreed upon and relevant.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Sleep disturbances are common in PTSD but might not address the immediate distress related to the sexual assault.
B. While discussing triggers is relevant, it might not directly address the current acute symptoms of reliving the traumatic event.
C. Asking about current experiences of flashbacks directly relates to one of the hallmark symptoms of PTSD, especially given the recent severe anxiety related to the assault.
D. Avoidance behavior is a symptom of PTSD, but asking about flashbacks addresses more immediate distress.
Correct Answer is D
Explanation
A. While assessing depression is crucial, in a situation following a suicide attempt, the immediate safety of the client takes precedence.
B. While ensuring the client's nutrition is important, safety regarding the recent suicide attempt is the priority.
C. This is relevant to the situation but doesn't directly address the immediate risk of self-harm or suicide.
D. Given the client's history of a suicide attempt and the present situation, initiating measures to ensure the client's safety and prevent any further harm, such as suicide precautions, is the priority.
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