Which statement describes the focus of psychiatric emergency care?

Triage and stabilization of the acute symptoms are a priority.

A nurse visits one to three times a week to assess for extreme agitation.

Overnight short-term observations are 1 to 3 days in duration.

Antipsychotic medications are administered

Answer and Explanation

The Correct Answer is A

Choice A Reason:

Triage and stabilization of the acute symptoms are a priority describes the focus of psychiatric emergency care. Psychiatric emergency care focuses on the rapid assessment, triage, and stabilization of individuals experiencing acute psychiatric symptoms or crises. The primary goal is to address immediate safety concerns, stabilize the individual's condition, and determine the appropriate level of care or intervention. This may involve crisis intervention, brief assessment, and referral to appropriate services.

Choice B Reason:

A nurse visits one to three times a week to assess for extreme agitation does not describe the focus of psychiatric emergency care. This describes a more routine or outpatient assessment schedule rather than the urgent and immediate focus of psychiatric emergency care.

Choice C Reason:

Overnight short-term observations are 1 to 3 days in duration does not describe the focus of psychiatric emergency care. This refers to a short-term observation period, which might occur in various psychiatric settings, but it does not specifically address the urgency of psychiatric emergencies.

Choice D Reason:

Antipsychotic medications are administered does not describe the focus of psychiatric emergency care. Administering antipsychotic medications is a treatment approach that may be part of the overall psychiatric care plan, but it does not specifically capture the immediate triage and stabilization focus of psychiatric emergency care.

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Correct Answer is A

Explanation

Choice A Reason:

Engaging in friendly interactions with the client is correct. Developing a therapeutic relationship involves creating a supportive and empathetic connection with the client. Engaging in friendly interactions helps build trust and rapport. This approach fosters a positive environment for communication and collaboration.

Choice B Reason:

Instructing the client on how he should behave is incorrect. Instructing the client on how to behave can be perceived as directive and may hinder the development of a collaborative and trusting relationship.

Choice C Reason:

Setting limits for the relationship is incorrect. While setting boundaries is important, using the term "limits" can convey a sense of restriction. It's crucial to establish appropriate boundaries, but the term "limits" may not promote the openness needed in a therapeutic relationship.

Choice D Reason:

Promoting the use of transference by the client is incorrect. Promoting transference involves encouraging the client to project feelings from past relationships onto the nurse. This is generally not considered a therapeutic approach and may lead to misunderstandings in the therapeutic relationship.

A. Anxiety B. Ineffective coping C. Chronic low self-esteem D. Self-harm

Correct Answer is D

Explanation

Choice A Reason:

Anxiety is incorrect. While anxiety is a valid concern, it may not be an immediate threat to the individual's safety.

Choice B Reason:

Ineffective coping is incorrect. This is relevant, but it doesn't address the urgency associated with potential self-harm.

Choice C Reason:

Chronic low self-esteem is incorrect. Low self-esteem is a significant issue, but it may not require immediate intervention compared to the risk of self-harm.

Choice D Reason:

Self-harm is correct. Assessing and addressing the risk of self-harm takes precedence, as it involves ensuring the immediate safety and well-being of the individual. Once the risk of self-harm is addressed, the nurse can then explore and address other related concerns, such as anxiety, coping mechanisms, and self-esteem.

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Which statement describes the focus of psychiatric emergency care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a mental health clinic is attempting to develop a therapeutic relationship with a client. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

Which of the options below would be a priority nursing diagnosis?

Correct Answer is D

Explanation

A nurse is caring for a postpartum client who tells the nurse that she does not want any more children. The client asks which birth control method the nurse would recommend. Which of the following responses should the nurse make?

A nurse is admitting a client who is about to undergo surgery for benign prostatic hypertrophy. The client states. "I don't know what I will do if they find I have cancer." Which of the following responses should the nurse make?

A nurse is caring for a client who has dementia. When performing a Mental Status Examination (MSE) the nurse should include which of the following data? (Select all that apply)

Which activity would happen first in the nurse-patient relationship?

A nurse observes a client's spouse sitting alone in the waiting room crying. When approached, the spouse says. "I am really concerned about my husband. Which of the following is a therapeutic nursing response?

The nurse is caring for a patient who consults with family members before making every treatment decision. Based on the nurse's observation. which type of boundary exists within the family structure?

The nurse states to the patient "You say that you are sad, but you are smiling..." Which option describes the purpose of this therapeutic communication technique?

Which factor promoting patient growth describes the ability to view another person as worthy of caring about and as someone who has strengths and achievement potential?