Chapter 10: The Psychiatric-Mental Health Nursing Process - Nurselytic

Questions 20

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Chapter 10 : The Psychiatric-Mental Health Nursing Process Questions

Question 1 of 5

A nurse is performing a biopsychosocial assessment of a patient with depression. Which of the following would the nurse assess as part of the psychological domain? Select all that apply.

Correct Answer: A,C,D

Rationale: The psychological domain includes cognitive and emotional functions such as abstract reasoning (
A), mood (
C), and orientation (
D). Medication use (
B) is part of the biological domain, and self-care (E) relates to the social or functional domain.

Question 2 of 5

During assessment, the nurse asks a patient to explain what the following means: 'A penny saved is a penny earned.' The nurse is assessing which of the following?

Correct Answer: D

Rationale: Interpreting proverbs like 'A penny saved is a penny earned' requires abstract reasoning, the ability to understand and analyze abstract concepts. Affect involves emotional expression, attention is focus, and concentration is sustained mental effort.

Question 3 of 5

The nurse is reviewing the drawing that a patient completed as a self-portrait. The nurse observes that the drawing lacks arms and feet. The nurse interprets this as indicating which of the following? Select all that apply.

Correct Answer: A,B,C,D

Rationale: In psychiatric art assessment, missing body parts like arms and feet can indicate low self-esteem (
A), powerlessness (
B), insecurity (
C), and inadequacy (
D), reflecting feelings of incompleteness or diminished self-worth. All apply based on standard interpretations.

Question 4 of 5

A nurse identifies a nursing diagnosis of chronic low self-esteem. Which statement by a patient would support this nursing diagnosis?

Correct Answer: A,B,C,D

Rationale: All statements reflect negative self-perception, supporting chronic low self-esteem: feeling ugly (
A), undesirable (
B), physically flawed (
C), and incompetent (
D). Each directly indicates diminished self-worth, a hallmark of the diagnosis.

Question 5 of 5

A nurse is assessing a patient?s spirituality. Which question would be most appropriate to ask?

Correct Answer: D

Rationale: Spirituality involves beliefs and values that provide meaning and purpose. 'What gives your life meaning?' directly explores spiritual perspectives. Suicide risk (
A) is psychological, family importance (
B) is social, and good vs. evil (
C) is philosophical but less central to spirituality.

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