kk kk kk kk kk kk kk kk kk kk kk
Health Nursing
kk kk
,kk
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MULTIPLE CHOICE kk
1. Which outcome, focused on recovery, would be expected in the plan of care for a
kk kk kk kk kk kk kk kk kk kk kk kk kk kk
kkpatient kkliving kkin kkthe kkcommunitykkand kkdiagnosed kkwith kkserious kkand kkp e r s i s t e n t
a b i r b . c o m / t em
st kk
ental
illness? Within 3 months, the patient will demonstrate what behavior?
kk kk kk kk kk kk kk kk kk kk
a. Denying suicidal ideation kk kk
b. Reporting a sense of well-being kk kk
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kk kk
c. Taking medications as prescribed kk kk kk
d. Attending clinic appointments on kk kk kk
timekk
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ANS: k k B
Recovery emphasizes managing symptoms, reducing psychosocial disability, and
kk kk kk kk kk kk kk
improving role performance. The goal of recovery is to empower the individual with
kk kk kk kk kk kk kk kk kk kk kk kk kk
mental illness to achieve a sense of meaning and satisfaction in life and to function at
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
the highest possible level of wellness. The incorrect options focus on the classic
kk kk kk kk kk kk kk kk kk kk kk kk kk
m e da bi ci r ba. lc omm o/ t edset l rather than recovery.
kk
kk
kk kk kk
DIF: Cognitive Level: Application (Applying) kk kk kk
TOP:
kk Nursing Process: Outcomes
k k kk kk
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Identification MSC: NCLEX: Health Promotion
kk kk k k kk kk
and Maintenance
kk kk
2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for a
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divorce. Select the nurse‘s most caring
kk abirb.com/test
kk kk kk kk
comment.
kk
a. ―Let‘s discuss healthy means of coping when you have suicidal feelings.‖
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b. ―I understand why you‘re so depressed. When I got divorced, I was
kk kk kk kk kk kk kk kk kk kk kk
devastated too.‖
kk kk
c. ―You should forget about your marriage and move on awbiirtbh.coymo/uterstlife.‖
kk kk kk kk kk kk kk kk kk
d. ―How did you get so depressed that hospitalization was necessary?‖
kk kk kk kk kk kk kk kk kk
ANS: k k A
The nurse‘s communication should evidence caring and a acboi r m
kk kk
b.c om /t es t
m i t m e nt to work with the kk kk kk kk kk kk kk kk kk kk kk
patient. This commitment lets the patient know the nurse will help. Probing and advice
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are not helpful for therapeutic interventions.
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DIF: Cognitive Level: Application kk kk
(Applying)
kk
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
k k kk kk k k kk kk
3. In the shift-change report, an off-going nurse criticizes a paabti ir be. nc ot mw/ t ehsot
kk kk kk wears extremely kk kk kk kk kk kk k k kk
heavy makeup. Which comment by the nurse who receives the report best demonstrates
kk kk kk kk kk kk kk kk kk kk kk kk kk
advocacy?
kk
a. ―This is a psychiatric hospital, so we expect our patients to behave bizarrely.‖
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b. ―Let‘s all show acceptance of this patient by wearing l o t s o f m a k eup too.‖
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a b i rb .c om /te s t kk
c. ―Your comments are inconsiderate and inappropriate. Keep the report objective.‖
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d. ―Our patients need our help to learn behaviors that will help them get
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along in society.‖
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ANS: k k D
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, Accepting patients‘ needs for self-expression and seeking to teach skills that will
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contribute to their well-being demonstrate respect and are important parts of advocacy.
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The on-coming nurse needs to take action to ensure that others are not
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prejaub idr bi.cc eo md / tae gs t ainst the patient. Humor can be appropriate within the privacy of a
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shift report but not at the expense of respect for patients. Judging the off-going nurse
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in a critical way will create conflict. Nurses must show compassion for each other.
kk kk kk kk kk kk kk kk kk kk kk kk kk kk
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DIF: Cognitive Level: Application (Applying) kk kk kk
TOP: Nursing Process: Implementation MSC:
k k kk kk k k NCLEX: Safe, Effective Care Environment kk kk kk kk
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4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder. Which
kk kk kk kk kk kk kk kk kk kk kk kk
statement is an example of ―attending‖? kk kk kk kk kk
a. ―We all have stress in life. Being in a psychiatric hospital is not the end of the
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
world.‖ abirb.com/test
b. ―Tell me why you felt you had to be hospitalized to receive treatment for
kk kk kk kk kk kk kk kk kk kk kk kk kk
your depression.‖
kk kk
c. ―You will feel better after we get some antidepressant amb i rebd. ciocma/tt ieos tn started for you.‖
kk kk kk kk kk kk kk kk kk kk kk kk
d. ―I‘d like to sit with you for a while, so you may feel more comfortable talking with
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
me.‖
ANS: k k D abirb.com/test
Attending is a technique that demonstrates the nurse‘s commitment to the relationship
kk kk kk kk kk kk kk kk kk kk kk
and reduces feelings of isolation. This technique shows respect for the patient and
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demonstrates caring. Generalizations, probing, and false reassurances are nontherapeutic.
kk kk kk kk kk kk kk kk kk
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DIF: Cognitive Level: Application (Applying) kk kk kk
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
k k kk kk k k kk kk
a bi rb . co m /t e s t
5. A patient shows the nurse an article from the Internet abou t a h e al t h problem. Which
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characteristic of the website‘s address most alerts the nurse that the site may have
kk kk kk kk kk kk kk kk kk kk kk kk kk kk
biased and prejudiced information?
kk kk kk kk
a. Address ends in ―.org.‖ kk abirb.com/test kk kk
b. Address ends in kk kk
―.com.‖
kk
c. Address ends in ―.gov.‖ kk kk kk
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d. Address ends in ―.net.‖ kk kk kk
ANS: k k B
Financial influences on a site are a clue that the information may be biased. ―.com‖ at
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
the end of the address indicates that the site is a commercial one. ―.gov‖ indicates that
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
the site is
kk kk kk
a bir b . c om /te st
maintained by a government entity. ―.org‖ indicates that th e s i t e is n onproprietary; the site
kk kk kk kk kk kk kk kk kk kk
may or may not have reliable information, but it does not profit from its activities. ―.net‖
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can have multiple meanings.
kk kk kk kk
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DIF: Cognitive Level: Comprehension (Understanding) TOP: kk kk kk k k Nursing Process: kk
Evaluation MSC: NCLEX: Health Promotion and Maintenance
kk kk k k kk kk kk kk
6. A nurse says, ―When I was in school, I learned to call ups ea tb i rpba. ctoi men/ t et ss t by name to get
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kk
kk kk kk
their attention; however, I read a descriptive research study that says that this
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approach does not work. I plan to stop calling patients by name.‖ Which statement is
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the best appraisal of this
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nurse‘s comment? kk abirb.com/test
a. One descriptive research study rarely provides enough abirb.com/test
kk evidence to change practice.
kk kk kk kk kk kk kk kk kk
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, b. Staff nurses apply new research findings only with the help from clinical
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nurse specialists.
kk kk
c. New research findings should be incorporated into clinaibci rabl. c ao mlg/ toe sr tithms before
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kk using them in practice.
kk kk kk
d. The nurse misinterpreted the results of the study. Classic tenets of practice do
kk kk kk kk kk kk kk kk kk kk kk kk
kk not change. kk
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ANS: k k A
Descriptive research findings provide evidence for practice but must be viewed in
kk kk kk kk kk kk kk kk kk kk kk
relation to other studies before practice changes. One study is not enough. Descriptive
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studies are low on
kk kk kk kk
a b i rb .c om /t es t
the hierarchy of evidence. Clinical algorithms use flowcha r t s t o m a n age problems and do not
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specify one response to a clinical problem. Classic tenets of practice should change as
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research findings provide evidence for change.
kk kk kk kk kk kk
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DIF: Cognitive Level: Analysis (Analyzing) TOP: kk kk kk k k Nursing Process: kk
Evaluation MSC: NCLEX: Health Promotion and Maintenance
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7. Two nursing students discuss career plans after graduationa.b iO
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r bn
. c eo ms/tt eusdt ent wants to enter
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kk
kk kk kk
psychiatric nursing. The other student asks, ―Why would you want to be a psychiatric
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nurse? All they do is talk. You will lose your skills.‖ Select the best response by the
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student
kk
interested in psychiatric kk kk abirb.com/test
nursing.
kk
a. ―Psychiatric nurses‘ practice in safer environments than other specialties
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and nurse-to-patient ratios are better because of the nature of patients‘
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problems.‖
kk
b. ―Psychiatric nurses use complex communication skills, as well as critical
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thinking, to solve multidimensional problems. I‘m challenged
kk kk kk kk kk kk kk
bya bti rhb o. c so em /steist tuations.‖
kk
c. ―I think I will be good in the mental health field. I do not like clinical
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rotations in school, so I do not want to continue them after I graduate.‖
kk kk kk kk kk kk kk kk kk kk kk kk kk kk
d. ―Psychiatric nurses do not have to deal with as much kk kk kk kk kk kk kk kk kk
paabii rnb. ac onmd/ t essut ffering as medical-surgical nurses. That appeals to
kk kk kk kk kk kk kk
me.‖ kk
ANS: k k B
The practice of psychiatric nursing requires a different s et aob fi r bs. ckoiml l/st e ts ht an medical-surgical
kk kk kk kk kk kk kk kk kk kk
nursing, although substantial overlap does exist. Psychiatric nurses must be able to help
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patients with medical and mental health problems, reflecting the holistic perspective
kk kk kk kk kk kk kk kk kk kk kk
these nurses must have. Nurse–patient ratios and workloads in psychiatric settings have
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increased, similar to other specialties. Psychiatric nursing involves c lai bni ri bc. ac ol mp/ treasct tice, not
kk kk kk kk kk kk kk kk kk kk kk
simply documentation. Psychosocial pain is real and can cause as much suffering as
kk kk kk kk kk kk kk kk kk kk kk kk kk
physical pain.
kk kk
DIF: Cognitive Level: Application kk kk abirb.com/test
(Applying)
kk
TOP: Nursing Process: Implementation MSC:
k k kk kk k k NCLEX: Safe, Effective Care Environment kk kk kk kk
8. Which research evidence would most influence a group of nurses to change their practice?
kk kk kk kk kk kk kk kk kk kk kk kk kk
a. Expert committee report of recommendations for practaibcireb.com/test
kk kk kk kk kk kk
b. Systematic review of randomized controlled trials kk kk kk kk kk
c. Nonexperimental descriptive study kk kk
abirb.com/test
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