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10_ The Psychiatric-Mental
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Chapter 10: The Psychiatric-Mental Health Nursing Process
1. Which of the following questions would be most helpful in beginning an initial assessment
interview
for a patient who has just been admitted to a psychiatric inpatient unit?
A) Have you had any previous psychiatric admissions?
B) What brings you into the hospital today?
C) Have you had any thoughts about trying to harm yourself?
D) How would you describe your relationship with your spouse?
2. A patient is being admitted to the psychiatric unit. While explaining his reason for seeking
admission,
he describes how his 32-year-old son recently died of a heart attack. Which response by the
nurse would
enhance the effectiveness of this interview?
A) How is your wife handling your son‟s death?
B) Do you have any other living children that can help you cope with this loss?
C) This must be a very difficult time for you.
D) I know exactly how you‟re feeling; my 23-year-old son died unexpectedly last year.
3. A patient was admitted to the hospital after a suicide attempt made after his daughter was
killed in an
automobile accident during which he had been driving and survived with only minor injuries.
Even
though the accident was unavoidable, he feelsresponsible. During the assessment interview,
the patient
begins to describe the last conversation he had with his daughter before he lost control of
the
automobile. As he speaks about his daughter, his voice trembles, and a silent tear rolls down
his face.
He makes a visible attempt to straighten up and smiles superficially at the nurse, stating, I‟ll
get over
this. I just need to keep a stiff upper lip. I think all I need to do is stay overnight. I‟ll be as
good as new
by tomorrow. Which response by the nurse would be most appropriate?
A) Tell me about your daughter. How would you describe the relationship you had with her?
B) I‟m sure you are right; a good night‟s rest should make a big difference.
C) As good as new?
D) You made a serious attempt on your life; you will not be ready go home by tomorrow.
4. After assessing a patient, the nurse noted the following: he was tearful, he tried to kill
himself before
coming into the hospital, he had no immediate plan for another suicide attempt, he was
unable to
concentrate, and he reported having trouble sleeping and having little or no appetite. The
nurse also
noted that the patient‟s appearance was unkempt, that he spoke in a low monotone, and
that he was
unable to establish and maintain eye contact. Based on this information, which nursing
diagnoses would
be the most appropriate?
A) Ineffective Role Performance
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10_ The Psychiatric-Mental
10_ The Psychiatric-Mental
Health Nursing
HealthProcess.docxChapter
Nursing Process.docx@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!Chapter
10_ The Psychiatric-Mental Health Nursing Process~ 10
Nursing Chapter
Process.docx@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!))))))))))))(((((((((((((((((((((())))))))))))))))))))))))))!!!
10_ The Psychiatric-Mental
10_ The Psychiatric-Mental
Health Nursing
HealthProcess.docxChapter
Nursing Process.docx@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!Chapter
10_ The Psychiatric-Mental Health Nursing Process~ 10
Chapter 10: The Psychiatric-Mental Health Nursing Process
1. Which of the following questions would be most helpful in beginning an initial assessment
interview
for a patient who has just been admitted to a psychiatric inpatient unit?
A) Have you had any previous psychiatric admissions?
B) What brings you into the hospital today?
C) Have you had any thoughts about trying to harm yourself?
D) How would you describe your relationship with your spouse?
2. A patient is being admitted to the psychiatric unit. While explaining his reason for seeking
admission,
he describes how his 32-year-old son recently died of a heart attack. Which response by the
nurse would
enhance the effectiveness of this interview?
A) How is your wife handling your son‟s death?
B) Do you have any other living children that can help you cope with this loss?
C) This must be a very difficult time for you.
D) I know exactly how you‟re feeling; my 23-year-old son died unexpectedly last year.
3. A patient was admitted to the hospital after a suicide attempt made after his daughter was
killed in an
automobile accident during which he had been driving and survived with only minor injuries.
Even
though the accident was unavoidable, he feelsresponsible. During the assessment interview,
the patient
begins to describe the last conversation he had with his daughter before he lost control of
the
automobile. As he speaks about his daughter, his voice trembles, and a silent tear rolls down
his face.
He makes a visible attempt to straighten up and smiles superficially at the nurse, stating, I‟ll
get over
this. I just need to keep a stiff upper lip. I think all I need to do is stay overnight. I‟ll be as
good as new
by tomorrow. Which response by the nurse would be most appropriate?
A) Tell me about your daughter. How would you describe the relationship you had with her?
B) I‟m sure you are right; a good night‟s rest should make a big difference.
C) As good as new?
D) You made a serious attempt on your life; you will not be ready go home by tomorrow.
4. After assessing a patient, the nurse noted the following: he was tearful, he tried to kill
himself before
coming into the hospital, he had no immediate plan for another suicide attempt, he was
unable to
concentrate, and he reported having trouble sleeping and having little or no appetite. The
nurse also
noted that the patient‟s appearance was unkempt, that he spoke in a low monotone, and
that he was
unable to establish and maintain eye contact. Based on this information, which nursing
diagnoses would
be the most appropriate?
A) Ineffective Role Performance
h!!!!!!!!!!!!!!!!!!!!!!!!!!!Chapter
Nursing Chapter
Process.docx@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!))))))))))))(((((((((((((((((((((())))))))))))))))))))))))))!!!
10_ The Psychiatric-Mental
10_ The Psychiatric-Mental
Health Nursing
HealthProcess.docxChapter
Nursing Process.docx@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!Chapter
10_ The Psychiatric-Mental Health Nursing Process~ 10
