Chapter 2. Shared Decision Making: Concordance Between Psychiatric-Mental Health
Advanced
Practice Registered Nurse and Client
MULTIPLE CHOICE
The patient asks the nurse, Ive heard the student nurses talk about the nursing process. Why is
there so much emphasis on using the nursing process? The response that explains the need for
nurses to understand and use the nursing process is:
a. Do you think you have a better method we might use?
b. The nursing process is a systematic problem-solving method encompassing all components
necessary to care for patients.
c. Using the nursing process is a way of legitimizing our profession and placing us on an equal
footing with the pure sciences.
d. The nursing process is a unidimensional, static, linear approach used to guide nurses as they
make clinical judgments.
ANS: B
This response best explains the importance of the nursing process by description and
relationship to patient care. Suggesting that the patient may have a better method is
challenging and does not address the question posed by the patient. Providing legitimacy to
the profession is a very limited explanation for use of the nursing process. The nursing
process is not one-dimensional, static, or linear.
2. When preparing to conduct a nursing history and assessment on a patient transferred from
the emergency department (ED) whose family believes the patient to be a questionable historian
due to cognitive impairment, the nurse initially begins the interview by:
a. Reviewing the ED chart
b. Contacting the admitting physician
c. Directing the questions to the family members
d. Establishing a line of communication with the patient
ANS: D
, The nurse should begin establishing the nursepatient relationship by initially directing the
questions to the patient. The nurse can confirm information and/or obtain supplementary
information from the sources identified by the other options.
Advanced
Practice Registered Nurse and Client
MULTIPLE CHOICE
The patient asks the nurse, Ive heard the student nurses talk about the nursing process. Why is
there so much emphasis on using the nursing process? The response that explains the need for
nurses to understand and use the nursing process is:
a. Do you think you have a better method we might use?
b. The nursing process is a systematic problem-solving method encompassing all components
necessary to care for patients.
c. Using the nursing process is a way of legitimizing our profession and placing us on an equal
footing with the pure sciences.
d. The nursing process is a unidimensional, static, linear approach used to guide nurses as they
make clinical judgments.
ANS: B
This response best explains the importance of the nursing process by description and
relationship to patient care. Suggesting that the patient may have a better method is
challenging and does not address the question posed by the patient. Providing legitimacy to
the profession is a very limited explanation for use of the nursing process. The nursing
process is not one-dimensional, static, or linear.
2. When preparing to conduct a nursing history and assessment on a patient transferred from
the emergency department (ED) whose family believes the patient to be a questionable historian
due to cognitive impairment, the nurse initially begins the interview by:
a. Reviewing the ED chart
b. Contacting the admitting physician
c. Directing the questions to the family members
d. Establishing a line of communication with the patient
ANS: D
, The nurse should begin establishing the nursepatient relationship by initially directing the
questions to the patient. The nurse can confirm information and/or obtain supplementary
information from the sources identified by the other options.
