Question 1

Which statement regarding nursing interventions should a nurse identify as accurate?

Accepted Answer

A)  Nursing interventions are independent from the treatment team's goals. 
B)  Nursing interventions are directed solely by written physician orders. 
C)  Nursing interventions occur independently but in concert with overall treatment team goals. 
D)  Nursing interventions are standardized by policies and procedures. 
A)  Nursing interventions are independent from the treatment team's goals. 
B)  Nursing interventions are directed solely by written physician orders. 
C)  Nursing interventions occur independently but in concert with overall treatment team goals. 
D)  Nursing interventions are standardized by policies and procedures. C

Question 2

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

Accepted Answer

A)  SOAPIE 
B)  SOLER 
C)  DAR 
D)  PQRST 
A)  SOAPIE 
B)  SOLER 
C)  DAR 
D)  PQRST A

Question 3

During the implementation phase of the nursing process,a nurse is teaching an adult depressed patient with a cochlear implant about medications.Which modification in the teaching plan would be the most appropriate for this client?

Accepted Answer

A)  Using repetition 
B)  Speaking directly face-to-face 
C)  Employing the use of sign language 
D)  Providing large-print materials 
A)  Using repetition 
B)  Speaking directly face-to-face 
C)  Employing the use of sign language 
D)  Providing large-print materials B

Question 4

An 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 instructor reply?

Accepted Answer

A)  "Families who disagree can be a challenge to the treatment team." 
B)  "You seem very critical of the family. Do you believe that you are unable to help them?" 
C)  "Let's bring the family in for an educational session to improve their communication." 
D)  "What appears to trigger family disagreements?" 
A)  "Families who disagree can be a challenge to the treatment team." 
B)  "You seem very critical of the family. Do you believe that you are unable to help them?" 
C)  "Let's bring the family in for an educational session to improve their communication." 
D)  "What appears to trigger family disagreements?"

Question 5

How should a nurse prioritize nursing diagnoses?

Accepted Answer

A)  By the established goal of care 
B)  By the life-threatening potential 
C)  By the physician's priority of care 
D)  By the client's preference 
A)  By the established goal of care 
B)  By the life-threatening potential 
C)  By the physician's priority of care 
D)  By the client's preference

Question 6

The following outcome was developed for a client: "Client will list five personal strengths by the end of day 1." Which correctly written nursing diagnostic statement most likely generated the development of this outcome?

Accepted Answer

A)  Altered self-esteem R/T years of emotional abuse AEB self-deprecating statements 
B)  Self-care deficit R/T altered thought processes 
C)  Disturbed body image R/T major depressive disorder AEB mood rating of 2/10 
D)  Risk for disturbed self-concept R/T hopelessness AEB suicide attempt 
A)  Altered self-esteem R/T years of emotional abuse AEB self-deprecating statements 
B)  Self-care deficit R/T altered thought processes 
C)  Disturbed body image R/T major depressive disorder AEB mood rating of 2/10 
D)  Risk for disturbed self-concept R/T hopelessness AEB suicide attempt

Question 7

Within the nurse's scope of practice,which function is exclusive to the advance practice psychiatric nurse?

Accepted Answer

A)  Teaching about the side effects of neuroleptic medications 
B)  Using psychotherapy to improve mental health status 
C)  Using milieu therapy to structure a therapeutic environment 
D)  Providing case management to coordinate continuity of health services 
A)  Teaching about the side effects of neuroleptic medications 
B)  Using psychotherapy to improve mental health status 
C)  Using milieu therapy to structure a therapeutic environment 
D)  Providing case management to coordinate continuity of health services

Question 8

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

Accepted Answer

A)  The client who is experiencing tremors and has a need for medication adjustment 
B)  The client who is experiencing anxiety and a sad mood after separation from spouse 
C)  The client who is a single parent and hears voices stating, "Kill your infant son." 
D)  The client who argued with her boyfriend and inflicted a superficial cut on her arm 
A)  The client who is experiencing tremors and has a need for medication adjustment 
B)  The client who is experiencing anxiety and a sad mood after separation from spouse 
C)  The client who is a single parent and hears voices stating, "Kill your infant son." 
D)  The client who argued with her boyfriend and inflicted a superficial cut on her arm

Question 9

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

Accepted Answer

A)  Client will feel happier by discharge. 
B)  Client will demonstrate two relaxation techniques. 
C)  Client will verbalize triggers to anger by end of session. 
D)  Client will initiate interaction with one peer during free time within 2 days. 
A)  Client will feel happier by discharge. 
B)  Client will demonstrate two relaxation techniques. 
C)  Client will verbalize triggers to anger by end of session. 
D)  Client will initiate interaction with one peer during free time within 2 days.

Question 10

Which of the following are characteristics of accurately developed client outcomes? Select all that apply.

Accepted Answer

A)  Client outcomes are formulated by nurses independent from other team members. 
B)  Client outcomes are not restricted by time frames. 
C)  Client outcomes are specific and measurable. 
D)  Client outcomes are realistically based on client capability. 
E)  Client outcomes are formally approved by the psychiatrist. 
A)  Client outcomes are formulated by nurses independent from other team members. 
B)  Client outcomes are not restricted by time frames. 
C)  Client outcomes are specific and measurable. 
D)  Client outcomes are realistically based on client capability. 
E)  Client outcomes are formally approved by the psychiatrist.

Question 11

What is the purpose when a nurse gathers client information?

Accepted Answer

A)  It enables the nurse to modify client behaviors related to personality disorders. 
B)  It enables the nurse to make sound clinical judgments and plan appropriate client care. 
C)  It enables the nurse to prescribe the appropriate medications. 
D)  It enables the nurse to assign the appropriate Axis I diagnosis. 
A)  It enables the nurse to modify client behaviors related to personality disorders. 
B)  It enables the nurse to make sound clinical judgments and plan appropriate client care. 
C)  It enables the nurse to prescribe the appropriate medications. 
D)  It enables the nurse to assign the appropriate Axis I diagnosis.

Question 12

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

Accepted Answer

A)  "Use the Nursing Interventions Classification (NI
C) , as a reference for nursing outcomes." 
B)  "Use the NANDA resource to identify appropriate outcomes." 
C)  "Use the Nursing Outcomes Classification (NO
C) , as a reference for nursing outcomes." 
D)  "Copy your standard outcomes from a nursing care plan textbook." 
A)  "Use the Nursing Interventions Classification (NI
C) , as a reference for nursing outcomes." 
B)  "Use the NANDA resource to identify appropriate outcomes." 
C)  "Use the Nursing Outcomes Classification (NO
C) , as a reference for nursing outcomes." 
D)  "Copy your standard outcomes from a nursing care plan textbook."

Question 13

Which nursing response would be appropriately used in the evaluation phase of the nursing process?

Accepted Answer

A)  "If I were in your situation, I would not repeat a behavior that has caused problems." 
B)  "What do you think needs changing, and what do you want to do differently?" 
C)  "What exactly will it take to carry out your plan, and what else do you need to do?" 
D)  "It sounds like you're saying this new approach is working for you." 
A)  "If I were in your situation, I would not repeat a behavior that has caused problems." 
B)  "What do you think needs changing, and what do you want to do differently?" 
C)  "What exactly will it take to carry out your plan, and what else do you need to do?" 
D)  "It sounds like you're saying this new approach is working for you."

Question 14

A client is diagnosed with generalized anxiety disorder.In order to maximize the learning process prior to discharge teaching,which assessment should be performed by the nurse?

Accepted Answer

A)  Assessing the client's level of anxiety 
B)  Assessing and documenting the client's vital signs 
C)  Assessing suicide risk 
D)  Assessing availability of support systems 
A)  Assessing the client's level of anxiety 
B)  Assessing and documenting the client's vital signs 
C)  Assessing suicide risk 
D)  Assessing availability of support systems

Question 15

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?

Accepted Answer

A)  Health teacher 
B)  Case manager 
C)  Milieu manager 
D)  Psychotherapist 
A)  Health teacher 
B)  Case manager 
C)  Milieu manager 
D)  Psychotherapist

Question 16

Which statement is most accurate regarding the assessment of clients diagnosed with psychiatric problems?

Accepted Answer

A)  Medical history is of little significance and can be eliminated from the nursing assessment. 
B)  Assessment provides a holistic view of the client, including biopsychosocial aspects. 
C)  Comprehensive assessments can be performed only by advanced practice nurses. 
D)  Psychosocial evaluations are gained by subjective reports rather than objective observations. 
A)  Medical history is of little significance and can be eliminated from the nursing assessment. 
B)  Assessment provides a holistic view of the client, including biopsychosocial aspects. 
C)  Comprehensive assessments can be performed only by advanced practice nurses. 
D)  Psychosocial evaluations are gained by subjective reports rather than objective observations.

Question 17

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?

Accepted Answer

A)  Hopelessness R/T poor job performance 
B)  Risk for impaired adjustment R/T inadequate social skills AEB isolation 
C)  Altered role performance R/T the fear of failure AEB not seeking employment 
D)  Chronic low self-esteem R/T major depressive disorder AEB self-hatred 
A)  Hopelessness R/T poor job performance 
B)  Risk for impaired adjustment R/T inadequate social skills AEB isolation 
C)  Altered role performance R/T the fear of failure AEB not seeking employment 
D)  Chronic low self-esteem R/T major depressive disorder AEB self-hatred

Question 18

A nurse charts "Verbalizes understanding of the side effects of Prozac." This is an example of which category of focused charting?

Accepted Answer

A)  Data 
B)  Problem 
C)  Action 
D)  Response 
A)  Data 
B)  Problem 
C)  Action 
D)  Response

Question 19

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 the student indicates that learning has occurred?

Accepted Answer

A)  The nursing process is a method for interviewing the patient in a systematic way. 
B)  The nursing process is used to assist patients to adapt successfully to stressors within the environment. 
C)  The nursing process is used to provide support for the psychiatric diagnosis. 
D)  The nursing process is used primarily to minimize allegations of negligence. 
A)  The nursing process is a method for interviewing the patient in a systematic way. 
B)  The nursing process is used to assist patients to adapt successfully to stressors within the environment. 
C)  The nursing process is used to provide support for the psychiatric diagnosis. 
D)  The nursing process is used primarily to minimize allegations of negligence.

Question 20

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.

Accepted Answer

A)  Assist clients to perform activities of daily living. 
B)  Act as a consultant with other clinicians to provide services for clients and effect system change 
C)  Encourage clients to discuss triggers for relapse 
D)  Use prescriptive authority in accordance with state and federal laws 
E)  Educate families about signs and symptoms of alcohol dependence and withdrawal 
A)  Assist clients to perform activities of daily living. 
B)  Act as a consultant with other clinicians to provide services for clients and effect system change 
C)  Encourage clients to discuss triggers for relapse 
D)  Use prescriptive authority in accordance with state and federal laws 
E)  Educate families about signs and symptoms of alcohol dependence and withdrawal

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

Which statement regarding nursing interventions should a nurse identify as accurate?

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

During the implementation phase of the nursing process,a nurse is teaching an adult depressed patient with a cochlear implant about medications.Which modification in the teaching plan would be the most appropriate for this client?

An 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 instructor reply?

How should a nurse prioritize nursing diagnoses?

The following outcome was developed for a client: "Client will list five personal strengths by the end of day 1." Which correctly written nursing diagnostic statement most likely generated the development of this outcome?

Within the nurse's scope of practice,which function is exclusive to the advance practice psychiatric nurse?

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

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

Which of the following are characteristics of accurately developed client outcomes? Select all that apply.

What is the purpose when a nurse gathers client information?

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

Which nursing response would be appropriately used in the evaluation phase of the nursing process?

A client is diagnosed with generalized anxiety disorder.In order to maximize the learning process prior to discharge teaching,which assessment should be performed by the nurse?

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?

Which statement is most accurate regarding the assessment of clients diagnosed with psychiatric problems?

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?

A nurse charts "Verbalizes understanding of the side effects of Prozac." This is an example of which category of focused charting?

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 the student indicates that learning has occurred?

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.

The Concept of Stress Adaptation

Mental Health/Mental Illness: Historical and Theoretical Concepts

Theoretical Models of Personality Development

Concepts of Psychobiology

Ethical and Legal Issues

Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health Nursing

Relationship Development

Therapeutic Communication

Therapeutic Groups

Intervention With Families

Milieu Therapy The Therapeutic Community

Crisis Intervention

Assertiveness Training

Promoting Self Esteem

Anger/Aggression Management

The Suicidal Client

Behavior Therapy

Cognitive Therapy

Electroconvulsive Therapy

The Recovery Model

Neurocognitive Disorders

Substance-Related and Addictive Disorders

Schizophrenia Spectrum and Other Psychotic Disorders

Depressive Disorders

Bipolar and Related Disorders

Anxiety, Obsessive-Compulsive, and Related Disorders

Trauma and Stressor Related Disorders

Somatic Symptom and Dissociative Disorders

Issues Related to Human Sexuality and Gender Dysphoria

Eating Disorders

Personality Disorders

Children and Adolescents

The Aging Individual

Survivors of Abuse or Neglect

Community Mental Health Nursing

The Bereaved Individual

Military Families

Filters