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? - AnswersOur 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? - AnswersId 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. - AnswersLets 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? -
AnswersAddress 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? - AnswersOne
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. -
AnswersPsychiatric 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? -
AnswersSystematic 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? - AnswersAdvocacy
,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? - AnswersMy 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? -
AnswersClinical algorithm
Which historical nursing leader helped focus practice to recognize the importance of science in
psychiatric nursing? - AnswersHildegard 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: - Answersconnected 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: - Answerssays, 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: - Answersdescribes 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: - Answersidentify 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)? - AnswersNational 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: - Answersa 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? -
AnswersDiagnostic 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.
, When new things come up, my boss explains them a few times to make sure I understand. At home, my
parents make decisions for me, and I go along with them. A nurse should identify interventions to
improve this patients: - Answersself-concept
A patient tells a nurse, I have psychiatric problems and am in and out of hospitals all the time. Not one
of my friends or relatives has these problems. Select the nurses best response. - AnswersIt sounds like
you are concerned that others dont experience the same challenges as you
A critical care nurse asks a psychiatric nurse about the difference between a diagnosis in the Diagnostic
and Statistical Manual of Mental Disorders (DSM-5) and a nursing diagnosis. Select the psychiatric
nurses best response. - AnswersThe DSM-5 diagnosis influences the medical treatment; the nursing
diagnosis offers a framework to identify interventions for problems a patient has or may experience.
The spouse of a patient diagnosed with schizophrenia says, I dont understand why childhood
experiences have anything to do with this disabling illness. Select the nurses response that will best help
the spouse understand this condition. - AnswersAlthough this disorder more likely has a biological rather
than psychological origin, the support and involvement of caregivers is very important.
Which belief by a nurse supports the highest degree of patient advocacy during a multidisciplinary
patient care planning session? - AnswersSome symptoms of mental disorders may reflect a persons
cultural patterns
A patients history shows intense and unstable relationships with others. The patient initially idealizes an
individual and then devalues the person when the patients needs are not met. Which aspect of mental
health is a problem? - AnswersFulfilling relationships
In the majority culture of the United States, which individual is at greatest risk to be incorrectly labeled
mentally ill? - AnswersPerson who attends a charismatic church and describes hearing Gods voice
A participant at a community education conference asks, What is the most prevalent type of mental
disorder in the United States? Select the nurses best response. - AnswersAnxiety disorders
A nurse wants to find a description of diagnostic criteria for a person diagnosed with schizophrenia.
Which resource should the nurse consult? - AnswersDiagnostic and Statistical Manual of Mental
Disorders (DSM-5)
A psychiatric nurse best implements the ethical principle of autonomy when he or she: -
Answersexplores alternative solutions with a patient, who then makes a choice
Which action by a psychiatric nurse best supports a patients right to be treated with dignity and
respect? - AnswersConsistently addressing a patient by title and surname.
Two hospitalized patients fight when they are in the same room. During a team meeting, a nurse asserts
that safety is of paramount importance and therefore the treatment plans should call for both patients