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A nurse is working on developing ways to meet the challenge of knowledge development. Which of the following would be most appropriate?
- A. Access new information through continuing education programs.
- B. Improve access to community psychiatric care for all populations.
- C. Reduce the burden of mental illness by fighting stigma.
- D. Provide culturally competent, high-quality nursing care.
Correct Answer: A
Rationale: Knowledge development in nursing involves staying updated with current evidence and practices. Continuing education programs directly address this by providing access to new research and clinical advancements. The other options focus on improving access, reducing stigma, or providing care, which are important but not directly tied to knowledge development.
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A psychiatric-mental health nurse is providing care to patients with a mental illness and is investigating factors related to the patient safety, delivery of care services, and cost effectiveness. The nurse is involved with which area of professional performance?
- A. Education
- B. Quality of practice
- C. Resource utilization
- D. Collaboration
Correct Answer: B
Rationale: Investigating patient safety, care delivery, and cost-effectiveness aligns with the quality of practice, a professional performance standard focused on improving care outcomes and efficiency. Education involves knowledge development, resource utilization focuses on efficient use of resources, and collaboration involves working with others, none of which fit as directly.
A nursing instructor has prepared a lecture about the scope and standards of practice of psychiatric nurses. The instructor determines that the teaching was effective when the students identify which of the following as common to both basic and advanced level practice?
- A. Case management
- B. Program development
- C. Clinical supervision
- D. Community interventions
Correct Answer: A
Rationale: Case management is a core function in psychiatric nursing, common to both basic and advanced practice levels, as it involves coordinating care to meet patient needs. Program development, clinical supervision, and community interventions are typically advanced practice functions, requiring specialized skills or leadership roles.
A nurse is faced with an ethical dilemma involving a patient. Which question would be most important for the nurse to ask first when engaging in the process of ethical decision making?
- A. What are my own feelings about the situation?
- B. What assumptions am I making that need more data?
- C. What do I know about the situation?
- D. What do I know about the patient?s values?
Correct Answer: C
Rationale: Ethical decision-making begins with gathering facts to understand the situation fully, making 'What do I know about the situation?' the most important first question. This ensures decisions are based on accurate information. While feelings, assumptions, and patient values are important, they are secondary to establishing the factual context.
A psychiatric-mental health nurse is adhering to the standards of practice. When engaging in clinical decision making, the nurse is integrating which of the following as the foundation?
- A. Developmental issues
- B. Nursing process
- C. Commitment
- D. Accountability
Correct Answer: B
Rationale: The nursing process (assessment, diagnosis, planning, implementation, evaluation) is the foundational framework for clinical decision-making in psychiatric-mental health nursing, ensuring systematic and evidence-based care. Developmental issues inform care but are not the foundation, while commitment and accountability are professional qualities, not decision-making frameworks.
A nurse is engaged in exercises to develop self-awareness. The nurse is using which tool?
- A. Interdisciplinary care
- B. Reflection
- C. Plan of care
- D. Clinical reasoning
Correct Answer: B
Rationale: Reflection is the process of introspection and self-examination, which is essential for developing self-awareness in nursing. Interdisciplinary care involves collaboration, a plan of care is a structured approach to patient care, and clinical reasoning is a cognitive process for decision-making, none of which directly target self-awareness.