Process in Psychiatric/Mental Health
Nursing Exam With Detailed Answers
While evaluating the mental status of a client with schizophrenia, the nurse asks the
client, "Where are you now?" What is the nurse trying to assess in the client?
1. Orientation to time
2. Orientation to place
3. Orientation to person
4. Orientation to situation - CORRECT ANSWER-2. Orientation to place
The nurse instructs the client to tear a piece of paper in half and put it in the trash can.
What is the nurse trying to evaluate in the client through this instruction?
1. Abstract thinking
2. Ability to concentrate
3. Understanding spatial relationships
4. Ability to follow simple verbal commands - CORRECT ANSWER-4. Ability to follow
simple verbal commands
The nurse is performing a brief mental status evaluation in a client with psychiatric
illness. Which question should the nurse ask the client to assess abstract thinking?
1. "What year is it? What month is it? What day is it?"
2. "Repeat these words now: bell, book, and candle."
3. "What does this mean: 'No use crying over spilled milk'?"
4. "Tear this piece of paper in half and put it in the trash can." - CORRECT ANSWER-3.
"What does this mean: 'No use crying over spilled milk'?"
, What information does the nurse find under the section "mood/affect" in the mental
history form?
1. Euphoria
2. Obsessions
3. Projection
4. Acceptance - CORRECT ANSWER-1. Euphoria
When does a client with schizophrenia require risperidone therapy?
1. When the client experiences hallucinations
2. When the client expresses fear of failure
3. When the client has an unkempt appearance
4. When the client exhibits social withdrawal - CORRECT ANSWER-1. When the client
experiences hallucinations
A client with mental illness is admitted in the psychiatric unit. After admitting the client,
the nurse interviews the client's family members, reviews the client's records, and
performs a physical examination of the client. Which step of the nursing process do
these nursing actions reflect?
1. Assessment
2. Diagnosis
3. Planning
4. Implementation - CORRECT ANSWER-1. Assessment
Which category of the subjective, objective, assessment, plan, implementation, and
evaluation (SOAPIE) format documents the step of implementation in the nursing
process?
1. Subjective data (S)