Disturbed body image is a nursing diagnosis established for a patient diagnosed with an eating disorder. Which outcome indicator is most appropriate to monitor?

Carlton is 70 years old and has recently lost his wife and his best male friend within the past 3 months. His daughter brings him to the clinic because he has become forgetful, is not eating, has been sleeping poorly, and is frequently complaining of many aches and pains. Which assessment instrument would be most helpful at this time, considering his symptom presentation?

Which of the following patients diagnosed with a personality disorder is most likely to be admitted to a psychiatric unit?

A patient being seen in the clinic for superficial cuts on both wrists is pacing and sobbing. After a few minutes, the patient is calmer. The nurse attempts to determine the patient’s perception of the precipitating event by saying which of the following?

A patient checks and rechecks electrical cords related to an obsessive thought that the house may burn down. The nurse and patient explore the likelihood of an actual fire. The patient states this event is not likely. This counselling demonstrates principles of which of the following?

Which instruction has priority when teaching a patient about clozapine (Clozaril)?

A patient fearfully runs from chair to chair, crying, "They're coming! They're coming!" The patient does not follow the staffs directions or respond to verbal interventions. The initial nursing intervention of highest priority is to do which of the following?

What is the legal significance of a nurse's action when a competent patient verbally refuses medication and the nurse gives the medication over the patient's objection?

An older patient diagnosed with severe, late-stage dementia no longer recognizes family members. The family asks how long it will be before this patient recognizes them when they visit. What is the nurse's best reply?

Joan is a 17 year old who normally weighs 45 kg. She has lost 9 kg over past 3 months and has amenorrhea; Joan expresses an intense fear of gaining weight and is preoccupied with food. She is admitted with a diagnosis of anorexia nervosa. Joan's lunch consists of a small salad, a dinner roll and a bowl of soup and tea. What it is the responsibility of the nurse in order to assess intake?

Which of the following is true for withdrawn patients diagnosed with schizophrenia?

A patient says to the nurse, "My life doesn't have any happiness in it anymore. I once enjoyed holidays, but now they're just another day. It has felt this way for a long while" The nurse documents this report as an example of which of the following?

A patient referred to the eating disorders clinic has lost 15 kg during the past 3 months. To assess eating patterns, which of the following should the nurse should ask the patient?

An older adult patient was diagnosed with schizophrenia at age 18. A nurse at the outpatient medication clinic interviews this patient. Which communication strategy will be most helpful?

An elderly patient must be physically restrained. Who is responsible for the patient’s safety?

A patient seeing a design on the wallpaper perceives it as an animal. This is an example of?

A patient diagnosed with bipolar disorder is dressed in a red leotard and bright scarves. The patient twirls and shadow boxes. The patient says excitedly, "Do you like my scarves? Here; they are my gift to you.” How should the nurse document the patient's mood?

A patient that has recently survived a plane crash has returned to work and reports being unable to sleep at night. The nurse meets with the patient once a month to provide ongoing support and encouragement. Which type of crisis intervention is the nurse performing?

Jason has been brought to the emergency department by the police (Form 2) and after initial assessment (Form 1) admitted to the psychiatric unit for investigation of psychosis. Jason would not consent to admission and was admitted as an involuntary patient (Form 3). Which of the following should the nurse tell Jason about his rights as an involuntary patient?

The student nurse is reviewing orders given to a patient with depression. Which order should the student nurse question?

A nurse suspects that a new client may be addicted to a substance of abuse. When getting the health history of the client, the nurse needs to keep in mind that the client may not admit to drug use. Which one of the following is a primary symptom of addiction?

Mr. Olsen, age 75 years, lives in a nursing home and is diagnosed with mild dementia. Occasionally he attempts to get out of bed during the night and is a risk for falls. What nursing intervention should the practical nurse use to ensure his safety?

A patient admitted for injuries sustained while intoxicated has been hospitalized for 48 hours. The patient is now shaky, irritable, anxious, and diaphoretic and reports nightmares. The pulse rate is 130 beats/min. The patient shouts, "Bugs are crawling on my bed. I’ve got to get out of here." Select the most accurate assessment of this situation.

At the last contracted visit in the crisis intervention clinic, an adult says, "I've emerged from this a stronger person. You helped me get my life back in balance." The nurse responds, "I think we should have two more sessions to explore why your reactions were so intense." Which analysis applies?