Chapter 6: Classification in Psychiatry
Test Bank
MULTIPLE CHOICE
1. The patient asks the nurse, Ive heard the student nurses talk about the nursing process. Why is
there so much emphasis on using the nursing process? The response that explains the need for
nurses to understand and use the nursing process is:
a. Do you think you have a better method we might use?
b. The nursing process is a systematic problem-solving method encompassing all
components necessary to care for patients.
c. Using the nursing process is a way of legitimizing our profession and placing us
on an equal footing with the pure sciences.
d. The nursing process is a unidimensional, static, linear approach used to guide
nurses as they make clinical judgments.
ANS: B
This response best explains the importance of the nursing process by description and relationship
to patient care. Suggesting that the patient may have a better method is challenging and does not
HTTPS://PASINGGRADES.COM/
,address the question posed by the patient. Providing legitimacy to the profession is a very limited
explanation for use of the nursing process. The nursing process is not one-dimensional, static, or
linear.
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
2. When preparing to conduct a nursing history and assessment on a patient transferred from the
emergency department (ED) whose family believes the patient to be a questionable historian due
to cognitive impairment, the nurse initially begins the interview by:
a. Reviewing the ED chart
b. Contacting the admitting physician
c. Directing the questions to the family members
d. Establishing a line of communication with the patient
ANS: D
The nurse should begin establishing the nursepatient relationship by initially directing the
questions to the patient. The nurse can confirm information and/or obtain supplementary
information from the sources identified by the other options.
TOP: Nursing Process: Assessment MSC: NCLEX: Safe and Effective Care Environment
3. The nurse shows the ability to effectively state a nursing diagnosis reflective of the
implications of depression on a patients life processes when stating in the patients plan of care
that:
a. Patient outcomes were partially attained. Implementation of present plan to
continue.
b. Patient will initiate and support conversation with nurse therapist by (date 3
weeks in future).
c. Oral medication for anxiety should be administered when depression is assessed
to be at the moderate level.
HTTPS://PASINGGRADES.COM/
, d. Impaired verbal communication r/t impoverished thoughts secondary to
depression as evidenced by monosyllabic responses.
ANS: D
This statement contains the various components of a nursing diagnosis while expressing the
existence of an altered life process. The remaining options reflect other steps, such as evaluation
and intervention planning.
MSC: NCLEX: Safe and Effective Care Environment
4. When engaging in outcomes identification, the nurse:
a. Interviews and collects patient-focused data
b. Re-assesses the patients physical and emotional status evaluation
c. Reviews the patients existing problems and projects the results of the nursing
care
d. Considers the patients presenting symptoms and identifies nursing-related
problems
ANS: C
Outcomes are projections of expected influence that nursing interventions will have on the
patient. Interviewing and collecting data is involved in the assessment process, re-assessing is
involved in the evaluation process, and identifying related nursing problems is involved in
determining appropriate nursing diagnoses.
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
5. While discussing assessment of suicidal patients, a novice nurse mentions, I was taught to
always base my care on concrete, evidence-based scientific reasoning and never to rely on
intuition. Which response by the experienced nurse shows understanding of intuitive reasoning?
a. Thats wise, because intuition went out of favor with the scientific revolution.
HTTPS://PASINGGRADES.COM/
Test Bank
MULTIPLE CHOICE
1. The patient asks the nurse, Ive heard the student nurses talk about the nursing process. Why is
there so much emphasis on using the nursing process? The response that explains the need for
nurses to understand and use the nursing process is:
a. Do you think you have a better method we might use?
b. The nursing process is a systematic problem-solving method encompassing all
components necessary to care for patients.
c. Using the nursing process is a way of legitimizing our profession and placing us
on an equal footing with the pure sciences.
d. The nursing process is a unidimensional, static, linear approach used to guide
nurses as they make clinical judgments.
ANS: B
This response best explains the importance of the nursing process by description and relationship
to patient care. Suggesting that the patient may have a better method is challenging and does not
HTTPS://PASINGGRADES.COM/
,address the question posed by the patient. Providing legitimacy to the profession is a very limited
explanation for use of the nursing process. The nursing process is not one-dimensional, static, or
linear.
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
2. When preparing to conduct a nursing history and assessment on a patient transferred from the
emergency department (ED) whose family believes the patient to be a questionable historian due
to cognitive impairment, the nurse initially begins the interview by:
a. Reviewing the ED chart
b. Contacting the admitting physician
c. Directing the questions to the family members
d. Establishing a line of communication with the patient
ANS: D
The nurse should begin establishing the nursepatient relationship by initially directing the
questions to the patient. The nurse can confirm information and/or obtain supplementary
information from the sources identified by the other options.
TOP: Nursing Process: Assessment MSC: NCLEX: Safe and Effective Care Environment
3. The nurse shows the ability to effectively state a nursing diagnosis reflective of the
implications of depression on a patients life processes when stating in the patients plan of care
that:
a. Patient outcomes were partially attained. Implementation of present plan to
continue.
b. Patient will initiate and support conversation with nurse therapist by (date 3
weeks in future).
c. Oral medication for anxiety should be administered when depression is assessed
to be at the moderate level.
HTTPS://PASINGGRADES.COM/
, d. Impaired verbal communication r/t impoverished thoughts secondary to
depression as evidenced by monosyllabic responses.
ANS: D
This statement contains the various components of a nursing diagnosis while expressing the
existence of an altered life process. The remaining options reflect other steps, such as evaluation
and intervention planning.
MSC: NCLEX: Safe and Effective Care Environment
4. When engaging in outcomes identification, the nurse:
a. Interviews and collects patient-focused data
b. Re-assesses the patients physical and emotional status evaluation
c. Reviews the patients existing problems and projects the results of the nursing
care
d. Considers the patients presenting symptoms and identifies nursing-related
problems
ANS: C
Outcomes are projections of expected influence that nursing interventions will have on the
patient. Interviewing and collecting data is involved in the assessment process, re-assessing is
involved in the evaluation process, and identifying related nursing problems is involved in
determining appropriate nursing diagnoses.
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
5. While discussing assessment of suicidal patients, a novice nurse mentions, I was taught to
always base my care on concrete, evidence-based scientific reasoning and never to rely on
intuition. Which response by the experienced nurse shows understanding of intuitive reasoning?
a. Thats wise, because intuition went out of favor with the scientific revolution.
HTTPS://PASINGGRADES.COM/
