Ch 7 the nursing process and standards of care in psychiatric nursing – Flashcards

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•A patient who just arrived on your unit says, "I don't know why you need to do an assessment, I am just here to get my medicines adjusted."
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Must go through an assessment before adjusting drugs, keep good report, check vitals, mental status and other risk factors
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•What is the purpose of a psychiatric mental health nursing assessment? •How would you respond to this patient?
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To establish rappor, review physical and mental status; assess risk factors, formulate care plan
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• Outcomes that reflect the maximal level of patient health that can realistically be achieved through nursing interventions
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Outcome criteria -
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• ◦Coordination of care ◦Health teaching and health promotion ◦Milieu therapy ◦Pharmacological, biological, and integrative therapies
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Basic interventions
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interventions ◦Prescriptive authority and treatment ◦Psychotherapy ◦Consultation
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Advanced practice
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In which part of the nursing care plan would the nurse expect to find this statement: Offer snacks and finger foods frequently. A.Assessment B.Diagnosis C.Planning and outcomes identification D.Intervention E.Evaluation
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D
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1.A nurse assesses a newly admitted client diagnosed with Alzheimer's disease and a urinary tract infection. The nurse asks the client's sibling for information about the home environment, ADLs, and medications. What type of information source is the sibling? A.Primary B.Secondary C.Private D.Informed
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B
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Which term is broader? A. Spirituality B. Religion C. Not sure
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A
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nurse taught a client about important precautions associated with a new prescription. Afterward, the client accurately summarized major self-management strategies associated with this drug. Which step of the nursing process applies to the client's summarization? A.Assessment B.Analysis C.Planning/outcomes identification D.Intervention E. evaluation
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E
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