NURS 661 Exam 1
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1. The nurse prepares to assess a pa- Answer: B
tient diagnosed with major depres-
sion for disturbances in circadian
rhythms. Which question should
the nurse ask this patient?
a. Have you ever seen or heard
things that others do not?
b. What are your worst and best
times of the day?
c. How would you describe your
thinking?
d. Do you think your memory is fail-
ing?
2. The nurse is serving on a com- Answer: 4
mittee charged with reviewing
the roles and responsibilities of
the nurses on the psychiatric
unit. Which publication should the
nurse bring to the first meeting?
1. Diagnostic and Statistical Manu-
al of Mental Disorders
2. American Nurses Credentialing
Center certification requirements
3. American Nurses Association,
Code of Ethics
4. Psychiatric Mental Health Nurs-
ing Standards of Practice
3. Answer: 4
, NURS 661 Exam 1
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The psychiatric mental health
nurse reflecting on professional
role activities is referred to the
standards of professional perfor-
mance by a colleague. To which or-
ganization should the nurse look
for guidance?
1. North American Nursing Diag-
nosis Association
2. American Nurses Credentialing
Center
3. National League for Nursing
4. American Nurses Association
4. The psychiatric mental health Answer: 3
nurse is working with the new
graduate nurse who is orienting
to the psychiatric unit. Which com-
ment by the new graduate indi-
cates further clarification of the
generalist-nursing role is needed?
1. I would feel better if you would
look at my documentation that
addresses progress toward treat-
ment goals.
2. I will spend time each day evalu-
ating the effectiveness of the ther-
apeutic milieu.
3. I am a little nervous about
conducting psychotherapy with
, NURS 661 Exam 1
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clients.
4. I am doing some reading on how
to incorporate complementary in-
terventions into treatment plans.
5. The client on the psychiatric unit Answer: 2
is asking questions about preven-
tion of sexually transmitted dis-
eases. Given the PsychiatricMental
Health Nursing Standards of Prac-
tice, which action would be most
appropriate for the nurse to take at
this time?
1. Consult with the mental health
care team.
2. Teach safer sexual practices.
3. Investigate the questions in indi-
vidual psychotherapy.
4. Notify the attending psychiatrist.
6. The client asks the nurse if cer- Answer: 2
tain changes can be made in the
unit milieu. Which action by the
nurse indicates understanding of
the nursing role in the therapeutic
milieu?
1. The nurse refers the clients
requests to the psychiatric social
worker.
2. The nurse discusses the desired
, NURS 661 Exam 1
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changes with the client.
3. The nurse refers the clients re-
quests to the psychosocial rehabil-
itation worker.
4. The nurse instructs the client
that no changes can be made.
7. Due to a staff members absence, Answer: 1
the nurse is reviewing staff as-
signments for the day. Which task
can the nurse delegate to the psy-
chosocial rehabilitation worker?
1. Conflict resolution teaching to a
small group of clients
2. Comparison of physicians orders
with the medication records
3. Routine medication administra-
tion to a stable client
4. Assessment of a long-term client
8. If psychiatric nurses used Orems Answer: 3
theory for structuring much of
their nursing practice, a major fo-
cus area for assessment would be
the clients ability to do which of the
following?
1. Adapt and function to meet var-
ious role expectations.
2. Care about self and participate in
self-healing.
Study online at https://quizlet.com/_8frnpi
1. The nurse prepares to assess a pa- Answer: B
tient diagnosed with major depres-
sion for disturbances in circadian
rhythms. Which question should
the nurse ask this patient?
a. Have you ever seen or heard
things that others do not?
b. What are your worst and best
times of the day?
c. How would you describe your
thinking?
d. Do you think your memory is fail-
ing?
2. The nurse is serving on a com- Answer: 4
mittee charged with reviewing
the roles and responsibilities of
the nurses on the psychiatric
unit. Which publication should the
nurse bring to the first meeting?
1. Diagnostic and Statistical Manu-
al of Mental Disorders
2. American Nurses Credentialing
Center certification requirements
3. American Nurses Association,
Code of Ethics
4. Psychiatric Mental Health Nurs-
ing Standards of Practice
3. Answer: 4
, NURS 661 Exam 1
Study online at https://quizlet.com/_8frnpi
The psychiatric mental health
nurse reflecting on professional
role activities is referred to the
standards of professional perfor-
mance by a colleague. To which or-
ganization should the nurse look
for guidance?
1. North American Nursing Diag-
nosis Association
2. American Nurses Credentialing
Center
3. National League for Nursing
4. American Nurses Association
4. The psychiatric mental health Answer: 3
nurse is working with the new
graduate nurse who is orienting
to the psychiatric unit. Which com-
ment by the new graduate indi-
cates further clarification of the
generalist-nursing role is needed?
1. I would feel better if you would
look at my documentation that
addresses progress toward treat-
ment goals.
2. I will spend time each day evalu-
ating the effectiveness of the ther-
apeutic milieu.
3. I am a little nervous about
conducting psychotherapy with
, NURS 661 Exam 1
Study online at https://quizlet.com/_8frnpi
clients.
4. I am doing some reading on how
to incorporate complementary in-
terventions into treatment plans.
5. The client on the psychiatric unit Answer: 2
is asking questions about preven-
tion of sexually transmitted dis-
eases. Given the PsychiatricMental
Health Nursing Standards of Prac-
tice, which action would be most
appropriate for the nurse to take at
this time?
1. Consult with the mental health
care team.
2. Teach safer sexual practices.
3. Investigate the questions in indi-
vidual psychotherapy.
4. Notify the attending psychiatrist.
6. The client asks the nurse if cer- Answer: 2
tain changes can be made in the
unit milieu. Which action by the
nurse indicates understanding of
the nursing role in the therapeutic
milieu?
1. The nurse refers the clients
requests to the psychiatric social
worker.
2. The nurse discusses the desired
, NURS 661 Exam 1
Study online at https://quizlet.com/_8frnpi
changes with the client.
3. The nurse refers the clients re-
quests to the psychosocial rehabil-
itation worker.
4. The nurse instructs the client
that no changes can be made.
7. Due to a staff members absence, Answer: 1
the nurse is reviewing staff as-
signments for the day. Which task
can the nurse delegate to the psy-
chosocial rehabilitation worker?
1. Conflict resolution teaching to a
small group of clients
2. Comparison of physicians orders
with the medication records
3. Routine medication administra-
tion to a stable client
4. Assessment of a long-term client
8. If psychiatric nurses used Orems Answer: 3
theory for structuring much of
their nursing practice, a major fo-
cus area for assessment would be
the clients ability to do which of the
following?
1. Adapt and function to meet var-
ious role expectations.
2. Care about self and participate in
self-healing.
