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Exam (elaborations)

Sherpath Questions with CORRECT Answers (Verified Update)

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Sherpath Questions with CORRECT Answers (Verified Update)

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Sherpath Questions with CORRECT Answers (Verified Update)

Q1: A patient with a history of an anxiety disorder is brought to the emergency department by
their spouse, who tells the nurse the patient is having a panic attack. Which strategy can the
nurse use to make collecting the patient history data more tolerable for the patient?
A. Review the record for a history of similar episodes in the past.
B. Stop asking questions of the patient until they have calmed down.
C. Repeat the questions until the patient is able to provide a response.
D. Avoid asking questions of the patient and gather assessment data from the spouse.
Answer: A. Review the record for a history of similar episodes in the past.


Q2: Which explanation would the nursing instructor provide to students re- garding why the
six-step nursing process approach is used in mental health nursing?
A. The process is ingrained in nursing history and is important to maintain.
B. Following this process is mandatory according to the state nurse practice act (NPA).
C. The nurse is able to make judgements and choose behaviors relevant to individual patient
care.
D. The six steps allow the nurse to better understand the patient's medical or mental health
diagnosis.
Answer: C. The nurse is able to make judgements and choose behaviors relevant to individual patient
care.


Q3: Which aspect of the patient outcome "Mr. X will report his pain at a 2 or below on a 0-10
pain scale" is missing?
A. A reliable measuring tool
B. A description of what is being measured
C. A time by which the outcome will be achieved
D. An indication of what will change for the patient
Answer: C. A time by which the outcome will be achieved


Q4: The nurse's plan for a patient who presents with a mental health concern is appropriate if the
interventions have which characteristic?
A. Chosen by the patient
B. Conform to a standardized plan of care
C. Attainable and acceptable by both patient and nurse
D. Similar to what has been done in the past for patients with the same concerns
Answer: C. Attainable and acceptable by both patient and nurse

, Q5: The nurse evaluates the patient's response to care and notes improvement regarding an
acute mental health concern. Which activity should follow?
A. The patient is discharged from care.
B. The plan remains unchanged because the patient may regress.
C. The plan shifts focus to prevention and health-promotion efforts.
D. The patient assumes responsibility for determining appropriate changes in care.
Answer: C. The plan shifts focus to prevention and health-promotion efforts.


Q6: Which statement made by a nursing student regarding documentation of health information
indicates that the student requires further teaching?
A. "Documentation is an important aspect of communication but is unrelated to how the
health care facility is reimbursed for services."
B. "All components of the patient's medical record are considered part of a legal document."
C. "Use of an electronic medical record reduces the burden of documenta- tion."
D. "All documents signed by the patient in the course of care are part of the medical record."
Answer: A. "Documentation is an important aspect of communication but is unrelated to how the
health care facility is reimbursed for services."


Q7: Which characteristic of the patient with a mental health concern poses a challenge for the
nurse while collecting assessment data?
A. The patient will often not admit to experiencing a problem.
B. The patient and family want the same thing from the nurse.
C. The patient often refuses to speak with the nurse, preferring a therapist instead.
D. A frightened patient will often shut down and the nurse will not be able to communicate
effectively.
Answer: A. The patient will often not admit to experiencing a problem.


Q8: Which statement explains the benefit of the nursing diagnosis when used in the care of a
patient with a mental health concern?
A. This step helps any nurse to understand the patient's problem.
B. Having a nursing diagnosis postpones the need to establish a medical diagnosis.
C. A nursing diagnosis is required for the insurer to reimburse health care delivery system.
D. Labeling the patient problem with a nursing diagnosis eliminates the need to collect a
patient history.
Answer: A. This step helps any nurse to understand the patient's problem.

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