The Nursing Process in Psychiatric?Mental Health Nursing

Question 1 of 5

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?

A. Perform mental health assessment interviews.

B. Establish therapeutic relationships.

C. Prescribe psychotropic medication.

D. Individualize nursing care plans.

Correct Answer:

Rationale:

Question 2 of 5

A newly admitted patient diagnosed with major depressive disorder has lost 20 pounds over the past month and has admitted having suicidal ideations. The patient has taken an antidepressant medication for 1 week without remission of symptoms. Select the priority nursing diagnosis.

A. Imbalanced nutrition: Less than body requirements

B. Chronic low self-esteem

C. Risk for suicide

D. Hopelessness

Correct Answer:

Rationale:

Question 3 of 5

A patient diagnosed with major depressive disorder has lost 20 pounds in 1 month. The patient 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 priority: 'Patient will refrain from gestures and attempts to harm self'?

A. Implement suicide prevention interventions.

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.

Correct Answer:

Rationale:

Question 4 of 5

A patient's nursing diagnosis is Insomnia. The desired outcome is: 'Patient will sleep for a minimum of 5 hours nightly by October 31 .' On November 1, a review of the sleep data shows the patient sleeps an average of 4 hours nightly and takes a 2-hour afternoon nap. Which evaluation should be documented?

A. Consistently demonstrated

B. Often demonstrated

C. Sometimes demonstrated

D. Never demonstrated

Correct Answer:

Rationale:

Question 5 of 5

A patient's nursing diagnosis is Insomnia. The desired outcome is: 'Patient will sleep for a minimum of 5 hours nightly by October 31.' On November 1, a review of the sleep data shows the patient sleeps an average of 4 hours nightly and takes a 2-hour afternoon nap. What is the nurse's next action?

A. Continue the current plan without changes.

B. Remove this nursing diagnosis from the plan of care.

C. Write a new nursing diagnosis that better reflects the problem.

D. Revise the outcome target date and interventions.

Correct Answer:

Rationale:

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