NURS 260 EXAM 1 - 2204 THE NURSING PROCESS IN PSYCHIATRIC/MENTAL HEALTH NURSING QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS
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Course
NURS 260
Institution
NURS 260
NURS 260 EXAM 1 - 2204 THE NURSING PROCESS IN PSYCHIATRIC/MENTAL HEALTH NURSING QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS
Which data gathering technique is employed during the assessment phase of the nursing process?
A. Asking the client to rate mood after administering an antidepressant
B...
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
ANS: B
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 client's condition, facilitating the choice of interventions.
, 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.
ANS: D
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.
Which statement regarding nursing interventions should a nurse identify as
accurate?
A. Nursing interventions are independent from the treatment team's goals.
B. Nursing interventions are solely directed by written physician orders.
C. Nursing interventions occur independently but in concert with overall
treatment team goals.
D. Nursing interventions are standardized by policies and procedures.
ANS: C
The nurse should understand that nursing interventions occur independently but in
concert with overall treatment goals. Nursing interventions should be developed and
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