Question 1

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 2

Which nursing diagnosis should a nurse identify as being correctly formulated?

Accepted Answer

A) Schizophrenia R/T biochemical alterations AEB altered thought 
B) Self-care deficit: hygiene R/T altered thought as AEB disheveled appearance 
C) Depressed mood R/T multiple life stressors 
D) Developmental disability R/T early-onset schizophrenia AEB hallucinations 
A) Schizophrenia R/T biochemical alterations AEB altered thought 
B) Self-care deficit: hygiene R/T altered thought as AEB disheveled appearance 
C) Depressed mood R/T multiple life stressors 
D) Developmental disability R/T early-onset schizophrenia AEB hallucinations

Question 3

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

Accepted Answer

A) Medical judgments related to the psychiatric disorder 
B) Unmet client needs present at the moment 
C) Supporting data that validate the diagnosis 
D) Outcomes that will be targets for nursing interventions 
E) Statements of client problems of a functional nature 
A) Medical judgments related to the psychiatric disorder 
B) Unmet client needs present at the moment 
C) Supporting data that validate the diagnosis 
D) Outcomes that will be targets for nursing interventions 
E) Statements of client problems of a functional nature

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

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 6

What is being assessed when a nurse asks a client to identify name, date, residential address, and situation?

Accepted Answer

A) Mood 
B) Perception 
C) Orientation 
D) Affect 
A) Mood 
B) Perception 
C) Orientation 
D) Affect

Question 7

A client has a nursing diagnosis of Insomnia R/T paranoid thinking AEB midnight awakenings, difficulty falling asleep, and daytime napping. Which is a correctly written and appropriate outcome for this client's problem?

Accepted Answer

A) The client will avoid daytime napping and attend all groups. 
B) The client will exercise, as needed, before bedtime. 
C) The client will sleep 7 uninterrupted hours by day four of hospitalization. 
D) The client's sleep habits will improve during hospitalization. 
A) The client will avoid daytime napping and attend all groups. 
B) The client will exercise, as needed, before bedtime. 
C) The client will sleep 7 uninterrupted hours by day four of hospitalization. 
D) The client's sleep habits will improve during hospitalization.

Question 8

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

Accepted Answer

A) Asking the client to rate mood after administering an antidepressant 
B) Asking the client to verbalize understanding of previously explained unit rules 
C) Asking the client to describe any thoughts of self-harm 
D) Asking the client if the group on assertiveness skills was helpful 
A) Asking the client to rate mood after administering an antidepressant 
B) Asking the client to verbalize understanding of previously explained unit rules 
C) Asking the client to describe any thoughts of self-harm 
D) Asking the client if the group on assertiveness skills was helpful

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

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?

Accepted Answer

A) Altered thought processes 
B) Altered sensory perception 
C) Anxiety 
D) Chronic confusion 
A) Altered thought processes 
B) Altered sensory perception 
C) Anxiety 
D) Chronic confusion

Question 11

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 12

A student nurse asks an instructor how best to develop 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) "Look at your client's problems and set a realistic, achievable goal." 
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) "Look at your client's problems and set a realistic, achievable goal." 
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 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 solely directed 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 solely directed 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.

Exam 9: The Nursing Process in Psychiatricmental Health Nursing

How should a nurse prioritize nursing diagnoses?

Which nursing diagnosis should a nurse identify as being correctly formulated?

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

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?

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?

What is being assessed when a nurse asks a client to identify name, date, residential address, and situation?

A client has a nursing diagnosis of Insomnia R/T paranoid thinking AEB midnight awakenings, difficulty falling asleep, and daytime napping. Which is a correctly written and appropriate outcome for 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?

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?

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?

A student nurse asks an instructor how best to develop nursing outcomes for clients. Which reply by the instructor most accurately answers the student's question?

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

The Concept of Stress Adaptation

Mental Healthmental Illness: Historical and Theoretical Concepts

Theoretical Models of Personality Development

Concepts of Psychobiology

Ethical and Legal Issues in Psychiatricmental Health Nursing

Cultural and Spiritual Concepts Relevant to Psychiatricmental Health Nursing

Relationship Development

Therapeutic Communication

Therapeutic Groups

Intervention With Families

Milieu Therapy - the Therapeutic Community

Crisis Intervention

Relaxation Therapy

Assertiveness Training

Promoting Self Esteem

Angeraggression Management

Intervention With a Suicidal Client

Behavior Therapy

Cognitive Therapy

Electroconvolusive Therapy

Complementary Therapies

Disorders Usually First Diagnosed in Infancy, Childhood, or Adolescence

Delirium, Dementia, and Amnestic Disorders

Substance-Related Disorders

Schizophrenia and Other Psychotic Disorders

Mood Diorders: Depression

Mood Disorders: Bipolar Disorder

Anxiety Disorders

Somatoform and Disassociative Disorders

Issues Related to Human Sexuality and Gender Identity

Eating Disorders

Adjustment and Impulse Control Disorders

Personality Disorders

The Aging Individual

Victims of Abuse or Neglect

Community Mental Health Nursing

Forensic Nursing

The Bereaved Individual

Filters