Which individual diagnosed with a mental illness may require an emergency or involuntary admission?

Throws a heavy plate at a waiter due to command hallucinations

Stays in their room during outpatient therapy sessions

Requests to speak with a mental health nurse

Plays cards alone during group therapy

Answer and Explanation

The Correct Answer is A

Choice A reason: Command hallucinations directing harmful actions, like throwing a plate, indicate a severe psychotic state posing imminent danger to others. This meets criteria for emergency or involuntary admission to ensure safety and stabilize the mental illness, making this the correct choice.

Choice B reason: Staying in their room during outpatient therapy suggests withdrawal but not imminent danger. Outpatient settings allow autonomy, and this behavior does not warrant emergency admission unless accompanied by severe risk, making this choice incorrect for involuntary intervention.

Choice C reason: Requesting to speak with a nurse indicates engagement with care, not a crisis requiring emergency admission. It reflects a desire for support, not danger to self or others, making this choice inappropriate for involuntary hospitalization in mental health settings.

Choice D reason: Playing cards alone during group therapy suggests social withdrawal, not an acute crisis. This behavior does not indicate imminent danger or severe mental instability requiring emergency admission, making it incorrect compared to violent actions driven by hallucinations.

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Correct Answer is A

Explanation

Choice A reason: Listening to the patient’s problems conveys empathy and presence, key to perceived caring in psychiatric nursing. This fosters a therapeutic alliance, reducing feelings of isolation and enhancing trust, aligning with patient-centered care principles, making this the correct choice for perceived caring.

Choice B reason: Linking medication compliance to discharge may feel coercive, not caring. It focuses on outcomes rather than emotional support, failing to validate the patient’s feelings, which is critical for perceived caring in mental health settings, making this choice incorrect.

Choice C reason: Explaining the treatment plan and seeking input shows collaboration, which is therapeutic but less emotionally focused than listening. While patient-centered, it emphasizes planning over emotional connection, making it less indicative of perceived caring compared to attentive listening.

Choice D reason: Asking about juice preferences shows attention to detail but is task-oriented, not emotionally supportive. Caring is better demonstrated through emotional engagement, like listening, which addresses the patient’s psychological needs more directly, making this choice less relevant.

A. Role modeling B. Aversion therapy C. Milieu therapy D. Desensitization therapy

Correct Answer is B

Explanation

Choice A reason: Role modeling involves demonstrating positive behaviors for others to emulate, often used in social learning. It does not involve applying negative stimuli like bitter substances to deter behaviors. Nail-biting treatment requires a direct intervention to discourage the habit, making this choice scientifically inappropriate.

Choice B reason: Aversion therapy uses an unpleasant stimulus, like a bitter substance, to create a negative association with an undesired behavior, such as nail-biting. This behavioral technique aims to reduce the behavior through conditioning, aligning with the described intervention, making this the correct choice for the therapy type.

Choice C reason: Milieu therapy focuses on creating a therapeutic environment to promote mental health, not targeting specific behaviors like nail-biting. It involves group dynamics and structured settings, not aversive stimuli. This approach is unrelated to the described intervention, making this choice incorrect.

Choice D reason: Desensitization therapy gradually exposes individuals to anxiety-provoking stimuli to reduce fear, commonly used for phobias. It does not involve aversive stimuli to deter behaviors like nail-biting. This therapy is unrelated to the described intervention, making it an incorrect choice for this scenario.

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Which individual diagnosed with a mental illness may require an emergency or involuntary admission?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which comment indicates the patient perceived the nurse was caring?

Correct Answer is A

Explanation

Applying a bitter substance to the nails for people who tend to bite their nails is a form of which type of therapy?

Correct Answer is B

Explanation

An adolescent hospitalized after a physical outburst tells the nurse, "I’m going to kill my father, but you can’t tell anyone." Select the nurse’s best response.

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A patient has acute anxiety related to a car accident. The nurse knows the patient will need teaching about which medication category?

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What must the nurse obtain from the patient in order for medical information to be released to another health care facility or third party regarding a patient diagnosed with a mental illness?

Which comments by a nurse demonstrate the use of therapeutic communication techniques? (Select all that apply)