_test_bank_for_psychiatric_mental_health_nursing_7th_edit-119

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West Virginia University *

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610

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Nursing

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Nov 24, 2024

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1

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TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK 31. Throughout the assessment, the client displays disorganized thinking, jumping from one idea to another with no clear relationship between the thoughts. The nurse would assess the client as having which of the following? A) Tangentialthinking B) Ideasof reference C) Loose associations D) Word salad Ans: C Feedback: The client displayed ideas that were loosely associated to one another. Tangential thinking is manifested by wandering off the topic and never providing the information requested. Ideas of reference are the client's inaccurate interpretation that general events are personally directed to him or her. Word salad is a flow of unconnected words that convey no meaning to the listener. 32. Sexuality and self-harm behaviors are often difficult areas for nurses to assess. An effective way for nurses to deal with this discomfort includes A) recognizing that these areas may also be uncomfortable for the patient to discuss. B) share feelings of discomfortwith the patient. C) defer assessing these areas to a more experienced nurse. D) develop a standard question to ask of all patients during this area of assessment Ans: A Feedback: Two areas that may be uncomfortable or difficult for the nurse to assess are sexuality and self-harmbehaviors. The beginning nurse may feel uncomfortable, as if prying into personal matters, when asking questions about a client's intimate relationships and behavior and any self-harm behaviors or thoughts of suicide. Asking such questions, however, is essential to obtaining a thorough andcomplete assessment. The nurse needs to remember that it may be uncomfortable for the client to discuss these topics as well.
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