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Practicing The Science And Art Of Psychiatric Nursing

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Question 1
Free
Multiple Choice

Which outcome, focused on recovery, would be expected in the plan of care for a patient living in the community and diagnosed with serious and persistent mental illness? Within 3 months, the patient will:

Choose correct answer/s
A

deny suicidal ideation.

B

report a sense of well-being.

C

take medications as prescribed.

D

attend clinic appointments on time.

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Question 2
Free
Multiple Choice

A patient is hospitalized for depression and suicidal ideation after their spouse asks for a divorce. Select the nurse's most caring comment.

Choose correct answer/s
A

"Let's discuss some means of coping other than suicide when you have these feelings."

B

"I understand why you're so depressed. When I got divorced, I was devastated too."

C

"You should forget about your marriage and move on with your life."

D

"How did you get so depressed that hospitalization was necessary?"

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Question 3
Free
Multiple Choice

In the shift-change report, an off-going nurse criticizes a patient who wears heavy makeup. Which comment by the nurse who receives the report best demonstrates advocacy?

Choose correct answer/s
A

"This is a psychiatric hospital, so we expect our patients to behave bizarrely."

B

"Let's all show acceptance of this patient by wearing lots of makeup too."

C

"Your comments are inconsiderate and inappropriate. Keep the report objective."

D

"Our patients need our help to learn behaviors that will help them get along in society."

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Question 4
Free
Multiple Choice

A nurse assesses a newly admitted patient diagnosed with major depressive disorder. Which statement is an example of "attending"?

Choose correct answer/s
A

"We all have stress in life. Being in a psychiatric hospital is not the end of the world."

B

"Tell me why you felt you had to be hospitalized to receive treatment for your depression."

C

"You will feel better after we get some antidepressant medication started for you."

D

"I'd like to sit with you a while so you may feel more comfortable talking with me."

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Question 5
Free
Multiple Choice

A patient shows the nurse an article from the Internet about a health problem. Which characteristic of the web site's address most alerts the nurse that the site may have biased and prejudiced information?

Choose correct answer/s
A

Address ends in ".org"

B

Address ends in ".com"

C

Address ends in ".gov"

D

Address ends in ".net"

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Question 6
Multiple Choice

A nurse says, "When I was in school, I learned to call upset patients by name to get their attention; however, I read a descriptive research study that says that this approach does not work. I plan to stop calling patients by name." Which statement is the best appraisal of this nurse's comment?

Choose correct answer/s
A
One descriptive research study rarely provides enough evidence to change practice.
B
Staff nurses apply new research findings only with the help from clinical nurse specialists.
C
New research findings should be incorporated into clinical algorithms before using them in practice.
D
The nurse misinterpreted the results of the study. Classic tenets of practice do not change.
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Question 7
Multiple Choice

Two nursing students discuss career plans after graduation. One student wants to enter psychiatric nursing. The other student asks, "Why would you want to be a psychiatric nurse? All they do is talk. You will lose your skills." Select the best response by the student interested in psychiatric nursing.

Choose correct answer/s
A
"Psychiatric nurses practice in safer environments than other specialties and nurse-to-patient ratios are better because of the nature of patients' problems."
B
"Psychiatric nurses use complex communication skills, as well as critical thinking, to solve multidimensional problems. I'm challenged by those situations."
C
"I think I will be good in the mental health field. I do not like clinical rotations in school, so I do not want to continue them after I graduate."
D
"Psychiatric nurses do not have to deal with as much pain and suffering as medical surgical nurses. That appeals to me."
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Question 8
Multiple Choice

Which research evidence would most influence a group of nurses to change their practice?

Choose correct answer/s
A
Expert committee report of recommendations for practice
B
Systematic review of randomized controlled trials
C
Non-experimental descriptive study
D
Critical pathway
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Question 9
Multiple Choice

A bill introduced in Congress would reduce funding for the care of people diagnosed with mental illnesses. A group of nurses write letters to their elected representatives in opposition to the legislation. Which role have the nurses fulfilled?

Choose correct answer/s
A
Advocacy
B
Attending
C
Recovery
D
Evidence-based practice
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Question 10
Multiple Choice

An informal group of patients discuss their perceptions of nursing care. Which comment best indicates a patient's perception that his or her nurse is caring?

Choose correct answer/s
A
"My nurse always asks me which type of juice I want to help me swallow my medication."
B
"My nurse explained my treatment plan to me and asked for my ideas about how to make it better."
C
"My nurse told me that if I take all the medicines the doctor prescribes I will get discharged soon."
D
"My nurse spends time listening to me talk about my problems. That helps me feel like I'm not alone."
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Question 11
Multiple Choice

A patient who immigrated to the United States from Honduras was diagnosed with schizophrenia. The patient took an antipsychotic medication for 3 weeks but showed no improvement. Which resource should the treatment team consult for information on more effective medications for this patient?

Choose correct answer/s
A
Clinical algorithm
B
Clinical pathway
C
Clinical practice guideline
D
International Statistical Classification of Diseases and Related Health Problems (ICD)
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Question 12
Multiple Choice

A team of nurses wants to integrate evidence-based practice into a facility's clinical pathways. Which step should the team implement first?

Choose correct answer/s
A
Acquire findings from published literature.
B
Apply the research findings to clinical practice.
C
Assess the outcomes of using new research findings.
D
Ask questions to identify clinical problems that should be changed.
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Question 13
Multiple Choice

A nurse consistently strives to demonstrate caring behaviors during interactions with patients. Which reaction by a patient indicates this nurse is effective? A patient reports feeling:

Choose correct answer/s
A
distrustful of others.
B
connected with others.
C
uneasy about the future.
D
discouraged with efforts to improve.
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Question 14
Multiple Choice

An experienced nurse says to a new graduate, "When you've practiced as long as I have, you will instantly know how to take care of psychotic patients." What is the new graduate's best analysis of this comment? (Select all that apply.)

Choose correct answer/s
A
The experienced nurse may have lost sight of patients' individuality, which may compromise the integrity of practice.
B
New research findings must be continually integrated into a nurse's practice to provide the most effective care.
C
Experience provides mental health nurses with the tools and skills needed for effective professional practice.
D
Experienced psychiatric nurses have learned the best ways to care for psychotic patients through trial and error.
E
Effective psychiatric nurses should be continually guided by an intuitive sense of patients' needs.
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Question 15
Multiple Choice

Which patient statements identify qualities of nursing practice with high therapeutic value? (Select all that apply.) "My nurse:

Choose correct answer/s
A
talks in language I can understand."
B
helps me keep track of my medications."
C
is willing to go to social activities with me."
D
lets me do whatever I choose without interfering."
E
looks at me as a whole person with different needs."
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