Question 1

A nurse performing an assessment interview for a patient with a substance abuse disorder decides to use a standardized rating scale. Which scales are appropriate? (Select all that apply.)

Accepted Answer

A)  Addiction Severity Index (ASI) 
B)  Brief Drug Abuse Screen Test (B-DAST) 
C)  Abnormal Involuntary Movement Scale (AIMS) 
D)  Cognitive Capacity Screening Examination (CCS
E)  
E)  Recovery Attitude and Treatment Evaluator (RAAT
E)

Question 2

A new staff nurse completes orientation to the psychiatric unit. This nurse will expect to ask an advanced practice nurse to perform which action for patients?

Accepted Answer

A)  Perform mental health assessment interviews. 
B)  Establish therapeutic relationships. 
C)  Prescribe psychotropic medication. 
D)  Individualize nursing care plans.

Question 3

Select the best outcome for a patient with this nursing diagnosis: impaired social interaction, related to sociocultural dissonance as evidenced by stating, "Although I'd like to, I don't join in because I don't speak the language very well." The patient will:

Accepted Answer

A)  demonstrate improved social skills. 
B)  express a desire to interact with others. 
C)  become more independent in decision making. 
D)  select and participate in one group activity per day.

Question 4

A patient's nursing diagnosis is insomnia. The desired outcome is: "Patient will sleep for a minimum of 5 hours nightly by October 31." On November 1, a review of the sleep data shows the patient sleeps an average of 4 hours nightly and takes a 2-hour afternoon nap. What is the nurse's next action?

Accepted Answer

A)  Continue the current plan without changes. 
B)  Remove this nursing diagnosis from the plan of care. 
C)  Write a new nursing diagnosis that better reflects the problem. 
D)  Revise the outcome target date and interventions.

Question 5

A patient begins a new program to assist with building social skills. In which part of the plan of care should a nurse record the item "Encourage patient to attend one psychoeducational group daily"?

Accepted Answer

A)  Assessment 
B)  Analysis 
C)  Planning 
D)  Implementation 
E)  Evaluation

Question 6

A nurse assessing a new patient asks, "What is meant by the saying, 'You can't judge a book by looking at the cover'?" Which aspect of cognition is the nurse assessing?

Accepted Answer

A)  Mood 
B)  Attention 
C)  Orientation 
D)  Abstraction

Question 7

A patient's nursing diagnosis is insomnia. The desired outcome is: "Patient will sleep for a minimum of 5 hours nightly by October 31." On November 1, a review of the sleep data shows the patient sleeps an average of 4 hours nightly and takes a 2-hour afternoon nap. Which evaluation should be documented?

Accepted Answer

A)  Consistently demonstrated 
B)  Often demonstrated 
C)  Sometimes demonstrated 
D)  Never demonstrated

Question 8

Nursing behaviors associated with the implementation phase of the nursing process are concerned with:

Accepted Answer

A)  participating in the mutual identification of patient outcomes. 
B)  gathering accurate and sufficient patient-centered data. 
C)  comparing patient responses and expected outcomes. 
D)  carrying out interventions and coordinating care.

Exam 7: Nursing Process and QSEN: The Foundation for Safe and Effective Care