Chapter 10 - Psychiatric-Mental
Health Nursing Process Study
Questions and Answers
The nurse is selecting a relaxation technique for a client with post-traumatic stress disorder.
Which techniques would the nurse consider most helpful for this client? Select all that apply.
guided imagery
deep breathing exercises
massage
hypnosis
distraction - correct answer: distraction
-guided imagery
-deep breathing exercises
What suggestions should a nurse make when providing a client with nonpharmacologic
interventions for dysfunction sleep patterns? Select all that apply.
Establishing a consistent bedtime routine
Going to bed only when tired
Using the bedroom only for sleeping or intimacy
Taking a short nap late in the afternoon
Avoiding a heavy bedtime snack - correct answer: Avoiding a heavy bedtime snack
-Establishing a consistent bedtime routine
-Going to bed only when tired
-Using the bedroom only for sleeping or intimacy
,A delusion represents a problem in which area?
Memory
Motivation
Orientation
Thinking - correct answer: thinking
A nurse documents that "the client describes the recent breakup of a dating relationship with
an emotionless tone and a flat facial expression." In which section of the mental status exam
would the nurse have documented this statement?
blocking
feelings
affect
mood - correct answer: affect
Sexuality and self-harm behaviors are often difficult areas for nurses to assess. An effective way
for nurses to deal with this discomfort includes what?
Recognizing that these areas may also be uncomfortable for the client to discuss.
Sharing feelings of discomfort with the client.
Deferring assessing these areas to a more experienced nurse.
Developing a standard question to ask of all clients during this area of assessment. - correct
answer: Recognizing that these areas may also be uncomfortable for the client to discuss.
A client states, "I don't want to eat anything because I am afraid that my food is poisoned."
Which intervention is best for the nurse to perform to encourage the client to eat?
, Tell the client to take vitamins on a daily basis.
Ask the client about favorite foods to add for meals.
Discuss the importance of proper nutrition with the client.
Encourage the client to help with meal preparation. - correct answer: Encourage the client to
help with meal preparation.
The nurse is performing a cultural assessment on a client admitted with depression. What
question would obtain the most detailed assessment information?
"Do you believe in medicine men?"
"Are you from another country?"
"What is your definition of health?"
"Do you seek help when you are ill?" - correct answer: "What is your definition of health?"
The nurse is performing an assessment on a mental health client. She is asking him about
relationships in his life and his use of coping skills. What type of assessment is the nurse
performing?
Mental status assessment
Psychosocial assessment
Health history
Psychological assessment - correct answer: Psychosocial assessment
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?
Health Nursing Process Study
Questions and Answers
The nurse is selecting a relaxation technique for a client with post-traumatic stress disorder.
Which techniques would the nurse consider most helpful for this client? Select all that apply.
guided imagery
deep breathing exercises
massage
hypnosis
distraction - correct answer: distraction
-guided imagery
-deep breathing exercises
What suggestions should a nurse make when providing a client with nonpharmacologic
interventions for dysfunction sleep patterns? Select all that apply.
Establishing a consistent bedtime routine
Going to bed only when tired
Using the bedroom only for sleeping or intimacy
Taking a short nap late in the afternoon
Avoiding a heavy bedtime snack - correct answer: Avoiding a heavy bedtime snack
-Establishing a consistent bedtime routine
-Going to bed only when tired
-Using the bedroom only for sleeping or intimacy
,A delusion represents a problem in which area?
Memory
Motivation
Orientation
Thinking - correct answer: thinking
A nurse documents that "the client describes the recent breakup of a dating relationship with
an emotionless tone and a flat facial expression." In which section of the mental status exam
would the nurse have documented this statement?
blocking
feelings
affect
mood - correct answer: affect
Sexuality and self-harm behaviors are often difficult areas for nurses to assess. An effective way
for nurses to deal with this discomfort includes what?
Recognizing that these areas may also be uncomfortable for the client to discuss.
Sharing feelings of discomfort with the client.
Deferring assessing these areas to a more experienced nurse.
Developing a standard question to ask of all clients during this area of assessment. - correct
answer: Recognizing that these areas may also be uncomfortable for the client to discuss.
A client states, "I don't want to eat anything because I am afraid that my food is poisoned."
Which intervention is best for the nurse to perform to encourage the client to eat?
, Tell the client to take vitamins on a daily basis.
Ask the client about favorite foods to add for meals.
Discuss the importance of proper nutrition with the client.
Encourage the client to help with meal preparation. - correct answer: Encourage the client to
help with meal preparation.
The nurse is performing a cultural assessment on a client admitted with depression. What
question would obtain the most detailed assessment information?
"Do you believe in medicine men?"
"Are you from another country?"
"What is your definition of health?"
"Do you seek help when you are ill?" - correct answer: "What is your definition of health?"
The nurse is performing an assessment on a mental health client. She is asking him about
relationships in his life and his use of coping skills. What type of assessment is the nurse
performing?
Mental status assessment
Psychosocial assessment
Health history
Psychological assessment - correct answer: Psychosocial assessment
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?
