| 2026 UPDATE | WITH COMPLETE SOLUTION
The nurse is documenting care of a patient following the APIE method. Which
of the following would you expect to see in the nursing note? Select all that
apply. Answer - - pt stated he is 'sad and depressed,' stays in room, not
involved in group activities
- impaired social interaction r/t lack of motivation and depressed mood
- developed therapeutic relationship w patient, stayed with p. while he ate
dinner, encouraged getting dressed and going to dining room
- pt able to get dressed and eat in dining room
The nurse is following the nursing process to care for a patient with a nursing
diagnosis of Risk for suicide. Which activity is the priority? Answer - assess for
suicidal ideation
The nurse is documenting the care of a patient with a nursing diagnosis of Risk
for suicide. Which of the following is correct documentation for using problem-
oriented recording? Select all that apply. Answer - - pt states that he doesn't
have anything to live for
- pt crying frequently, stays in room alone, superficial scratch marks on wrist
- initiated therapeutic relationship, spent time w pt, provided positive feedback
for discussing feelings
- pt attended group, reported decreased thoughts of suicide. has no current
plan
, The nurse is following the nursing process to care for a patient with a nursing
diagnosis of Hopelessness. Which of the following actions is appropriate for the
outcomes identification step? Answer - pt will verbalize a measure of hope and
acceptance of life and situations over where there is no control
A patient has been given a nursing diagnosis of Hopelessness. Which of the
following actions is appropriate for the planning step? Answer - interventions
based on assessment
Arrange the steps of the nursing process in order according to the standards of
practice for psychiatric mental health nursing set by the American Nurses
Association. Answer - assess, diagnosis, outcomes ID, plan, implement,
evaluation
The estimated length of a hospital stay for a client experiencing alcohol
withdrawal symptoms is 7 days. What is the expected dose of chlordiazepoxide
administered to the client on the first day of admission in the hospital? Answer
- 200 mg in divided doses
The nurse observes that the client with schizophrenia has an inability to trust
others. Which problem would the client's treatment team determine the client
exhibits? Answer - paranoid delusions
How is subjective data about a client obtained for use within the subjective,
objective, assessment, plan, implementation, and evaluation (SOAPIE) format?
Answer - from verbal reports of the client, family, or other sources
Which standard of psychiatric mental health clinical nursing practice includes
milieu therapy? Answer - implementation