Question 1

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:

Accepted Answer

A)   QI participation is a requirement stated in the nurse's job description.
B)   evaluation of quality of care is a standard of professional performance.
C)   salary increments depend on performance variables like committee work.
D)   QI is an activity mandated by the accrediting agency, The Joint Commission. B

Question 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:

Accepted Answer

A)   interview content only.
B)   a description of the process of the interview.
C)   both the content and the process of the interview.
D)   both factual data about the patient and the nurse's emotional reaction. C

Question 3

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:

Accepted Answer

A)   patients are actively included in the process.
B)   topics are introduced only when the patient expresses an interest.
C)   nurses establish realistic goals for learning on behalf of the patient.
D)   patients have responsibility for directing the teaching-learning process. A

Question 4

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.)

Accepted Answer

A)   Psychomotor
B)   Cognitive
C)   Affective
D)   Conscious
E)   Process

Question 5

When the cost of a patient's prescribed medication is discussed,the interdisciplinary team is engaging in patient-focused: (Select all that apply.)

Accepted Answer

A)   discharge.
B)   participation.
C)   collaboration.
D)   advocacy.
E)   resource utilization.

Question 6

According to the nursing standard related to research,a novice psychiatric-mental health nurse with an associate's degree can be expected to:

Accepted Answer

A)   engage with other staff in the research process.
B)   use research findings to improve clinical practice.
C)   plan small, independent, data-gathering research projects.
D)   collaborate in proposal development and data collection and analysis.

Question 7

Which goal should be given the highest priority?

Accepted Answer

A)   Reduction of anxiety
B)   Alleviation of depression
C)   Enhancement of self-esteem
D)   Protection from self-destructive impulses

Question 8

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

Accepted Answer

A)   regular, in-depth self-analysis.
B)   participating in quality improvement activities.
C)   carrying out interventions and generating alternatives.
D)   comparing patient responses and expected outcomes.

Question 9

Which action best demonstrates a nurse displaying accountability?

Accepted Answer

A)   Volunteering to serve on a hospital committee
B)   Notifying the nurse manager when a medication error occurs
C)   Planning patient care strategies for a newly admitted adult patient
D)   Coordinating a patient-centered conference for the health care team

Question 10

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?

Accepted Answer

A)   Nursing Outcomes Classification (NO
C)  
B)   Nursing Interventions Classification (NI
C)  
C)   North American Nursing Diagnosis Association International (NANDA-I) 
D)   Diagnostic and Statistical Manual of Mental Disorders, ed 4, text revision(DSM-IV-TR)

Question 11

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?

Accepted Answer

A)   "It is a continuous, active process."
B)   "Patient and family participation is optional."
C)   "It takes place at the time of termination of services."
D)   "It is optional since it is based on the patient's readiness."

Question 12

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.)

Accepted Answer

A)   valuing reciprocal interactions.
B)   participating in decision making.
C)   exercising control over nursing tasks.
D)   assuming responsibility for personal actions.
E)   identifying the ethical components of practice.

Question 13

Nursing interventions that have the greatest validity are those that:

Accepted Answer

A)   are used by nurse clinicians.
B)   are prescribed by physicians.
C)   have been investigated by nurse researchers.
D)   are based on evidence of the efficacy of the intended treatment.

Question 14

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:

Accepted Answer

A)   the patient.
B)   psychiatric nursing textbooks.
C)   the patient's extended family.
D)   the use of psychiatric behavioral rating scales.

Question 15

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:

Accepted Answer

A)   accept the data without question.
B)   form impressions based on data personally gathered.
C)   document the impression of the team social worker.
D)   discuss the social worker's impression with the patient.

Question 16

The goal of the nursing care plan is to answer which question regarding the achievement of patient wellness? (Select all that apply.)

Accepted Answer

A)   Why
B)   When
C)   How
D)   Where
E)   Who

Question 17

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:

Accepted Answer

A)   promote self-care activities.
B)   consult appropriate resources.
C)   build adequate incentives to change.
D)   identify ineffective behavior patterns.

Question 18

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:

Accepted Answer

A)   ethics.
B)   education.
C)   collegiality.
D)   resource use.

Question 19

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:

Accepted Answer

A)   express desire to go shopping.
B)   participate in one unit activity.
C)   become more independent.
D)   be more outgoing.

Question 20

If physicians wish to understand the nursing equivalent of the medical DSM-IV-TR,they should seek an understanding of the:

Accepted Answer

A)   nursing diagnoses.
B)   nursing process.
C)   behavioral rating scales.
D)   computerized medical records.

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