Exam 6: Psychological Context of Psychiatric Nursing Care

A patient visiting from Puerto Rico has become psychotic while staying with family here in the United States.When conducting the mental status examination,the nurse remembers that:

The health care provider describes a patient as being dressed like a "typical patient with mania." From this statement,the nurse can assume that the patient's mode of dress was:

A nurse asks a patient to remember the following object,color,and address: pencil,red,and 15 Maple Street.After 15 minutes the nurse asks the patient to repeat the object,color,and address.The nurse is assessing:

Success in obtaining sufficient data in the initial psychiatric interview depends largely on the:

Asking a patient to give the meaning of the proverb "people who live in glass houses shouldn't throw stones" will assist a nurse in assessing the patient's:

A nurse managing the care of a depressed patient will use the Beck Depression Inventory Scale at admission and during the course of treatment.The nurse expects to obtain assessment data that would: (Select all that apply.)

During a mental status examination,a patient sits looking tense and suspicious.The patient has a reddened scar on the left cheek and is wearing a torn,soiled shirt and only one shoe.Which observation about appearance has the greatest significance for the patient's current mental state?

A nurse plans to engage in participant observation while conducting a mental status examination.This will require the nurse to:

During a mental status evaluation,a nurse's intuition may indicate:

A nurse assessing a patient's emotional intelligence will focus on the patient's:

The patient believes that the CIA is "plotting to kill me." The report is given with the patient exhibiting little emotion.The nurse documents the patient's affect as:

To gather data about a patient's judgment,which question would be most appropriate?

While being interviewed,a patient expresses the belief that other people can place beliefs in her mind.This statement can be assessed as evidence of:

A patient diagnosed with depression tells a nurse,"If I hadn't been admitted,I would have carried out my plan and everyone would have been better off without me." The nurse responds:

A patient admitted for treatment of uncontrolled diabetes mellitus is withdrawn and tearful.The patient says,"I just want to be normal again." The nurse determines there is a need for a psychiatric evaluation primarily to assist:

A nurse will perform a mental status examination.The data most pertinent for determining the patient's affective response will be the patient's:

During a mental status examination,a patient shouts angrily at the nurse,"You are too nosy for your own good!" Then,almost immediately,happily says,"Well,let's let bygones be bygones and be buddies." The nurse assesses this emotional display as:

A patient tells a nurse,"God has given me special powers to heal the sick and raise the dead.I can cast out demons and cure cancer." The nurse assesses the patient's statements as indicating:

During an interview,a patient with mania demonstrates very rapid speech and talks continuously and loudly.The patient's speech pattern is best documented as:

While interviewing a patient,a nurse notes that the patient uses invented words and that the patient's thoughts do not seem to flow logically.These observations are most consistent with a diagnosis of: