What is a true statement about the nursing process?

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Nursing Mental Health Practice Questions Questions

Question 1 of 5

What is a true statement about the nursing process?

Correct Answer: A

Rationale: The correct answer is A because in the nursing process, cues are indeed analyzed during the assessment phase to gather data and identify patient needs. This step is crucial for developing an accurate nursing diagnosis and planning appropriate interventions. Choice B is incorrect as hypotheses are formed during the planning phase, not evaluation. Choice C is incorrect because nurses use a combination of primary and secondary data. Choice D is incorrect as unmet goals are not automatically discontinued but rather reassessed and modified as needed.

Question 2 of 5

Indicating that there is no cause for anxiety is to"reassuring" as sanctioning or denouncing the client's ideas or behaviors is to:

Correct Answer: A

Rationale: The correct answer is A: "Approving/disapproving." Reassuring involves alleviating anxiety, similarly, sanctioning or denouncing client's ideas or behaviors involves showing approval or disapproval. Approving/disapproving directly relates to sanctioning or denouncing, making it the most fitting analogy. B: "Rejecting" is incorrect because it implies a complete dismissal rather than expressing approval or disapproval. C: "Interpreting" is incorrect as it involves explaining or deciphering the meaning rather than showing approval or disapproval. D: "Probing" is incorrect as it refers to asking questions or investigating further, which is not related to expressing approval or disapproval.

Question 3 of 5

Which belief will best support a nurse's efforts to provide patient advocacy during a multidisciplinary patient care planning session?

Correct Answer: D

Rationale: The correct answer is D: Assessment findings in mental illness reflect a person's cultural patterns. This belief supports patient advocacy by recognizing the influence of culture on mental health. Step 1: Understanding cultural patterns helps nurses provide individualized care. Step 2: Cultural considerations impact assessment accuracy and treatment effectiveness. Step 3: Advocating for patients requires recognizing and respecting cultural differences in mental health. Other choices are incorrect because they oversimplify cultural influences on mental illness or make unsubstantiated claims about cross-cultural disorders.

Question 4 of 5

A patient begins a new program to assist with building social skills. In which part of the plan of care should a nurse record the item, "Encourage patient to attend one psychoeducational group daily"?

Correct Answer: C

Rationale: Rationale: 1. Implementation involves carrying out the plan of care. 2. Encouraging the patient to attend a group aligns with implementing the intervention. 3. Implementation focuses on executing specific interventions to achieve desired outcomes. 4. Assessment (A) is about gathering data, analysis (B) is about identifying problems, and evaluation (D) is about assessing the effectiveness of interventions.

Question 5 of 5

A patient undergoing diagnostic tests says, "Nothing is wrong with me except a stubborn chest col" The spouse reports the patient smokes, coughs daily, lost 15 pounds, and is easily fatigue Which defense mechanism is the patient using?

Correct Answer: D

Rationale: The correct answer is D: Denial. This defense mechanism involves refusing to acknowledge a stressful situation or reality. In this case, the patient is denying their serious health issues by attributing it to just a "stubborn chest cold." The patient's symptoms of smoking, daily coughing, weight loss, and fatigue indicate a more significant health concern that is being downplayed through denial. A: Displacement involves redirecting emotions from the original source to a less threatening target, not applicable here. B: Regression involves reverting to an earlier stage of development in the face of stress, not relevant to the scenario. C: Projection involves attributing one's own unacceptable thoughts or feelings to others, not demonstrated in this situation. In summary, denial is the most appropriate defense mechanism as it aligns with the patient's refusal to acknowledge the seriousness of their health issues.

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