EXAM 1 RNSG 1125 (UNIT 1-2 CHAPTERS 1-9) WITH
ALL CORRECT & 100% VERIFIED ANSWERS|ALREADY
GRADED A+|UPDATED TO PASS
clinical decision making that integrates the best available research with clinical expertise and patient
characteristics and preferences Correct answer-evidence-based practice
one who speaks for and protects the rights of the patient Correct answer-patient advocate
promoting mental health through the assessment, diagnosis, and treatment of human responses to
mental health problems and psychiatric disorders Correct answer-psychiatric mental health nursing
addresses the challenge to prepare nurses with the competencies needed to continuously improve
the quality of care in their work environments Correct answer-Quality and Safety Education for
Nurses (QSEN)
Official guidebook for categorizing ans diagnosing psychiatric mental health disorders in the US.
Correct answer-Diagnostic and Statistical Manual of Mental Disorders (DSM)
Branch of medical science concerned with the incidence, distribution, and control of diseases that
affect large numbers of people. Correct answer-Epidemiology
an illness of the mind that can affect the thoughts, feelings, and behaviors of a person, preventing
him or her from leading a happy, healthful, and productive life Correct answer-mental disorder
the state of being comfortable with yourself, with others, and with your surroundings Correct
answer-mental health
a disorder that affects a person's thoughts, emotions, and behaviors Correct answer-mental illness
A mental disorder caused by neurotransmitter dysfunction, abnormal brain srtructure, inherited
genetic factors, or other biological causes. Also called biologically based mental illness Correct
answer-psychobiological disorder
an attribute that is deeply discrediting where a person is reduced from a whole unusual person to a
tainted, discounted one. Stigmatizing comes from stereotyping, labeling, separating, status, loss, and
discrimination in a context of power imbalance all leading to stigmatization Correct answer-
stigma/stigmatizing
Boundaries are physical, emotional and mental limits we set to protect ourselves from being
manipulated, used, or harmed by others. Correct answer-boundaries
the largely conscious, "executive" part of personality. Operates on the reality principle, satisfying the
id's desires in ways that will realistically bring pleasure rather than pain. Correct answer-ego
a reservoir of unconscious psychic energy that, according to Freud, strives to satisfy basic sexual and
aggressive drives. Operates on the pleasure principle, demanding immediate gratification. Correct
answer-id
,according to Maslow, one of the ultimate psychological needs that arises after basic physical and
psychological needs are met and self-esteem is achieved; the motivation to fulfill one's potential
Correct answer-self-actualization
H Home environment (e.g., relations with parents and siblings)
E Education and employment (e.g., school performance)
A Activities (e.g., sports participation, after-school activities, peer relations)
D Drug, alcohol, or tobacco use
S Sexuality (e.g., whether the patient is sexually active, practices safe sex, or uses contraception)
S Suicide risk or symptoms of depression or other mental disorder
S "Savagery" (e.g., violence or abuse in home environment or in neighborhood) Correct answer-
HEADSSS psychosocial interview technique
The psychiatric mental health nurse collects and synthesizes comprehensive health data that are
pertinent to the health care consumer's health and/or situation.
Nurses who work in the mental health field need to assess, or have access to, past and present
medical history, a recent physical examination, and any physical complaints the patient is
experiencing, as well as document any observable physical conditions or behaviors (unsteady gait,
abnormal breathing pattern, facial grimacing, or changing position to relieve discomfort). Correct
answer-Psychiatric Nursing Assessment
a set of interview questions and observations designed to reveal the degree and nature of a client's
abnormal functioning Correct answer-mental status exam
ANS: B
Prescriptive privileges are granted to master's-prepared nurse practitioners who have taken special
courses on prescribing medication. The nurse prepared at the basic level performs mental health
assessments, establishes relationships, and provides individualized care planning. Note that this
question was also offered for Chapter 1. Correct answer-A new staff nurse completes an
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. Prescribe psychotropic medication.
c. Establish therapeutic relationships.
d. Individualize nursing care plans.
ANS: C
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 would
a suicide attempt. Correct answer-A newly admitted patient diagnosed with major depression has
gained 20 pounds over a few months 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: more than body requirements
b. Chronic low self-esteem
,c. Risk for suicide
d. Hopelessness
ANS: A
Implementing suicide precautions is the only option related to patient safety. The other options,
related to nutrition, self-esteem, and medication therapy, are important but are not priorities.
Correct answer-A patient diagnosed with major depression has lost 20 pounds in one month, has
chronic low self-esteem, and a plan for suicide. The patient has taken an antidepressant medication
for 1 week. Which nursing intervention has the highest priority?
a. Implement suicide precautions.
b. Offer high-calorie snacks and fluids frequently.
c. Assist the patient to identify three personal strengths.
d. Observe patient for therapeutic effects of antidepressant medication.
ANS: D
Although the patient is sleeping 6 hours daily, the total is not one uninterrupted session at night.
Therefore, the outcome must be evaluated as never demonstrated. See relationship to audience
response question. Correct answer-The desired outcome for a patient experiencing insomnia is,
"Patient will sleep for a minimum of 5 hours nightly within 7 days." At the end of 7 days, review of
sleep data shows the patient sleeps an average of 4 hours nightly and takes a 2-hour afternoon nap.
The nurse will document the outcome as:
a. consistently demonstrated.
b. often demonstrated.
c. sometimes demonstrated.
d. never demonstrated.
ANS: D
Sleeping a total of 5 hours at night remains a reasonable outcome. Extending the period for attaining
the outcome may be appropriate. Examining interventions might result in planning an activity during
the afternoon rather than permitting a nap. Continuing the current plan without changes is
inappropriate. Removing this nursing diagnosis from the plan of care would be correct when the
outcome was met and the problem resolved. Writing a new nursing diagnosis is inappropriate
because no other nursing diagnosis relates to the problem. Correct answer-The desired outcome
for a patient experiencing insomnia is, "Patient will sleep for a minimum of 5 hours nightly within 7
days." At the end of 7 days, review of sleep data shows the patient sleeps an average of 4 hours
nightly and takes a 2-hour afternoon nap. What is the nurse's next action?
a. Continue the current plan without changes.
b. Remove this nursing diagnosis from the plan of care.
c. Write a new nursing diagnosis that better reflects the problem.
d. Examine interventions for possible revision of the target date.
ANS: C
Interventions are the nursing prescriptions to achieve the outcomes. Interventions should be
specific. Correct answer-A patient begins a new program to assist with building social skills. In
, which part of the plan of care should a nurse record the item, "Encourage patient to attend one
psychoeducational group daily"?
a. Assessment
b. Analysis
c. Implementation
d. Evaluation
ANS: B
Assessment should include data obtained from both the primary and reliable secondary sources. The
nurse, bearing in mind the possible effects of counter-transference, should evaluate biased
assessments by others as objectively as possible. Correct answer-Before assessing a new patient, a
nurse is told by another health care worker, "I know that patient. No matter how hard we work, there
isn't much improvement by the time of discharge." The nurse's responsibility is to:
a. document the other worker's assessment of the patient.
b. assess the patient based on data collected from all sources.
c. validate the worker's impression by contacting the patient's significant other.
d. discuss the worker's impression with the patient during the assessment interview.
ANS: B
Elevated BUN (blood urea nitrogen) and creatinine suggest renal problems. Renal dysfunction can
often imitate psychiatric disorders. The nurse should further assess the patient's history for renal
problems and then share the findings with the health care provider. Correct answer-A patient
presents to the emergency department with mixed psychiatric symptoms. The admission nurse
suspects the symptoms may be the result of a medical problem. Lab results show elevated BUN
(blood urea nitrogen) and creatinine. What is the nurse's next best action?
a. Report the findings to the health care provider.
b. Assess the patient for a history of renal problems.
c. Assess the patient's family history for cardiac problems.
d. Arrange for the patient's hospitalization on the psychiatric unit.
ANS: D
The nurse would place a priority on monitoring and reinforcing suicide self-restraint because it
relates directly and immediately to patient safety. Patient safety is always a priority concern. The
nurse should monitor and reinforce all patient attempts to control anxiety, improve sleep patterns,
and develop self-esteem, while giving priority attention to suicide self-restraint. Correct answer-A
patient states, "I'm not worth anything. I have negative thoughts about myself. I feel anxious and
shaky all the time. Sometimes I feel so sad that I want to go to sleep and never wake up." Which
nursing intervention should have the highest priority?
a. Self-esteem-building activities
b. Anxiety self-control measures
c. Sleep enhancement activitie
d. Suicide precautions
ANS: D
ALL CORRECT & 100% VERIFIED ANSWERS|ALREADY
GRADED A+|UPDATED TO PASS
clinical decision making that integrates the best available research with clinical expertise and patient
characteristics and preferences Correct answer-evidence-based practice
one who speaks for and protects the rights of the patient Correct answer-patient advocate
promoting mental health through the assessment, diagnosis, and treatment of human responses to
mental health problems and psychiatric disorders Correct answer-psychiatric mental health nursing
addresses the challenge to prepare nurses with the competencies needed to continuously improve
the quality of care in their work environments Correct answer-Quality and Safety Education for
Nurses (QSEN)
Official guidebook for categorizing ans diagnosing psychiatric mental health disorders in the US.
Correct answer-Diagnostic and Statistical Manual of Mental Disorders (DSM)
Branch of medical science concerned with the incidence, distribution, and control of diseases that
affect large numbers of people. Correct answer-Epidemiology
an illness of the mind that can affect the thoughts, feelings, and behaviors of a person, preventing
him or her from leading a happy, healthful, and productive life Correct answer-mental disorder
the state of being comfortable with yourself, with others, and with your surroundings Correct
answer-mental health
a disorder that affects a person's thoughts, emotions, and behaviors Correct answer-mental illness
A mental disorder caused by neurotransmitter dysfunction, abnormal brain srtructure, inherited
genetic factors, or other biological causes. Also called biologically based mental illness Correct
answer-psychobiological disorder
an attribute that is deeply discrediting where a person is reduced from a whole unusual person to a
tainted, discounted one. Stigmatizing comes from stereotyping, labeling, separating, status, loss, and
discrimination in a context of power imbalance all leading to stigmatization Correct answer-
stigma/stigmatizing
Boundaries are physical, emotional and mental limits we set to protect ourselves from being
manipulated, used, or harmed by others. Correct answer-boundaries
the largely conscious, "executive" part of personality. Operates on the reality principle, satisfying the
id's desires in ways that will realistically bring pleasure rather than pain. Correct answer-ego
a reservoir of unconscious psychic energy that, according to Freud, strives to satisfy basic sexual and
aggressive drives. Operates on the pleasure principle, demanding immediate gratification. Correct
answer-id
,according to Maslow, one of the ultimate psychological needs that arises after basic physical and
psychological needs are met and self-esteem is achieved; the motivation to fulfill one's potential
Correct answer-self-actualization
H Home environment (e.g., relations with parents and siblings)
E Education and employment (e.g., school performance)
A Activities (e.g., sports participation, after-school activities, peer relations)
D Drug, alcohol, or tobacco use
S Sexuality (e.g., whether the patient is sexually active, practices safe sex, or uses contraception)
S Suicide risk or symptoms of depression or other mental disorder
S "Savagery" (e.g., violence or abuse in home environment or in neighborhood) Correct answer-
HEADSSS psychosocial interview technique
The psychiatric mental health nurse collects and synthesizes comprehensive health data that are
pertinent to the health care consumer's health and/or situation.
Nurses who work in the mental health field need to assess, or have access to, past and present
medical history, a recent physical examination, and any physical complaints the patient is
experiencing, as well as document any observable physical conditions or behaviors (unsteady gait,
abnormal breathing pattern, facial grimacing, or changing position to relieve discomfort). Correct
answer-Psychiatric Nursing Assessment
a set of interview questions and observations designed to reveal the degree and nature of a client's
abnormal functioning Correct answer-mental status exam
ANS: B
Prescriptive privileges are granted to master's-prepared nurse practitioners who have taken special
courses on prescribing medication. The nurse prepared at the basic level performs mental health
assessments, establishes relationships, and provides individualized care planning. Note that this
question was also offered for Chapter 1. Correct answer-A new staff nurse completes an
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. Prescribe psychotropic medication.
c. Establish therapeutic relationships.
d. Individualize nursing care plans.
ANS: C
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 would
a suicide attempt. Correct answer-A newly admitted patient diagnosed with major depression has
gained 20 pounds over a few months 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: more than body requirements
b. Chronic low self-esteem
,c. Risk for suicide
d. Hopelessness
ANS: A
Implementing suicide precautions is the only option related to patient safety. The other options,
related to nutrition, self-esteem, and medication therapy, are important but are not priorities.
Correct answer-A patient diagnosed with major depression has lost 20 pounds in one month, has
chronic low self-esteem, and a plan for suicide. The patient has taken an antidepressant medication
for 1 week. Which nursing intervention has the highest priority?
a. Implement suicide precautions.
b. Offer high-calorie snacks and fluids frequently.
c. Assist the patient to identify three personal strengths.
d. Observe patient for therapeutic effects of antidepressant medication.
ANS: D
Although the patient is sleeping 6 hours daily, the total is not one uninterrupted session at night.
Therefore, the outcome must be evaluated as never demonstrated. See relationship to audience
response question. Correct answer-The desired outcome for a patient experiencing insomnia is,
"Patient will sleep for a minimum of 5 hours nightly within 7 days." At the end of 7 days, review of
sleep data shows the patient sleeps an average of 4 hours nightly and takes a 2-hour afternoon nap.
The nurse will document the outcome as:
a. consistently demonstrated.
b. often demonstrated.
c. sometimes demonstrated.
d. never demonstrated.
ANS: D
Sleeping a total of 5 hours at night remains a reasonable outcome. Extending the period for attaining
the outcome may be appropriate. Examining interventions might result in planning an activity during
the afternoon rather than permitting a nap. Continuing the current plan without changes is
inappropriate. Removing this nursing diagnosis from the plan of care would be correct when the
outcome was met and the problem resolved. Writing a new nursing diagnosis is inappropriate
because no other nursing diagnosis relates to the problem. Correct answer-The desired outcome
for a patient experiencing insomnia is, "Patient will sleep for a minimum of 5 hours nightly within 7
days." At the end of 7 days, review of sleep data shows the patient sleeps an average of 4 hours
nightly and takes a 2-hour afternoon nap. What is the nurse's next action?
a. Continue the current plan without changes.
b. Remove this nursing diagnosis from the plan of care.
c. Write a new nursing diagnosis that better reflects the problem.
d. Examine interventions for possible revision of the target date.
ANS: C
Interventions are the nursing prescriptions to achieve the outcomes. Interventions should be
specific. Correct answer-A patient begins a new program to assist with building social skills. In
, which part of the plan of care should a nurse record the item, "Encourage patient to attend one
psychoeducational group daily"?
a. Assessment
b. Analysis
c. Implementation
d. Evaluation
ANS: B
Assessment should include data obtained from both the primary and reliable secondary sources. The
nurse, bearing in mind the possible effects of counter-transference, should evaluate biased
assessments by others as objectively as possible. Correct answer-Before assessing a new patient, a
nurse is told by another health care worker, "I know that patient. No matter how hard we work, there
isn't much improvement by the time of discharge." The nurse's responsibility is to:
a. document the other worker's assessment of the patient.
b. assess the patient based on data collected from all sources.
c. validate the worker's impression by contacting the patient's significant other.
d. discuss the worker's impression with the patient during the assessment interview.
ANS: B
Elevated BUN (blood urea nitrogen) and creatinine suggest renal problems. Renal dysfunction can
often imitate psychiatric disorders. The nurse should further assess the patient's history for renal
problems and then share the findings with the health care provider. Correct answer-A patient
presents to the emergency department with mixed psychiatric symptoms. The admission nurse
suspects the symptoms may be the result of a medical problem. Lab results show elevated BUN
(blood urea nitrogen) and creatinine. What is the nurse's next best action?
a. Report the findings to the health care provider.
b. Assess the patient for a history of renal problems.
c. Assess the patient's family history for cardiac problems.
d. Arrange for the patient's hospitalization on the psychiatric unit.
ANS: D
The nurse would place a priority on monitoring and reinforcing suicide self-restraint because it
relates directly and immediately to patient safety. Patient safety is always a priority concern. The
nurse should monitor and reinforce all patient attempts to control anxiety, improve sleep patterns,
and develop self-esteem, while giving priority attention to suicide self-restraint. Correct answer-A
patient states, "I'm not worth anything. I have negative thoughts about myself. I feel anxious and
shaky all the time. Sometimes I feel so sad that I want to go to sleep and never wake up." Which
nursing intervention should have the highest priority?
a. Self-esteem-building activities
b. Anxiety self-control measures
c. Sleep enhancement activitie
d. Suicide precautions
ANS: D
