NURS 661 Exam 1 QUESTIONS WITH COMPLETE
SOLUTIONS.
2023 UPDATED VERSION.
The nurse prepares to assess a patient diagnosed with major depression for
disturbances in circadian rhythms. Which question should the nurse ask this
patient?
a. Have you ever seen or heard things that others do not?
b. What are your worst and best times of the day?
c. How would you describe your thinking?
d. Do you think your memory is failing?
Answer: B
The nurse is serving on a committee charged with reviewing the roles and
responsibilities of the nurses on the psychiatric unit. Which publication should the
nurse bring to the first meeting?
1. Diagnostic and Statistical Manual of Mental Disorders
2. American Nurses Credentialing Center certification requirements
3. American Nurses Association, Code of Ethics
4. Psychiatric Mental Health Nursing Standards of Practice
Answer: 4
The psychiatric mental health nurse reflecting on professional role activities is
referred to the standards of professional performance by a colleague. To which
organization should the nurse look for guidance?
1. North American Nursing Diagnosis Association
2. American Nurses Credentialing Center
3. National League for Nursing
4. American Nurses Association
Answer: 4
The psychiatric mental health nurse is working with the new graduate nurse who is
orienting to the psychiatric unit. Which comment by the new graduate indicates
further clarification of the generalist-nursing role is needed?
,1. I would feel better if you would look at my documentation that addresses
progress toward treatment goals.
2. I will spend time each day evaluating the effectiveness of the therapeutic milieu.
3. I am a little nervous about conducting psychotherapy with clients.
4. I am doing some reading on how to incorporate complementary interventions
into treatment plans.
Answer: 3
The client on the psychiatric unit is asking questions about prevention of sexually
transmitted diseases. Given the PsychiatricMental Health Nursing Standards of
Practice, which action would be most appropriate for the nurse to take at this time?
1. Consult with the mental health care team.
2. Teach safer sexual practices.
3. Investigate the questions in individual psychotherapy.
4. Notify the attending psychiatrist.
Answer: 2
The client asks the nurse if certain changes can be made in the unit milieu. Which
action by the nurse indicates understanding of the nursing role in the therapeutic
milieu?
1. The nurse refers the clients requests to the psychiatric social worker.
2. The nurse discusses the desired changes with the client.
3. The nurse refers the clients requests to the psychosocial rehabilitation worker.
4. The nurse instructs the client that no changes can be made.
Answer: 2
Due to a staff members absence, the nurse is reviewing staff assignments for the
day. Which task can the nurse delegate to the psychosocial rehabilitation worker?
1. Conflict resolution teaching to a small group of clients
2. Comparison of physicians orders with the medication records
3. Routine medication administration to a stable client
4. Assessment of a long-term client
Answer: 1
If psychiatric nurses used Orems theory for structuring much of their nursing
practice, a major focus area for assessment would be the clients ability to do which
of the following?
1. Adapt and function to meet various role expectations.
2. Care about self and participate in self-healing.
3. Implement self-care to meet psychosocial needs.
, 4. Enter into a therapeutic one-to-one relationship with the nurse.
Answer: 3
The psychiatric mental health nurse is asked to develop an intervention for the
nursing unit based on Watsons theory of caring. Given this assignment, which
intervention is most appropriate for the nurse to implement?
1. One-to-one debriefing sessions each week with individual unit nurses and the
unit manager
2. Clarification of values and cultural beliefs that might pose barriers to caring for
clients
3. Identification of additional coping skills for new nurses on the unit
4. Discussion of the impact of recent changes in hospital policy on the nursing staff
Answer: 2
The unit manager is consistently advocating for self-awareness among the
psychiatric mental health nursing staff in order to promote quality care. From
which theoretical base is the unit manager operating?
1. Jean Watsons theory of human caring
2. Dorothea Orems theory of self-care
3. Martha Rogerss principles of homeodynamics
4. Sister Callista Roys adaptation theory
Answer: 1
Upon the clients arrival on the patient care unit, the nurse begins implementation
of the nursing process. Of which nursing theorist should the nurses practice be
most reflective?
1. Ida Jean Orlando
2. Jean Watson
3. Dorothea Orem
4. Hildegard Peplau
Answer: 4
If the nurse is using the nursing theory that has shaped psychiatric mental health
most directly, which nursing action is priority?
1. Assessing the clients abilities in areas of self-care
2. Teaching effective coping skills
3. Establishing a therapeutic nurseclient relationship
4. Encouraging the clients sensitivity and caring for self
Answer: 3
SOLUTIONS.
2023 UPDATED VERSION.
The nurse prepares to assess a patient diagnosed with major depression for
disturbances in circadian rhythms. Which question should the nurse ask this
patient?
a. Have you ever seen or heard things that others do not?
b. What are your worst and best times of the day?
c. How would you describe your thinking?
d. Do you think your memory is failing?
Answer: B
The nurse is serving on a committee charged with reviewing the roles and
responsibilities of the nurses on the psychiatric unit. Which publication should the
nurse bring to the first meeting?
1. Diagnostic and Statistical Manual of Mental Disorders
2. American Nurses Credentialing Center certification requirements
3. American Nurses Association, Code of Ethics
4. Psychiatric Mental Health Nursing Standards of Practice
Answer: 4
The psychiatric mental health nurse reflecting on professional role activities is
referred to the standards of professional performance by a colleague. To which
organization should the nurse look for guidance?
1. North American Nursing Diagnosis Association
2. American Nurses Credentialing Center
3. National League for Nursing
4. American Nurses Association
Answer: 4
The psychiatric mental health nurse is working with the new graduate nurse who is
orienting to the psychiatric unit. Which comment by the new graduate indicates
further clarification of the generalist-nursing role is needed?
,1. I would feel better if you would look at my documentation that addresses
progress toward treatment goals.
2. I will spend time each day evaluating the effectiveness of the therapeutic milieu.
3. I am a little nervous about conducting psychotherapy with clients.
4. I am doing some reading on how to incorporate complementary interventions
into treatment plans.
Answer: 3
The client on the psychiatric unit is asking questions about prevention of sexually
transmitted diseases. Given the PsychiatricMental Health Nursing Standards of
Practice, which action would be most appropriate for the nurse to take at this time?
1. Consult with the mental health care team.
2. Teach safer sexual practices.
3. Investigate the questions in individual psychotherapy.
4. Notify the attending psychiatrist.
Answer: 2
The client asks the nurse if certain changes can be made in the unit milieu. Which
action by the nurse indicates understanding of the nursing role in the therapeutic
milieu?
1. The nurse refers the clients requests to the psychiatric social worker.
2. The nurse discusses the desired changes with the client.
3. The nurse refers the clients requests to the psychosocial rehabilitation worker.
4. The nurse instructs the client that no changes can be made.
Answer: 2
Due to a staff members absence, the nurse is reviewing staff assignments for the
day. Which task can the nurse delegate to the psychosocial rehabilitation worker?
1. Conflict resolution teaching to a small group of clients
2. Comparison of physicians orders with the medication records
3. Routine medication administration to a stable client
4. Assessment of a long-term client
Answer: 1
If psychiatric nurses used Orems theory for structuring much of their nursing
practice, a major focus area for assessment would be the clients ability to do which
of the following?
1. Adapt and function to meet various role expectations.
2. Care about self and participate in self-healing.
3. Implement self-care to meet psychosocial needs.
, 4. Enter into a therapeutic one-to-one relationship with the nurse.
Answer: 3
The psychiatric mental health nurse is asked to develop an intervention for the
nursing unit based on Watsons theory of caring. Given this assignment, which
intervention is most appropriate for the nurse to implement?
1. One-to-one debriefing sessions each week with individual unit nurses and the
unit manager
2. Clarification of values and cultural beliefs that might pose barriers to caring for
clients
3. Identification of additional coping skills for new nurses on the unit
4. Discussion of the impact of recent changes in hospital policy on the nursing staff
Answer: 2
The unit manager is consistently advocating for self-awareness among the
psychiatric mental health nursing staff in order to promote quality care. From
which theoretical base is the unit manager operating?
1. Jean Watsons theory of human caring
2. Dorothea Orems theory of self-care
3. Martha Rogerss principles of homeodynamics
4. Sister Callista Roys adaptation theory
Answer: 1
Upon the clients arrival on the patient care unit, the nurse begins implementation
of the nursing process. Of which nursing theorist should the nurses practice be
most reflective?
1. Ida Jean Orlando
2. Jean Watson
3. Dorothea Orem
4. Hildegard Peplau
Answer: 4
If the nurse is using the nursing theory that has shaped psychiatric mental health
most directly, which nursing action is priority?
1. Assessing the clients abilities in areas of self-care
2. Teaching effective coping skills
3. Establishing a therapeutic nurseclient relationship
4. Encouraging the clients sensitivity and caring for self
Answer: 3
