ISPN & CGFNS Mental Health Assessment in Psychiatric Nursing 2

Question 1

Which acronym is used to systematically assess the features of a patient's hallucinations in psychiatric nursing?

Accepted Answer

STAMP: Severity, Triggers, Affect, Meaning, Pattern

Answer

Structured acronyms like STAMP help psychiatric nurses assess the features of hallucinations systematically, including triggers, meaning, and frequency.

Question 2

A patient with bipolar disorder is admitted in a manic state. Which MSE finding is most expected?

Accepted Answer

Pressured speech and grandiosity

Answer

Pressured speech (fast, difficult to interrupt) and grandiosity (inflated self-esteem) are hallmark MSE findings during a manic episode of bipolar disorder.

Question 3

Which tool is used in psychiatric nursing to assess the risk of violence toward others?

Accepted Answer

Brøset Violence Checklist (BVC)

Answer

The Brøset Violence Checklist (BVC) is a validated tool used in inpatient psychiatric settings to assess short-term risk of patient violence.

Question 4

In a psychiatric assessment, 'loosening of associations' refers to which thought process abnormality?

Accepted Answer

Disorganized thinking where connections between ideas are unclear or absent

Answer

Loosening of associations describes disorganized thinking where the logical connection between sequential ideas is unclear, a common feature of psychotic disorders.

Question 5

When conducting a psychiatric nursing assessment, asking 'What would you do if you found a stamped, addressed envelope on the sidewalk?' tests which cognitive function?

Accepted Answer

Abstract thinking and judgment

Answer

This classic question assesses abstract thinking and judgment by evaluating whether the patient can reason beyond a literal level and make a socially appropriate decision.

ISPN & CGFNS Practice Test

ISPN & CGFNS Practice Test

ISPN & CGFNS Mental Health Assessment in Psychiatric Nursing 2