Chapter 7: Nursing Process and QSEN: The Foundation for Safe and Effective Care

Chapter 7: Nursing Process and QSEN: The Foundation for Safe and Effective Care

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A new staff nurse completes orientation to the psychiatric unit. This nurse will expect to ask an advanced practice nurse to perform which action for patients?

a.	Perform mental health assessment interviews.
b.	Establish therapeutic relationships.
c.	Prescribe psychotropic medications.
d.	Individualize nursing care plans.

 

 

ANS:  C

Prescriptive privileges are granted to Master’s-prepared nurse practitioners who have taken special courses on prescribing medications. The nurse prepared at the basic level performs mental health assessments, establishes relationships, and provides individualized care planning.

 

DIF:    Cognitive Level: Comprehension     REF:   Page: 109

TOP:   Nursing Process: Implementation     MSC:  NCLEX: Safe, Effective Care Environment

 

2. A newly admitted patient with major depression has lost 20 pounds over the past month and has suicidal ideation. The patient has taken an antidepressant medication for 1 week without remission of symptoms. Select the priority nursing diagnosis.

a.	Imbalanced nutrition: Less than body requirements
b.	Chronic low self-esteem
c.	Risk for suicide
d.	Hopelessness

 

 

ANS:  C

Risk for suicide is the priority diagnosis when the patient has both suicidal ideation and a plan to carry out the suicidal intent. Imbalanced nutrition, Hopelessness, and Chronic low self-esteem may be applicable nursing diagnoses, but these problems do not affect patient safety as urgently as a suicide attempt.

 

DIF:    Cognitive Level: Application           REF:   Page: 105

TOP:   Nursing Process: Diagnosis| Nursing Process: Analysis

MSC:  NCLEX: Psychosocial Integrity

 

3. A patient with major depression has lost 20 pounds in one month 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 outcome: “Patient will refrain from gestures and attempts to harm self”?

a.	Implement suicide precautions.
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.

 

 

ANS:  A

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.

 

DIF:    Cognitive Level: Application           REF:   Pages: 105-106

TOP:   Nursing Process: Planning               MSC:  NCLEX: Safe, Effective Care Environment

 

4. A patient’s nursing diagnosis is Insomnia. The desired outcome is: “Patient will sleep for a minimum of 5 hours nightly by October 31.” On November 1, a review of the sleep data shows the patient sleeps an average of 4 hours nightly and takes a 2-hour afternoon nap. Which evaluation should be documented?

a.	Consistently demonstrated
b.	Often demonstrated
c.	Sometimes demonstrated
d.	Never demonstrated

 

 

ANS:  D

Although the patient is sleeping 6 hours daily, the total is not in one uninterrupted session at night. Therefore the outcome must be evaluated as never demonstrated