Deck 3: Empathy in Nursing Practice

Question 1

A group of students are preparing a class presentation about negligence. Which of the following would the group include as an element required for proving negligence? Select all that apply.

A) Duty to provide care
B) Proximate cause
C) Resultant damages
D) Breach of duty
E) Cause in fact
F) Evidence of mistake

Answer 1

Duty to provide care
Proximate cause
Resultant damages
Breach of duty
Cause in fact

Question 2

An instructor is preparing a class for a group of students about professional organizations and the leadership provided. Which of the following would the instructor include as an important function of the International Society of Psychiatric-Mental Health Nurses?

A) Advocating for mental health nursing practice through liaison activities
B) Advancing psychiatricmental health nursing practice
C) Improving mental health care for culturally diverse individuals
D) Providing a strong voice for psychiatricmental health nurses

Answer 2

Providing a strong voice for psychiatricmental health nurses

Question 3

Two nursing students are discussing psychiatricmental health nursing and the role it has played in nursings overall history. Which statement is most accurate?

A) The importance of using therapeutic communication was stressed by Nightingale.
B) The use of self-care to enhance the immune system was taught by Dorothea Dix.
C) The moral treatment of mental illness was a primary focus of deinstitutionalization.
D) Peplau was the first nurse to stress the importance of therapeutic communication.

Answer 3

The importance of using therapeutic communication was stressed by Nightingale.

Question 4

The following are important legislative and policy efforts influencing current mental health care. Which of the following is the most recent?

A) Mental Health: A Report of the Surgeon General
B) New Freedom Commission on Mental Health
C) Action for Mental Health
D) Mental Retardation Facilities and Community Mental Health Centers Construction Act

Question 5

A psychiatricmental health nurse is asked to be a guest speaker at a community fund-raising event for mental health services. Which of the following would the nurse emphasize as the primary goal of mental health services?

A) Access to affordable mental health care
B) Removal of exclusions because of preexisting conditions
C) Recovery from mental illness
D) Effective treatment for mental health care needs

Question 6

A nurse has engaged in self-awareness and has come to understand his own personal beliefs and attitudes and has recognized some prejudicial ideas. Based on this understanding, which of the following would the nurse now be able to accomplish?

A) Have a therapeutic relationship with a patient.
B) Influence patients with certain biases.
C) Change learned behaviors.
D) Formulate values and morals.

Question 7

A patient is talking to the nurse about the recent death of her grandmother. She is obviously very sad, and a tear rolls down her cheek as she talks. The nurse remembers how she felt when her own grandmother died the previous summer. The nurse puts her hand on the patients shoulder and says, This must be very difficult for you.The nurse is demonstrating empathy based on which of the following?

A) The response comment reflects an attempt to communicate understanding of patients feelings.
B) The nurses response and use of reassuring touch reinforce the nurses concern for the patient.
C) The nurse demonstrates understanding of how the patient feels because of her own grandmothers death.
D) The nurses statement expresses compassion and kindness toward the patient.

Question 8

A patient is a successful insurance salesman; however, because of market changes, his level of sales has dropped. His boss tells him he will consequently be receiving a $2,000 per year cut in his salary. When the patient arrives home from work, the family dog runs to greet him as he always does, barking and jumping up and down and begging for attention. The patient yells at the dog, Get away from me; I cant take your barking right now. The patients response reflects a defense mechanism because it was which of the following?

A) An intentional behavior performed to let the dog know his behavior was inappropriate
B) Automatic, protecting the patient from the anxiety related to his upcoming pay cut
C) Implemented to keep the patient from having to cope with his upcoming pay cut
D) Implemented so the patient could rationalize his upcoming pay cut

Question 9

A nurse is developing a plan of care integrating Maslows hierarchy of needs. Which of the following would the nurse identify as the priority?

A) Activity level
B) Predictable social environment
C) Acceptance from family
D) Positive self-image

Question 10

The nurse is determining the success of a patients plan of care by evaluating outcome indicators. The nurse understands that these indicators are usually determined initially at which time?

A) On the day of discharge
B) During the assessment process
C) At the initial interview
D) With goal-setting process

Question 11

The nurse is reviewing the assessment data of a patient diagnosed with a mental illness. The patient is to be prescribed medication to treat the illness. The nurse would identify changes in which laboratory values as being the least significant?

A) Hemoglobin
B) Alanine aminotransferase (ALT)
C) Blood urea nitrogen (BUN) level
D) Serum creatinine

Question 12

The nurse has begun group counseling sessions for several hospitalized patients in the psychiatric facility. Which of the following would be most effective for the nurse to do to promote group cohesiveness?

A) Use team-building exercises.
B) Encourage task completion by members.
C) Spend time with each member individually.
D) Be consistent with the group themes.

Question 13

During a group session, one of the members states, Lets keep this discussion going so that everyone can participate, but lets keep the time each person speaks to about 3 minutes. The leader interprets this member as acting in which role?

A) Group observer
B) Gatekeeper
C) Encourager
D) Energizer

Question 14

A group of nursing students is reviewing the factors associated with group psychotherapy through which therapeutic changes occur. The students demonstrate understanding when they identify which of the following as a factor? Select all that apply.

A) Altruism
B) Catharsis
C) Repressed behavior
D) Universality
E) Hopelessness