Mental Health Nursing Chapter 7 Exam (2025) comprehensive questions and verified
answers ( detailed & elaborated) 2025-2026
The Nursing Process and Standards of Care for Psychiatric Mental Health Nursing
After formulating the nursing diagnoses for a new patient, what is a nurse's
next action?
a. Designing interventions to include in the plan of care
b. Determining the goals and outcome criteria
c. Implementing the nursing plan of care
d. Completing the spiritual assessment
ANS: B
The third step of the nursing process is planning and outcome identification.
Outcomes cannot be determined until the nursing assessment is complete and
nursing diagnoses have been formulated.
Select the most appropriate label to complete this nursing diagnosis:
___________ related to feelings of shyness and poorly developed social skills
as evidenced by watching television alone at home every evening.
a. Deficient knowledge
b. Ineffective coping
c. Social isolation
d. Powerlessness
ANS: C
Nursing diagnoses are selected based on the etiological factors and assessment
findings, or evidence. In this instance, the evidence shows social isolation that is
caused by shyness and poorly developed social skills.
"QSEN" refers to:
a. Qualitative Standardized Excellence in Nursing
b. Quality and Safety Education for Nurses
c. Quantitative Effectiveness in Nursing
d. Quick Standards Essential for Nurses
ANS: B
QSEN represents national initiatives centered on patient safety and quality. The
primary goal of QSEN is to prepare future nurses with the knowledge, skills, and
, attitudes to increase the quality, care, and safety in the health care setting in which
they work.
A nurse documents: "Patient is mute despite repeated efforts to elicit speech.
Makes no eye contact. Inattentive to staff. Gazes off to the side or looks
upward rather than at speaker." Which nursing diagnosis should be
considered?
a. Defensive coping
b. Decisional conflict
c. Risk for other-directed violence
d. Impaired verbal communication
ANS: D
The defining characteristics are more related to the nursing diagnosis of impaired
verbal communication than to the other nursing diagnoses.
A nurse prepares to assess a new patient who moved to the United States
from Central America three years ago. After introductions, what is the nurse's
next comment?
a. "How did you get to the United States?"
b. "Would you like for a family member to help you talk with me?"
c. "An interpreter is available. Would you like for me to make a request for
these services?"
d. "Are you comfortable conversing in English, or would you prefer to have a
translator present?"
ANS: D
The nurse should determine whether a translator is needed by first assessing the
patient for language barriers. Accuracy of the assessment depends on the ability to
communicate in a language that is familiar to the patient. Family members are not
always reliable translators. An interpreter may change the patient's responses; a
translator is a better resource.
The nurse records this entry in a patient's progress notes:
Patient escorted to unit by ER nurse at 2130. Patient's clothing was dirty. In
interview room, patient sat with hands over face, sobbing softly. Did not
acknowledge nurse or reply to questions. After several minutes, abruptly
arose, ran to window, and pounded. Shouted repeatedly, "Let me out of here."
Verbal intervention unsuccessful. Order for stat dose 2 mg haloperidol PO
answers ( detailed & elaborated) 2025-2026
The Nursing Process and Standards of Care for Psychiatric Mental Health Nursing
After formulating the nursing diagnoses for a new patient, what is a nurse's
next action?
a. Designing interventions to include in the plan of care
b. Determining the goals and outcome criteria
c. Implementing the nursing plan of care
d. Completing the spiritual assessment
ANS: B
The third step of the nursing process is planning and outcome identification.
Outcomes cannot be determined until the nursing assessment is complete and
nursing diagnoses have been formulated.
Select the most appropriate label to complete this nursing diagnosis:
___________ related to feelings of shyness and poorly developed social skills
as evidenced by watching television alone at home every evening.
a. Deficient knowledge
b. Ineffective coping
c. Social isolation
d. Powerlessness
ANS: C
Nursing diagnoses are selected based on the etiological factors and assessment
findings, or evidence. In this instance, the evidence shows social isolation that is
caused by shyness and poorly developed social skills.
"QSEN" refers to:
a. Qualitative Standardized Excellence in Nursing
b. Quality and Safety Education for Nurses
c. Quantitative Effectiveness in Nursing
d. Quick Standards Essential for Nurses
ANS: B
QSEN represents national initiatives centered on patient safety and quality. The
primary goal of QSEN is to prepare future nurses with the knowledge, skills, and
, attitudes to increase the quality, care, and safety in the health care setting in which
they work.
A nurse documents: "Patient is mute despite repeated efforts to elicit speech.
Makes no eye contact. Inattentive to staff. Gazes off to the side or looks
upward rather than at speaker." Which nursing diagnosis should be
considered?
a. Defensive coping
b. Decisional conflict
c. Risk for other-directed violence
d. Impaired verbal communication
ANS: D
The defining characteristics are more related to the nursing diagnosis of impaired
verbal communication than to the other nursing diagnoses.
A nurse prepares to assess a new patient who moved to the United States
from Central America three years ago. After introductions, what is the nurse's
next comment?
a. "How did you get to the United States?"
b. "Would you like for a family member to help you talk with me?"
c. "An interpreter is available. Would you like for me to make a request for
these services?"
d. "Are you comfortable conversing in English, or would you prefer to have a
translator present?"
ANS: D
The nurse should determine whether a translator is needed by first assessing the
patient for language barriers. Accuracy of the assessment depends on the ability to
communicate in a language that is familiar to the patient. Family members are not
always reliable translators. An interpreter may change the patient's responses; a
translator is a better resource.
The nurse records this entry in a patient's progress notes:
Patient escorted to unit by ER nurse at 2130. Patient's clothing was dirty. In
interview room, patient sat with hands over face, sobbing softly. Did not
acknowledge nurse or reply to questions. After several minutes, abruptly
arose, ran to window, and pounded. Shouted repeatedly, "Let me out of here."
Verbal intervention unsuccessful. Order for stat dose 2 mg haloperidol PO
