Statistics and Data Analysis for Nursing Research 2nd Edition Polit Test Bank
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Below you will find some free nursing test bank questions from this test bank:
|1.1 During shift report, a nurse describes a client as “crazy.” Which approach by the nurse would be best?
a. Say nothing.
b. Suggest that staff use the term “mentally ill.”
c. Role model using the term “nervous breakdown.”
d. Ask the staff what terminology they wish to use.
Rationale: The nurse should suggest that staff use the term “mentally ill,” thus reinforcing that the client has an illness. The term “nervous breakdown” is too general and nonspecific for clinical usage. Saying nothing or asking staff what terminology to use is not implementing the client–advocate role of the professional nurse.
Safe, Effective Care Environment
Learning Outcome 1.1
|1.2 The psychiatric–mental health nursing student is preparing to attend a meeting of the psychiatric mental health care team to discuss possible updates to clients’ diagnoses. In preparing for this meeting, the nursing student should consult which of the following references?
a. Psychiatric nursing care plan manual
b. Standards of Psychiatric Nursing Practice
c. Dictionary of common mental disorders
d. Diagnostic and Statistical Manual of Mental Disorders
Rationale: Mental disorders are identified, standardized, and categorized in the Diagnostic and Statistical Manual of Mental Disorders published by the American Psychiatric Association (APA). All members of the health care team use this reference. A psychiatric nursing care plan manual is a reference for nursing care and a dictionary will offer only a general definition. Standards of Psychiatric Nursing Practice outlines nursing responsibilities, but does not apply to clients or other members of the multidisciplinary health care team.
Safe, Effective Care Environment
Learning Outcome 1.2
|1.3 The nurse is sharing client assessment data with the multidisciplinary health care team. Which comment by the nurse is irrelevant and indicates a misunderstanding of the concept of a mental disorder?
a. “The client denies thoughts of harming self or others.”
b. “The client has some very inappropriate religious ideas and spiritual beliefs.”
c. “The client reports significant emotional distress about the current situation.”
d. “The client reports a loss of interest in usual pleasurable activities and commitments.”
Rationale: Deviant religious beliefs and behavior are not generally labeled as mental disorders unless the deviance is a symptom of dysfunction. Thoughts of harming self or others, emotional distress, and a loss of interest in usual pleasurable activities and commitments are relevant and meet the generally accepted definition of a mental disorder.
Learning Outcome 1.3
|1.4 The nursing assistant verbalizes to the psychiatric nurse that normal people don’t have mental disorders. Which approach by the nurse would be best?
a. Refer the nursing assistant back to the psychiatric orientation materials.
b. Alert the nursing manager of the nursing assistant’s remark.
c. Instruct that anyone can have a mental health problem.
d. Ignore the comment; the nurse has no responsibility in this situation.
Rationale: The nurse should instruct that given the right circumstances, anyone can have a mental health problem or disorder. The nursing assistant’s ability to be therapeutic with clients may be decreased if misinformation is not corrected. Referring the assistant back to the orientation materials, alerting the nursing manager, and ignoring the comment do not address the situation directly. The nurse has an opportunity to be a positive role model and teacher and promote therapeutic care.
Learning Outcome 1.4