NACE Psychosocial Needs and Development 3

Question 1

A nurse suspects that an elderly patient is being financially exploited by a family member. What is the nurse's legal obligation?

Accepted Answer

Report the suspected abuse to Adult Protective Services

Answer

Nurses are mandated reporters of suspected elder abuse, including financial exploitation. Reasonable suspicion is sufficient to trigger reporting.

Question 2

A patient in the emergency department is displaying aggressive behavior and threatening staff. Which de-escalation technique should the nurse try first?

Accepted Answer

Speak in a calm, low tone and offer the patient choices

Answer

Verbal de-escalation using a calm tone, non-threatening body language, and offering choices gives the patient a sense of control and is the least restrictive intervention.

Question 3

Which assessment tool is most commonly used by nurses to screen for depression in adult patients?

Accepted Answer

Patient Health Questionnaire-9 (PHQ-9)

Answer

The PHQ-9 is a validated, widely used screening tool that assesses the nine DSM criteria for major depressive disorder over the past two weeks.

Question 4

A patient diagnosed with schizophrenia reports hearing voices that tell them to harm themselves. How should the nurse classify this symptom?

Accepted Answer

Command auditory hallucination

Answer

Command auditory hallucinations are voices that direct the patient to perform specific actions, including self-harm. These require immediate safety assessment and intervention.

Question 5

A new mother two weeks postpartum tells the nurse she has thoughts of harming her baby. What is the priority nursing action?

Accepted Answer

Assess for postpartum psychosis and ensure immediate safety of the mother and infant

Answer

Thoughts of harming the baby are a red flag for postpartum psychosis, a psychiatric emergency requiring immediate safety assessment and intervention.

Nursing Acceleration Challenge Exam (NACE) I PN-RN Practice Test

Nursing Acceleration Challenge Exam (NACE) I PN-RN Practice Test

NACE Psychosocial Needs and Development 3