NURS 661 ACTUAL EXAM 3 LATEST COMPLETE REAL EXAM ACTUAL QUESTIONS AND CORRECT VERIFIED SOLUTIONS (A NEW UPDATED VERSION)

NURS 661 Maryville EXAM 1 Questions and Answers
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(Verified Answers) G




1. The nurse prepares to assess a patient diagnosed with major depression f
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or disturbances in circadian rhythms. Which question should the nurse ask t
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his patient?
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a. Have you ever seen or heard things that others do not?
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b. What are your worst and best times of the day?
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c. How would you describe your thinking?
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d. Do you think your memory is failing?
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: Answer: B
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2. The nurse is serving on a committee charged with reviewing the roles and
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responsibilities of the nurses on the psychiatric unit. Which publication sho
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uld the nurse bring to the first meeting?
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1. Diagnostic and Statistical Manual of Mental Disorders
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2. American Nurses Credentialing Center certification requirements
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3. American Nurses Association, Code of Ethics
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4. Psychiatric Mental Health Nursing Standards of Practice
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: Answer: 4
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3. The psychiatric mental health nurse reflecting on professional role activities
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,is referred to the standards of professional performance by a colleague. To w
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hich organization should the nurse look for guidance?
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1. North American Nursing Diagnosis Association
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2. American Nurses Credentialing Center G G G




3. National League for Nursing G G G




4. American Nurses Association G G




: Answer: 4
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4. The psychiatric mental health nurse is working with the new graduate nurse
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who is orienting to the psychiatric unit. Which comment by the new graduate i
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ndicates further clarification of the generalist-nursing role is needed?
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1. I would feel better if you would look at my documentation that addresses pro
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gress toward treatment goals.
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2. I will spend time each day evaluating the effectiveness of the therapeutic mi
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ieu.
3. I am a little nervous about conducting psychotherapy with clients.
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4. I am doing some reading on how to incorporate complementary interven-
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G tions into treatment plans.
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: Answer: 3
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5. The client on the psychiatric unit is asking questions about prevention of
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sexually transmitted diseases. Given the PsychiatricMental Health Nursing S
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tandards of Practice, which action would be most appropriate for the nurse to
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G take at this time?
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,1. Consult with the mental health care team.
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2. Teach safer sexual practices.
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3. Investigate the questions in individual psychotherapy.
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4. Notify the attending psychiatrist.
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: Answer: 2
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6. The client asks the nurse if certain changes can be made in the unit milieu.
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Which action by the nurse indicates understanding of the nursing role in the t
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herapeutic milieu? G




1. The nurse refers the clients requests to the psychiatric social worker.
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2. The nurse discusses the desired changes with the client.
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3. The nurse refers the clients requests to the psychosocial rehabilitation
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worker.
4. The nurse instructs the client that no changes can be made.
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: Answer: 2
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7. Due to a staff members absence, the nurse is reviewing staff assignments
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for the day. Which task can the nurse delegate to the psychosocial rehabilita-
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G tion worker?
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1. Conflict resolution teaching to a small group of clients
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2. Comparison of physicians orders with the medication records
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3. Routine medication administration to a stable client
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4. Assessment of a long-term client G G G G




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, : Answer: 1
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8. If psychiatric nurses used Orems theory for structuring much of their nurs-
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G ing practice, a major focus area for assessment would be the clients ability to
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do which of the following?
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1. Adapt and function to meet various role expectations.
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2. Care about self and participate in self-healing.
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3. Implement self-care to meet psychosocial needs. G G G G G




4. Enter into a therapeutic one-to-one relationship with the nurse.
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: Answer: 3
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9. The psychiatric mental health nurse is asked to develop an intervention for
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the nursing unit based on Watsons theory of caring. Given this assignment,
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which intervention is most appropriate for the nurse to implement?
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1. One-to-
one debriefing sessions each week with individual unit nurses and the unit m
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anager
2. Clarification of values and cultural beliefs that might pose barriers to caring
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for clientsG




3. Identification of additional coping skills for new nurses on the unit
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