Mental Health Nursing

Nursing

Quiz 6 :

The Nursing Process and Standards of Care for Psychiatric Mental Health Nursing

Quiz 6 :

The Nursing Process and Standards of Care for Psychiatric Mental Health Nursing

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At what point in an assessment interview would a nurse ask, "How does your faith help you in stressful situations?"
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D

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Who is the best person to provide information about a 4-year-old's behaviour, attitude, and performance?
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B

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The desired outcome for a patient experiencing insomnia is, "Patient will sleep for a minimum of 5 hours nightly within 7 days." At the end of 7 days, review of sleep data shows the patient sleeps an average of 4 hours nightly and takes a 2-hour afternoon nap. The nurse will document the outcome as which of the following?
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D

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Nursing behaviours associated with the implementation phase of nursing process are concerned with which of the following?
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A patient diagnosed with major depression has lost 9 kilograms in one month, has chronic low self-esteem, and a plan for suicide. The patient has taken an antidepressant medication for 1 week. Which nursing intervention has the highest priority?
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A patient states, "I'm not worth anything. I have negative thoughts about myself. I feel anxious and shaky all the time. Sometimes I feel so sad that I want to go to sleep and never wake up." Which nursing intervention should have the highest priority?
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Which statement made by a patient during an initial assessment interview should serve as the priority focus for the plan of care?
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Before assessing a new patient, a nurse is told by another health care worker, "I know that patient. No matter how hard we work, there isn't much improvement by the time of discharge." The nurse's responsibility is to do which of the following?
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A newly admitted patient diagnosed with major depression has gained 10 kilograms over a few months and has suicidal ideation. The patient has taken an antidepressant medication for 1 week without remission of symptoms. Select the priority nursing diagnosis.
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When a new patient is hospitalized, a nurse takes the patient on a tour, explains rules of the unit, and discusses the daily schedule. The nurse is engaged in which of the following?
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An adolescent asks a nurse conducting an assessment interview, "Why should I tell you anything? You'll just tell my parents whatever you find out." Which response by the nurse is appropriate?
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What is the nurse's primary source for data collection?
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A nurse assesses an older adult patient brought to the emergency department by a family member. The patient was wandering outside saying, "I can't find my way home." The patient is confused and unable to answer questions. Select the nurse's best action.
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A patient presents to the emergency department with mixed psychiatric symptoms. The admission nurse suspects the symptoms may be the result of a medical problem. Lab results show elevated BUN (blood urea nitrogen) and creatinine. What is the nurse's next best action?
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Select the best outcome for a patient with the nursing diagnosis Impaired social interaction related to sociocultural dissonance as evidenced by stating, "Although I'd like to, I don't join in because I don't speak the language very well."
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A nurse asks a patient, "If you had a fever and vomiting for 3 days, what would you do?" Which aspect of the mental status examination is the nurse assessing?
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When a nurse assesses an older adult patient, answers seem vague or unrelated to the questions. The patient also leans forward and frowns, listening intently to the nurse. Which of the following questions would be appropriate for the nurse to ask?
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The desired outcome for a patient experiencing insomnia is, "Patient will sleep for a minimum of 5 hours nightly within 7 days." At the end of 7 days, review of sleep data shows the patient sleeps an average of 4 hours nightly and takes a 2-hour afternoon nap. What is the nurse's next action?
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A nurse wants to assess an adult patient's recent memory. Which question would best yield the desired information?
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A patient begins a new program to assist with building social skills. In which part of the plan of care should a nurse record the item, "Encourage patient to attend one psychoeducational group daily"?
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