Lone Star College System, North Harris - PSYC 1301

Chapter 11: Implementing the Nursing Process: Standards of Practice and Professional Performance

Test Bank

MULTIPLE CHOICE

1)A nurse teaching a patient about the effects and side effects of the prescribed medication bases the plan on the knowledge that learning is more effective when:

1. 1. patients are actively included in the process.
   2. topics are introduced only when the patient expresses an interest.
   3. nurses establish realistic goals for learning on behalf of the patient.
   4. patients have responsibility for directing the teaching-learning process.

2. A nurse interviewed a reluctant patient who answered questions with minimal responses and rarely made eye contact. When documenting baseline data collected in the interview, the nurse should include:
   1. interview content only.
   2. a description of the process of the interview.
   3. both the content and the process of the interview.
   4. both factual data about the patient and the nurse’s emotional reaction.

3. While gathering a baseline history about a patient, a nurse is told by a team social worker that the patient “acts weird and has bad hygiene.” The nurse’s responsibility is to:
   1. accept the data without question.
   2. form impressions based on data personally gathered.
   3. document the impression of the team social worker.
   4. discuss the social worker’s impression with the patient.

4. To obtain the clearest clinical information about a patient, a nurse who used several secondary sources, including the patient’s spouse and the report of the admitting psychiatrist, will seek validation from:
   1. the patient.
   2. psychiatric nursing textbooks.
   3. the patient’s extended family.
   4. the use of psychiatric behavioral rating scales.

5. If physicians wish to understand the nursing equivalent of the medical DSM-IV-TR, they should seek an understanding of the:
   1. nursing diagnoses.
   2. nursing process.
   3. behavioral rating scales.
   4. computerized medical records.

6. Which goal should be given the highest priority?
   1. Reduction of anxiety
   2. Alleviation of depression
   3. Enhancement of self-esteem
   4. Protection from self-destructive impulses

7. A nurse who is new to the mental health setting is having difficulty writing meaningful outcome criteria. The nurse’s mentor should suggest which source to best assist the nurse?
   1. Nursing Outcomes Classification (NOC)
   2. Nursing Interventions Classification (NIC)

1. 3. North American Nursing Diagnosis Association International (NANDA-I)
   4. Diagnostic and Statistical Manual of Mental Disorders, ed 4, text revision (DSM-IV-TR)

8. Which is a well-written short-term goal for a socially withdrawn patient who tells a nurse of a wish to reduce social isolation? By day 2, the patient will:
   1. express desire to go shopping.
   2. participate in one unit activity.
   3. become more independent.
   4. be more outgoing.

9. A patient is admitted with a diagnosis of bipolar disorder, manic phase, and displays extreme hyperactivity, agitation, talkativeness, and emotional lability. Which is the highest priority nursing diagnosis?
   1. Risk for injury related to extreme hyperactivity
   2. Disturbed thought processes related to manic state
   3. Impaired social interaction related to excessive verbalization
   4. Impaired sensory perception related to biochemical alterations

10. A nurse is working with a patient with depression. To best help the patient translate insight into action, a major nursing challenge will be to:
    1. promote self-care activities.
    2. consult appropriate resources.
    3. build adequate incentives to change.
    4. identify ineffective behavior patterns.

11. Nursing interventions that have the greatest validity are those that:
    1. are used by nurse clinicians.
    2. are prescribed by physicians.
    3. have been investigated by nurse researchers.
    4. are based on evidence of the efficacy of the intended treatment.

12. Nursing behaviors associated with the implementation phase of the nursing process are concerned with:
    1. regular, in-depth self-analysis.
    2. participating in quality improvement activities.
    3. carrying out interventions and generating alternatives.
    4. comparing patient responses and expected outcomes.

13. A nurse clinician is attempting to explain the evaluation phase of the nursing process to a student. Which statement would help the student grasp the essentials?
    1. “It is a continuous, active process.”
    2. “Patient and family participation is optional.”
    3. “It takes place at the time of termination of services.”
    4. “It is optional since it is based on the patient’s readiness.”

14. A psychiatric nurse clinician is heard calling nurse educators “the experts” and frequently refers to nurse administrators and researchers as “those who know it all.” This nurse can be assessed as having a problem with:
    1. ethics.
    2. education.
    3. collegiality.
    4. resource use.

15. Which action best demonstrates a nurse displaying accountability?
    1. Volunteering to serve on a hospital committee
    2. Notifying the nurse manager when a medication error occurs
    3. Planning patient care strategies for a newly admitted adult patient
    4. Coordinating a patient-centered conference for the health care team

16. A new psychiatric staff nurse is asked to be a member of the Quality Improvement (QI) Committee. The nurse should be motivated to agree to do this because:
    1. QI participation is a requirement stated in the nurse’s job description.
    2. evaluation of quality of care is a standard of professional performance.
    3. salary increments depend on performance variables like committee work.
    4. QI is an activity mandated by the accrediting agency, The Joint Commission.

17. A staff nurse is told at orientation that the department has a clinical advancement program in place. On what criterion is advancement usually based?

1. 1. Desire for professional growth
   2. Acceptance of peer feedback
   3. Advanced application of nursing skills
   4. Attainment of an advanced degree in nursing

18. What is the major difference between supervision and therapy?
    1. Therapy is more intensive; supervision is less structured in its focus.
    2. Supervision extends to all aspects of life, whereas therapy is limited to problem areas.
    3. Supervision teaches psychotherapeutic skills, whereas therapy changes personal coping patterns.
    4. Therapy uses transference, whereas supervision focuses on only personal limitations.

19. A nurse registers for a DSM-IV-TR update workshop. This is an example of adherence to the standard of professional performance that refers to:
    1. education.
    2. ethical standards.
    3. resource utilization.
    4. performance appraisal.

20. According to the nursing standard related to research, a novice psychiatric-mental health nurse with an associate’s degree can be expected to:
    1. engage with other staff in the research process.
    2. use research findings to improve clinical practice.
    3. plan small, independent, data-gathering research projects.
    4. collaborate in proposal development and data collection and analysis.

MULTIPLE RESPONSE

1. As a nurse formulates expected outcomes for a patient who will be taking an antidepressant medication, consideration should be given to which psychosocial domain? (Select all that apply.)
   1. Psychomotor
   2. Cognitive
   3. Affective
   4. Conscious
   5. Process

2. The goal of the nursing care plan is to answer which question regarding the achievement of patient wellness? (Select all that apply.)
   1. Why
   2. When
   3. How
   4. Where
   5. Who

3. A new staff nurse has set a personal goal of gaining greater autonomy over practice. The component of autonomy that the nurse will need to focus on is: (Select all that apply.)
   1. valuing reciprocal interactions.
   2. participating in decision making.