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NURS 661 Exam 1 1. The nurse prepares to assess a patient diagnosed with major depression 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 w $11.49
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NURS 661 Exam 1 1. The nurse prepares to assess a patient diagnosed with major depression 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 w
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NURS 661 Exam 1 1. The nurse prepares to assess a patient diagnosed with major depression 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...

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NURS 661 Exam 1


The nurse prepares to assess a patient diagnosed with major depression for
disturbances in circadian rhythms. Which question should the nurse ask this
patient?
Have you ever seen or heard things that others do not?
What are your worst and best times of the day?
How would you describe your thinking?
Do you think your memory is failing?: Answer: B
The nurse is serving on a committee charged with reviewing the roles and
responsibilities of the nurses on the psychiatric unit. Which publication should
the nurse bring to the first meeting?
Diagnostic and Statistical Manual of Mental Disorders
American Nurses Credentialing Center certification requirements
American Nurses Association, Code of Ethics
Psychiatric Mental Health Nursing Standards of Practice: Answer: 4
The psychiatric mental health nurse reflecting on professional role activities is
referred to the standards of professional performance by a colleague. To
which organization should the nurse look for guidance?
North American Nursing Diagnosis Association
American Nurses Credentialing Center
National League for Nursing
American Nurses Association: Answer: 4
The psychiatric mental health nurse is working with the new graduate nurse
who is orienting to the psychiatric unit. Which comment by the new graduate
indicates 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 treatment
goals.
2. I will spend time each day evaluating the effectiveness of the therapeutic milieu.
3. I am a little nervous about conducting psychotherapy with clients.
4. I am doing some reading on how to incorporate complementary interven- tions into treatment plans.:
Answer: 3






, NURS 661 Exam 1

The client on the psychiatric unit is asking questions about prevention of
sexually transmitted diseases. Given the PsychiatricMental Health Nursing
Standards of Practice, which action would be most appropriate for the nurse
to take at this time?






, NURS 661 Exam 1


Consult with the mental health care team.
Teach safer sexual practices.
Investigate the questions in individual psychotherapy.
Notify the attending psychiatrist.: Answer: 2
The client asks the nurse if certain changes can be made in the unit milieu.
Which action by the nurse indicates understanding of the nursing role in the
therapeutic milieu?
The nurse refers the clients requests to the psychiatric social worker.
The nurse discusses the desired changes with the client.
The nurse refers the clients requests to the psychosocial rehabilitation worker
The nurse instructs the client that no changes can be made.: Answer: 2
Due to a staff members absence, the nurse is reviewing staff assignments for
the day. Which task can the nurse delegate to the psychosocial rehabilita- tion
worker?
Conflict resolution teaching to a small group of clients
Comparison of physicians orders with the medication records
Routine medication administration to a stable client
Assessment of a long-term client: Answer: 1
If psychiatric nurses used Orems theory for structuring much of their nurs- ing
practice, a major focus area for assessment would be the clients ability to do
which of the following?
Adapt and function to meet various role expectations.
Care about self and participate in self-healing.
Implement self-care to meet psychosocial needs.
Enter into a therapeutic one-to-one relationship with the nurse.: Answer: 3
The psychiatric mental health nurse is asked to develop an intervention for
the nursing unit based on Watsons theory of caring. Given this assignment,
which intervention is most appropriate for the nurse to implement?
One-to-one debriefing sessions each week with individual unit nurses and th
unit manager




, NURS 661 Exam 1

Clarification of values and cultural beliefs that might pose barriers to caring fo
clients
Identification of additional coping skills for new nurses on the unit

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