Question 1

The nurse uses advanced interviewing skills. Advanced interviewing skills differ from basic skills because they include which of the following?

Accepted Answer

A.This is incorrect. These skills are not specific to psychiatric nursing.
B.This is incorrect. Although case management skills are important, this is not the difference between basic and advanced interviewing skills.
C.This is incorrect. Both types of interviews pay attention to client-centered care.
D.This is correct. The advanced interviewing skills afford greater attention to the uniqueness of each practice context.

Question 2

The nurse is using a concept developed by Duhamel that creates knowledge and applies it to practice in unique clinical settings. What is this concept called?

Accepted Answer

A.This is incorrect. Applied scholarship was not Duhamel's term.
B.This is correct. Duhamel advocates "engaged scholarship" to create knowledge and application into practice in unique clinical settings.
C.This is incorrect. Interactive scholarship is not the term Duhamel used.
D.This is incorrect. Evidence-based scholarship is a broad term that Duhamel did not create.

Question 3

The nurse is reviewing nursing theories with nursing students. Which theorist developed the theory about nurses evolving from novices to experts?

Accepted Answer

A.This is incorrect. Harper-Jaques, along with Leahey, developed the main four elements of clinical practice: mental health/psychiatric assessment, physical health assessment, family nursing, and integrated behavioral health care.
B.This is correct. Benner's theory is that nurses evolve from novice to expert.
C.This is incorrect. Leahey, along with Harper-Jaques, developed the main four elements of clinical practice: mental health/psychiatric assessment, physical health assessment, family nursing, and integrated behavioral health care. Leahey, along with Svavarsdottir, also advocates that knowledge translation and exchange are a shared responsibility requiring the involvement of researchers with potential knowledge users, such as practicing nurses.
D.This is incorrect. Svavarsdottir, along with Leahey, advocates that knowledge translation and exchange are a shared responsibility requiring the involvement of researchers with potential knowledge users, such as practicing nurses.

Question 4

The nurse explains in a board meeting that the research of Duhamel and Dupuis (2011) shows the circular process among which of the following?

Accepted Answer

A.This is correct. Duhamel and Dupuis (2011) recommended a circular process among education, research, and practice.
B.This is incorrect. Duhamel and Dupuis (2011) would include research.
C.This is incorrect. Duhamel and Dupuis (2011) would also include research and practice.
D.This is incorrect. Duhamel and Dupuis (2011) would include other stakeholders.

Question 5

The difference between a novice nurse interviewer and an expert nurse interviewer is that the more advanced interviewer does which of the following? Select the best answer.

Accepted Answer

A.This is correct. The expert interviewer not only gains information but also helps the family to reflect on their ability to care for the client.
B.This is incorrect. The expert interviewer does more than gain more information; he or she also collaborates with the family to care for the client.
C.This is incorrect. The expert interviewer may make the family feel appreciated but also gains information and helps the family to gain insight.
D.This is incorrect. The expert interviewer adapts questions to the context.

Question 6

The nurse is discussing that it takes at least 10,000 hours of deliberate practice to become an expert in a skill. This theory is attributed to whom?

Accepted Answer

A.This is incorrect. Benner's theory relates to the transition from novice to expert.
B.This is correct. Ericsson's work at the Berlin Academy of Music confirmed this theory.
C.This is incorrect. Chesla's work relates to the fact that awareness of information does not necessarily lead to implementation or executive skills.
D.This is incorrect. Moules, Laing, Morck, and Toner are devising interventions in an effort to reduce family suffering as it relates to childhood cancer.

Question 7

The nurse has increased knowledge about skills, but awareness of information does not necessarily lead to implementation or executive skills. Which researcher or researchers stated this?

Accepted Answer

A.This is incorrect. Benner's theory relates to the transition from novice to expert.
B.This is incorrect. Ericsson's work was on the repetitive practice of skills.
C.This is correct. Chesla found that increased knowledge of skills did not necessarily translate into executive skills.
D.This is incorrect. Moules, Laing, Morck, and Toner are devising interventions in an effort to reduce family suffering as it relates to childhood cancer.

Question 8

The nurse asks the client's family, "Is there anything about your father that we should know but that he might not have told us?" What information is the nurse seeking?

Accepted Answer

A.This is incorrect. The family member may choose to share information other than cultural information.
B.This is correct. This otherwise unspoken information can be helpful in caring for the client.
C.This is incorrect. Family dysfunction may or may not be revealed by this question.
D.This is incorrect. This question may not reveal rapport.

Question 9

The nurse is reviewing the comments made during an interview. Which of these statements is the least therapeutic?

Accepted Answer

A.This is incorrect. This question helps the client to reflect on how helpful advice was.
B.This is incorrect. This statement helps the client draw strength to cope.
C.This is correct. This statement trivializes the client's pain and may not be true.
D.This is incorrect. This statement presents a realistic picture and helps the client to reflect on how to take control of the pain.

Question 10

The nurse uses relative-influence questioning. Which is the definition of this kind of questioning?

Accepted Answer

A.This is incorrect. Relative-influence questioning does not use relatives to influence the client.
B.This is incorrect. Relative-influence questioning does not portray problems as relative.
C.This is correct. Relative-influence questioning helps clients to see themselves as individuals with relationships to the problem, rather than the problem.
D.This is incorrect. Relative-influence questioning does not involve clients influencing their relatives.

Question 11

Before bringing the family into the room, the nurse asks the client if there is anything that she would like more help with from the family. This is an example of which type of questioning?

Accepted Answer

A.This is incorrect. This is not an example of a one-question question because it does not narrow the focus to one particular topic.
B.This is correct. This is an example of difference questioning. This question checks to see if the client is desiring something different than what might already be occurring.
C.This is incorrect. This example does not deal with spirituality or beliefs.
D.This is incorrect. Relative-influence questioning is focused on the client relative to the problem, not the client's relatives.

Question 12

The nurse is ending the interview. Which of the following would not be an appropriate intervention at this time?

Accepted Answer

A.This is incorrect. Recommending a ritual is a good way to end an interview.
B.This is incorrect. Commending the client on strengths and coping skills is a good way to end an interview.
C.This is incorrect. Suggesting taking a holiday from pain talk is therapeutic at the end of an interview.
D.This is correct. It would be inappropriate to select a question at the end of the interview because that is done at the beginning.

Question 13

The nurse is assessing the biopsychosocial factors in the interview. Which of the following are biopsychosocial factors? Select all that apply.

Accepted Answer

A.This is correct. Blood pressure is a biological factor.
B.This is incorrect. This is a spiritual factor.
C.This is correct. A relationship with other people is a social factor.
D.This is correct. Anxiety is a psychological factor.

Question 14

The nurse frames practice with Leahey and Harper-Jacques's theory. Which of the following are levels in Leahey and Harper-Jacques's theory? Select all that apply.

Accepted Answer

A.This is incorrect. Apprentice is not a level in Leahey and Harper-Jacques's theory.
B.This is correct. Expert is the highest level in Leahey and Harper-Jacques's theory.
C.This is correct. Proficient is the fourth level in Leahey and Harper-Jacques's theory.
D.This is correct. Competent is the third level in Leahey and Harper-Jacques's theory.

Question 15

The nurse is conducting an advanced-level interview. Which should be included? Select all that apply.

Accepted Answer

A.This is correct. The nurse should commend the client.
B.This is incorrect. The nurse should use the client's language.
C.This is correct. The nurse should summarize expressed thoughts.
D.This is correct. The nurse should ask members of the client's family for advice.

Quiz 10: How to Move Beyond Basic Family Nursing Skills