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Varcarolis: Chapter 7 - The Nursing Process and Standards of Care for Psychiatric Mental Health Nursing Exam Practice Questions and Answers (100% Pass) $12.49   Add to cart

Exam (elaborations)

Varcarolis: Chapter 7 - The Nursing Process and Standards of Care for Psychiatric Mental Health Nursing Exam Practice Questions and Answers (100% Pass)

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  • Varcarolis\' Psychiatric Mental Health

Varcarolis: Chapter 7 - The Nursing Process and Standards of Care for Psychiatric Mental Health Nursing Exam Practice Questions and Answers (100% Pass) A new staff nurse completes an orientation to the psychiatric unit. This nurse will expect to ask an advanced practice nurse to perform which ...

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  • August 28, 2024
  • 35
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Varcarolis' Psychiatric Mental Health
  • Varcarolis' Psychiatric Mental Health
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©SOPHIABENNETT@2024-2025 Sunday, August 18, 2024 6:00 PM


Varcarolis: Chapter 7 - The Nursing Process and Standards of
Care for Psychiatric Mental Health Nursing Exam Practice
Questions and Answers (100% Pass)


A new staff nurse completes an 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. Prescribe psychotropic medication.


c. Establish therapeutic relationships.


d. Individualize nursing care plans. - Answer✔️✔️-ANS: B


Prescriptive privileges are granted to master's-prepared nurse practitioners

who have taken special courses on prescribing medication. The nurse

prepared at the basic level performs mental health assessments, establishes

relationships, and provides individualized care planning. Note that this

question was also offered for Chapter 1.




Page 1 of 35

,©SOPHIABENNETT@2024-2025 Sunday, August 18, 2024 6:00 PM

A newly admitted patient diagnosed with major depression has gained 20

pounds over a few months and has suicidal ideation. The patient has taken

an antidepressant medication for 1 week without remission of symptoms.

Select the priority nursing diagnosis.


a. Imbalanced nutrition: more than body requirements


b. Chronic low self-esteem


c. Risk for suicide


d. Hopelessness - Answer✔️✔️-ANS: C


Risk for suicide is the priority diagnosis when the patient has both suicidal

ideation and a plan to carry out the suicidal intent. Imbalanced nutrition,

hopelessness, and chronic low self-esteem may be applicable nursing

diagnoses, but these problems do not affect patient safety as urgently as

would a suicide attempt.


A patient diagnosed 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

has the highest priority?

Page 2 of 35

,©SOPHIABENNETT@2024-2025 Sunday, August 18, 2024 6:00 PM

a. Implement suicide precautions.


b. Offer high-calorie snacks and fluids frequently.


c. Assist the patient to identify three personal strengths.


d. Observe patient for therapeutic effects of antidepressant medication. -

Answer✔️✔️-ANS: A


Implementing suicide precautions is the only option related to patient

safety. The other options, related to nutrition, self-esteem, and medication

therapy, are important but are not priorities.


The desired outcome for a patient experiencing insomnia is, "Patient will

sleep for a minimum of 5 hours nightly within 7 days." At the end of 7

days, review of sleep data shows the patient sleeps an average of 4 hours

nightly and takes a 2-hour afternoon nap. The nurse will document the

outcome as:


a. consistently demonstrated.


b. often demonstrated.


c. sometimes demonstrated.



Page 3 of 35

, ©SOPHIABENNETT@2024-2025 Sunday, August 18, 2024 6:00 PM

d. never demonstrated. - Answer✔️✔️-ANS: D


Although the patient is sleeping 6 hours daily, the total is not one

uninterrupted session at night. Therefore, the outcome must be evaluated

as never demonstrated. See relationship to audience response question.


The desired outcome for a patient experiencing insomnia is, "Patient will

sleep for a minimum of 5 hours nightly within 7 days." At the end of 7

days, review of 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. Examine interventions for possible revision of the target date. -

Answer✔️✔️-ANS: D


Sleeping a total of 5 hours at night remains a reasonable outcome.

Extending the period for attaining the outcome may be appropriate.

Examining interventions might result in planning an activity during the

afternoon rather than permitting a nap. Continuing the current plan

Page 4 of 35

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