ANSWERS PROVIDED FOR REVISION. 2024 UPDATE
1. The nurse is documenting care of a patient following the APIE
method. Which of the following would you expect to see in the
nursing note? SeIect all that apply.
1) Pt able to get dressed and eat in dining room
2)Developed therapeutic relationship w/ pt, stayed w/ pt while
he ate dinner, encouraged getting dressed and going to dining rm
3) Discussed with nurse or therapist behaviors that impede the
development of interpersonal relationships
4) Impaired social interaction related to lack of motivation and
depressed mood
5) Pt stated he is "sad and depressed," stays in room, not
involved in group activities: 1,2,4,5
2. The nurse is following the nursing process to care for a pt with
a nursing dx of Risk for suicide. Which activity is the priority?
l)identify outcomes to include
pt safety
2) Plan care to include suicide
precautions
3) Assess for suicidal ideation
4) Maintain safe and therapeutic environment
3) Assess for suicidal ideation
3. The nurse is documenting the care of a patient with a nursing
diagnosis of risk for suicide. Which of the following is correct
documentation for using problem-oriented record? Select all
that apply.
1)Patient crying frequently, stays in room alone, superficial
stretch marks on wrist.