Chapter 09. The Nursing Process in
Psychiatric/Mental Health Nursing 9TH ED
TB Updated Q AND A (1-33).
1. Which data-gathering technique is employed during the assessment phase of the nursing
process?
A. Asking the client to rate mood after administering an antidepressant
B. Asking the client to verbalize understanding of previously explained unit rules
C. Asking the client to describe any thoughts of self-harm
D. Asking the client if the group on assertiveness skills was helpful - CORRECT
ANSWER✅✅✅C. Asking the client to describe any thoughts of self-harm
The nurse should ask the client to describe any thoughts of self-harm during the assessment
phase of the nursing process. Assessment involves collecting and analyzing data about the client
that may include the following dimensions: physical, psychological, sociocultural, spiritual,
cognitive, developmental, economic, lifestyle, and functional abilities. The other three options
are employed during the evaluation phase of the nursing process.
2. Which statement is most accurate regarding the assessment of clients diagnosed with
psychiatric problems?
A. Medical history is of little significance and can be eliminated from the nursing assessment.
B. Assessment provides a holistic view of the client, including biopsychosocial aspects.
C. Comprehensive assessments can be performed only by advanced practice nurses.
D. Psychosocial evaluations are gained by subjective reports rather than objective observations. -
CORRECT ANSWER✅✅✅B. Assessment provides a holistic view of the client, including
biopsychosocial aspects.
The assessment of clients diagnosed with psychiatric problems should provide a holistic view of
the client. A thorough assessment involves collecting and analyzing data from the client,
significant others, and health-care providers that may include the following dimensions:
physical, psychological, sociocultural, spiritual, cognitive, developmental, economic, lifestyle,
and functional abilities.
, 3. Which nursing diagnosis should a nurse identify as being correctly formulated?
A. Schizophrenia R/T biochemical alterations AEB altered thought
B. Self-care deficit: hygiene R/T altered thought as AEB disheveled appearance
C. Depressed mood R/T multiple life stressors
D. Developmental disability R/T early-onset schizophrenia AEB hallucinations - CORRECT
ANSWER✅✅✅B. Self-care deficit: hygiene R/T altered thought as AEB disheveled
appearance
The nurse should determine that the correctly written diagnosis would be Self-care deficit:
hygiene R/T altered thought AEB disheveled appearance. The nursing diagnosis should describe
the unhealthy response (inference), the contributing factors, and the data that support the
inference.
4. Which expected client outcome should a nurse identify as being correctly formulated?
A. Client will feel happier by discharge.
B. Client will demonstrate two relaxation techniques.
C. Client will verbalize triggers to anger by end of session.
D. Client will initiate interaction with one peer during free time within 2 days. - CORRECT
ANSWER✅✅✅D. Client will initiate interaction with one peer during free time within 2
days.
The statement Client will initiate interaction with one peer during free time within 2 days is an
example of a correctly formulated expected outcome. Outcomes should be measurable, realistic,
client-focused goals that include a time frame. Appropriate nursing interventions are guided by
client outcomes.
5. Which statement regarding nursing interventions should a nurse identify as accurate?
A. Nursing interventions are independent from the treatment teams goals.
B. Nursing interventions are directed solely by written physician orders.
C. Nursing interventions occur independently but in concert with overall treatment team goals.
Psychiatric/Mental Health Nursing 9TH ED
TB Updated Q AND A (1-33).
1. Which data-gathering technique is employed during the assessment phase of the nursing
process?
A. Asking the client to rate mood after administering an antidepressant
B. Asking the client to verbalize understanding of previously explained unit rules
C. Asking the client to describe any thoughts of self-harm
D. Asking the client if the group on assertiveness skills was helpful - CORRECT
ANSWER✅✅✅C. Asking the client to describe any thoughts of self-harm
The nurse should ask the client to describe any thoughts of self-harm during the assessment
phase of the nursing process. Assessment involves collecting and analyzing data about the client
that may include the following dimensions: physical, psychological, sociocultural, spiritual,
cognitive, developmental, economic, lifestyle, and functional abilities. The other three options
are employed during the evaluation phase of the nursing process.
2. Which statement is most accurate regarding the assessment of clients diagnosed with
psychiatric problems?
A. Medical history is of little significance and can be eliminated from the nursing assessment.
B. Assessment provides a holistic view of the client, including biopsychosocial aspects.
C. Comprehensive assessments can be performed only by advanced practice nurses.
D. Psychosocial evaluations are gained by subjective reports rather than objective observations. -
CORRECT ANSWER✅✅✅B. Assessment provides a holistic view of the client, including
biopsychosocial aspects.
The assessment of clients diagnosed with psychiatric problems should provide a holistic view of
the client. A thorough assessment involves collecting and analyzing data from the client,
significant others, and health-care providers that may include the following dimensions:
physical, psychological, sociocultural, spiritual, cognitive, developmental, economic, lifestyle,
and functional abilities.
, 3. Which nursing diagnosis should a nurse identify as being correctly formulated?
A. Schizophrenia R/T biochemical alterations AEB altered thought
B. Self-care deficit: hygiene R/T altered thought as AEB disheveled appearance
C. Depressed mood R/T multiple life stressors
D. Developmental disability R/T early-onset schizophrenia AEB hallucinations - CORRECT
ANSWER✅✅✅B. Self-care deficit: hygiene R/T altered thought as AEB disheveled
appearance
The nurse should determine that the correctly written diagnosis would be Self-care deficit:
hygiene R/T altered thought AEB disheveled appearance. The nursing diagnosis should describe
the unhealthy response (inference), the contributing factors, and the data that support the
inference.
4. Which expected client outcome should a nurse identify as being correctly formulated?
A. Client will feel happier by discharge.
B. Client will demonstrate two relaxation techniques.
C. Client will verbalize triggers to anger by end of session.
D. Client will initiate interaction with one peer during free time within 2 days. - CORRECT
ANSWER✅✅✅D. Client will initiate interaction with one peer during free time within 2
days.
The statement Client will initiate interaction with one peer during free time within 2 days is an
example of a correctly formulated expected outcome. Outcomes should be measurable, realistic,
client-focused goals that include a time frame. Appropriate nursing interventions are guided by
client outcomes.
5. Which statement regarding nursing interventions should a nurse identify as accurate?
A. Nursing interventions are independent from the treatment teams goals.
B. Nursing interventions are directed solely by written physician orders.
C. Nursing interventions occur independently but in concert with overall treatment team goals.
