Questions 33

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Psychiatric Mental Health Nursing 8th Edition

Chapter 8 Questions

Question 1 of 5

Which of the following factors influencing assessment is under the nurse's control?

Correct Answer: C

Rationale: The nurse can control their own attitude and approach, unlike client-driven factors such as participation, health status, or understanding, which influence but are not controlled by the nurse.

Question 2 of 5

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?

Correct Answer: D

Rationale: Flat affect describes no facial expression, unlike blunt (slow response), restricted (limited expression), or broad (full range) affect.

Question 3 of 5

The nurse plans to assess a patient's self-concept in the admission assessment knowing that self-concept influences which of the following?

Correct Answer: A,C,D

Rationale: Self-concept affects body image, frequent emotions, and coping strategies, as it shapes personal worth and emotional responses, but not cognitive processing or medication response.

Question 4 of 5

The client tells the nurse, 'That new TV anchor is telling the world about me.' This is an example of

Correct Answer: A

Rationale: Ideas of reference involve misinterpreting general events as personally directed, like believing a TV anchor's message is about the client, distinct from other delusional types.

Question 5 of 5

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 would be most appropriate to ask the client?

Correct Answer: A

Rationale: Asking 'Where were you when this happened?' seeks to clarify the client's ideas of reference, encouraging elaboration without challenging or dismissing their beliefs.

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