Which activity would a nurse perform in an inpatient psychiatric unit? Select all that apply.
(Select All that Apply.)

Monitor nutrition and self-care.

Provide round-the-clock supervision.

Offer structured socialization activities.

Establish a long-term therapeutic relationship.

Assist patients in self-assessment

Answer and Explanation

Correct Answer : A,B,C,E

Choice A Reason:

Monitoring nutrition and self-care is correct. Ensuring patients are maintaining proper nutrition and engaging in self-care activities is an essential part of psychiatric nursing care.

Choice B Reason:

Providing round-the-clock supervision is correct. In an inpatient psychiatric unit, especially for patients at risk of harm to themselves or others, providing continuous supervision is often necessary to ensure safety.

Choice C Reason:

Offering structured socialization activities is correct. Structured socialization activities can contribute to patients' well-being and help create a therapeutic and supportive environment.

Choice D Reason:

Establishing a long-term therapeutic relationship is incorrect. While building therapeutic relationships is important, establishing a "long-term" therapeutic relationship might be more applicable in outpatient or community settings. In an inpatient unit, the focus may be on immediate care needs and stabilization.

Choice E Reason:

Assisting patients in self-assessment is correct. Helping patients in self-assessment is a crucial aspect of psychiatric nursing, as it fosters self-awareness and empowers individuals to actively participate in their treatment.

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Correct Answer is B

Explanation

Choice A Reason:

Making an evaluation about the patient's problem is incorrect. Making an evaluation may involve the nurse imposing their judgment on the patient's situation, which can hinder effective communication.

Choice B Reason:

Restating the main feelings or thoughts the patient has expressed is correct. Restating the main feelings or thoughts the patient has expressed is a therapeutic communication technique known as paraphrasing. This technique demonstrates active listening and shows the patient that the nurse is paying attention to their concerns. It allows the nurse to reflect back to the patient what has been said, confirming understanding and encouraging further communication.

Choice C Reason:

Saying "I understand what you're saying" is incorrect. While expressing understanding is important, simply stating "I understand" might be perceived as superficial if not accompanied by concrete examples or restatement of the patient's expressed thoughts and feelings.

Choice D Reason:

Offering a leading question such as "And then what happened?", is incorrect. Asking a leading question can be perceived as directive and may steer the conversation in a particular direction. It might not convey the same level of active listening as restating the patient's own words and feelings.

A. "It might help you feel better if you talk about it." B. "I'll just sit here with you for a few minutes then." C. “Understand you felt like that before, too." D. “Why are you feeling so down?"

Correct Answer is B

Explanation

Choice A Reason:

"It might help you feel better if you talk about it." While encouraging communication is generally good, the client has clearly expressed a desire not to talk at the moment. Pressuring them to talk may not be beneficial.

Choice B Reason:

"I'll just sit here with you for a few minutes then." This response acknowledges the client's need for solitude while showing a willingness to provide presence and support. It respects the client's autonomy and allows them to lead the interaction.

Choice C Reason:

"I understand; I've felt like that before, too." While expressing empathy can be helpful, it's important not to overshadow the client's experience by sharing personal feelings at this moment.

Choice D Reason:

"Why are you feeling so down?" This question may feel intrusive and may not be well-received by the client, especially when they've indicated a preference not to talk. It's important to approach the conversation with sensitivity and respect for the client's boundaries.

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Which activity would a nurse perform in an inpatient psychiatric unit? Select all that apply. (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse can best communicate to a patient that she has been listening by:

Correct Answer is B

Explanation

A nurse observes that a client who has depression is sitting alone in the room crying. As the nurse approaches, the client states. "I'm feeling really down and don't want to talk to anyone right now." Which of the following responses should the nurse make?

Correct Answer is B

Explanation

Which statement suggests a struggle with Erikson's phase of Identity vs. role confusion? Select one:

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A nurse is caring for a group of clients on a mental health unit. Which of the following actions should the nurse implement to establish therapeutic relationships with the clients?

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Peplau's Interpersonal Theory of Nursing: Select one:

Which activity would a nurse perform in an inpatient psychiatric unit? Select all that apply.
(Select All that Apply.)