Nursing 126 Chapter 7 Nursing Process and QSEN: The
Foundation for Safe and Effective Care questions with
verified answers
A new staff nurse completes orientation to the psychiatric unit. This
nurse will expect to ask an advanced practice nurse to perform which
action for patients?
a. Perform mental health assessment interviews.
b. Establish therapeutic relationships.
c. Prescribe psychotropic medications.
d. Individualize nursing care plans. Ans✓✓✓ c. Prescribe psychotropic
medications.
Prescriptive privileges are granted to Master's-prepared nurse
practitioners who have taken special courses on prescribing
medications. The nurse prepared at the basic level performs mental
health assessments, establishes relationships, and provides
individualized care planning.
A newly admitted patient with major depression has lost 20 pounds
over the past month and has suicidal ideation. The patient has taken an
,antidepressant medication for 1 week without remission of symptoms.
Select the priority nursing diagnosis.
a. Imbalanced nutrition: Less than body requirements
b. Chronic low self-esteem
c. Risk for suicide
d. Hopelessness Ans✓✓✓ c. Risk for suicide
Risk for suicide is the priority diagnosis when the patient has both
suicidal ideation and a plan to carry out the suicidal intent. Imbalanced
nutrition, Hopelessness, and Chronic low self-esteem may be applicable
nursing diagnoses, but these problems do not affect patient safety as
urgently as a suicide attempt.
A nurse asks a patient, "If you had fever and vomiting for 3 days, what
would you do?" Which aspect of the mental status examination is the
nurse assessing?
a. Behavior
b. Cognition
, c. Affect and mood
d. Perceptual disturbances Ans✓✓✓ b. Cognition
Assessing cognition involves determining a patient's judgment and
decision-making capabilities. In this case, the nurse expects a response
of, "Call my doctor" if the patient's cognition and judgment are intact. If
the patient responds, "I would stop eating" or "I would just wait and
see what happened," the nurse would conclude that judgment is
impaired. The other options refer to other aspects of the examination.
A nurse assesses a patient who reluctantly participates in activities,
answers questions with minimal responses, and rarely makes eye
contact. What information should be included when documenting the
assessment? Select all that apply.
a. Uncooperative patient
b. Patient's subjective responses
c. Only data obtained from the patient's
verbal responses
Foundation for Safe and Effective Care questions with
verified answers
A new staff nurse completes orientation to the psychiatric unit. This
nurse will expect to ask an advanced practice nurse to perform which
action for patients?
a. Perform mental health assessment interviews.
b. Establish therapeutic relationships.
c. Prescribe psychotropic medications.
d. Individualize nursing care plans. Ans✓✓✓ c. Prescribe psychotropic
medications.
Prescriptive privileges are granted to Master's-prepared nurse
practitioners who have taken special courses on prescribing
medications. The nurse prepared at the basic level performs mental
health assessments, establishes relationships, and provides
individualized care planning.
A newly admitted patient with major depression has lost 20 pounds
over the past month and has suicidal ideation. The patient has taken an
,antidepressant medication for 1 week without remission of symptoms.
Select the priority nursing diagnosis.
a. Imbalanced nutrition: Less than body requirements
b. Chronic low self-esteem
c. Risk for suicide
d. Hopelessness Ans✓✓✓ c. Risk for suicide
Risk for suicide is the priority diagnosis when the patient has both
suicidal ideation and a plan to carry out the suicidal intent. Imbalanced
nutrition, Hopelessness, and Chronic low self-esteem may be applicable
nursing diagnoses, but these problems do not affect patient safety as
urgently as a suicide attempt.
A nurse asks a patient, "If you had fever and vomiting for 3 days, what
would you do?" Which aspect of the mental status examination is the
nurse assessing?
a. Behavior
b. Cognition
, c. Affect and mood
d. Perceptual disturbances Ans✓✓✓ b. Cognition
Assessing cognition involves determining a patient's judgment and
decision-making capabilities. In this case, the nurse expects a response
of, "Call my doctor" if the patient's cognition and judgment are intact. If
the patient responds, "I would stop eating" or "I would just wait and
see what happened," the nurse would conclude that judgment is
impaired. The other options refer to other aspects of the examination.
A nurse assesses a patient who reluctantly participates in activities,
answers questions with minimal responses, and rarely makes eye
contact. What information should be included when documenting the
assessment? Select all that apply.
a. Uncooperative patient
b. Patient's subjective responses
c. Only data obtained from the patient's
verbal responses
