WWW.THENURSINGMASTERY.COM
,Chapter 01: Science and the Therapeutic Use of Self in Psychiatric Mental Health
FT L FT L FT L FT L FT L FT L L
FT FT L FT L L
FT L
FT FT L
Nursing
FT L
Varcarolis: Essentials of Psychiatric Mental Health Nursing: A Communication FT L L
FT L
FT L
FT FT L FT L L
FT L
FT
Approach to Evidence-Based Care, 4th Edition
FT L FT L FT L FT L FT L FT L
MULTIPLE CHOICE L
T
F
1. Which outcome, focused on recovery, would be expected in the plan of care for a patient
FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
living in the community and diagnosed with serious and persistent mental illness? Within 3
FT L L
FT L
FT L
FT FT L FT L FT L FT L L
FT FT L L
FT L
FT FT L L
FT
months, the patient will demonstrate what behavior?
FT L FT L FT L FT L FT L L
FT FT L
a. Denying suicidal ideation L
FT FT L
b. Reporting a sense of well-being FT L L
FT FT L FT L
c. Taking medications as prescribed L
FT L
FT FT L
d. Attending clinic appointments on time FT L FT L L
FT L
FT
ANS: B F T L
Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving FT L FT L FT L FT L FT L FT L L
FT L
FT
role performance. The goal of recovery is to empower the individual with mental illness to
FT L FT L FT L FT L L
FT FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
achieve a sense of meaning and satisfaction in life and to function at the highest possible level
FT L FT L FT L FT L FT L L
FT FT L L
FT L
FT L
FT L
FT L
FT FT L FT L L
FT FT L L
FT
of wellness. The incorrect options focus on the classic medical model rather than recovery.
FT L FT L FT L L
FT FT L FT L FT L L
FT FT L FT L FT L FT L FT L FT L
DIF: Cognitive Level: Application (Applying) FT L FT L FT L
TOP: Nursing Process: Outcomes Identification
FT L FT L FT L FT L FT L
MSC: NCLEX: Health Promotion and
FT L F T L L
T
F T
F L T
FL
Maintenance
L
FT
2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for a
L
FT L
FT FT L L
FT L
FT FT L L
FT L
FT L
FT L
FT FT L FT L L
FT L
FT
divorce. Select the nurse’s most caring comment.
FT L FT L FT L FT L FT L FT L FT L
a. “Let’s discuss healthy means of coping when you have suicidal feelings.” L
FT L
FT L
FT FT L L
FT L
FT FT L L
FT FT L FT L
b. “I understand why you’re so depressed. When I got divorced, I was devastated
L
FT FT L FT L L
FT L
FT L
FT FT L L
FT FT L L
FT L
FT FT L
too.” L
FT
c. “You should forget about your marriage and move on with your life.” FT L FT L L
FT FT L L
FT L
FT FTL FT L L
FT L
FT FT L
d. “How did you get so depressed that hospitalization was necessary?” L
FT L
FT FT L L
FT FT L L
FT L
FT FT L FT L
ANS: A F T L
The nurse’s communication should evidence caring and a commitment to work with the
FT L FT L FT L FT L FT L FT L L
FT FT L L
FT L
FT L
FT L
FT
patient. This commitment lets the patient know the nurse will help. Probing and advice are not
FT L L
FT FT L L
FT FT L FT L L
FT L
FT FT L FT L L
FT L
FT L
FT L
FT L
FT L
FT
helpful for therapeutic interventions.
FT L FT L L
FT FT L
DIF: Cognitive Level: Application (Applying) L
T
F L
FT L
FT
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
F T L L
FT L
FT F T L L
FT L
FT
3. In the shift-change report, an off-going nurse criticizes a patient who wears extremely heavy
L
FT FT L FT L L
FT L
FT FT L FT L FT L L
FT FT L L
FT L
FT L
FT
makeup. Which comment by the nurse who receives the report best demonstrates
FT L L
FT FT L FT L L
FT L
FT FT L FT L FT L L
FT FT L FT L
advocacy?
FT L
a. “This is a psychiatric hospital, so we expect our patients to behave bizarrely.” L
FT L
FT FT L L
FT FT L L
FT FT L L
FT L
FT FT L L
FT L
FT
b. “Let’s all show acceptance of this patient by wearing lots of makeup too.” FT L L
FT L
FT L
FT FT L L
FT FT L L
FT FT L L
FT L
FT FT L
c. “Your comments are inconsiderate and inappropriate. Keep the report objective.” L
FT L
FT L
FT L
FT FT L FT L L
FT FT L L
FT
d. “Our patients need our help to learn behaviors that will help them get along in FT L FT L FT L L
FT L
FT L
FT FT L FT L FT L FT L L
FT FT L L
FT L
FT
society.” L
FT
ANS: D F T L
Accepting patients’ needs for self-expression and seeking to teach skills that will contribute to L
FT FT L FT L L
FT FT L L
FT FT L FT L L
FT FT L L
FT L
FT L
FT
WWW.THENURSINGMASTERY.COM
, FT L their well-being demonstrate respect and are important parts of advocacy. The on-coming
FT L FT L L
FT FT L FT L L
FT L
FT L
FT FT L FT L FT L
FT L nurse needs to take action to ensure that others are not prejudiced against the patient. Humor
L
FT FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L L
FT L
FT
FT L can be appropriate within the privacy of a shift report but not at the expense of respect for
L
FT FT L FT L FT L FT L FT L FT L FT L FT L FT L L
FT FTL FT L FT L FT L FT L FT L
FT L patients. Judging the off-going nurse in a critical way will create conflict. Nurses must show
FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L L
FT FT L FT L
FT L compassion for each other. FT L FT L FT L
DIF: Cognitive Level: Application (Applying) L
T
F L
FT L
FT
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
F T L L
FT L
FT F T L L
FT FT L FTL L
FT
4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder. Which
L
FT FT L L
FT FT L FT L L
FT L
FT FT L FT L L
FT FT L L
FT
statement is an example of “attending”?
FT L FT L FT L FT L FT L FT L
a. “We all have stress in life. Being in a psychiatric hospital is not the end of the
FT L FT L FT L FT L FT L L
FT FT L FT L L
FT FT L L
FT FT L L
FT FT L L
FT L
FT
world.” L
FT
b. “Tell me why you felt you had to be hospitalized to receive treatment for your L
FT FT L FT L FTL FTL FT L FT L FT L L
FT L
FT FT L FTL FT L FT L
depression.” L
FT
c. “You will feel better after we get some antidepressant medication started for you.” FT L FT L L
FT L
FT FT L FT L FTL FT L FT L L
FT L
FT L
FT
d. “I’d like to sit with you for a while, so you may feel more comfortable talking with
L
FT L
FT FT L L
FT FT L L
FT L
FT L
FT FT L L
FT L
FT L
FT L
FT L
FT L
FT L
FT
me.” L
FT
ANS: D F T L
Attending is a technique that demonstrates the nurse’s commitment to the relationship and L
FT FTL FT L FT L L
FT L
FT FT L FT L FT L FTL FT L FT L
reduces feelings of isolation. This technique shows respect for the patient and demonstrates
FT L FT L FT L FT L L
FT L
FT L
FT L
FT L
FT FT L L
FT FT L FT L
caring. Generalizations, probing, and false reassurances are nontherapeutic.
FT L FT L FTL FT L L
FT FT L FT L FT L
DIF: Cognitive Level: Application (Applying) L
T
F L
FT L
FT
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
F T L L
FT L
FT F T L FT L L
FT
5. A patient shows the nurse an article from the Internet about a health problem. Which
FT L L
FT FT L L
FT L
FT FT L FT L L
FT FT L FT L L
FT FT L L
FT FT L
characteristic of the website’s address most alerts the nurse that the site may have biased and L
FT FT L L
FT FT L FT L L
FT FT L FT L L
FT L
FT FT L FT L FT L L
FT FT L
prejudiced information?
FT L FT L
a. Address ends in “.org.” FT L FT L FT L
b. Address ends in “.com.” FT L FT L FT L
c. Address ends in “.gov.” L
FT FTL L
FT
d. Address ends in “.net.” FT L FT L FT L
ANS: B F T L
Financial influences on a site are a clue that the information may be biased. “.com” at the end L
FT L
FT FT L FT L FT L L
FT FT L L
FT L
FT FT L FT L L
FT FT L FT L L
FT L
FT L
FT
of the address indicates that the site is a commercial one. “.gov” indicates that the site is
FT L FT L FT L FT L FT L L
FT FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
maintained by a government entity. “.org” indicates that the site is nonproprietary; the site FT L FT L FT L FT L FT L L
FT FT L L
FT FT L FT L FT L L
FT FT L
may or may not have reliable information, but it does not profit from its activities. “.net” can
FT L L
FT L
FT FT L FT L L
FT FT L FT L FT L FTL FTL L
FT FT L FT L L
FT L
FT L
FT
have multiple meanings.
FT L FT L FT L
DIF: Cognitive Level: Comprehension (Understanding) TOP: Nursing Process: FT L FT L FT L F T L L
T
F
Evaluation MSC: NCLEX: Health Promotion and Maintenance
L
T
F FT L F T L L
FT FT L FT L FT L
6. A nurse says, “When I was in school, I learned to call upset patients by name to get their
FT L FT L FT L FT L FT L L
FT FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L L
FT
attention; however, I read a descriptive research study that says that this approach does
FT L L
FT FT L FT L L
FT FT L FT L FT L FT L FT L L
FT FT L FT L FT L
not work. I plan to stop calling patients by name.” Which statement is the best appraisal of
FT L FT L L
FT FT L L
FT L
FT FT L L
FT FT L L
FT L
FT FT L L
FT L
FT L
FT FT L FT L
this nurse’s comment?
FT L FT L FT L
a. One descriptive research study rarely provides enough evidence to change practice.
FT L FT L FT L FT L L
FT FT L FT L FT L FT L L
FT
WWW.THENURSINGMASTERY.COM
, b. Staff nurses apply new research findings only with the help from clinical nurse
FT L FT L FT L L
FT FT L L
FT FT L L
FT FT L FT L L
FT FT L
specialists.
FT L
c. New research findings should be incorporated into clinical algorithms before using
L
FT FT L L
FT L
FT FT L FT L FT L L
FT L
FT L
FT
them in practice.
FT L FT L FT L
d. The nurse misinterpreted the results of the study. Classic tenets of practice do not
L
FT FT L L
FT L
FT L
FT L
FT L
FT FT L L
FT L
FT L
FT L
FT L
FT
change.
FT L
ANS: A F T L
Descriptive research findings provide evidence for practice but must be viewed in relation to FT L FT L L
FT FT L FT L FT L FT L FT L FT L L
FT L
FT FT L FT L
other studies before practice changes. One study is not enough. Descriptive studies are low on
FT L FT L FT L FTL FT L L
FT L
FT L
FT FT L L
FT L
FT FT L L
FT L
FT L
FT
the hierarchy of evidence. Clinical algorithms use flowcharts to manage problems and do
FT L FT L FT L FT L FT L FT L FT L FT L FT L L
FT FT L FT L FT L
not specify one response to a clinical problem. Classic tenets of practice should change as
FT L FT L FT L FT L FT L L
FT FT L FT L FT L FT L FT L FT L FT L FT L FT L
research findings provide evidence for change.
FT L FT L FT L FT L FT L FT L
DIF: Cognitive Level: Analysis (Analyzing) TOP: Nursing Process: FT L FT L FT L F T L L
T
F
Evaluation MSC: NCLEX: Health Promotion and Maintenance
L
T
F FT L F T L FT L FT L FT L FT L
7. Two nursing students discuss career plans after graduation. One student wants to enter
L
FT FT L FT L FT L FT L FT L FT L FT L FT L L
FT FT L FT L
psychiatric nursing. The other student asks, “Why would you want to be a psychiatric nurse?
FT L L
FT FT L FT L L
FT L
FT L
FT L
FT FT L L
FT FT L FT L FT L L
FT FT L
All they do is talk. You will lose your skills.” Select the best response by the student
FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L L
FT FT L L
FT FT L L
FT FT L
interested in psychiatric nursing.
FT L FT L FT L FT L
a. “Psychiatric nurses’ practice in safer environments than other specialties and FT L FT L L
FT FT L FT L FT L FT L FT L L
FT
nurse-to-patient ratios are better because of the nature of patients’ problems.”
FT L FT L FT L L
FT FT L L
FT FT L FT L FT L L
FT L
FT
b. “Psychiatric nurses use complex communication skills, as well as critical thinking, FT L L
FT L
FT FTL L
FT FT L L
FT L
FT L
FT L
FT
to solve multidimensional problems. I’m challenged by those situations.”
FT L L
FT FT L FT L FT L FT L FT L L
FT FT L
c. “I think I will be good in the mental health field. I do not like clinical rotations in
L
FT FT L L
FT L
FT FT L L
FT FT L L
FT FT L L
FT FT L L
FT FT L L
FT FT L FT L FT L
school, so I do not want to continue them after I graduate.”
FT L FT L L
FT FT L FT L L
FT FT L L
FT FT L FT L FT L FT L
d. “Psychiatric nurses do not have to deal with as much pain and suffering as FT L FT L L
FT FT L FT L L
FT FT L FTL L
FT FT L FT L L
FT L
FT
medical-surgical nurses. That appeals to me.”
FT L FT L FT L FT L FT L L
FT
ANS: B F T L
The practice of psychiatric nursing requires a different set of skills than medical-surgical
FT L FT L FT L FT L FT L FT L FT L L
FT L
FT FT L FT L FT L
nursing, although substantial overlap does exist. Psychiatric nurses must be able to help
FT L FT L FT L FT L FT L FT L FTL FT L FT L FT L FT L L
FT L
FT
patients with medical and mental health problems, reflecting the holistic perspective these
FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
nurses must have. Nurse–patient ratios and workloads in psychiatric settings have increased,
FT L L
FT FT L FT L FT L FT L FT L L
FT L
FT L
FT L
FT L
FT
similar to other specialties. Psychiatric nursing involves clinical practice, not simply
FT L FT L L
FT FT L FT L L
FT FT L FT L FT L FT L L
FT
documentation. Psychosocial pain is real and can cause as much suffering as physical pain.
FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L L
FT FT L FT L
DIF: Cognitive Level: Application (Applying) L
T
F L
FT L
FT
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
F T L L
FT L
FT F T L FT L FT L L
FT L
FT
8. Which research evidence would most influence a group of nurses to change their practice?
L
FT FT L L
FT FT L FT L FT L FT L L
FT L
FT FT L L
FT FT L FT L
a. Expert committee report of recommendations for practice L
FT L
FT FT L L
FT L
FT L
FT
b. Systematic review of randomized controlled trials FT L FT L L
FT FT L FT L
c. Nonexperimental descriptive study L
FT FT L
d. Critical pathway L
FT
ANS: B F T L
WWW.THENURSINGMASTERY.COM
,Chapter 01: Science and the Therapeutic Use of Self in Psychiatric Mental Health
FT L FT L FT L FT L FT L FT L L
FT FT L FT L L
FT L
FT FT L
Nursing
FT L
Varcarolis: Essentials of Psychiatric Mental Health Nursing: A Communication FT L L
FT L
FT L
FT FT L FT L L
FT L
FT
Approach to Evidence-Based Care, 4th Edition
FT L FT L FT L FT L FT L FT L
MULTIPLE CHOICE L
T
F
1. Which outcome, focused on recovery, would be expected in the plan of care for a patient
FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
living in the community and diagnosed with serious and persistent mental illness? Within 3
FT L L
FT L
FT L
FT FT L FT L FT L FT L L
FT FT L L
FT L
FT FT L L
FT
months, the patient will demonstrate what behavior?
FT L FT L FT L FT L FT L L
FT FT L
a. Denying suicidal ideation L
FT FT L
b. Reporting a sense of well-being FT L L
FT FT L FT L
c. Taking medications as prescribed L
FT L
FT FT L
d. Attending clinic appointments on time FT L FT L L
FT L
FT
ANS: B F T L
Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving FT L FT L FT L FT L FT L FT L L
FT L
FT
role performance. The goal of recovery is to empower the individual with mental illness to
FT L FT L FT L FT L L
FT FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
achieve a sense of meaning and satisfaction in life and to function at the highest possible level
FT L FT L FT L FT L FT L L
FT FT L L
FT L
FT L
FT L
FT L
FT FT L FT L L
FT FT L L
FT
of wellness. The incorrect options focus on the classic medical model rather than recovery.
FT L FT L FT L L
FT FT L FT L FT L L
FT FT L FT L FT L FT L FT L FT L
DIF: Cognitive Level: Application (Applying) FT L FT L FT L
TOP: Nursing Process: Outcomes Identification
FT L FT L FT L FT L FT L
MSC: NCLEX: Health Promotion and
FT L F T L L
T
F T
F L T
FL
Maintenance
L
FT
2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for a
L
FT L
FT FT L L
FT L
FT FT L L
FT L
FT L
FT L
FT FT L FT L L
FT L
FT
divorce. Select the nurse’s most caring comment.
FT L FT L FT L FT L FT L FT L FT L
a. “Let’s discuss healthy means of coping when you have suicidal feelings.” L
FT L
FT L
FT FT L L
FT L
FT FT L L
FT FT L FT L
b. “I understand why you’re so depressed. When I got divorced, I was devastated
L
FT FT L FT L L
FT L
FT L
FT FT L L
FT FT L L
FT L
FT FT L
too.” L
FT
c. “You should forget about your marriage and move on with your life.” FT L FT L L
FT FT L L
FT L
FT FTL FT L L
FT L
FT FT L
d. “How did you get so depressed that hospitalization was necessary?” L
FT L
FT FT L L
FT FT L L
FT L
FT FT L FT L
ANS: A F T L
The nurse’s communication should evidence caring and a commitment to work with the
FT L FT L FT L FT L FT L FT L L
FT FT L L
FT L
FT L
FT L
FT
patient. This commitment lets the patient know the nurse will help. Probing and advice are not
FT L L
FT FT L L
FT FT L FT L L
FT L
FT FT L FT L L
FT L
FT L
FT L
FT L
FT L
FT
helpful for therapeutic interventions.
FT L FT L L
FT FT L
DIF: Cognitive Level: Application (Applying) L
T
F L
FT L
FT
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
F T L L
FT L
FT F T L L
FT L
FT
3. In the shift-change report, an off-going nurse criticizes a patient who wears extremely heavy
L
FT FT L FT L L
FT L
FT FT L FT L FT L L
FT FT L L
FT L
FT L
FT
makeup. Which comment by the nurse who receives the report best demonstrates
FT L L
FT FT L FT L L
FT L
FT FT L FT L FT L L
FT FT L FT L
advocacy?
FT L
a. “This is a psychiatric hospital, so we expect our patients to behave bizarrely.” L
FT L
FT FT L L
FT FT L L
FT FT L L
FT L
FT FT L L
FT L
FT
b. “Let’s all show acceptance of this patient by wearing lots of makeup too.” FT L L
FT L
FT L
FT FT L L
FT FT L L
FT FT L L
FT L
FT FT L
c. “Your comments are inconsiderate and inappropriate. Keep the report objective.” L
FT L
FT L
FT L
FT FT L FT L L
FT FT L L
FT
d. “Our patients need our help to learn behaviors that will help them get along in FT L FT L FT L L
FT L
FT L
FT FT L FT L FT L FT L L
FT FT L L
FT L
FT
society.” L
FT
ANS: D F T L
Accepting patients’ needs for self-expression and seeking to teach skills that will contribute to L
FT FT L FT L L
FT FT L L
FT FT L FT L L
FT FT L L
FT L
FT L
FT
WWW.THENURSINGMASTERY.COM
, FT L their well-being demonstrate respect and are important parts of advocacy. The on-coming
FT L FT L L
FT FT L FT L L
FT L
FT L
FT FT L FT L FT L
FT L nurse needs to take action to ensure that others are not prejudiced against the patient. Humor
L
FT FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L L
FT L
FT
FT L can be appropriate within the privacy of a shift report but not at the expense of respect for
L
FT FT L FT L FT L FT L FT L FT L FT L FT L FT L L
FT FTL FT L FT L FT L FT L FT L
FT L patients. Judging the off-going nurse in a critical way will create conflict. Nurses must show
FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L L
FT FT L FT L
FT L compassion for each other. FT L FT L FT L
DIF: Cognitive Level: Application (Applying) L
T
F L
FT L
FT
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
F T L L
FT L
FT F T L L
FT FT L FTL L
FT
4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder. Which
L
FT FT L L
FT FT L FT L L
FT L
FT FT L FT L L
FT FT L L
FT
statement is an example of “attending”?
FT L FT L FT L FT L FT L FT L
a. “We all have stress in life. Being in a psychiatric hospital is not the end of the
FT L FT L FT L FT L FT L L
FT FT L FT L L
FT FT L L
FT FT L L
FT FT L L
FT L
FT
world.” L
FT
b. “Tell me why you felt you had to be hospitalized to receive treatment for your L
FT FT L FT L FTL FTL FT L FT L FT L L
FT L
FT FT L FTL FT L FT L
depression.” L
FT
c. “You will feel better after we get some antidepressant medication started for you.” FT L FT L L
FT L
FT FT L FT L FTL FT L FT L L
FT L
FT L
FT
d. “I’d like to sit with you for a while, so you may feel more comfortable talking with
L
FT L
FT FT L L
FT FT L L
FT L
FT L
FT FT L L
FT L
FT L
FT L
FT L
FT L
FT L
FT
me.” L
FT
ANS: D F T L
Attending is a technique that demonstrates the nurse’s commitment to the relationship and L
FT FTL FT L FT L L
FT L
FT FT L FT L FT L FTL FT L FT L
reduces feelings of isolation. This technique shows respect for the patient and demonstrates
FT L FT L FT L FT L L
FT L
FT L
FT L
FT L
FT FT L L
FT FT L FT L
caring. Generalizations, probing, and false reassurances are nontherapeutic.
FT L FT L FTL FT L L
FT FT L FT L FT L
DIF: Cognitive Level: Application (Applying) L
T
F L
FT L
FT
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
F T L L
FT L
FT F T L FT L L
FT
5. A patient shows the nurse an article from the Internet about a health problem. Which
FT L L
FT FT L L
FT L
FT FT L FT L L
FT FT L FT L L
FT FT L L
FT FT L
characteristic of the website’s address most alerts the nurse that the site may have biased and L
FT FT L L
FT FT L FT L L
FT FT L FT L L
FT L
FT FT L FT L FT L L
FT FT L
prejudiced information?
FT L FT L
a. Address ends in “.org.” FT L FT L FT L
b. Address ends in “.com.” FT L FT L FT L
c. Address ends in “.gov.” L
FT FTL L
FT
d. Address ends in “.net.” FT L FT L FT L
ANS: B F T L
Financial influences on a site are a clue that the information may be biased. “.com” at the end L
FT L
FT FT L FT L FT L L
FT FT L L
FT L
FT FT L FT L L
FT FT L FT L L
FT L
FT L
FT
of the address indicates that the site is a commercial one. “.gov” indicates that the site is
FT L FT L FT L FT L FT L L
FT FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
maintained by a government entity. “.org” indicates that the site is nonproprietary; the site FT L FT L FT L FT L FT L L
FT FT L L
FT FT L FT L FT L L
FT FT L
may or may not have reliable information, but it does not profit from its activities. “.net” can
FT L L
FT L
FT FT L FT L L
FT FT L FT L FT L FTL FTL L
FT FT L FT L L
FT L
FT L
FT
have multiple meanings.
FT L FT L FT L
DIF: Cognitive Level: Comprehension (Understanding) TOP: Nursing Process: FT L FT L FT L F T L L
T
F
Evaluation MSC: NCLEX: Health Promotion and Maintenance
L
T
F FT L F T L L
FT FT L FT L FT L
6. A nurse says, “When I was in school, I learned to call upset patients by name to get their
FT L FT L FT L FT L FT L L
FT FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L L
FT
attention; however, I read a descriptive research study that says that this approach does
FT L L
FT FT L FT L L
FT FT L FT L FT L FT L FT L L
FT FT L FT L FT L
not work. I plan to stop calling patients by name.” Which statement is the best appraisal of
FT L FT L L
FT FT L L
FT L
FT FT L L
FT FT L L
FT L
FT FT L L
FT L
FT L
FT FT L FT L
this nurse’s comment?
FT L FT L FT L
a. One descriptive research study rarely provides enough evidence to change practice.
FT L FT L FT L FT L L
FT FT L FT L FT L FT L L
FT
WWW.THENURSINGMASTERY.COM
, b. Staff nurses apply new research findings only with the help from clinical nurse
FT L FT L FT L L
FT FT L L
FT FT L L
FT FT L FT L L
FT FT L
specialists.
FT L
c. New research findings should be incorporated into clinical algorithms before using
L
FT FT L L
FT L
FT FT L FT L FT L L
FT L
FT L
FT
them in practice.
FT L FT L FT L
d. The nurse misinterpreted the results of the study. Classic tenets of practice do not
L
FT FT L L
FT L
FT L
FT L
FT L
FT FT L L
FT L
FT L
FT L
FT L
FT
change.
FT L
ANS: A F T L
Descriptive research findings provide evidence for practice but must be viewed in relation to FT L FT L L
FT FT L FT L FT L FT L FT L FT L L
FT L
FT FT L FT L
other studies before practice changes. One study is not enough. Descriptive studies are low on
FT L FT L FT L FTL FT L L
FT L
FT L
FT FT L L
FT L
FT FT L L
FT L
FT L
FT
the hierarchy of evidence. Clinical algorithms use flowcharts to manage problems and do
FT L FT L FT L FT L FT L FT L FT L FT L FT L L
FT FT L FT L FT L
not specify one response to a clinical problem. Classic tenets of practice should change as
FT L FT L FT L FT L FT L L
FT FT L FT L FT L FT L FT L FT L FT L FT L FT L
research findings provide evidence for change.
FT L FT L FT L FT L FT L FT L
DIF: Cognitive Level: Analysis (Analyzing) TOP: Nursing Process: FT L FT L FT L F T L L
T
F
Evaluation MSC: NCLEX: Health Promotion and Maintenance
L
T
F FT L F T L FT L FT L FT L FT L
7. Two nursing students discuss career plans after graduation. One student wants to enter
L
FT FT L FT L FT L FT L FT L FT L FT L FT L L
FT FT L FT L
psychiatric nursing. The other student asks, “Why would you want to be a psychiatric nurse?
FT L L
FT FT L FT L L
FT L
FT L
FT L
FT FT L L
FT FT L FT L FT L L
FT FT L
All they do is talk. You will lose your skills.” Select the best response by the student
FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L L
FT FT L L
FT FT L L
FT FT L
interested in psychiatric nursing.
FT L FT L FT L FT L
a. “Psychiatric nurses’ practice in safer environments than other specialties and FT L FT L L
FT FT L FT L FT L FT L FT L L
FT
nurse-to-patient ratios are better because of the nature of patients’ problems.”
FT L FT L FT L L
FT FT L L
FT FT L FT L FT L L
FT L
FT
b. “Psychiatric nurses use complex communication skills, as well as critical thinking, FT L L
FT L
FT FTL L
FT FT L L
FT L
FT L
FT L
FT
to solve multidimensional problems. I’m challenged by those situations.”
FT L L
FT FT L FT L FT L FT L FT L L
FT FT L
c. “I think I will be good in the mental health field. I do not like clinical rotations in
L
FT FT L L
FT L
FT FT L L
FT FT L L
FT FT L L
FT FT L L
FT FT L L
FT FT L FT L FT L
school, so I do not want to continue them after I graduate.”
FT L FT L L
FT FT L FT L L
FT FT L L
FT FT L FT L FT L FT L
d. “Psychiatric nurses do not have to deal with as much pain and suffering as FT L FT L L
FT FT L FT L L
FT FT L FTL L
FT FT L FT L L
FT L
FT
medical-surgical nurses. That appeals to me.”
FT L FT L FT L FT L FT L L
FT
ANS: B F T L
The practice of psychiatric nursing requires a different set of skills than medical-surgical
FT L FT L FT L FT L FT L FT L FT L L
FT L
FT FT L FT L FT L
nursing, although substantial overlap does exist. Psychiatric nurses must be able to help
FT L FT L FT L FT L FT L FT L FTL FT L FT L FT L FT L L
FT L
FT
patients with medical and mental health problems, reflecting the holistic perspective these
FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
nurses must have. Nurse–patient ratios and workloads in psychiatric settings have increased,
FT L L
FT FT L FT L FT L FT L FT L L
FT L
FT L
FT L
FT L
FT
similar to other specialties. Psychiatric nursing involves clinical practice, not simply
FT L FT L L
FT FT L FT L L
FT FT L FT L FT L FT L L
FT
documentation. Psychosocial pain is real and can cause as much suffering as physical pain.
FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L L
FT FT L FT L
DIF: Cognitive Level: Application (Applying) L
T
F L
FT L
FT
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
F T L L
FT L
FT F T L FT L FT L L
FT L
FT
8. Which research evidence would most influence a group of nurses to change their practice?
L
FT FT L L
FT FT L FT L FT L FT L L
FT L
FT FT L L
FT FT L FT L
a. Expert committee report of recommendations for practice L
FT L
FT FT L L
FT L
FT L
FT
b. Systematic review of randomized controlled trials FT L FT L L
FT FT L FT L
c. Nonexperimental descriptive study L
FT FT L
d. Critical pathway L
FT
ANS: B F T L
WWW.THENURSINGMASTERY.COM
