SNLE Psychiatric Nursing

Question 1

Which therapeutic communication technique is most appropriate when a patient states 'I feel like nobody cares about me'?

Accepted Answer

Reflect feelings: 'It sounds like you are feeling very alone right now.'

Answer

Offer advice: 'You should talk to your family.'

Answer

Minimize: 'I am sure that is not true.'

Answer

Change the subject to distract the patient.

Question 2

What is the priority nursing assessment for a patient admitted with suicidal ideation?

Accepted Answer

Assess the lethality of the plan, means, intent, and timeline

Answer

Check vital signs only

Answer

Administer medication first

Answer

Leave the patient alone to calm down

Question 3

A patient with schizophrenia states 'The TV is sending me secret messages.' This is an example of:

Accepted Answer

Ideas of reference

Answer

Auditory hallucinations

Answer

Delusion of grandeur

Answer

Thought insertion

Question 4

Which medication requires regular monitoring of white blood cell count?

Accepted Answer

Clozapine (Clozaril)

Answer

Haloperidol (Haldol)

Answer

Lithium

Answer

Fluoxetine (Prozac)

Question 5

What is the correct nursing response when a patient experiencing command hallucinations says the voices are telling them to hurt someone?

Accepted Answer

Ensure immediate safety, remove potential weapons, notify the treatment team immediately

Answer

Tell the patient to ignore the voices

Answer

Continue the current care plan without changes

Answer

Document it for the next shift only

Question 6

Which nursing intervention is most important during alcohol withdrawal?

Accepted Answer

Monitor for seizures, administer benzodiazepines as ordered, and ensure hydration

Answer

Encourage alcohol use to prevent severe withdrawal

Answer

Administer antipsychotics as first-line treatment

Answer

Place the patient in seclusion