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NURS 661 Exam 1 – Questions With Detailed Answers
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NURS 661 Exam 1 – Questions With DetailedAnswers
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? ✔️Ans - 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 ✔️Ans -
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 ✔️Ans - 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. ✔️Ans - 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. ✔️Ans - 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. ✔️Ans -
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 ✔️Ans - 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. ✔️Ans -
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
4. Discussion of the impact of recent changes in hospital policy on the nursing
staff ✔️Ans - Answer: 2
The unit manager is consistently advocating for self-awareness among the
psychiatric mental health nursing staff in order to promote quality care. From
which theoretical base is the unit manager operating?
1. Jean Watsons theory of human caring
2. Dorothea Orems theory of self-care
3. Martha Rogerss principles of homeodynamics
4. Sister Callista Roys adaptation theory ✔️Ans - Answer: 1
Upon the clients arrival on the patient care unit, the nurse begins
implementation of the nursing process. Of which nursing theorist should the
nurses practice be most reflective?
1. Ida Jean Orlando
2. Jean Watson
3. Dorothea Orem
4. Hildegard Peplau ✔️Ans - Answer: 4
If the nurse is using the nursing theory that has shaped psychiatric mental
health most directly, which nursing action is priority?
, 1. Assessing the clients abilities in areas of self-care
2. Teaching effective coping skills
3. Establishing a therapeutic nurseclient relationship
4. Encouraging the clients sensitivity and caring for self ✔️Ans - Answer: 3
A patient asks, What are neurotransmitters? The doctor said mine are
imbalanced. Select the nurses best response.
A) How do you feel about having imbalanced neurotransmitters?
B)Neurotransmitters protect us from harmful effects of free radicals.
C)Neurotransmitters are substances we consume that influence memory and
mood.
D)Neurotransmitters are natural chemicals that pass messages between brain
cells. ✔️Ans - Answer: D
The parent of an adolescent diagnosed with schizophrenia asks the nurse, My
childs doctor ordered a PET. What kind of test is that? Select the nurses best
reply.
A. This test uses a magnetic field and gamma waves to identify problem areas
in the brain. Does your teenager have any metal implants?
B. PET means positron-emission tomography. It is a special type of scan that
shows blood flow and activity in the brain.
C. A PET scan passes an electrical current through the brain and shows brain-
wave activity. It can help diagnose seizures.
D. Its a special x-ray that shows structures of the brain and whether there has
ever been a brain injury ✔️Ans - Answer: B
A patient with a long history of hypertension and diabetes now develops
confusion. The health care provider wants to make a differential diagnosis
between Alzheimers disease and multiple infarcts. Which diagnostic
procedure should the nurse expect to prepare the patient for first?
a. Skull x-rays
b. Computed tomography (CT) scan
c. Positron-emission tomography (PET)
d. Single-photon emission computed tomography (SPECT) ✔️Ans -
Answer: B
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