Question 1

A new staff nurse completes orientation to the psychiatric unit.This nurse will expect to ask an advanced practice nurse to perform which action for patients?

Accepted Answer

A) Perform mental health assessment interviews. 
B) Establish therapeutic relationships. 
C) Prescribe psychotropic medications. 
D) Individualize nursing care plans.

Question 2

A nurse performing an assessment interview for a patient with a substance use disorder decides to use a standardized rating scale.Which scales are appropriate? Select all that apply.

Accepted Answer

A) Addiction Severity Index (ASI) 
B) Brief Drug Abuse Screen Test (B-DAST) 
C) Abnormal Involuntary Movement Scale (AIMS) 
D) Cognitive Capacity Screening Examination (CCS
E)  
E) Recovery Attitude and Treatment Evaluator (RAAT
E)

Question 3

A nurse assesses a patient who reluctantly participates in activities,answers questions with minimal responses,and rarely makes eye contact.What information should be included when documenting the assessment? Select all that apply.

Accepted Answer

A) Uncooperative patient 
B) Patient's subjective responses 
C) Only data obtained from the patient's verbal responses 
D) Description of the patient's behavior during the interview 
E) Analysis of why the patient is unresponsive during the interview

Question 4

What information is conveyed by nursing diagnoses? Select all that apply.

Accepted Answer

A) Medical judgments about the disorder 
B) Goals and outcomes for the plan of care 
C) Unmet patient needs currently present 
D) Supporting data that validate the diagnoses 
E) Probable causes that will be targets for nursing interventions

Question 5

A patient with major depression has lost 20 pounds in one month has chronic low self-esteem and a plan for suicide.The patient has taken an antidepressant medication for 1 week.Which nursing intervention is most directly related to this outcome: "Patient will refrain from gestures and attempts to harm self"?

Accepted Answer

A) Implement suicide precautions. 
B) Frequently offer high-calorie snacks and fluids. 
C) Assist the patient to identify three personal strengths. 
D) Observe patient for therapeutic effects of antidepressant medication.

Question 6

Select the best outcome for a patient with the nursing diagnosis: Impaired social interaction,related to sociocultural dissonance as evidenced by stating,"Although I'd like to,I don't join in because I don't speak the language very well." The patient will:

Accepted Answer

A) demonstrate improved social skills. 
B) express a desire to interact with others. 
C) become more independent in decision making. 
D) select and participate in one group activity per day.

Question 7

A patient begins a new program to assist with building social skills.In which part of the plan of care should a nurse record the item "Encourage patient to attend one psychoeducational group daily"?

Accepted Answer

A) Assessment 
B) Analysis 
C) Planning 
D) Implementation 
E) Evaluation

Question 8

When a new patient is hospitalized,a nurse takes the patient on a tour,explains the rules of the unit,and discusses the daily schedule.The nurse is engaged in:

Accepted Answer

A) counseling. 
B) health teaching. 
C) milieu management. 
D) psychobiologic intervention.

Exam 7: Nursing Process and Qsen: The Foundation for Safe and Effective Care