Chapter 9: Mental Health Assessment Skills

Chapter 9: Mental Health Assessment Skills

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. The nurse asks the client a series of questions upon entry into a mental health care system. This action is an example of which phase of the nursing process?

ANS:  B

Assessment is the phase of the nursing process during which data collection occurs. It is performed not only upon admission into a facility but throughout the care of the client. Evaluation is the phase during which goals are evaluated to determine whether they have been met, partially met, or not met at all; intervention is the phase of the nursing process when planned interventions are actually implemented; planning is the phase of the nursing process when client goals are set and interventions are planned.

DIF:    Cognitive Level: Comprehension     REF:   Page 86          OBJ:   2

TOP:   Nursing (Therapeutic) Process         KEY:  Nursing Process Step: Assessment

MSC:  Client Needs: Health Promotion and Maintenance

2. A nurse administers antidepressant medication to a client in an assisted-living facility.  This is an example of which phase of the nursing process?

ANS:  A

Intervention is the phase of the nursing process during which planned interventions are actually implemented. Assessment is the phase of the nursing process when data collection occurs. Planning is the phase of the nursing process when client goals are set and interventions are planned. Diagnosis is the phase of the nursing process following assessment when the client’s problem is identified.

DIF:    Cognitive Level: Comprehension     REF:   Page 87          OBJ:   2

TOP:   Nursing (Therapeutic) Process         KEY:  Nursing Process Step: Intervention

MSC:  Client Needs: Physiological Integrity

3. Following completion of a male client’s series of group therapy sessions, the nurse periodically talks with the client to determine whether he has any signs of relapse of his previous problems. This action by the nurse is an example of:

ANS:  B

In this situation, the nurse is assessing for any signs of relapse. Assessment is a continuous process. Planning is the phase of the nursing process when client goals are set and interventions are planned; intervention is the phase of the nursing process when planned interventions are actually implemented; and diagnosis is the phase of the nursing process following assessment when the client’s problem is identified.

DIF:    Cognitive Level: Comprehension     REF:   Page 86          OBJ:   2

TOP:   Nursing (Therapeutic) Process         KEY:  Nursing Process Step: Assessment

MSC:  Client Needs: Health Promotion and Maintenance

4. During a session with a female client with a diagnosis of social phobia, she talks about how proud she is of herself because she was finally able to shop at the grocery store. The nurse documents the events and knows that this would be considered which phase of the nursing process?

ANS:  D

This client has accomplished a goal; therefore, this would be considered evaluation. Assessment is the phase of the nursing process when data collection occurs; planning is the phase of the nursing process when client goals are set and interventions are planned; and intervention is the phase of the nursing process when planned interventions are actually implemented.

DIF:    Cognitive Level: Comprehension     REF:   Page 87          OBJ:   2

TOP:   Nursing (Therapeutic) Process         KEY:  Nursing Process Step: Evaluation

MSC:  Client Needs: Health Promotion and Maintenance