Essentials of Psychiatric Mental Health Nursing 7th Edition By Mary C
Essentials of Psychiatric Mental Health Nursing 7th Edition By Mary C
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Chapter 7: The Nursing Process in Psychiatric/Mental Health Nursing
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Which statement is most accurate regarding the assessment of clients diagnosed with psychiatric problems?
| 1. | Medical history is of little significance and can be eliminated from the nursing assessment. |
| 2. | Assessment provides a holistic view of the client, including biopsychosocial aspects. |
| 3. | Comprehensive assessments can be performed only by advanced practice nurses. |
| 4. | Psychosocial evaluations are gained by subjective reports rather than objective observations. |
____ 2. Which statement regarding nursing interventions should a nurse identify as accurate?
| 1. | Nursing interventions are independent from the treatment team’s goals. |
| 2. | Nursing interventions are solely directed by written physician orders. |
| 3. | Nursing interventions occur independently but in concert with overall treatment team goals. |
| 4. | Nursing interventions are standardized by policies and procedures. |
____ 3. Within the nurse’s scope of practice, which function is exclusive to the advanced practice psychiatric nurse?
| 1. | Teaching about the side effects of neuroleptic medications |
| 2. | Using psychotherapy to improve mental health status |
| 3. | Using milieu therapy to structure a therapeutic environment |
| 4. | Providing case management to coordinate continuity of health services |
____ 4. The nurse should recognize which acronym as representing problem-oriented charting?
| 1. | SOAPIE |
| 2. | APIE |
| 3. | DAR |
| 4. | PQRST |
____ 5. Which tool would be appropriate for a nurse to use when assessing mental acuity prior to and immediately following electroconvulsive therapy (ECT)?
| 1. | CIWA scale |
| 2. | GGT |
| 3. | MMSE |
| 4. | CAPS scale |
Chapter 7: The Nursing Process in Psychiatric/Mental Health Nursing
Answer Section
MULTIPLE CHOICE
Chapter: Chapter 7, The Nursing Process in Psychiatric/Mental Health Nursing
Objective: Identify six steps of the nursing process and describe nursing actions associated with each.
Page: 148
Heading: The Nursing Process > Assessment
Integrated Processes: Nursing Process
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Patient-Centered Care
Difficulty: Easy
| Feedback | |
| 1 | Medical history is significant and should not be eliminated from the nursing assessment. |
| 2 | The assessment of clients diagnosed with psychiatric problems should provide a holistic view of the client. |
| 3 | Assessments can be completed by a variety of health-care providers. |
| 4 | The nurse should gather subject and objective information. |
PTS: 1 CON: Patient-Centered Care
Chapter: Chapter 7, The Nursing Process in Psychiatric/Mental Health Nursing
Objective: Identify six steps of the nursing process and describe nursing actions associated with each.
Page: 156
Heading: Standards of Practice > Nursing Interventions Classification (NIC)
Integrated Processes: Nursing Process
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Patient-Centered Care
Difficulty: Moderate
| Feedback | |
| 1 | Nursing interventions should be developed and implemented in collaboration with other health-care professionals involved in the client’s care. |
| 2 | Nursing interventions are not solely directed by written physician orders. |
| 3 | The nurse should understand that nursing interventions occur independently but in concert with overall treatment goals. |
| 4 | Nursing interventions are created in conjunction with standardized by policies and procedures. |
PTS: 1 CON: Patient-Centered Care
Chapter: Chapter 7, The Nursing Process in Psychiatric/Mental Health Nursing
Objective: Identify six steps of the nursing process and describe nursing actions associated with each.
Page: 156
Heading: The Nursing Process > Standard 5D. Prescriptive Authority and Treatment
Integrated Processes: Nursing Process
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Patient-Centered Care
Difficulty: Moderate
| Feedback | |
| 1 | Teaching about the side effects of neuroleptic medications can be completed by Registered Nurses. |
| 2 | The advanced practice psychiatric nurse is authorized to use psychotherapy to improve mental health. This includes individual, couples, group, and family psychotherapy. |
| 3 | Using milieu therapy to structure a therapeutic environment can be completed by Registered Nurses. |
| 4 | Providing case management to coordinate continuity of health services can be completed by Registered Nurses. |
PTS: 1 CON: Patient-Centered Care
Chapter: Chapter 7, The Nursing Process in Psychiatric/Mental Health Nursing
Objective: Document client care that validates use of the nursing process.
Page: 162
Heading: Documentation of the Nursing Process > Problem-oriented Recording
Integrated Processes: Nursing Process
Client Need: Psychosocial Integrity
Cognitive Level: Comprehension (Understanding)
Concept: Patient-Centered Care
Difficulty: Moderate
| Feedback | |
| 1 | The acronym SOAPIE represents problem-oriented charting, which reflects the subjective, objective, assessment, plan, implementation, and evaluation format. |
| 2 | APIE does not represent problem-oriented charting. |
| 3 | DAR does not represent problem-oriented charting. |
| 4 | PQRST does not represent problem-oriented charting. |
PTS: 1 CON: Patient-Centered Care
Chapter: Chapter 7, The Nursing Process in Psychiatric/Mental Health Nursing
Objective: Identify six steps of the nursing process and describe nursing actions associated with each.
Page: 147
Heading: The Nursing Process > Assessment
Integrated Processes: Nursing Process
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Patient-Centered Care
Difficulty: Moderate
| Feedback | |
| 1 | The CIWA scale, or clinical institute withdrawal assessment scale, would be used to assess withdrawal from substances such as alcohol. |
| 2 | The GGT test is a blood test used to assess gamma-glutamyl transferase levels, which may be an indication of alcoholism. |
| 3 | The MMSE, or mini mental status exam, would be the appropriate tool to use to assess the mental acuity of a client prior to and immediately following ECT. |
| 4 | The CAPS refers to the clinician-administered PTSD scale and would be used to assess signs and symptoms of PTSD. |
PTS: 1 CON: Patient-Centered Care
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