NURS 661 Exam 1 b b b
1. The nurse prepares to assess a patient diagnosed with major depression for
b b b b b b b b b b b b
disturbances in circadian rhythms. Which question should the nurse ask this
b b b b b b b b b b b b
patient?
a. Have you ever seen or heard things that others do not?
b b b b b b b b b b
b. What are your worst and best times of the day?
b b b b b b b b b
c. How would you describe your thinking?b b b b b
d. Do you think your memory is failing?: Answer: B
b b b b b b b b
2. The nurse is serving on a committee charged with reviewing the roles and r
b b b b b b b b b b b b b b
esponsibilities of the nurses on the psychiatric unit. Which publication shoul b b b b b b b b b b
d the nurse bring to the first meeting?
b b b b b b b
1. Diagnostic and Statistical Manual of Mental Disorders b b b b b b
2. American Nurses Credentialing Center certification requirements b b b b b
3. American Nurses Association, Code of Ethics b b b b b
4. Psychiatric Mental Health Nursing Standards of Practice: Answer: 4 b b b b b b b b
3. The psychiatric mental health nurse reflecting on professional role activities
b b b b b b b b b b
bis referred to the standards of professional performance by a colleague. To wh
b b b b b b b b b b b b
ich organization should the nurse look for guidance?
b b b b b b b b
1. North American Nursing Diagnosis Association b b b b
2. American Nurses Credentialing Center b b b
3. National League for Nursing b b b
4. American Nurses Association: Answer: 4 b b b b
4. The psychiatric mental health nurse is working with the new graduate nurse
b b b b b b b b b b b b b
who is orienting to the psychiatric unit. Which comment by the new graduate i
b b b b b b b b b b b b b
ndicates further clarification of the generalist-nursing role is needed?
b b b b b b b b
1. I would feel better if you would look at my documentation that addresses pro
b b b b b b b b b b b b b
gress toward treatment goals. b b b b
2. I will spend time each day evaluating the effectiveness of the therapeutic mil
b b b b b b b b b b b b
ieu.
3. I am a little nervous about conducting psychotherapy with clients.
b b b b b b b b b
4. I am doing some reading on how to incorporate complementary intervention
b b b b b b b b b b
s into treatment plans.: Answer: 3
b b b b b
1b/b41
, NURS 661 Exam 1 b b b
5. The client on the psychiatric unit is asking questions about prevention of se
b b b b b b b b b b b b
xually transmitted diseases. Given the PsychiatricMental Health Nursing St
b b b b b b b b
andards of Practice, which action would be most appropriate for the nurse t
b b b b b b b b b b b b
o take at this time?
b b b b
1. Consult with the mental health care team.
b b b b b b
2. Teach safer sexual practices. b b b
3. Investigate the questions in individual psychotherapy.b b b b b b
4. Notify the attending psychiatrist.: Answer: 2
b b b b b
6. The client asks the nurse if certain changes can be made in the unit milieu.
b b b b b b b b b b b b b b b b
Which action by the nurse indicates understanding of the nursing role in the th
b b b b b b b b b b b b b
erapeutic milieu? b
1. The nurse refers the clients requests to the psychiatric social worker.
b b b b b b b b b b
2. The nurse discusses the desired changes with the client.
b b b b b b b b
3. The nurse refers the clients requests to the psychosocial rehabilitation work
b b b b b b b b b b
er. b
4. The nurse instructs the client that no changes can be made.: Answer: 2 7. Du
b b b b b b b b b b b b b b
e to a staff members absence, the nurse is reviewing staff assignments for t
b b b b b b b b b b b b b
he day. Which task can the nurse delegate to the psychosocial rehabilitation
b b b b b b b b b b b b
worker?
1. Conflict resolution teaching to a small group of clients
b b b b b b b b
2. Comparison of physicians orders with the medication records
b b b b b b b b
3. Routine medication administration to a stable client
b b b b b b
4. Assessment of a long-term client: Answer: 1 b b b b b b
8. If psychiatric nurses used Orems theory for structuring much of their nursin
b b b b b b b b b b b b
g practice, a major focus area for assessment would be the clients ability to do
b b b b b b b b b b b b b b b
which of the following?
b b b
1. Adapt and function to meet various role expectations.
b b b b b b b
2. Care about self and participate in self-healing.
b b b b b b
3. Implement self-care to meet psychosocial needs. b b b b b
4. Enter into a therapeutic one-to-one relationship with the nurse.: Answer: 3
b b b b b b b b b b
2b/b41
, NURS 661 Exam 1 b b b
9. The psychiatric mental health nurse is asked to develop an intervention for t
b b b b b b b b b b b b b
he nursing unit based on Watsons theory of caring. Given this assignment, wh
b b b b b b b b b b b b
ich intervention is most appropriate for the nurse to implement?
b b b b b b b b b
1. One-to-
one debriefing sessions each week with individual unit nurses and the unit
b b b b b b b b b b b b
manager b
2. Clarification of values and cultural beliefs that might pose barriers to caring
b b b b b b b b b b b b
for clients b
3. Identification of additional coping skills for new nurses on the unit b b b b b b b b b b
4. Discussion of the impact of recent changes in hospital policy on the nursing
b b b b b b b b b b b b
staff: Answer: 2
b b b
10. The unit manager is consistently advocating for self-
b b b b b b b b
awareness among the psychiatric mental health nursing staff in order to prom
b b b b b b b b b b b
ote quality care. From which theoretical base is the unit manager operating?
b b b b b b b b b b b
1. Jean Watsons theory of human caring
b b b b b
2. Dorothea Orems theory of self-care b b b b
3. Martha Rogerss principles of homeodynamicsb b b b b
4. Sister Callista Roys adaptation theory: Answer: 1
b b b b b b
11. Upon the clients arrival on the patient care unit, the nurse begins implemen
b b b b b b b b b b b b b
tation of the nursing process. Of which nursing theorist should the nurses pra
b b b b b b b b b b b b
ctice be most reflective?
b b b
1. Ida Jean Orlando b b b
2. Jean Watson b
3. Dorothea Orem b b
4. Hildegard Peplau: Answer: 4 b b b
12. If the nurse is using the nursing theory that has shaped psychiatric mental
b b b b b b b b b b b b b b
health most directly, which nursing action is priority?
b b b b b b b
1. Assessing the clients abilities in areas of self-care b b b b b b b
2. Teaching effective coping skills b b b
3. Establishing a therapeutic nurseclient relationship b b b b
4. Encouraging the clients sensitivity and caring for self: Answer: 3 b b b b b b b b b
3b/b41
, NURS 661 Exam 1 b b b
13. A patient asks, What are neurotransmitters? The doctor said mine are imba
b b b b b b b b b b b b
lanced. Select the nurses best response. b b b b b
A) How do you feel about having imbalanced neurotransmitters?
b b b b b b b b
B)Neurotransmitters protect us from harmful effects of free radicals. b b b b b b b b
C)Neurotransmitters are substances we consume that influence memory and b b b b b b b b b
mood.
D)Neurotransmitters are natural chemicals that pass messages between brain b b b b b b b b
cells.: Answer: D
b b b
14. The parent of an adolescent diagnosed with schizophrenia asks the nurse,
b b b b b b b b b b b b
My childs doctor ordered a PET. What kind of test is that? Select the nurses be
b b b b b b b b b b b b b b b
st reply. b
A. This test uses a magnetic field and gamma waves to identify problem area
b b b b b b b b b b b b
s in the brain. Does your teenager have any metal implants?
b b b b b b b b b b
B. PET means positron- b b
emission tomography. It is a special type of scan that shows blood flow and ac
b b b b b b b b b b b b b b
tivity in the brain. b b b
C. A PET scan passes an electrical current through the brain and shows brai
b b b b b b b b b b b b
n-wave activity. It can help diagnose seizures. b b b b b b
D. Its a special x- b b b
ray that shows structures of the brain and whether there has ever been a brain
b b b b b b b b b b b b b b b
injury: Answer: B b b
15. A patient with a long history of hypertension and diabetes now develops co
b b b b b b b b b b b b b
nfusion. The health care provider wants to make a differential diagnosis betwe
b b b b b b b b b b b
en Alzheimers disease and multiple infarcts. Which diagnostic procedure sho
b b b b b b b b b
uld the nurse expect to prepare the patient for first? a. Skull x-rays
b b b b b b b b b b b b
b. Computed tomography (CT) scan b b b
c. Positron-emission tomography (PET) b b
d. Single-photon emission computed tomography (SPECT): Answer: B b b b b b b
16. A patients history shows drinking 4 to 6 liters of fluid and eating more than
b b b b b b b b b b b b b b b b
6,000 calories per day. Which part of the central nervous system is most likely
b b b b b b b b b b b b b b
dysfunctional for this patient? b b b
a. Amydala b b
4b/b41
1. The nurse prepares to assess a patient diagnosed with major depression for
b b b b b b b b b b b b
disturbances in circadian rhythms. Which question should the nurse ask this
b b b b b b b b b b b b
patient?
a. Have you ever seen or heard things that others do not?
b b b b b b b b b b
b. What are your worst and best times of the day?
b b b b b b b b b
c. How would you describe your thinking?b b b b b
d. Do you think your memory is failing?: Answer: B
b b b b b b b b
2. The nurse is serving on a committee charged with reviewing the roles and r
b b b b b b b b b b b b b b
esponsibilities of the nurses on the psychiatric unit. Which publication shoul b b b b b b b b b b
d the nurse bring to the first meeting?
b b b b b b b
1. Diagnostic and Statistical Manual of Mental Disorders b b b b b b
2. American Nurses Credentialing Center certification requirements b b b b b
3. American Nurses Association, Code of Ethics b b b b b
4. Psychiatric Mental Health Nursing Standards of Practice: Answer: 4 b b b b b b b b
3. The psychiatric mental health nurse reflecting on professional role activities
b b b b b b b b b b
bis referred to the standards of professional performance by a colleague. To wh
b b b b b b b b b b b b
ich organization should the nurse look for guidance?
b b b b b b b b
1. North American Nursing Diagnosis Association b b b b
2. American Nurses Credentialing Center b b b
3. National League for Nursing b b b
4. American Nurses Association: Answer: 4 b b b b
4. The psychiatric mental health nurse is working with the new graduate nurse
b b b b b b b b b b b b b
who is orienting to the psychiatric unit. Which comment by the new graduate i
b b b b b b b b b b b b b
ndicates further clarification of the generalist-nursing role is needed?
b b b b b b b b
1. I would feel better if you would look at my documentation that addresses pro
b b b b b b b b b b b b b
gress toward treatment goals. b b b b
2. I will spend time each day evaluating the effectiveness of the therapeutic mil
b b b b b b b b b b b b
ieu.
3. I am a little nervous about conducting psychotherapy with clients.
b b b b b b b b b
4. I am doing some reading on how to incorporate complementary intervention
b b b b b b b b b b
s into treatment plans.: Answer: 3
b b b b b
1b/b41
, NURS 661 Exam 1 b b b
5. The client on the psychiatric unit is asking questions about prevention of se
b b b b b b b b b b b b
xually transmitted diseases. Given the PsychiatricMental Health Nursing St
b b b b b b b b
andards of Practice, which action would be most appropriate for the nurse t
b b b b b b b b b b b b
o take at this time?
b b b b
1. Consult with the mental health care team.
b b b b b b
2. Teach safer sexual practices. b b b
3. Investigate the questions in individual psychotherapy.b b b b b b
4. Notify the attending psychiatrist.: Answer: 2
b b b b b
6. The client asks the nurse if certain changes can be made in the unit milieu.
b b b b b b b b b b b b b b b b
Which action by the nurse indicates understanding of the nursing role in the th
b b b b b b b b b b b b b
erapeutic milieu? b
1. The nurse refers the clients requests to the psychiatric social worker.
b b b b b b b b b b
2. The nurse discusses the desired changes with the client.
b b b b b b b b
3. The nurse refers the clients requests to the psychosocial rehabilitation work
b b b b b b b b b b
er. b
4. The nurse instructs the client that no changes can be made.: Answer: 2 7. Du
b b b b b b b b b b b b b b
e to a staff members absence, the nurse is reviewing staff assignments for t
b b b b b b b b b b b b b
he day. Which task can the nurse delegate to the psychosocial rehabilitation
b b b b b b b b b b b b
worker?
1. Conflict resolution teaching to a small group of clients
b b b b b b b b
2. Comparison of physicians orders with the medication records
b b b b b b b b
3. Routine medication administration to a stable client
b b b b b b
4. Assessment of a long-term client: Answer: 1 b b b b b b
8. If psychiatric nurses used Orems theory for structuring much of their nursin
b b b b b b b b b b b b
g practice, a major focus area for assessment would be the clients ability to do
b b b b b b b b b b b b b b b
which of the following?
b b b
1. Adapt and function to meet various role expectations.
b b b b b b b
2. Care about self and participate in self-healing.
b b b b b b
3. Implement self-care to meet psychosocial needs. b b b b b
4. Enter into a therapeutic one-to-one relationship with the nurse.: Answer: 3
b b b b b b b b b b
2b/b41
, NURS 661 Exam 1 b b b
9. The psychiatric mental health nurse is asked to develop an intervention for t
b b b b b b b b b b b b b
he nursing unit based on Watsons theory of caring. Given this assignment, wh
b b b b b b b b b b b b
ich intervention is most appropriate for the nurse to implement?
b b b b b b b b b
1. One-to-
one debriefing sessions each week with individual unit nurses and the unit
b b b b b b b b b b b b
manager b
2. Clarification of values and cultural beliefs that might pose barriers to caring
b b b b b b b b b b b b
for clients b
3. Identification of additional coping skills for new nurses on the unit b b b b b b b b b b
4. Discussion of the impact of recent changes in hospital policy on the nursing
b b b b b b b b b b b b
staff: Answer: 2
b b b
10. The unit manager is consistently advocating for self-
b b b b b b b b
awareness among the psychiatric mental health nursing staff in order to prom
b b b b b b b b b b b
ote quality care. From which theoretical base is the unit manager operating?
b b b b b b b b b b b
1. Jean Watsons theory of human caring
b b b b b
2. Dorothea Orems theory of self-care b b b b
3. Martha Rogerss principles of homeodynamicsb b b b b
4. Sister Callista Roys adaptation theory: Answer: 1
b b b b b b
11. Upon the clients arrival on the patient care unit, the nurse begins implemen
b b b b b b b b b b b b b
tation of the nursing process. Of which nursing theorist should the nurses pra
b b b b b b b b b b b b
ctice be most reflective?
b b b
1. Ida Jean Orlando b b b
2. Jean Watson b
3. Dorothea Orem b b
4. Hildegard Peplau: Answer: 4 b b b
12. If the nurse is using the nursing theory that has shaped psychiatric mental
b b b b b b b b b b b b b b
health most directly, which nursing action is priority?
b b b b b b b
1. Assessing the clients abilities in areas of self-care b b b b b b b
2. Teaching effective coping skills b b b
3. Establishing a therapeutic nurseclient relationship b b b b
4. Encouraging the clients sensitivity and caring for self: Answer: 3 b b b b b b b b b
3b/b41
, NURS 661 Exam 1 b b b
13. A patient asks, What are neurotransmitters? The doctor said mine are imba
b b b b b b b b b b b b
lanced. Select the nurses best response. b b b b b
A) How do you feel about having imbalanced neurotransmitters?
b b b b b b b b
B)Neurotransmitters protect us from harmful effects of free radicals. b b b b b b b b
C)Neurotransmitters are substances we consume that influence memory and b b b b b b b b b
mood.
D)Neurotransmitters are natural chemicals that pass messages between brain b b b b b b b b
cells.: Answer: D
b b b
14. The parent of an adolescent diagnosed with schizophrenia asks the nurse,
b b b b b b b b b b b b
My childs doctor ordered a PET. What kind of test is that? Select the nurses be
b b b b b b b b b b b b b b b
st reply. b
A. This test uses a magnetic field and gamma waves to identify problem area
b b b b b b b b b b b b
s in the brain. Does your teenager have any metal implants?
b b b b b b b b b b
B. PET means positron- b b
emission tomography. It is a special type of scan that shows blood flow and ac
b b b b b b b b b b b b b b
tivity in the brain. b b b
C. A PET scan passes an electrical current through the brain and shows brai
b b b b b b b b b b b b
n-wave activity. It can help diagnose seizures. b b b b b b
D. Its a special x- b b b
ray that shows structures of the brain and whether there has ever been a brain
b b b b b b b b b b b b b b b
injury: Answer: B b b
15. A patient with a long history of hypertension and diabetes now develops co
b b b b b b b b b b b b b
nfusion. The health care provider wants to make a differential diagnosis betwe
b b b b b b b b b b b
en Alzheimers disease and multiple infarcts. Which diagnostic procedure sho
b b b b b b b b b
uld the nurse expect to prepare the patient for first? a. Skull x-rays
b b b b b b b b b b b b
b. Computed tomography (CT) scan b b b
c. Positron-emission tomography (PET) b b
d. Single-photon emission computed tomography (SPECT): Answer: B b b b b b b
16. A patients history shows drinking 4 to 6 liters of fluid and eating more than
b b b b b b b b b b b b b b b b
6,000 calories per day. Which part of the central nervous system is most likely
b b b b b b b b b b b b b b
dysfunctional for this patient? b b b
a. Amydala b b
4b/b41
