NUR 162 Test 2 Test bank Questions With
Correct Answers
Which statement is most accurate regarding the assessment of clients diagnosed
| | | | | | | | | | |
with psychiatric problems?
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1. Medical history is of little significance and can be eliminated from the nursing
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assessment.
2. Assessment provides a holistic view of the client, including biopsychosocial
| | | | | | | | | | |
aspects.
3. Comprehensive assessments can be performed only by advanced practice
| | | | | | | | | |
nurses.
4. Psychosocial evaluations are gained by subjective reports rather than objective
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observations. - CORRECT ANSWER✔✔-2
| | |
2. Which statement regarding nursing interventions would a nurse identify as
| | | | | | | | | | |
accurate?
1. Nursing interventions are independent from the treatment team's goals.
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2. Nursing interventions are solely directed by written physician orders.
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3. Nursing interventions are comprehensive and reflect current clinical nursing
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practice
4. Nursing interventions are standardized by policies and procedures. - CORRECT
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ANSWER✔✔-3
3. Which function is exclusive to the advanced practice psychiatric nurse?
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,1. Teaching about the side effects of neuroleptic medications
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2. Using psychotherapy to improve mental health status
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3. Using milieu therapy to structure a therapeutic environment
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4. Providing case management to coordinate continuity of health services -
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CORRECT ANSWER✔✔-2 |
4. The nurse would recognize which acronym as representing problem-oriented
| | | | | | | | | |
charting?
1. SOAPI
|
2. APIE
|
3. DAR
|
4. PQRST - CORRECT ANSWER✔✔-1
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5. Which tool would be appropriate for a nurse to use when assessing mental
| | | | | | | | | | | | | |
acuity prior to and immediately following electroconvulsive therapy (ECT)?
| | | | | | | |
1. CIWA scale
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2. GGT
|
3. BMSE
|
4. CAPS scale - CORRECT ANSWER✔✔-3
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,6. Which is being assessed when a nurse asks a client to identify name, date,
| | | | | | | | | | | | | | |
residential address, and situation?
| | |
1. Mood
|
2. Perception
|
3. Orientation
|
4. Affect - CORRECT ANSWER✔✔-3
| | | |
7. Which describes the primary purpose of a registered nurse gathering client
| | | | | | | | | | | |
information?
1. It enables the nurse to modify behaviors related to personality disorders.
| | | | | | | | | | |
2. It enables the nurse to make sound clinical judgments and plan appropriate
| | | | | | | | | | | | |
care.
3. It enables the nurse to prescribe the appropriate medications.
| | | | | | | | |
4. It enables the nurse to assign the appropriate Axis I diagnosis. - CORRECT
| | | | | | | | | | | | | |
ANSWER✔✔-2
8. A nurse on an inpatient psychiatric unit implements care by scheduling client
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activities, interacting with clients, and maintaining a safe therapeutic
| | | | | | | | |
environment. These actions reflect which role of the nurse?
| | | | | | | |
1. Health teacher
| |
2. Case manager
| |
3. Milieu manager
| |
, 4. Psychotherapist - CORRECT ANSWER✔✔-3
| | | |
9. The following outcome was developed for a client: "Client will list five personal
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strengths by the end of day one." Which correctly written nursing diagnostic
| | | | | | | | | | | |
statement most likely generated the development of this outcome?
| | | | | | | |
1. Altered self-esteem R/T years of emotional abuse AEB self-deprecating
| | | | | | | | | |
statements
2. Self-care deficit R/T altered thought process
| | | | | |
3. Disturbed body image R/T major depressive disorder AEB mood rating of 2/10
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4. Risk for disturbed self-concept R/T hopelessness AEB suicide attempt -
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CORRECT ANSWER✔✔-1 |
10. How would a nurse prioritize nursing diagnoses?
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1. By the established goal of care
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2. By the life-threatening potential
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3. By the physician's priority of care
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4. By the client's preference - CORRECT ANSWER✔✔-2
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11. A client has a nursing diagnosis of Insomnia R/T paranoid thinking AEB MNA,
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DFA, and daytime napping. Which is a correctly written and appropriate outcome
| | | | | | | | | | | |
for this client?
| |
1. The client will avoid daytime napping and attend all groups.
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Correct Answers
Which statement is most accurate regarding the assessment of clients diagnosed
| | | | | | | | | | |
with psychiatric problems?
| |
1. Medical history is of little significance and can be eliminated from the nursing
| | | | | | | | | | | | | |
assessment.
2. Assessment provides a holistic view of the client, including biopsychosocial
| | | | | | | | | | |
aspects.
3. Comprehensive assessments can be performed only by advanced practice
| | | | | | | | | |
nurses.
4. Psychosocial evaluations are gained by subjective reports rather than objective
| | | | | | | | | | |
observations. - CORRECT ANSWER✔✔-2
| | |
2. Which statement regarding nursing interventions would a nurse identify as
| | | | | | | | | | |
accurate?
1. Nursing interventions are independent from the treatment team's goals.
| | | | | | | | |
2. Nursing interventions are solely directed by written physician orders.
| | | | | | | | |
3. Nursing interventions are comprehensive and reflect current clinical nursing
| | | | | | | | | |
practice
4. Nursing interventions are standardized by policies and procedures. - CORRECT
| | | | | | | | | | |
ANSWER✔✔-3
3. Which function is exclusive to the advanced practice psychiatric nurse?
| | | | | | | | | |
,1. Teaching about the side effects of neuroleptic medications
| | | | | | | |
2. Using psychotherapy to improve mental health status
| | | | | | |
3. Using milieu therapy to structure a therapeutic environment
| | | | | | | |
4. Providing case management to coordinate continuity of health services -
| | | | | | | | | | |
CORRECT ANSWER✔✔-2 |
4. The nurse would recognize which acronym as representing problem-oriented
| | | | | | | | | |
charting?
1. SOAPI
|
2. APIE
|
3. DAR
|
4. PQRST - CORRECT ANSWER✔✔-1
| | | |
5. Which tool would be appropriate for a nurse to use when assessing mental
| | | | | | | | | | | | | |
acuity prior to and immediately following electroconvulsive therapy (ECT)?
| | | | | | | |
1. CIWA scale
| |
2. GGT
|
3. BMSE
|
4. CAPS scale - CORRECT ANSWER✔✔-3
| | | | |
,6. Which is being assessed when a nurse asks a client to identify name, date,
| | | | | | | | | | | | | | |
residential address, and situation?
| | |
1. Mood
|
2. Perception
|
3. Orientation
|
4. Affect - CORRECT ANSWER✔✔-3
| | | |
7. Which describes the primary purpose of a registered nurse gathering client
| | | | | | | | | | | |
information?
1. It enables the nurse to modify behaviors related to personality disorders.
| | | | | | | | | | |
2. It enables the nurse to make sound clinical judgments and plan appropriate
| | | | | | | | | | | | |
care.
3. It enables the nurse to prescribe the appropriate medications.
| | | | | | | | |
4. It enables the nurse to assign the appropriate Axis I diagnosis. - CORRECT
| | | | | | | | | | | | | |
ANSWER✔✔-2
8. A nurse on an inpatient psychiatric unit implements care by scheduling client
| | | | | | | | | | | | |
activities, interacting with clients, and maintaining a safe therapeutic
| | | | | | | | |
environment. These actions reflect which role of the nurse?
| | | | | | | |
1. Health teacher
| |
2. Case manager
| |
3. Milieu manager
| |
, 4. Psychotherapist - CORRECT ANSWER✔✔-3
| | | |
9. The following outcome was developed for a client: "Client will list five personal
| | | | | | | | | | | | | |
strengths by the end of day one." Which correctly written nursing diagnostic
| | | | | | | | | | | |
statement most likely generated the development of this outcome?
| | | | | | | |
1. Altered self-esteem R/T years of emotional abuse AEB self-deprecating
| | | | | | | | | |
statements
2. Self-care deficit R/T altered thought process
| | | | | |
3. Disturbed body image R/T major depressive disorder AEB mood rating of 2/10
| | | | | | | | | | | |
4. Risk for disturbed self-concept R/T hopelessness AEB suicide attempt -
| | | | | | | | | | |
CORRECT ANSWER✔✔-1 |
10. How would a nurse prioritize nursing diagnoses?
| | | | | | |
1. By the established goal of care
| | | | | |
2. By the life-threatening potential
| | | |
3. By the physician's priority of care
| | | | | |
4. By the client's preference - CORRECT ANSWER✔✔-2
| | | | | | |
11. A client has a nursing diagnosis of Insomnia R/T paranoid thinking AEB MNA,
| | | | | | | | | | | | | |
DFA, and daytime napping. Which is a correctly written and appropriate outcome
| | | | | | | | | | | |
for this client?
| |
1. The client will avoid daytime napping and attend all groups.
| | | | | | | | | |