NURS 3381 Exam 1 questions & answers
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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? - correct
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? - correct 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. - correct 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? - correct 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? - correct 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. -
correct 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? -
correct 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? - correct 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? - correct 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? - correct answer ✔✔Clinical algorithm
Which historical nursing leader helped focus practice to recognize the importance of science in
psychiatric nursing? - correct 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: - correct
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: - correct 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: - correct 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: - correct 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)? - correct 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: - correct 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?
- correct 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.
A+ rated already passed
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? - correct
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? - correct 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. - correct 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? - correct 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? - correct 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. -
correct 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? -
correct 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? - correct 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? - correct 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? - correct answer ✔✔Clinical algorithm
Which historical nursing leader helped focus practice to recognize the importance of science in
psychiatric nursing? - correct 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: - correct
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: - correct 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: - correct 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: - correct 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)? - correct 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: - correct 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?
- correct 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.