The nurse prepares to assess a patient diagnosed with major depression for disturbances in circadian
rhythms. Which question should the nurse ask this patient?
a. Have you ever seen or heard things that others do not?
b. What are your worst and best times of the day?
c. How would you describe y...
Maryville MVU NURS 661 Exam 1 | 100% Correct
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The nurse prepares to assess a patient diagnosed with major depression for disturbances in circadian
rhythms. Which question should the nurse ask this patient?
a. Have you ever seen or heard things that others do not?
b. What are your worst and best times of the day?
c. How would you describe your thinking?
d. Do you think your memory is failing?
Answer: B
The nurse is serving on a committee charged with reviewing the roles and responsibilities of the nurses
on the psychiatric unit. Which publication should the nurse bring to the first meeting?
1. Diagnostic and Statistical Manual of Mental Disorders
2. American Nurses Credentialing Center certification requirements
3. American Nurses Association, Code of Ethics
4. Psychiatric Mental Health Nursing Standards of Practice
Answer: 4
The psychiatric mental health nurse reflecting on professional role activities is referred to the standards
of professional performance by a colleague. To which organization should the nurse look for guidance?
1. North American Nursing Diagnosis Association
2. American Nurses Credentialing Center
,3. National League for Nursing
4. American Nurses Association
Answer: 4
The psychiatric mental health nurse is working with the new graduate nurse who is orienting to the
psychiatric unit. Which comment by the new graduate indicates further clarification of the generalist-
nursing role is needed?
1. I would feel better if you would look at my documentation that addresses progress toward treatment
goals.
2. I will spend time each day evaluating the effectiveness of the therapeutic milieu.
3. I am a little nervous about conducting psychotherapy with clients.
4. I am doing some reading on how to incorporate complementary interventions into treatment plans.
Answer: 3
The client on the psychiatric unit is asking questions about prevention of sexually transmitted diseases.
Given the PsychiatricMental Health Nursing Standards of Practice, which action would be most
appropriate for the nurse to take at this time?
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
The client asks the nurse if certain changes can be made in the unit milieu. Which action by the nurse
indicates understanding of the nursing role in the therapeutic milieu?
1. The nurse refers the clients requests to the psychiatric social worker.
2. The nurse discusses the desired changes with the client.
3. The nurse refers the clients requests to the psychosocial rehabilitation worker.
4. The nurse instructs the client that no changes can be made.
Answer: 2
Due to a staff members absence, the nurse is reviewing staff assignments for the day. Which task can the
nurse delegate to the psychosocial rehabilitation worker?
1. Conflict resolution teaching to a small group of clients
2. Comparison of physicians orders with the medication records
, 3. Routine medication administration to a stable client
4. Assessment of a long-term client
Answer: 1
If psychiatric nurses used Orems theory for structuring much of their nursing practice, a major focus area
for assessment would be the clients ability to do which of the following?
1. Adapt and function to meet various role expectations.
2. Care about self and participate in self-healing.
3. Implement self-care to meet psychosocial needs.
4. Enter into a therapeutic one-to-one relationship with the nurse.
Answer: 3
The psychiatric mental health nurse is asked to develop an intervention for the nursing unit based on
Watsons theory of caring. Given this assignment, which intervention is most appropriate for the nurse to
implement?
1. One-to-one debriefing sessions each week with individual unit nurses and the unit manager
2. Clarification of values and cultural beliefs that might pose barriers to caring for clients
3. Identification of additional coping skills for new nurses on the unit
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