front 1 When assessing a patient's mental health status, which of the following describe the purpose of the psychosocial assessment? Select all that apply. | back 1
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front 2 Which of the following factors influencing assessment is under the nurse's control? | back 2 Nurse's attitude and approach |
front 3 Which of the following are components of the assessment of thought process and content? Select all that apply. | back 3
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front 4 A client is being evaluated for dementia. The nurse knows that a client who is able to complete very few tasks is most likely to have | back 4 a greater cognitive deficit. |
front 5 During the assessment, the nurse asks the client to describe his problems. The purpose of this question is to obtain information about the client's | back 5 perception of the problem. |
front 6 A delusion represents a problem in which of the following areas? | back 6 Thinking |
front 7 The nurse asks a patient to list the days of the week in reverse order. The nurse is assessing which of the following? | back 7 Concentration |
front 8 When the nurse asks the client to restate the following in his or her own words, which sensorium and intellectual process is the nurse attempting to identify? The nurse states, ìA stitch in time saves nine.î | back 8 The client ability to use abstract thinking |
front 9 The nurse is assessing suicide potential in a patient who has expressed hopelessness. In what order does the nurse question the patient about suicidal thoughts? | back 9 C. Are you thinking of killing yourself? B. Do you have a plan to kill yourself? D. How do you plan to kill yourself? A. How would you carry out this plan? |
front 10 The nurse best assesses a patient's memory by asking which of the following questions? | back 10 Who is the current president?i |
front 11 A patient shows no facial expression when engaging in a game with peers during an outing at a park. The nurse uses which of the following terms when documenting the patient's affect? | back 11 Flat affect |
front 12 The patient states that he is 14 trillion years old and created the world. The nurse documents this statement as an example of which type of thinking displayed by the patient? | back 12 Delusional thinking |
front 13 A patient is known to express tangential thinking. The nurse would assess for which of the following when interacting with the patient? | back 13 Wandering off the topic and never answering the question |
front 14 A nurse can best assess a patient's ability to use abstract thinking by asking the patient which of the following questions? | back 14 What do I mean when I say, 'Don't sweat the small stuff? |
front 15 A patient reported to the nurse that on his way to the clinic, a policeman in a patrol car turned on his lights and pulled him over. When asked what he did next, the patient stated, ìI pulled over, of course.î Which of the following was the nurse trying to assess? | back 15 The client judgement |
front 16 The client spoke of a current event in the national news and described it as it relates to the client. Then the client spoke of a historical event and described it as it relates to the client. Which of the following questions might the nurse ask to determine if the client is experiencing ideas of reference? | back 16 Where were you when this happened? |
front 17 Which of the following questions is best to ask when assessing the client's judgment? | back 17 If you found yourself downtown without money or a car, how would you get home?i |
front 18 The nurse asks the client, ìWhat is similar about a cow and a horse?î and ìWhat do a bus and an airplane have in common?î These questions would best assess which of the following areas? | back 18 Intellectual function |
front 19 Which of the following would best assess a client's judgment? | back 19 Discussing hypothetical situations |
front 20 The nurse plans to assess a patient's self-concept in the admission assessment knowing that self-concept influences which of the following? Select all that apply. | back 20
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front 21 Which of the following are the types of roles that are usually included when assessing roles and relationships? Select all that apply. | back 21
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front 22 Knowing that relationships with others are significant to mental health, the nurse effectively assesses a patient's family relationships through which of the following? | back 22 Describe your relationships with your family. |
front 23 A nurse assesses that a depressed patient is lethargic during the day and does not actively participate in unit activities. The notes from the night shift document that the patient did not sleep well. The most probable interpretation of these data is | back 23 the patient's depressed mood is impairing restful sleep patterns. |
front 24 A nurse suspects that a patient is abusing alcohol while taking prescribed medications. The nurse plans to educate the patient on the dangers of mixing medicine with alcohol. Which of the following would be the most effective way for the nurse to approach this subject with the patient? | back 24 Emphasize the importance of truthful information using a nonjudgmental approach |
front 25 The nurse has completed the psychosocial assessment. Which of the following is the best approach toward analysis of the data to identify nursing diagnoses and develop an appropriate plan of care? | back 25 Look for patterns reflected in the overall assessment. |
front 26 The nurse reviews results of the Minnesota Multiphasic Personality Inventory (MMPI) recorded in a patient record. While considering the usefulness of these data, the nurse is mindful that the MMPI has which limitation? | back 26 The results of the MMPI could be culturally biased. |
front 27 The client tells the nurse, ìThat new TV anchor is telling the world about me.î This is an example of | back 27 ideas of references |
front 28 During the admission assessment, the nurse asks the client, ìHow are you feeling?î The client responds, ìI was able to purchase gas for 7 cents a gallon less than yesterday, which saved me a total of 84 cents. My car has a 12-gallon gas tank. Usually I am able to put in 11.7 gallons. I am very happy to have saved so much money.î The nurse recognizes this response as which of the following? | back 28 Circumstantial thinking |
front 29 A client is admitted to the psychiatric unit and states, ìI am president of the largest corporation in the world. Everyone comes to me for advice.î The client is exhibiting which of the following? | back 29 Delusion |
front 30 In the space of 5 minutes, the client has been laughing and euphoric, then angry, and then crying for no reason that is apparent to the nurse. This behavior would be best described as | back 30 labile mood |
front 31 Throughout the assessment, the client displays disorganized thinking, jumping from one idea to another with no clear relationship between the thoughts. The nurse would assess the client as having which of the following? | back 31 Loose associations |
front 32 Sexuality and self-harm behaviors are often difficult areas for nurses to assess. An effective way for nurses to deal with this discomfort includes | back 32 recognizing that these areas may also be uncomfortable for the patient to discuss. |
front 33 Which of the following is the most compelling reason for the nurse to discuss matters of sexuality and suicide? | back 33 It is the nurse's professional responsibility to keep safety needs first and foremost. |
front 34 Which of the following is an example of an open-ended question? | back 34 What concerns you most about your health? |
front 35 Which of the following is an example of a closed-ended question? | back 35 Where are you employed? |
front 36 Assessment data about the client’s speech patterns are categorized in which of the following areas? | back 36 General appearance and motor behavior |
front 37 When the nurse is assessing whether or not the client’s ideas are logical and make sense, the nurse is examining which of the following? | back 37 Thought process |
front 38 The client’s belief that a news broadcast has special meaning for him or her is an example of | back 38 ideas of references |
front 39 The client who believes everyone is out to get him or her is experiencing a(n) | back 39 delusion |
front 40 To assess the client’s ability to concentrate, the nurse would instruct the client to do which of the following? | back 40 Repeat the days of the week backward. |
front 41 The client tells the nurse “I never do anything right. I make a mess of everything. Ask anyone, they’ll tell you the same thing.” The nurse recognizes these statements as examples of | back 41 negative thinking |
front 42 Assessment of sensorium and intellectual processes includes which of the following? | back 42
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front 43 Assessment of suicidal risk includes which of the following? | back 43
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