Exam 7: The Nursing Process in Psychiatricmental Health Nursing

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

Which of the following characteristics of accurately developed client outcomes should a nurse identify?

The following NANDA-I 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?

Number the following nursing interventions as they would proceed through the steps of the nursing process. ________ Determine if an antianxiety medication is decreasing a client's stress. ________ Measure a client's vital signs and review past history. ________ Encourage deep breathing and teach relaxation techniques. ________ Aim, with client collaboration, for a seven-hour night's sleep. ________ Recognize and document the client's problem.

A _________________ __________________ provides the basis for selection of nursing interventions to achieve outcomes for which the nurse has accountability.

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

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

What is the purpose of a nurse gathering client information?

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

How should a nurse prioritize nursing diagnoses?

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?

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 MNA, DFA, and daytime napping. Which is a correctly written and appropriate outcome for this client?

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

A client diagnosed with schizophrenia is exhibiting nonverbal behaviors indicating that the client is hearing things that others do not. Which nursing diagnosis, which was recently removed from the NANDA-I list, still accurately reflects this client's problem?

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

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