NURS 4800 (Mental Health) Chapter 7
Nursing Process Questions With Complete
Solutions
Affect (MSE) Correct Answers Observed, observed
emotional tone
◦ Appropriate
◦ Congruent/Incongruent with Mood
◦ Labile
◦ Angry/Irritable
◦ Constricted
◦ Expansive
"What do I observes about patients feelings"
Appraisal of Health and Illness Correct Answers
Stressors
◦ Specific and current issues that lead to admission
Strengths
Weaknesses
Resources
◦ Ability to meet ADLs
◦ Support system
◦ Daily activities
◦ Coping mechanisms
As Evidenced by Correct Answers "How do we
know the patient has the problem"
, Circumstantiality Correct Answers Speech that is
delayed in reaching the point and contains
excessive or irrelevant details
clanging Correct Answers word choice based on
sound, not meaning, includes nonsense rhymes
and puns
Common PMH (Psychiatric Mental Health) Etiology
Correct Answers Biochemical imbalance Lack of
knowledge
Impaired judgment
Maladaptive coping skills
Coping resources inadequate for stressors
common PMH nursing diagnoses Correct Answers
Risk for harm to self or others
Ineffective coping
Altered thought process
Altered sensory perception
Ineffective denial
Impaired self-health maintenance
Congruent Correct Answers The same
Documentation of Appearance Correct Answers Pt
is casually dressed and well groomed.
Pt is wearing jeans and a t-shirt. Grooming intact.
Pt is wearing jeans with hole in the knee, clean t-
Nursing Process Questions With Complete
Solutions
Affect (MSE) Correct Answers Observed, observed
emotional tone
◦ Appropriate
◦ Congruent/Incongruent with Mood
◦ Labile
◦ Angry/Irritable
◦ Constricted
◦ Expansive
"What do I observes about patients feelings"
Appraisal of Health and Illness Correct Answers
Stressors
◦ Specific and current issues that lead to admission
Strengths
Weaknesses
Resources
◦ Ability to meet ADLs
◦ Support system
◦ Daily activities
◦ Coping mechanisms
As Evidenced by Correct Answers "How do we
know the patient has the problem"
, Circumstantiality Correct Answers Speech that is
delayed in reaching the point and contains
excessive or irrelevant details
clanging Correct Answers word choice based on
sound, not meaning, includes nonsense rhymes
and puns
Common PMH (Psychiatric Mental Health) Etiology
Correct Answers Biochemical imbalance Lack of
knowledge
Impaired judgment
Maladaptive coping skills
Coping resources inadequate for stressors
common PMH nursing diagnoses Correct Answers
Risk for harm to self or others
Ineffective coping
Altered thought process
Altered sensory perception
Ineffective denial
Impaired self-health maintenance
Congruent Correct Answers The same
Documentation of Appearance Correct Answers Pt
is casually dressed and well groomed.
Pt is wearing jeans and a t-shirt. Grooming intact.
Pt is wearing jeans with hole in the knee, clean t-
