NSG 357 Exam 1 Questions and Answers All Correct

NSG 357 Exam 1 Questions and Answers All Correct Name the steps of the nursing process. - Answer-Assessment, Diagnosis, Outcome, Planning, Implementation, Evaluation A systematic framework for the delivery of nursing care - Answer-The nursing process Is the nursing process dynamic or static? - Answer-Dynamic In which step of the nursing process is information gathered in order to establish a client database? - Answer-Assessment In which step of the nursing process are data from the assessment analyzed? - Answer- Diagnosis What two parts of the nursing assessment are unique to psych nursing? - Answer-Bio- psychosocial assessment and mental status exam Name components of the bio-psychosocial exam history assessment. - Answer-1. Identifying info 2. Chief complaint 3. History of present illness 4. Psychiatric history 5. Alcohol and substance use history 6. Medical history 7. Developmental history 8. Social history 9. Culture and spirituality 10. Coping skills What does WRAP stand for? - Answer-Wellness Recovery Action Plan What is the best predictor of future behavior? - Answer-Past behavior Name components of the mental status exam. - Answer-1. Appearance, attitude, activation 2. Speech 3. Mood and affect 4. Thought content and process 5. Perceptions 6. Cognition 7. Impulse control 8. Judgement and insight What is the difference between mood and affect? - Answer-Mood = subjective, client's self assessment Affect = objective, observed state What does the Mini Mental Status Exam (MMSE) test? - Answer-Memory If a client tells you that they have thought about suicide, what do you ask next? - Answer-Do you have a plan? Does the mental status examination require a lot of direct questioning? - Answer-No Misinterpretations of true stimuli - Answer-Illusions Sensations experienced by client without real external stimuli - Answer-Hallucinations Ability to delay, modulate, or inhibit expression of behaviors and feelings - Answer- Impulse control A comprehensive, standardized classification of patient outcomes developed to evaluate the effects of nursing interventions - Answer-Nursing Outcomes Classification (NOC) In which step of the nursing process are interventions selected during the planning stage are executed? - Answer-Implementation Which step of the nursing process measures progress toward attainment of expected outcomes? - Answer-Evaluation According to the American Nurses Association (ANA) standards of practice for mental health nurses, which specific intervention can be implemented by any psychiatric/mental health nurse generalist? - Answer-Milieu therapy Is documentation necessary? - Answer-Yes. If you said no, please quit now. Name examples of documentation that reflect use of the nursing process. - Answer-1. Problem-Oriented Recording (POR) 2. Focus charting 3. APIE method A scientific structuring of the environment to effect behavioral changes and to improve the psychological health and functioning of the individual - Answer-Milieu therapy Name some basic assumptions of milieu therapy. - Answer-1. The health in each individual is to be realized and encouraged to grow 2. Every interaction is an opportunity for therapeutic intervention 3. The client owns his or her own environment 4. Each client owns his or her own behavior 5. Peer pressure is a powerful tool 6. Inappropriate behaviors are dealt with as they occur 7. Restrictions and punishment are to be avoided What type of government best promotes a therapeutic community? - Answer- Democratic Name the levels of Maslow's Hierarchy of Needs. - Answer-Physiological - safety - belonging - esteem - self-actualization What is the role of the psychiatric social worker as a member of the interdisciplinary treatment team? - Answer-Conduct individual, group, and family therapy