Which action by the nurse is best associated with the demonstration of empathy?
- A. Observing the patient's physical behavior and nonverbal communications
- B. Encouraging the patient time to express their concerns and physical needs
- C. Providing a therapeutic milieu where the patient is provided safety
- D. Encouraging the patient to communicate with their support system
Correct Answer: A
Rationale: Particularly in the area of psychiatric nursing, observation is not only important for clinical diagnosis, but it is also a first step in being empathetic. To be able to empathize, one must be able to recognize emotions, which inherently requires the skill of observation.
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What does the Q and S relate to in the acronym QSEN?
- A. Qualitative Standardization
- B. Quality and Safety
- C. Quantitative Statements
- D. Quick Standards
Correct Answer: B
Rationale: QSEN represents national initiatives centered on patient safety and quality. The primary goal of QSEN is to prepare future nurses with the knowledge, skills, and attitudes to increase the quality, care, and safety in the health care setting in which they work.
A patient diagnosed with major depressive disorder has lost 20 pounds in 1 month. The patient has chronic low self-esteem and a plan for suicide. The patient has taken an antidepressant medication for 1 week. Which nursing intervention is most directly related to this priority: 'Patient will refrain from gestures and attempts to harm self'?
- A. Implement suicide prevention interventions.
- B. Frequently offer high-calorie snacks and fluids.
- C. Assist the patient to identify three personal strengths.
- D. Observe patient for therapeutic effects of antidepressant medication.
Correct Answer: A
Rationale: Implementing suicide precautions is the only option related to patient safety. The other options, related to nutrition, self-esteem, and medication therapy, are important but are not priorities.
What information is conveyed by nursing diagnoses?
- A. Medical judgments about the disorder
- B. Goals and outcomes for the plan of care
- C. Unmet patient needs currently present
- D. Supporting data that validate the diagnoses
- E. Probable causes that will be targets for nursing interventions
Correct Answer: C,D,E
Rationale: Nursing diagnoses focus on phenomena of concern to nurses rather than on medical diagnoses. Goals and outcomes are part of the planning phase.
Before assessing a new patient, a nurse is told by another health care worker, 'I know that patient. No matter how hard we work, there isn't much improvement by the time of discharge.' What action will the nurse take to provide appropriate care for this patient?
- A. Document the other worker's assessment of the patient.
- B. Assess the patient based on data collected from all sources.
- C. Validate the worker's impression by contacting the patient's significant other.
- D. Discuss the worker's impression with the patient during the assessment interview.
Correct Answer: B
Rationale: Assessment should include data obtained from both the primary and reliable secondary sources. Biased assessments by others should be evaluated as objectively as possible by the nurse, keeping in mind the possible effects of countertransference.
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?
- A. Mood
- B. Attention
- C. Orientation
- D. Abstraction
Correct Answer: D
Rationale: Patient interpretation of proverbial statements gives assessment information regarding the patient's ability to abstract, which is an aspect of cognition.
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