Exam 9: The Nursing Process in Psychiatric-Mental Health Nursing

A client is assigned the nursing diagnosis of impaired social interaction R/T sociocultural differences AEB client stating,"Although I'd like to,I don't join in because I don't speak the language so good." Which correctly written outcome addresses this client's problem?

Which function is exclusive to the advance practice psychiatric nurse's scope of practice?

An adolescent client has problems expressing anger appropriately.Which nursing statement would encourage the client to set realistic goals?

A student nurse asks an instructor which resource is best to use when developing nursing outcomes for clients.Which reply most accurately answers the student's question?

Which of the following nursing interventions fall within the standards of psychiatric-mental health clinical nursing practice for a nurse generalist? Select all that apply.

A nurse on an inpatient psychiatric unit implements care by scheduling client activities,interacting with clients,and maintaining a safe therapeutic environment.These actions reflect which role of the nurse?

The following North American Nursing Diagnosis Association (NANDA)nursing diagnostic stem was developed for a client on an inpatient unit:"Risk for injury." Which assessment data most likely led to the development of this problem statement?

A client diagnosed with Major Depressive Disorder states,"Why should I keep trying to get a job? I mess up everything I do." Which correctly written nursing diagnosis best reflects the content and mood themes in this client's statement?

During an intake interview,which question would best assist the nurse to gather data about the client's judgment?

Which is the nurse's purpose when gathering client information?

A nursing instructor is teaching students about the purpose of using the nursing process in the care of psychiatric patients.Which of the following statements by a student indicates learning has occurred?

A nursing instructor overhears a student say,"That family seems to disagree more than agree.The family seems to be dysfunctional." To further assess the family's situation,which would be an appropriate reply by the instructor?

Which tool would be appropriate for a nurse to use when assessing mental acuity prior to and immediately following electroconvulsive therapy (ECT)?

A client diagnosed with schizophrenia is exhibiting nonverbal behaviors indicating that the client is hearing things that others do not.Which nursing diagnosis accurately reflects this client's problem?

Which data-gathering technique is employed during the assessment phase of the nursing process?

Which expected client outcome should a nurse identify as being correctly formulated?

The nurse should recognize which acronym as representing problem-oriented charting?

Which nursing response best represents the evaluation phase of the nursing process?

The following clients are seen in the emergency department.The psychiatric unit has one remaining bed.Which client should the triage nurse expect to be admitted?

After a comprehensive assessment,correctly written nursing diagnoses developed for psychiatric clients may include which of the following components? Select all that apply.