NURS 661 Exam 1 questions with answers

NURS 661 Exam 1 questions with answers |\ |\ |\ |\ |\ |\




1.The nurse prepares to assess a patient diagnosed with major depression
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for disturbances in circadian rhythms. Which question should the nurse ask
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this patient?
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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?: Answer✔✔: B
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2.The nurse is serving on a committee charged with reviewing the roles
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and responsibilities of the nurses on the psychiatric unit. Which publication
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should the nurse bring to the first meeting?
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1. Diagnostic and Statistical Manual of Mental Disorders |\ |\ |\ |\ |\ |\




2. American Nurses Credentialing Center certification requirements
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3. American Nurses Association, Code of Ethics |\ |\ |\ |\ |\




4. Psychiatric Mental Health Nursing Standards of Practice: Answer✔✔: 4 |\ |\ |\ |\ |\ |\ |\ |\




3.The psychiatric mental health nurse reflecting on professional role activities
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is referred to the standards of professional performance by a colleague. To
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which organization should the nurse look for guidance?
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1. North American Nursing Diagnosis Association
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2. American Nurses Credentialing Center |\ |\ |\




3. National League for Nursing |\ |\ |\



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,4. American Nurses Association: Answer✔✔: 4 |\ |\ |\ |\




4.The psychiatric mental health nurse is working with the new graduate nurse
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who is orienting to the psychiatric unit. Which comment by the new graduate
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indicates 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
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progress toward treatment goals. |\ |\ |\




2. I will spend time each day evaluating the effectiveness of the therapeutic
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milieu.
3. I am a little nervous about conducting psychotherapy with clients.
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4. I am doing some reading on how to incorporate complementary interven-
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tions into treatment plans.: Answer✔✔: 3
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5.The client on the psychiatric unit is asking questions about prevention of
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sexually transmitted diseases. Given the PsychiatricMental Health Nursing
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Standards of Practice, which action would be most appropriate for the nurse
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to take at this time?
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,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
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6.The client asks the nurse if certain changes can be made in the unit milieu.
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Which action by the nurse indicates understanding of the nursing role in the
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therapeutic milieu? |\




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.: Answer✔✔: 2
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7.Due to a staff members absence, the nurse is reviewing staff assignments
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for the day. Which task can the nurse delegate to the psychosocial rehabilita-
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tion worker? |\




1. Conflict resolution teaching to a small group of clients
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2. Comparison of physicians orders with the medication records |\ |\ |\ |\ |\ |\ |\




3. Routine medication administration to a stable client
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4. Assessment of a long-term client: Answer✔✔: 1 |\ |\ |\ |\ |\ |\




8.If psychiatric nurses used Orems theory for structuring much of their nurs-
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ing practice, a major focus area for assessment would be the clients ability to
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do 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.
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4. Enter into a therapeutic one-to-one relationship with the nurse.: Answer✔✔
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3
9.The psychiatric mental health nurse is asked to develop an intervention for
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the nursing unit based on Watsons theory of caring. Given this assignment,
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which intervention is most appropriate for the nurse to implement?
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1. One-to-one debriefing sessions each week with individual unit nurses and
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the unit manager
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2. Clarification of values and cultural beliefs that might pose barriers to caring
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for clients|\




3. Identification of additional coping skills for new nurses on the unit
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