NURS 661 Maryville EXAM 1 Latest 2025
Questions and Answers () (Verified
Answers)
1. 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?: ANS Answer: B
2. 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: ANS Answer: 4
,3. 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: ANS Answer: 4
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 interven-
tions into treatment plans.: ANS Answer: 3
5. 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.: ANS Answer: 2
6. 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.: ANS Answer: 2
7. Due to a staff members absence, the nurse is reviewing staff assignments
for the day. Which task can the nurse delegate to the psychosocial rehabilita-
tion 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: ANS Answer: 1
8. If psychiatric nurses used Orems theory for structuring much of their nurs-
ing 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.:
ANS Answer: 3
9. 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
Questions and Answers () (Verified
Answers)
1. 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?: ANS Answer: B
2. 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: ANS Answer: 4
,3. 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: ANS Answer: 4
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 interven-
tions into treatment plans.: ANS Answer: 3
5. 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.: ANS Answer: 2
6. 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.: ANS Answer: 2
7. Due to a staff members absence, the nurse is reviewing staff assignments
for the day. Which task can the nurse delegate to the psychosocial rehabilita-
tion 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: ANS Answer: 1
8. If psychiatric nurses used Orems theory for structuring much of their nurs-
ing 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.:
ANS Answer: 3
9. 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
