NURS 3381 Exam 1 Questions And Correct
Answers
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? -
answerOur patients need our help to learn behaviors that will help them get...
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? -
answer✔✔Our patients need our help to learn behaviors that will help them get along in society.
A nurse assesses a newly admitted patient diagnosed with major depressive disorder. Which
statement is an example of attending? - answer✔✔Id like to sit with you a while so you may feel
more comfortable talking with me.
A patient is hospitalized for depression and suicidal ideation after their spouse asks for a divorce.
Select the nurses most caring comment. - answer✔✔Lets discuss some means of coping other
than suicide when you have these feelings.
A patient shows the nurse an article from the Internet about a health problem. Which
characteristic of the web sites address most alerts the nurse that the site may have biased and
prejudiced information? - answer✔✔Address ends in .com.
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 nurses
comment? - answer✔✔One descriptive research study rarely provides enough evidence to
change practice.
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. -
answer✔✔Psychiatric nurses use complex communication skills, as well as critical thinking, to
solve multidimensional problems. I'm challenged by those situations.
Which research evidence would most influence a group of nurses to change their practice? -
answer✔✔Systematic review of randomized controlled trials
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? - answer✔✔Advocacy
An informal group of patients discuss their perceptions of nursing care. Which comment best
indicates a patients perception that his or her nurse is caring? - answer✔✔My nurse spends time
listening to me talk about my problems. That helps me feel like I'm not alone.
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? - answer✔✔Clinical algorithm
Which historical nursing leader helped focus practice to recognize the importance of science in
psychiatric nursing? - answer✔✔Hildegard Peplau
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: -
answer✔✔connected with others
An 86-year-old, previously healthy and independent, falls after an episode of vertigo. Which
behavior by this patient best demonstrates resilience? The patient: - answer✔✔says, Maybe
some physical therapy will help me with my balance
A patient is admitted to the psychiatric hospital. Which assessment finding best indicates that the
patient has a mental illness? The patient: - answer✔✔describes mood as consistently sad,
discouraged, and hopeless
The goal for a patient is to increase resiliency. Which outcome should a nurse add to the plan of
care? Within 3 days, the patient will: - answer✔✔identify healthy coping behaviors in response
to stressful events
Which organization actively seeks to reduce the stigma associated with mental illness through
public presentations such as In Our Own Voice (IOOV)? - answer✔✔National Alliance on
Mental Illness (NAMI)
A nurse must assess several new patients at a community mental health center. Conclusions
concerning current functioning should be made on the basis of: - answer✔✔a continuum from
mentally healthy to unhealthy
A nurse at a behavioral health clinic sees an unfamiliar psychiatric diagnosis on a patients
insurance form.
Which resource should the nurse consult to discern the criteria used to establish this diagnosis? -
answer✔✔Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
A 40-year-old adult living with parents states, Im happy but I dont socialize much. My work is
routine.
When new things come up, my boss explains them a few times to make sure I understand. At
home, my parents make decisions for me, and I go along with them. A nurse should identify
interventions to improve this patients: - answer✔✔self-concept
A patient tells a nurse, I have psychiatric problems and am in and out of hospitals all the time.
Not one of my friends or relatives has these problems. Select the nurses best response. -
answer✔✔It sounds like you are concerned that others dont experience the same challenges as
you
A critical care nurse asks a psychiatric nurse about the difference between a diagnosis in the
Diagnostic and Statistical Manual of Mental Disorders (DSM-5) and a nursing diagnosis. Select
the psychiatric nurses best response. - answer✔✔The DSM-5 diagnosis influences the medical
treatment; the nursing diagnosis offers a framework to identify interventions for problems a
patient has or may experience.
The spouse of a patient diagnosed with schizophrenia says, I dont understand why childhood
experiences have anything to do with this disabling illness. Select the nurses response that will
best help the spouse understand this condition. - answer✔✔Although this disorder more likely
has a biological rather than psychological origin, the support and involvement of caregivers is
very important.
Which belief by a nurse supports the highest degree of patient advocacy during a
multidisciplinary patient care planning session? - answer✔✔Some symptoms of mental disorders
may reflect a persons cultural patterns
A patients history shows intense and unstable relationships with others. The patient initially
idealizes an individual and then devalues the person when the patients needs are not met. Which
aspect of mental health is a problem? - answer✔✔Fulfilling relationships
In the majority culture of the United States, which individual is at greatest risk to be incorrectly
labeled mentally ill? - answer✔✔Person who attends a charismatic church and describes hearing
Gods voice
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