NURS 661 Exam 1 Latest updated
version with complete verified
solutions
The nurse prepares to assess a patient diagnosed with
major depression for disturbances in circadian rhythms.
Which question should the nurse ask this patient?
a. Have you ever seen or heard things that others do not?
b. What are your worst and best times of the day?
c. How would you describe your thinking?
d. Do you think your memory is failing?
Answer: B
The nurse is serving on a committee charged with
reviewing the roles and responsibilities of the nurses on
the psychiatric unit. Which publication should the nurse
bring to the first meeting?
1. Diagnostic and Statistical Manual of Mental Disorders
2. American Nurses Credentialing Center certification
requirements
3. American Nurses Association, Code of Ethics
4. Psychiatric Mental Health Nursing Standards of Practice
Answer: 4
The psychiatric mental health nurse reflecting on
professional role activities is referred to the standards of
,professional performance by a colleague. To which
organization should the nurse look for guidance?
1. North American Nursing Diagnosis Association
2. American Nurses Credentialing Center
3. National League for Nursing
4. American Nurses Association
Answer: 4
The psychiatric mental health nurse is working with the
new graduate nurse who is orienting to the psychiatric
unit. Which comment by the new graduate indicates
further clarification of the generalist-nursing role is
needed?
1. I would feel better if you would look at my
documentation that addresses progress toward treatment
goals.
2. I will spend time each day evaluating the effectiveness
of the therapeutic milieu.
3. I am a little nervous about conducting psychotherapy
with clients.
4. I am doing some reading on how to incorporate
complementary interventions into treatment plans.
Answer: 3
The client on the psychiatric unit is asking questions
about prevention of sexually transmitted diseases. Given
the PsychiatricMental Health Nursing Standards of
,Practice, which action would be most appropriate for the
nurse to take at this time?
1. Consult with the mental health care team.
2. Teach safer sexual practices.
3. Investigate the questions in individual psychotherapy.
4. Notify the attending psychiatrist.
Answer: 2
The client asks the nurse if certain changes can be made
in the unit milieu. Which action by the nurse indicates
understanding of the nursing role in the therapeutic
milieu?
1. The nurse refers the clients requests to the psychiatric
social worker.
2. The nurse discusses the desired changes with the
client.
3. The nurse refers the clients requests to the
psychosocial rehabilitation worker.
4. The nurse instructs the client that no changes can be
made.
Answer: 2
Due to a staff members absence, the nurse is reviewing
staff assignments for the day. Which task can the nurse
delegate to the psychosocial rehabilitation worker?
1. Conflict resolution teaching to a small group of clients
, 2. Comparison of physicians orders with the medication
records
3. Routine medication administration to a stable client
4. Assessment of a long-term client
Answer: 1
If psychiatric nurses used Orems theory for structuring
much of their nursing practice, a major focus area for
assessment would be the clients ability to do which of the
following?
1. Adapt and function to meet various role expectations.
2. Care about self and participate in self-healing.
3. Implement self-care to meet psychosocial needs.
4. Enter into a therapeutic one-to-one relationship with
the nurse.
Answer: 3
The psychiatric mental health nurse is asked to develop
an intervention for the nursing unit based on Watsons
theory of caring. Given this assignment, which
intervention is most appropriate for the nurse to
implement?
1. One-to-one debriefing sessions each week with
individual unit nurses and the unit manager
2. Clarification of values and cultural beliefs that might
pose barriers to caring for clients
version with complete verified
solutions
The nurse prepares to assess a patient diagnosed with
major depression for disturbances in circadian rhythms.
Which question should the nurse ask this patient?
a. Have you ever seen or heard things that others do not?
b. What are your worst and best times of the day?
c. How would you describe your thinking?
d. Do you think your memory is failing?
Answer: B
The nurse is serving on a committee charged with
reviewing the roles and responsibilities of the nurses on
the psychiatric unit. Which publication should the nurse
bring to the first meeting?
1. Diagnostic and Statistical Manual of Mental Disorders
2. American Nurses Credentialing Center certification
requirements
3. American Nurses Association, Code of Ethics
4. Psychiatric Mental Health Nursing Standards of Practice
Answer: 4
The psychiatric mental health nurse reflecting on
professional role activities is referred to the standards of
,professional performance by a colleague. To which
organization should the nurse look for guidance?
1. North American Nursing Diagnosis Association
2. American Nurses Credentialing Center
3. National League for Nursing
4. American Nurses Association
Answer: 4
The psychiatric mental health nurse is working with the
new graduate nurse who is orienting to the psychiatric
unit. Which comment by the new graduate indicates
further clarification of the generalist-nursing role is
needed?
1. I would feel better if you would look at my
documentation that addresses progress toward treatment
goals.
2. I will spend time each day evaluating the effectiveness
of the therapeutic milieu.
3. I am a little nervous about conducting psychotherapy
with clients.
4. I am doing some reading on how to incorporate
complementary interventions into treatment plans.
Answer: 3
The client on the psychiatric unit is asking questions
about prevention of sexually transmitted diseases. Given
the PsychiatricMental Health Nursing Standards of
,Practice, which action would be most appropriate for the
nurse to take at this time?
1. Consult with the mental health care team.
2. Teach safer sexual practices.
3. Investigate the questions in individual psychotherapy.
4. Notify the attending psychiatrist.
Answer: 2
The client asks the nurse if certain changes can be made
in the unit milieu. Which action by the nurse indicates
understanding of the nursing role in the therapeutic
milieu?
1. The nurse refers the clients requests to the psychiatric
social worker.
2. The nurse discusses the desired changes with the
client.
3. The nurse refers the clients requests to the
psychosocial rehabilitation worker.
4. The nurse instructs the client that no changes can be
made.
Answer: 2
Due to a staff members absence, the nurse is reviewing
staff assignments for the day. Which task can the nurse
delegate to the psychosocial rehabilitation worker?
1. Conflict resolution teaching to a small group of clients
, 2. Comparison of physicians orders with the medication
records
3. Routine medication administration to a stable client
4. Assessment of a long-term client
Answer: 1
If psychiatric nurses used Orems theory for structuring
much of their nursing practice, a major focus area for
assessment would be the clients ability to do which of the
following?
1. Adapt and function to meet various role expectations.
2. Care about self and participate in self-healing.
3. Implement self-care to meet psychosocial needs.
4. Enter into a therapeutic one-to-one relationship with
the nurse.
Answer: 3
The psychiatric mental health nurse is asked to develop
an intervention for the nursing unit based on Watsons
theory of caring. Given this assignment, which
intervention is most appropriate for the nurse to
implement?
1. One-to-one debriefing sessions each week with
individual unit nurses and the unit manager
2. Clarification of values and cultural beliefs that might
pose barriers to caring for clients
