Which statement is most accurate regarding the assessment of clients diagnosed with
psychiatric problems?
A. Medical history is of little significance and can be eliminated from the nursing assessment.
B. Assessment provides a holistic view of the client, including biopsychosocial aspects.
C. Comprehensive assessments can be performed only by advanced practice nurses.
D. Psychosocial evaluations are gained by subjective reports rather than objective observations.
- ANSB - Assessment provides a holistic view of the client
The assessment of clients diagnosed with psychiatric problems should provide a holistic view of
the client. A thorough assessment involves collecting and analyzing data from the client,
significant others, and health-care providers that may include the following dimensions:
physical, psychological, sociocultural, spiritual, cognitive, developmental, economic, lifestyle,
and functional abilities.
Which nursing diagnosis should a nurse identify as being correctly formulated?
A. Schizophrenia R/T biochemical alterations AEB altered thought
B. Self-care deficit: hygiene R/T altered thought as AEB disheveled appearance
C. Depressed mood R/T multiple life stressors
D. Developmental disability R/T early-onset schizophrenia AEB hallucinations - ANSB -
Self-care deficit: hygiene R/T altered thought as AEB disheveled appearance
The nurse should determine that the correctly written diagnosis would be Self-care deficit:
hygiene R/T altered thought AEB disheveled appearance. The nursing diagnosis should
describe the unhealthy response (inference), the contributing factors, and the data that support
the inference.
Which expected client outcome should a nurse identify as being correctly formulated?
A. Client will feel happier by discharge.
B. Client will demonstrate two relaxation techniques.
C. Client will verbalize triggers to anger by end of session.
D. Client will initiate interaction with one peer during free time within 2 days. - ANSD - Client will
initiate interaction with one peer during free time within 2 days.
The statement Client will initiate interaction with one peer during free time within 2 days is an
example of a correctly formulated expected outcome. Outcomes should be measurable,
realistic, client-focused goals that include a time frame. Appropriate nursing interventions are
guided by client outcomes.
, What is the purpose when a nurse gathers client information?
A. It enables the nurse to modify client behaviors related to personality disorders.
B. It enables the nurse to make sound clinical judgments and plan appropriate client care.
C. It enables the nurse to prescribe the appropriate medications.
D. It enables the nurse to assign the appropriate Axis I diagnosis. - ANSB- It enables the nurse
to make sound clinical judgments and plan appropriate client care.
The purpose of gathering client information is to enable the nurse to make sound clinical nursing
judgments and plan appropriate care. The nurse should complete a thorough assessment of the
client, including information collected from the client, significant others, and health-care
providers (consistent with HIPAA laws and the clients right to confidentiality).
The following outcome was developed for a client: Client will list five personal strengths by the
end of day 1. Which correctly written nursing diagnostic statement most likely generated the
development of this outcome?
A. Altered self-esteem R/T years of emotional abuse AEB self-deprecating statements
B. Self-care deficit R/T altered thought processes
C. Disturbed body image R/T major depressive disorder AEB mood rating of 2/10
D. Risk for disturbed self-concept R/T hopelessness AEB suicide attempt - ANSA- Altered
self-esteem R/T years of emotional abuse AEB self-deprecating statements
The nurse should determine that altered self-esteem and self-deprecating statements would
generate the outcome to list personal strengths by the end of day 1. Self-care deficit, disturbed
body image, and risk for disturbed self-concept would generate specific outcomes in
accordance with specific needs and goals. The self-care deficit and risk for disturbed
self-concept nursing diagnoses are incorrectly written.
How should a nurse prioritize nursing diagnoses?
A. By the established goal of care
B. By the life-threatening potential
C. By the physicians priority of care
D. By the clients preference - ANSB- By the life-threatening potential
The nurse should prioritize nursing diagnoses related to life-threatening potential. Safety is
always the nurses first priority.
A client has a nursing diagnosis of Insomnia R/T paranoid thinking AEB midnight awakenings,
difficulty falling asleep, and daytime napping. Which is a correctly written and appropriate
outcome for this clients problem?
A. The client will avoid daytime napping and attend all groups.
B. The client will exercise, as needed, before bedtime.
C. The client will sleep 7 uninterrupted hours by day four of hospitalization.
D. The clients sleep habits will improve during hospitalization. - ANSC - The client will sleep 7
uninterrupted hours by day four of hospitalization
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller QualityPDF. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.49. You're not tied to anything after your purchase.
