Nursing Process in the Context of Mental Health Nursing
A patient with a history of an anxiety disorder is brought to the emergency department by their spouse, who
tells the nurse the patient is having a panic attack. Which strategy can the nurse use to make collecting the
patient history data more tolerable for the patient? - ansReview the record for a history of similar episodes in
the past.
Knowing the patient's history, including previous episodes and treatment, allows the nurse to ask only critical
questions and not exhaust the patient with questions that the nurse can find the answers to in the medical
record.
At which point in patient care would the nurse complete the evaluation step of the nursing process? - ansAt
predetermined times throughout patient care. The nurse evaluates patient progress at set intervals to
determine if the plan of care is appropriate, if the patient is making progress toward the goals of treatment, or
if the plan needs to be revised.
The nurse evaluates the patient's response to care and notes improvement regarding an acute mental health
concern. Which activity should follow? - ansThe plan shifts focus to prevention and health-promotion efforts.
As an acute situation resolves, the plan of care can shift focus to prevention and health-promotion strategies,
with the goal being that the acute concern does not recur.
The nurse's plan for a patient who presents with a mental health concern is appropriate if the interventions
have which characteristic? - ansAttainable and acceptable by both patient and nurse
The nursing intervention classification (NIC) system provides which benefit to the nurse planning for and
intervening on behalf of a patient with a mental health concern? - ansImproving quality of care through the use
of standardized interventionsNIC is evidence-based, so use of these interventions helps to ensure that quality
care is delivered.
Which actions taken by the nurse demonstrate implementation of the plan of care for the patient with a
mental health concern? - ansPracticing relaxation breathing with the patientPracticing relaxation breathing
would fall under Standard 5: Implementation; B: Health Teaching and Promotion.
Administering ordered doses of antidepressant medicationMedication administration would fall under
, Standard 5: Implementation; E: Pharmacological, Biological, and Integrative Therapies.
Helping the patient connect with an outpatient support groupHelping the patient connect with an outpatient
support group would fall under Standard 5: Implementation; A: Coordination of Care.
Providing positive reinforcement to a patient who eats breakfast in the common area with other
patientsPositive reinforcement would fall under Standard 5: Implementation; G: Therapeutic Relationships and
Counseling
Which actions taken by the nurse when providing care to Ms. Small best demonstrate an understanding of the
purpose of the assessment process? - ans-Inquiring about sleep habits
-Questioning about suicidal thoughts
-Identifying a nursing diagnosis at the end of the interview
-Indicating that they will be asked questions about their sadness
Which aspect of the patient outcome "Mr. X will report his pain at a 2 or below on a 0-10 pain scale" is missing?
- ansA time by which the outcome will be achieved.
The time by which the patient is expected to achieve the outcome is missing. An example, in this case, might be
"by discharge."
Which aspects of Ms. Small's plan of care would the nurse document as implementation? - ans-Take 20mg of
fluoxetine every morning.
-Decrease caffeinated beverages to no more than four per day.
Which characteristic of the patient with a mental health concern poses a challenge for the nurse while
collecting assessment data? - ansThe patient will often not admit to experiencing a problem. An aspect of
psychiatric illness can often be the patient's inability to see their own symptoms or disease. Therefore it can be
challenging for the nurse to collect meaningful historical assessment data.
Which examples of acceptable patient "charting" would the nursing instructor include in a lab activity on
A patient with a history of an anxiety disorder is brought to the emergency department by their spouse, who
tells the nurse the patient is having a panic attack. Which strategy can the nurse use to make collecting the
patient history data more tolerable for the patient? - ansReview the record for a history of similar episodes in
the past.
Knowing the patient's history, including previous episodes and treatment, allows the nurse to ask only critical
questions and not exhaust the patient with questions that the nurse can find the answers to in the medical
record.
At which point in patient care would the nurse complete the evaluation step of the nursing process? - ansAt
predetermined times throughout patient care. The nurse evaluates patient progress at set intervals to
determine if the plan of care is appropriate, if the patient is making progress toward the goals of treatment, or
if the plan needs to be revised.
The nurse evaluates the patient's response to care and notes improvement regarding an acute mental health
concern. Which activity should follow? - ansThe plan shifts focus to prevention and health-promotion efforts.
As an acute situation resolves, the plan of care can shift focus to prevention and health-promotion strategies,
with the goal being that the acute concern does not recur.
The nurse's plan for a patient who presents with a mental health concern is appropriate if the interventions
have which characteristic? - ansAttainable and acceptable by both patient and nurse
The nursing intervention classification (NIC) system provides which benefit to the nurse planning for and
intervening on behalf of a patient with a mental health concern? - ansImproving quality of care through the use
of standardized interventionsNIC is evidence-based, so use of these interventions helps to ensure that quality
care is delivered.
Which actions taken by the nurse demonstrate implementation of the plan of care for the patient with a
mental health concern? - ansPracticing relaxation breathing with the patientPracticing relaxation breathing
would fall under Standard 5: Implementation; B: Health Teaching and Promotion.
Administering ordered doses of antidepressant medicationMedication administration would fall under
, Standard 5: Implementation; E: Pharmacological, Biological, and Integrative Therapies.
Helping the patient connect with an outpatient support groupHelping the patient connect with an outpatient
support group would fall under Standard 5: Implementation; A: Coordination of Care.
Providing positive reinforcement to a patient who eats breakfast in the common area with other
patientsPositive reinforcement would fall under Standard 5: Implementation; G: Therapeutic Relationships and
Counseling
Which actions taken by the nurse when providing care to Ms. Small best demonstrate an understanding of the
purpose of the assessment process? - ans-Inquiring about sleep habits
-Questioning about suicidal thoughts
-Identifying a nursing diagnosis at the end of the interview
-Indicating that they will be asked questions about their sadness
Which aspect of the patient outcome "Mr. X will report his pain at a 2 or below on a 0-10 pain scale" is missing?
- ansA time by which the outcome will be achieved.
The time by which the patient is expected to achieve the outcome is missing. An example, in this case, might be
"by discharge."
Which aspects of Ms. Small's plan of care would the nurse document as implementation? - ans-Take 20mg of
fluoxetine every morning.
-Decrease caffeinated beverages to no more than four per day.
Which characteristic of the patient with a mental health concern poses a challenge for the nurse while
collecting assessment data? - ansThe patient will often not admit to experiencing a problem. An aspect of
psychiatric illness can often be the patient's inability to see their own symptoms or disease. Therefore it can be
challenging for the nurse to collect meaningful historical assessment data.
Which examples of acceptable patient "charting" would the nursing instructor include in a lab activity on
