Evidence-Based Practice Assessment for Nursing Students, Exams of Nursing

Download Evidence-Based Practice Assessment for Nursing Students and more Exams Nursing in PDF only on Docsity! EVIDENCE-BASED PRACTICE ASSESSMENT FOR NURSING STUDENTS 2 VERSIONS 2023/2024 1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic and his pulse is 58 beats per minute. These types of data would be: Objective. 2. The nurses new job description at the generalist level of practice reflects the definition of psychiatricmental health nursing and the PsychiatricMental Health Nursing Standards of Practice (ANA, APNA, ISPN). In which of the following areas might the nurse plan programs and intervention to fulfill employment expectations? Parenting classes for new parents 4. Family and group psychotherapy 5. Medication teaching for anti-anxiety medications 3. A nurse is admitting a client who has pulmonary tuberculosis. Which of the following transmission-based precautions should the nurse initiate? Airborne 4. A nurse is assessing a client who is experiencing occasional feelings of sadness because of the recent death of a beloved pet. The clients appetite, sleep patterns, and daily routine have not changed. How should the nurse interpret the clients behaviors? The clients behaviors demonstrate no functional impairment, indicating no mental illness. clarification of the generalist-nursing role is needed? I am a little nervous about conducting psychotherapy with clients. 15. A nurse is preparing to leave the room of a client who is on isolation precautions. Which of the following actionsshould the nurse take when removing a tied surgical mask? Remove the mask by securely holding the ties and moving it away from the face 16. Which client should the nurse anticipate to be most receptive to psychiatric treatment A Jewish, female social worker. 17. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should keep in mind that novice nurses, without a background of skills and experience from which to draw, are more likely to make their decisions using: A set of rules. 18. The client on the psychiatric unit is asking questions about prevention of sexually transmitted diseases. Given the PsychiatricMental Health Nursing Standards of Practice, which action would be most appropriate for the nurse to take at this time? Teach safer sexual practices. 19. A nurse is caring for an adolescent client who isin critical condition following a motor vehicle crash in which he was the passenger. The client's parent shouts at the nurse, asking why her son is dying instead of the driver. Which of the following actions should the nurse take to provide emotional support to the parent Inform the parent that anger is a natural response when dealing with loss 20. A psychiatric nurse intern states, This clients use of defense mechanisms should be eliminated. Which is a correct evaluation of this nurses statement Defense mechanisms can be appropriate responses to stress and need not be eliminated. 21. Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it. These responses are referred to as: Intuition 22. The client asks the nurse if certain changes can be made in the unit milieu. Which action by the nurse indicates understanding of the nursing role in the therapeutic milieu? The nurse discusses the desired changes with the client. 23. A community health nurse is planning prevention strategiesfor hypertension among members of her community. The nurse should identify that which of the following ethnic groups in the community is at greatest risk of developing hypertension? African American 24. During an intake assessment, a nurse asks both physiological and psychosocial questions. The client angrily responds, Im here for my heart, not my head problems. Which is the nurses best response? Psychological factors, like excessive stress, have been found to affect medical conditions 25. The nurse is reviewing information about evidence-based practice (EBP). Which statement best reflects EBP? EBP emphasizes the use of best evidence with the clinician’s experience.’ 26. A community health nurse is planning interventions to promote Healthy People 2020 initiatives in the community. Which of the following actions should the nurse plan to take first? Determine the level of health equity among groups in the community 36. Which critical thinking skill helps the nurse see relationships among the data? Clustering related cues 37. Due to a staff members absence, the nurse is reviewing staff assignments for the day. Which task can the nurse delegate to the psychosocial rehabilitation worker? Conflict resolution teaching to a small group of client 38. A nurse is preparing to administer a unit of packed RBCsto a client. In adherence with the Joint Commission National Patient Safety Goals regarding blood administration, which of the following actions should the nurse plan to take? • Verify the client and blood component using a two-person process 39. A nurse is performing a mental health assessment on an adult client. According to Maslows hierarchy of needs, which client action would demonstrate the highest achievement in terms of mental health?1 Possessing a feeling of self-fulfillment and realizing full potential. 40. What step of the nursing process includes data collection by health history, physical examination, and interview? Assessment EVIDENCE-BASED PRACTICE ASSESSMENT FOR NURSING STUDENTS VERSION 2 2023/2024 10. The nurse reflecting on the nursing role within the mental health team, understands that the main purpose of delivering care using a multidisciplinary team is to do which of the following? Make the best use of the different abilities of mental health team members in order to facilitate client progress. 11. . A nurse is planning mealsfor a client who practicesJudaism and reportsthat she strictly adheres to orthodox dietary laws. The nurse should recognize that which of the following dietary practices applies to the client's beliefs? The client is permitted to eat fish that have scales: 12. is a subjective state of emotional, physical, and social responses to the loss of a valued entity. Grief 13. A 42-year-old patient of Asian descent is being seen at the clinic for an initial examination. The nurse knows that including cultural information in his health assessment is important to: Provide culturally sensitive and appropriate care. 14. Observation of the behavior of the mental health team seems to indicate that one team member is primarily interested in client progress as a measure of their knowledge and expertise. Given the nurses knowledge of game theories, this team member might be functioning as which of the following? Maximizer 15. A nurse is planning the menu for a client who practices Seventh-Day Adventism. Which of the following food selections should the nurse make? Scrambled egg 16. A client diagnosed with major depressive disorder asks, What part of my brain controls my emotions? Which nursing response is appropriate? The limbic system is largely responsible for ones emotional state. 17. Which statement best describes a proficient nurse? A proficient nurse is one who: Understands a patient situation as a whole rather than a list of tasks and recognizes the long-term goals for the patien 18. The nurse is planning activities to enhance collaboration within the mental health care team. Which activities will be helpful toward this goal? Discussion of decisions that require team unity Discussion of decisions that can be made autonomously 19. A community health nurse is developing a brochure about the use ofsmokeless tobacco. Which of the following information should the nurse plan to include? Smokelesstobacco provides a higher dose of nicotine than cigarettes 20. nurse is caring for a child who has contact dermatitis due to poison ivy. The parent asksthe nurse how to prevent further reactions. Which of the following responses should the nurse make? Wash your child’s exposed clothing with hot water and detergent 21. Which part of the nervous system should a nurse identify as playing a major role during stressful situations? Sympathetic nervous system 22. When the nurse is evaluating the reliability of a patient’s responses, which of these statements would be correct? The patient: Provided consistent information and therefore is reliabl 23. The nurse is admitting a client to the psychiatric unit. Which nursing action is correct? Discuss with the client information that is to be shared with family members and the mental health team. take? Pull up a small amount ofskin using the thumb and forefinger of the nondominant hand 33. A withdrawn client, diagnosed with schizophrenia, expresses little emotion and refuses to attend group therapy. What altered component of the nervous system should a nurse recognize as being responsible for this behavior? Neurotransmitters 34. The review of systems provides the nurse with: Information regarding health promotion practice 35. The nurse is reflecting on psychiatric nursing care in the 19th century. Which nursing diagnosis is most consistent with the focus of psychiatric nursing care during the 19th century? Self-care deficit 36. A nurse is planning to use an interpreter to assist her when interviewing a client who does not speak the same language as the nurse. Which of the following actions should the nurse plan to take? • Ensure the client and the interpreter are compatible 37. A client is admitted to a psychiatric unit with the diagnosis of catatonic schizophrenia. Which of the clients neurotransmitters should a nurse expect to be elevated Dopamine 38. Which of these responses might the nurse expect during a functional assessment of a patient whose leg is in a cast? “I’m able to transfer myself from the wheelchair to the bed without help.” 39. On which dimension would the nurse most likely focus data collection if the nurse was assessing the client from primarily a 19th century perspective? Physical 40. A nurse is caring for a client who is 2 days postoperative following an above-the-knee amputation. The client states he is experiencing a dull, burning pain in the leg that was amputated. Which of the following actions should the nurse take to treat the client's neuropathic pain? Administer a beta-blocking medication to the client 41. Which mental illness should a nurse identify as being associated with a decrease in prolactin hormone level? Schizophrenia 42. The mother of a 16-month-old toddler tells the nurse that her daughter has an earache. What would be an appropriate response Describe what she is doing to indicate she is having pain.” 43. The nursing student is asked which historical event was most significant in the development of psychiatric nursing as a specialty and psychotherapeutic roles for nurses. Which response by the nursing student indicates understanding of important events related to development of the psychiatric nursing role? Passage of the National Mental Health Act 44. A nurse is developing a plan of care for an older adult who is experiencing functional incontinence following hip arthroplasty. Which of the following interventions should the nurse include? Place grab bars by the toilet 45. Which cerebral structure should a nursing instructor describe to students as the emotional brain? The limbic system