NURS 661 Maryville EXAM 1 Questions and Answers
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(Verified Answers) b
1. The nurse prepares to assess a patient diagnosed with major depression f
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or disturbances in circadian rhythms. Which question should the nurse ask th
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is patient?
b
a. Have you ever seen or heard things that others do not?
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b. What are your worst and best times of the day?
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c. How would you describe your thinking?
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d. Do you think your memory is failing?
b b b b b b
: Answer: B
b b
2. The nurse is serving on a committee charged with reviewing the roles and r
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esponsibilities of the nurses on the psychiatric unit. Which publication shoul
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d the nurse bring to the first meeting?
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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
b b b b b b
: Answer: 4
b b
3. The psychiatric mental health nurse reflecting on professional role activities i
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1b/b71
,s referred to the standards of professional performance by a colleague. To whi
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ch organization should the nurse look for guidance?
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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 b b
: Answer: 4
b b
4. The psychiatric mental health nurse is working with the new graduate nurse w
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ho is orienting to the psychiatric unit. Which comment by the new graduate indi
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cates further clarification of the generalist-nursing role is needed?
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1. I would feel better if you would look at my documentation that addresses prog
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ress toward treatment goals.
b b b
2. I will spend time each day evaluating the effectiveness of the therapeutic milie
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u.
3. I am a little nervous about conducting psychotherapy with clients.
b b b b b b b b b b
4. I am doing some reading on how to incorporate complementary interven-
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b tions into treatment plans.
b b b
: Answer: 3
b b
5. The client on the psychiatric unit is asking questions about prevention of se
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xually transmitted diseases. Given the PsychiatricMental Health Nursing Stan
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dards of Practice, which action would be most appropriate for the nurse to tak
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e at this time?
b b b
2b/b71
,1. Consult with the mental health care team.
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2. Teach safer sexual practices.
b b b
3. Investigate the questions in individual psychotherapy.
b b b b b
4. Notify the attending psychiatrist.
b b b
: Answer: 2
b b
6. The client asks the nurse if certain changes can be made in the unit milieu. W
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hich action by the nurse indicates understanding of the nursing role in the ther
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apeutic milieu? b
1. The nurse refers the clients requests to the psychiatric social worker.
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2. The nurse discusses the desired changes with the client.
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3. The nurse refers the clients requests to the psychosocial rehabilitation
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worker.
4. The nurse instructs the client that no changes can be made.
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: Answer: 2
b b
7. Due to a staff members absence, the nurse is reviewing staff assignments fo
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r the day. Which task can the nurse delegate to the psychosocial rehabilita-
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b tion worker?
b
1. Conflict resolution teaching to a small group of clients
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2. Comparison of physicians orders with the medication records
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3. Routine medication administration to a stable client
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4. Assessment of a long-term client b b b b
3b/b71
, : Answer: 1
b b
8. If psychiatric nurses used Orems theory for structuring much of their nurs-
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b ing practice, a major focus area for assessment would be the clients ability to d
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o which of the following?
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1. Adapt and function to meet various role expectations.
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2. Care about self and participate in self-healing.
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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.
b b b b b b b b
: Answer: 3
b b
9. The psychiatric mental health nurse is asked to develop an intervention for t
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he nursing unit based on Watsons theory of caring. Given this assignment, wh
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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 ma
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nager
2. Clarification of values and cultural beliefs that might pose barriers to caring f
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or clients b
3. Identification of additional coping skills for new nurses on the unit b b b b b b b b b b
4b/b71
b b b b b b b
(Verified Answers) b
1. The nurse prepares to assess a patient diagnosed with major depression f
b b b b b b b b b b b
or disturbances in circadian rhythms. Which question should the nurse ask th
b b b b b b b b b b b
is patient?
b
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?
b b b b b b
: Answer: 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
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
b b b b b b
: Answer: 4
b b
3. The psychiatric mental health nurse reflecting on professional role activities i
b b b b b b b b b b
1b/b71
,s referred to the standards of professional performance by a colleague. To whi
b b b b b b b b b b b b
ch organization should the nurse look for guidance?
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 b b
: Answer: 4
b b
4. The psychiatric mental health nurse is working with the new graduate nurse w
b b b b b b b b b b b b
ho is orienting to the psychiatric unit. Which comment by the new graduate indi
b b b b b b b b b b b b b
cates 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 prog
b b b b b b b b b b b b b b
ress toward treatment goals.
b b b
2. I will spend time each day evaluating the effectiveness of the therapeutic milie
b b b b b b b b b b b b b
u.
3. I am a little nervous about conducting psychotherapy with clients.
b b b b b b b b b b
4. I am doing some reading on how to incorporate complementary interven-
b b b b b b b b b b b
b tions into treatment plans.
b b b
: Answer: 3
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 Stan
b b b b b b b b
dards of Practice, which action would be most appropriate for the nurse to tak
b b b b b b b b b b b b b
e at this time?
b b b
2b/b71
,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
4. Notify the attending psychiatrist.
b b b
: Answer: 2
b b
6. The client asks the nurse if certain changes can be made in the unit milieu. W
b b b b b b b b b b b b b b b
hich action by the nurse indicates understanding of the nursing role in the ther
b b b b b b b b b b b b b
apeutic 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
b b b b b b b b b b
worker.
4. The nurse instructs the client that no changes can be made.
b b b b b b b b b b
: Answer: 2
b b
7. Due to a staff members absence, the nurse is reviewing staff assignments fo
b b b b b b b b b b b b
r the day. Which task can the nurse delegate to the psychosocial rehabilita-
b b b b b b b b b b b b
b tion worker?
b
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
3. Routine medication administration to a stable client
b b b b b b
4. Assessment of a long-term client b b b b
3b/b71
, : Answer: 1
b b
8. If psychiatric nurses used Orems theory for structuring much of their nurs-
b b b b b b b b b b b
b ing practice, a major focus area for assessment would be the clients ability to d
b b b b b b b b b b b b b b
o which of the following?
b 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.
b b b b b b b b
: Answer: 3
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
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 ma
b b b b b b b b b b b b
nager
2. Clarification of values and cultural beliefs that might pose barriers to caring f
b b b b b b b b b b b b
or clients b
3. Identification of additional coping skills for new nurses on the unit b b b b b b b b b b
4b/b71
