Exam 9: The Nursing Process in Psychiatricmental Health Nursing

A client is assigned the nursing diagnosis of impaired social interaction R/T socio-cultural 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?

A nurse is evaluating the effectiveness of teaching after instructing a group of clients on joint replacement. In the evaluation step of the nursing process, which learning domain is the most difficult to measure?

Which of the following characteristics of accurately developed client outcomes should a nurse identify? (Select all that apply.)

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

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?

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?

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

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

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

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

A client is recovering from abdominal surgery. In order to maximize the learning process prior to discharge teaching, which assessment should be performed by the nurse?

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

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

The nurse interviewed a client who was uncooperative, answered questions with minimal responses, and rarely made eye contact. Which is the most complete documentation of baseline data obtained during the interview?

A client who has slept 6 hours the previous night reports this to the assigned psychiatric nurse. What should be the initial nursing action to address this situation?

What is the purpose when a nurse gathers client information?

During an intake interview, which question would assist the nurse in gathering data about the client's judgment?

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

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