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NURS417 Ch11: Psychiatric Mental Health Nursing Process
Questions and Answers with 100% Complete Solutions
UPDATED!!!
Milieu therapy is a stable and coherent social organization to
facilitate an individual's treatment. Which concept would the
nurse most likely include as a key concept? Select all that apply.
- ANSWER containment
validation
structured interaction
open communication
A client's nursing diagnosis of "risk for self-directed violence"
has been identified because of her recent history of cutting and
self-mutilation. Which of the following expected outcomes is
most appropriate for this client's plan of care during inpatient
treatment? - ANSWER "The client will refrain from cutting or
self-mutilation."
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A client states to the nurse "I am so excited about my family
coming to visit" and is smiling and laughing. How will the nurse
document the client's mood? - ANSWER euphoric
Which intervention uses the reading of written materials to
express feelings or gain insight? - ANSWER bibliotherapy
While conducting an assessment, the nurse gives a client three
unrelated words and tells the client to keep them in mind.
About 15 minutes later, the nurse asks the client to recite the
three words. The nurse is checking which sphere of memory? -
ANSWER Short-term
There are four spheres of memory to check: recall, or
immediate, memory; short-term memory; recent memory; and
long-term, or remote, memory. To check memory, the nurse
may give the client three unrelated words to remember and ask
the client to recite them right away (to assess immediate
memory) and at 5- to 15-minute intervals during the interview
(to assess short-term memory). The example in this question
demonstrates assessment of short-term memory. To test recent
memory, the nurse may ask about a holiday or world event that
occurred within the past few months. The nurse tests long-term
NURS417 Ch11: Psychiatric Mental Health Nursing Process
Questions and Answers with 100% Complete Solutions
UPDATED!!!
Milieu therapy is a stable and coherent social organization to
facilitate an individual's treatment. Which concept would the
nurse most likely include as a key concept? Select all that apply.
- ANSWER containment
validation
structured interaction
open communication
A client's nursing diagnosis of "risk for self-directed violence"
has been identified because of her recent history of cutting and
self-mutilation. Which of the following expected outcomes is
most appropriate for this client's plan of care during inpatient
treatment? - ANSWER "The client will refrain from cutting or
self-mutilation."
, 2|Page
A client states to the nurse "I am so excited about my family
coming to visit" and is smiling and laughing. How will the nurse
document the client's mood? - ANSWER euphoric
Which intervention uses the reading of written materials to
express feelings or gain insight? - ANSWER bibliotherapy
While conducting an assessment, the nurse gives a client three
unrelated words and tells the client to keep them in mind.
About 15 minutes later, the nurse asks the client to recite the
three words. The nurse is checking which sphere of memory? -
ANSWER Short-term
There are four spheres of memory to check: recall, or
immediate, memory; short-term memory; recent memory; and
long-term, or remote, memory. To check memory, the nurse
may give the client three unrelated words to remember and ask
the client to recite them right away (to assess immediate
memory) and at 5- to 15-minute intervals during the interview
(to assess short-term memory). The example in this question
demonstrates assessment of short-term memory. To test recent
memory, the nurse may ask about a holiday or world event that
occurred within the past few months. The nurse tests long-term
