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PN120 PREPU CHAPTER 8 ASSESSMENT
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PN120 PREPU CHAPTER 8 ASSESSMENT2024-2025
Which would not be included as a purpose of the psychosocial assessment? -
ANSWER Previous compliance with treatment regimen
Asking the client to complete serial sevens assesses what? - ANSWER
Concentration
Which characteristics should the nurse implement when conducting a psychosocial
assessment? - ANSWER Personal
Which type of hallucination is the most common? - ANSWER Auditory
A psychiatric-mental health nurse is feeling highly anxious before interviewing
with a client. The nurse's experience of anxiety will impact the client assessment in
which way? - ANSWER It will be detrimental to the interaction by decreasing the
nurse's focus and attention.
A nurse is interviewing with a psychiatric-mental health client and notices the
client is using made-up words. This is known as what? - ANSWER Neologisms
As the nurse is conducting an interview with a client with a diagnosis of
schizophrenia, the client states, "Bunnies are cute as a button, buttons are on my
shirt, shirts can be bought in a store." Which is a term used to describe this thought
process? - ANSWER Loose associations
The nurse has been asked to assess a 54-year-old client's memory. Which technique
would allow the nurse to evaluate recent memory? - ANSWER Provide the client
with three words and ask the client to recall the words several minutes later.
A client with psychosis who was recently admitted to a psychiatric unit says to the
nurse, "The car is red. Are you ready for lunch? My head is hurting. Dogs bark
loud." The client is exhibiting which type of speech? - ANSWER Loose
associations
, The nurse has entered a hospital client's room and asked the client if the client plans
to attend the morning's scheduled group life-skills session. Which response should
signal the presence of thought blocking to the nurse? - ANSWER "I might. I'll give
it some..."
A mental health nurse is caring for a client with schizophrenia. The nurse observes
the client laughing about the recent death of the client's father. The nurse would
correctly document this mood as what? - ANSWER Incongruent
The nurse is assessing an older adult client with lower back pain. In the course of
the assessment, the nurse learned that the client lost a spouse 10 weeks ago. The
client laughs inappropriately and states, "My spouse just up and left me!" Which is
the nurse's best response? - ANSWER The nurse should recognize the incongruity
between content and behavior and find ways of exploring further.
A nurse assesses a 29-year-old client in the outpatient mental health clinic. The
nurse notes the client is speaking very quickly and jumping from topic to topic very
rapidly. There is some connection between ideas, but they are difficult to follow.
Which term most accurately describes this thought process? - ANSWER Flight of
ideas
A young adult client is brought to the outpatient mental health clinic by the client's
father. The client was diagnosed with schizophrenia 6 months ago and has been
taking medication since. The father reports the client continues to hear voices
despite adhering to the medication. Which term best describes the client's
abnormality of perception? - ANSWER Hallucination
Which is the most effective way in which the nurse can assess the progress of a
client's mental status based on the expected outcome of the therapeutic plan? -
ANSWER Evaluation
The nurse is preparing to perform a psychosocial assessment of a client with
schizophrenia. The client has a history of extreme aggression. What is the optimal
setting for interviewing with the client? - ANSWER A physician's intake room with
other medical personnel nearby.
The nurse finds that the client is constantly rubbing the hands. Under which
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