Mental Health Chapter 7 with verified test.

Mental Health Chapter 7 with verified test. In psychiatric nursing, assessment of a "client" refers exclusively to A. an individual with a psychiatric diagnosis. B. an individual, family, group, or community. C. any person who seeks the assistance of the psychiatric nurse. D. the person identified by the system as being in need of treatment. - correct answers.B. an individual, family, group, or community. Standards of practice for psychiatric nursing indicate that the client can be an individual, a family, a group, or a community. High levels of anxiety and maladaptive behavior are seen A. in all areas in the health care setting. B. only in the psychiatric mental health setting. C. where death is a frequent outcome despite treatment. D. when the nurse and client have yet to establish a therapeutic relationship. - correct answers.A. in all areas in the health care setting. Anxiety occurs whenever individuals are faced with unfamiliar circumstances or other threats to the self. The health care setting presents many possible threats to the self, such as illness, disability, surgery, and pain. Which activity is NOT considered a purpose of the initial psychiatric assessment? A. Obtaining understanding of the current problem B. Identifying treatment goals C. Formulating a plan of care D. Evaluating the results of intervention - correct answers.D. Evaluating the results of intervention At an initial assessment, no interventions would have taken place; hence evaluation is not a purpose of the initial contact. The primary source for data collection during a psychiatric nursing assessment is the A. client's own words and actions. B. client's family and friends. C. client's nonverbal responses. D. client's medical treatment records. - correct answers.A. The client should always be considered the primary data source. At times, however, the client will be unable to fulfill this role. The nurse best ensures appropriate client care when choosing an intervention from a Nursing Interventions Classification that matches both A. the condition's etiology and the client's symptomatology. B. the nursing diagnosis and the condition's etiology. C. the defining data and the nursing diagnosis. D. the medical diagnosis and the nursing diagnosis. - correct answers.C. When choosing nursing interventions from the Nursing Interventions Classification or some other source, the nurse selects interventions that fit the nursing diagnosis (e.g., risk for suicide) and that match the defining data. During the initial assessment interview with a psychiatric client, the nurse should regard the spiritual assessment as A. optional. B. important to complete. C. less relevant than the cultural assessment. D. relevant only when the client is oriented. - correct answers.B. For many clients, religious or spiritual practices are an important part of the quality of their lives. Nurses should support the spiritual dimension of the person. To do so, assessment is necessary. What three structural components comprise a nursing diagnosis? A. Problem, outcome, intervention B. Problem, etiology, supporting data C. Unmet need, goal, outcome criterion D. Presenting symptom, treatment, goal - correct answers.B. The components of the nursing diagnosis are problem, etiology, and supporting data. A tool the novice nurse might refer to when writing treatment results criteria is the A. North American Nursing Diagnosis Association (NANDA). B. Joint Commission (formally JCAHO). C. Nursing Interventions Classification (NIC). D. Nursing Outcomes Classification (NOC). - correct answers.D. The Nursing Outcomes Classification is a publication used as a resource across the United States.