NR 606 Week 4 Midterm Exam
Diagnosis and Management in Psychiatric-Mental Health II Practicum
75 Multiple-Choice with Correct Answers Highlighted GRADED A
Instructions: Choose the best answer for each question. Correct answers are shown in bold green with a light-green highlight
and ✓.
1. Before modifying a care plan to meet a patient’s changing needs, the nurse’s first action should be to:
A. Discuss the changes with the physician
B. Collect new assessment data about the patient’s current status ✓
C. Rewrite all nursing diagnoses
D. Discontinue previous interventions immediately
2. True or False: Actual or potential health problems that can be prevented or resolved by dependent nursing
intervention are termed nursing diagnoses.
A. True
B. False ✓
3. Objective data is usually recorded:
A. In the patient’s own words
B. As measurable, observable findings (vital signs, lab results, physical exam) ✓
C. Only by the physician
D. As the patient’s feelings and perceptions
4. The examiner’s evaluation of a patient’s mental status belongs in the:
A. Review of systems
B. Physical examination / mental status examination section ✓
C. Chief complaint only
D. Past medical history only
5. Which of the following components is not related to the format of a nursing diagnosis?
A. Problem (diagnostic label)
B. Etiology (related to)
C. Medical diagnosis code (ICD-10) ✓
D. Defining characteristics (as evidenced by)
6. Differential diagnoses belong in the:
A. Nursing care plan only
B. Assessment / diagnostic reasoning section of the clinical note ✓
C. Medication administration record
D. Discharge summary only
7. Which of the following outcome statements contains the best example of performance criteria? The patient will:
A. Feel better soon
B. Walk 50 feet in the hallway with a walker by the end of the shift ✓
C. Understand the importance of exercise
D. Improve mobility
8. True or False: Nursing assessments have the same components as medical assessment, but with less detail.
A. True
B. False ✓
9. A patient tells the nurse that he is nervous, he is nauseated, and he “feels hot.” This type of data is:
A. Objective data
B. Subjective data ✓
C. Secondary source data only
D. Laboratory data
, 10. A 42-year-old Asian patient is being seen at the clinic for an initial examination. The nurse knows that it is
important to include cultural information in his health assessment to:
A. Identify any cultural beliefs or practices that may influence health and care ✓
B. Determine the patient’s insurance status
C. Decide which medications to prescribe
D. Avoid performing a physical examination
11. When questioning a patient regarding alcohol intake, she tells you that she is “only a social drinker.” Which initial
response is appropriate?
A. That’s fine; social drinking is not a problem
B. What amount and what kind of alcohol do you drink in a week? ✓
C. You should stop drinking completely
D. Social drinking is the same as alcoholism
12. What amount and what kind of alcohol do you drink in a week? (This is an appropriate clarifying question after a
patient says they are a “social drinker.”)
A. This is an appropriate follow-up question ✓
B. This question is inappropriate and judgmental
C. This question should never be asked
D. This question only applies to men
13. True or False: Carrying out a physician-initiated order is an example of an independent nursing action.
A. True
B. False ✓
14. Where would you document that a patient had a flu vaccination last month?
A. Chief complaint
B. Past medical / immunization history or health maintenance section ✓
C. Review of systems – psychiatric
D. Physical examination – cardiovascular
15. Which of the following questions may lead to an inaccurate patient response?
A. Open-ended questions that allow free expression
B. Leading or judgmental questions (e.g., “You don’t drink much, do you?”) ✓
C. Clarifying questions
D. Questions asked in a private setting
16. The nurse is performing a physical assessment on a newly admitted patient. An example of objective information
obtained during the physical assessment includes the:
A. Patient’s report of pain rated 7/10
B. 2+ pitting edema of the lower extremities and blood pressure 148/92 mmHg ✓
C. Patient’s statement “I feel dizzy”
D. Family member’s report of the patient’s usual appetite
17. The review of systems is a component of the:
A. Physical examination only
B. Health history / subjective data collection ✓
C. Laboratory results section
D. Nursing care plan interventions
18. True or False: Clearly identifying patient strengths and actual and potential problems is a part of the nursing
process known as assessing.
A. True
B. False (this is primarily the diagnosing / analysis step) ✓
19. A detailed description of the symptoms related to the chief concern is presented in the:
A. Past medical history
B. History of present illness (HPI) ✓
C. Family history
D. Social history only
Diagnosis and Management in Psychiatric-Mental Health II Practicum
75 Multiple-Choice with Correct Answers Highlighted GRADED A
Instructions: Choose the best answer for each question. Correct answers are shown in bold green with a light-green highlight
and ✓.
1. Before modifying a care plan to meet a patient’s changing needs, the nurse’s first action should be to:
A. Discuss the changes with the physician
B. Collect new assessment data about the patient’s current status ✓
C. Rewrite all nursing diagnoses
D. Discontinue previous interventions immediately
2. True or False: Actual or potential health problems that can be prevented or resolved by dependent nursing
intervention are termed nursing diagnoses.
A. True
B. False ✓
3. Objective data is usually recorded:
A. In the patient’s own words
B. As measurable, observable findings (vital signs, lab results, physical exam) ✓
C. Only by the physician
D. As the patient’s feelings and perceptions
4. The examiner’s evaluation of a patient’s mental status belongs in the:
A. Review of systems
B. Physical examination / mental status examination section ✓
C. Chief complaint only
D. Past medical history only
5. Which of the following components is not related to the format of a nursing diagnosis?
A. Problem (diagnostic label)
B. Etiology (related to)
C. Medical diagnosis code (ICD-10) ✓
D. Defining characteristics (as evidenced by)
6. Differential diagnoses belong in the:
A. Nursing care plan only
B. Assessment / diagnostic reasoning section of the clinical note ✓
C. Medication administration record
D. Discharge summary only
7. Which of the following outcome statements contains the best example of performance criteria? The patient will:
A. Feel better soon
B. Walk 50 feet in the hallway with a walker by the end of the shift ✓
C. Understand the importance of exercise
D. Improve mobility
8. True or False: Nursing assessments have the same components as medical assessment, but with less detail.
A. True
B. False ✓
9. A patient tells the nurse that he is nervous, he is nauseated, and he “feels hot.” This type of data is:
A. Objective data
B. Subjective data ✓
C. Secondary source data only
D. Laboratory data
, 10. A 42-year-old Asian patient is being seen at the clinic for an initial examination. The nurse knows that it is
important to include cultural information in his health assessment to:
A. Identify any cultural beliefs or practices that may influence health and care ✓
B. Determine the patient’s insurance status
C. Decide which medications to prescribe
D. Avoid performing a physical examination
11. When questioning a patient regarding alcohol intake, she tells you that she is “only a social drinker.” Which initial
response is appropriate?
A. That’s fine; social drinking is not a problem
B. What amount and what kind of alcohol do you drink in a week? ✓
C. You should stop drinking completely
D. Social drinking is the same as alcoholism
12. What amount and what kind of alcohol do you drink in a week? (This is an appropriate clarifying question after a
patient says they are a “social drinker.”)
A. This is an appropriate follow-up question ✓
B. This question is inappropriate and judgmental
C. This question should never be asked
D. This question only applies to men
13. True or False: Carrying out a physician-initiated order is an example of an independent nursing action.
A. True
B. False ✓
14. Where would you document that a patient had a flu vaccination last month?
A. Chief complaint
B. Past medical / immunization history or health maintenance section ✓
C. Review of systems – psychiatric
D. Physical examination – cardiovascular
15. Which of the following questions may lead to an inaccurate patient response?
A. Open-ended questions that allow free expression
B. Leading or judgmental questions (e.g., “You don’t drink much, do you?”) ✓
C. Clarifying questions
D. Questions asked in a private setting
16. The nurse is performing a physical assessment on a newly admitted patient. An example of objective information
obtained during the physical assessment includes the:
A. Patient’s report of pain rated 7/10
B. 2+ pitting edema of the lower extremities and blood pressure 148/92 mmHg ✓
C. Patient’s statement “I feel dizzy”
D. Family member’s report of the patient’s usual appetite
17. The review of systems is a component of the:
A. Physical examination only
B. Health history / subjective data collection ✓
C. Laboratory results section
D. Nursing care plan interventions
18. True or False: Clearly identifying patient strengths and actual and potential problems is a part of the nursing
process known as assessing.
A. True
B. False (this is primarily the diagnosing / analysis step) ✓
19. A detailed description of the symptoms related to the chief concern is presented in the:
A. Past medical history
B. History of present illness (HPI) ✓
C. Family history
D. Social history only
