Chapter 6: Psychological Context of Psychiatric Nursing Care

Chapter 6: Psychological Context of Psychiatric Nursing Care

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. A patient admitted for treatment of uncontrolled diabetes mellitus is withdrawn and tearful. The patient says, “I just want to be normal again.” The nurse determines there is a need for a psychiatric evaluation primarily to assist:

ANS:  B

The primary purpose would be to assess emotional factors that may have an effect on the patient’s current condition. The patient has given clues to psychological distress. Holistic care requires the assessment of biological, psychological, and sociocultural health status.

DIF:    Cognitive Level: Application           REF:   Text Pages: 88-89

TOP:   Nursing Process: Assessment           MSC:  NCLEX: Psychosocial Integrity

2. Success in obtaining sufficient data in the initial psychiatric interview depends largely on the:

ANS:  B

Patients with whom the nurse has established rapport will feel understood by the examiner and will be more willing to cooperate with the examiner’s questions. Although the remaining options have an impact on the success of the interview, they are not the primary factor.

DIF:    Cognitive Level: Application           REF:   Text Page: 89

TOP:   Nursing Process: Assessment           MSC:  NCLEX: Psychosocial Integrity

3. A nurse plans to engage in participant observation while conducting a mental status examination. This will require the nurse to:

ANS:  C

Participant observation is a clinical approach that allows the nurse to critically observe a patient while structuring the examination in a way that allows for the broad exploration of many areas to screen for potential problems and for the in-depth exploration of obvious symptoms or maladaptive coping responses. Discussing treatment options is not the purpose of this intervention. Verbalization and attentive listening are required but may not need to be increased.

DIF:    Cognitive Level: Comprehension     REF:   Text Pages: 89-90

TOP:   Nursing Process: Assessment

MSC:  NCLEX: Safe, Effective Care Environment: Management of Care

4. A nurse conducting a mental status examination should plan to:

ANS:  C

Many observations can be made during other aspects of the nursing assessment, and specific questions can be blended into the general flow of the interview. Planning to compare results requires the assumption that more than one assessment will be conducted. This examination requires input from the patient that is best secured when the patient-nurse relationship has been established.

DIF:    Cognitive Level: Application           REF:   Text Page: 88

TOP:   Nursing Process: Assessment

MSC:  NCLEX: Safe, Effective Care Environment: Management of Care

5. A patient visiting from Puerto Rico has become psychotic while staying with family here in the United States. When conducting the mental status examination, the nurse remembers that:

ANS:  A

Dress, eye contact, personal hygiene, speech and use of language, personal space, and body language are a few aspects of the mental status examination that vary with culture and social status.

DIF:    Cognitive Level: Comprehension     REF:   Text Page: 88

TOP:   Nursing Process: Assessment           MSC:  NCLEX: Psychosocial Integrity