Deck 6: Nursing Process in Mental Health

Question 1

A patient is admitted to the Mental Illness and Chemical Abuse (MICA) unit for detoxification from alcohol. During the interview, the patient states, "My wife would rather see me dead." To which part of the nursing process does this belong?
1)Planning
2)Implementation
3)Evaluation
4)Assessment

Answer 1

4

Question 2

The component of the nursing process that follows assessment, precedes the nursing intervention, and is prepared by the registered nurse is the ____________ ___________.

Answer 2

nursing diagnosis

Question 3

In the Mental Health Status Examination, which of the following focuses on what the person is thinking?
1)Speech and the ability to communicate
2)Judgment
3)Memory
4)Thinking/Content of thought

Answer 3

4

Question 4

The Mental Health Status Examination is an assessment of the patient's mental status and current mental functioning. The following are components of the Mental Health Status Examination (select all that apply):
1)Appearance and behavior
2)Level of awareness and orientation
3)Glasgow Scale
4)Judgment
5)Mood and effect

Question 5

The role of the LPN/LVN to the nursing process is (select all that apply):
1)Assisting the registered nurse with the plan of care.
2)Collecting data.
3)Completing the initial assessment.
4)Developing principles of teaching.
5)Planning care and prioritizing goals.

Question 6

The following are components of the principles of teaching (select all that apply):
1)Know the patient.
2)Lecture.
3)Demonstration.
4)Be flexible.
5)Plan to allow a few minutes after the class for questions.

Question 7

Which is an accurate planning goal?
1)The patient will lose 20 pounds when he agrees to follow the prescribed diet.
2)The patient will lose 20 pounds in 20 days.
3)The patient will lose 1 to 2 pounds a week until the goal of 20 pounds is reached.
4)The patient will lose 4 to 5 pounds a week by working with a nutritionist.

Question 8

The final step in the nursing process is ____________________.

Question 9

In the planning phase of the nursing process, establishing short- and long-term goals is important. Planning should:
1)Include positive and negative outcomes.
2)Be realistic and measurable.
3)Be formal and informal.
4)Focus on the best possible options even if unrealistic.

Question 10

The component of the Mental Health Status Examination that focuses on the way a person experiences reality is assessing the person's:
1)Thinking/content of thought.
2)Perception.
3)Judgment.
4)Mood and affect.

Question 11

When the LPN/LVN sets a specific time to sit with the patient to go over diabetes education, this is considered ________________ teaching.

Question 12

You find a patient on the floor at shift change. She is awake and alert. She is confused now and was not confused before being found on the floor. What is your first step in the nursing process in this situation?
1)Leave the patient to get help.
2)Gather more information by making observations about the patient.
3)Call the patient's health-care provider from your cell phone.
4)Help the patient get up and then document your findings in the chart.

Question 13

The following are guidelines for the nurse-patient interview (select all that apply):
1)Advise the patient.
2)Be aggressive.
3)Be sensitive.
4)Use empathy.
5)Use open-ended questions.

Question 14

After the admission of the patient, Nurse Toni will get specific information from the patient. This method of getting information is known as the:
1)Termination phase.
2)Working phase.
3)Patient interview.
4)Working phase.