{"id":115661,"date":"2023-08-24T13:03:07","date_gmt":"2023-08-24T13:03:07","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=115661"},"modified":"2023-08-24T13:03:09","modified_gmt":"2023-08-24T13:03:09","slug":"test-bank-for-varcarolis-essentials-of-psychiatric-mental-health-nursing-5th-edition-fosbre-all-chapters-1-28-full-complete-2023-2024","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/24\/test-bank-for-varcarolis-essentials-of-psychiatric-mental-health-nursing-5th-edition-fosbre-all-chapters-1-28-full-complete-2023-2024\/","title":{"rendered":"Test Bank for Varcarolis Essentials of Psychiatric Mental Health Nursing 5th Edition Fosbre \/ All Chapters 1-28 \/ Full Complete 2023 &#8211; 2024"},"content":{"rendered":"\n<p>Varcarolis Essentials of Psychiatric Mental Health<br>Nursing 5th Edition Fosbre<br>Test Bank<br>Chapter 01: Science and the Therapeutic Use of Self in Psychiatric Mental Health<br>Nursing<br>Varcarolis: Essentials of Psychiatric Mental Health Nursing: A Communication<br>Approach to Evidence-Based Care, 5e<br>MULTIPLE CHOICE<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Which outcome, focused on recovery, would be expected in the plan of care for a patient<br>living in the community and diagnosed with serious and persistent mental illness? Within 3<br>months, the patient will demonstrate what behavior?<br>a. Denying suicidal ideation<br>b. Reporting a sense of well-being<br>c. Taking medications as prescribed<br>d. Attending clinic appointments on time<br>ANS: B<br>Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving<br>role performance. The goal of recovery is to empower the individual with mental illness to<br>achieve a sense of meaning and satisfaction in life and to function at the highest possible level<br>of wellness. The incorrect options focus on the classic medical model rather than recovery.<br>DIF: Cognitive Level: Application (Applying)<br>TOP: Nursing Process: Outcomes Identification<br>MSC: NCLEX: Health Promotion and Maintenance<\/li>\n\n\n\n<li>A patient is hospitalized for depression and suicidal ideation after their spouse asks for a<br>divorce. Select the nurse\u2019s most caring comment.<br>a. \u201cLet\u2019s discuss healthy means of coping when you have suicidal feelings.\u201d<br>b. \u201cI understand why you\u2019re so depressed. When I got divorced, I was devastated<br>too.\u201d<br>c. \u201cYou should forget about your marriage and move on with your life.\u201d<br>d. \u201cHow did you get so depressed that hospitalization was necessary?\u201d<br>ANS: A<br>The nurse\u2019s communication should evidence caring and a commitment to work with the<br>patient. This commitment lets the patient know the nurse will help. Probing and advice are not<br>helpful for therapeutic interventions.<br>DIF: Cognitive Level: Application (Applying)<br>TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity<\/li>\n\n\n\n<li>In the shift-change report, an off-going nurse criticizes a patient who wears extremely heavy<br>makeup. Which comment by the nurse who receives the report best demonstrates advocacy?<br>a. \u201cThis is a psychiatric hospital, so we expect our patients to behave bizarrely.\u201d<br>b. \u201cLet\u2019s all show acceptance of this patient by wearing lots of makeup too.\u201d<br>c. \u201cYour comments are inconsiderate and inappropriate. Keep the report objective.\u201d<br>d. \u201cOur patients need our help to learn behaviors that will help them get along in<\/li>\n<\/ol>\n\n\n\n<p>society.\u201d<br>ANS: D<br>Accepting patients\u2019 needs for self-expression and seeking to teach skills that will contribute to<br>their well-being demonstrate respect and are important parts of advocacy. The on-coming<br>nurse needs to take action to ensure that others are not prejudiced against the patient. Humor<br>can be appropriate within the privacy of a shift report but not at the expense of respect for<br>patients. Judging the off-going nurse in a critical way will create conflict. Nurses must show<br>compassion for each other.<br>DIF: Cognitive Level: Application (Applying)<br>TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"4\">\n<li>A nurse assesses a newly admitted patient diagnosed with major depressive disorder. Which<br>statement is an example of \u201cattending\u201d?<br>a. \u201cWe all have stress in life. Being in a psychiatric hospital is not the end of the<br>world.\u201d<br>b. \u201cTell me why you felt you had to be hospitalized to receive treatment for your<br>depression.\u201d<br>c. \u201cYou will feel better after we get some antidepressant medication started for you.\u201d<br>d. \u201cI\u2019d like to sit with you for a while, so you may feel more comfortable talking with<br>me.\u201d<br>ANS: D<br>Attending is a technique that demonstrates the nurse\u2019s commitment to the relationship and<br>reduces feelings of isolation. This technique shows respect for the patient and demonstrates<br>caring. Generalizations, probing, and false reassurances are nontherapeutic.<br>DIF: Cognitive Level: Application (Applying)<br>TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity<\/li>\n\n\n\n<li>A patient shows the nurse an article from the Internet about a health problem. Which<br>characteristic of the website\u2019s address most alerts the nurse that the site may have biased and<br>prejudiced information?<br>a. Address ends in \u201c.org.\u201d<br>b. Address ends in \u201c.com.\u201d<br>c. Address ends in \u201c.gov.\u201d<br>d. Address ends in \u201c.net.\u201d<br>ANS: B<br>Financial influences on a site are a clue that the information may be biased. \u201c.com\u201d at the end<br>of the address indicates that the site is a commercial one. \u201c.gov\u201d indicates that the site is<br>maintained by a government entity. \u201c.org\u201d indicates that the site is nonproprietary; the site<br>may or may not have reliable information, but it does not profit from its activities. \u201c.net\u201d can<br>have multiple meanings.<br>DIF: Cognitive Level: Comprehension (Understanding) TOP: Nursing Process: Evaluation<br>MSC: NCLEX: Health Promotion and Maintenance<\/li>\n\n\n\n<li>A nurse says, \u201cWhen I was in school, I learned to call upset patients by name to get their<br>attention; however, I read a descriptive research study that says that this approach does not<br>work. I plan to stop calling patients by name.\u201d Which statement is the best appraisal of this<br>nurse\u2019s comment?<br>a. One descriptive research study rarely provides enough evidence to change practice.<\/li>\n<\/ol>\n\n\n\n<p>b. Staff nurses apply new research findings only with the help from clinical nurse<br>specialists.<br>c. New research findings should be incorporated into clinical algorithms before using<br>them in practice.<br>d. The nurse misinterpreted the results of the study. Classic tenets of practice do not<br>change.<br>ANS: A<br>Descriptive research findings provide evidence for practice but must be viewed in relation to<br>other studies before practice changes. One study is not enough. Descriptive studies are low on<br>the hierarchy of evidence. Clinical algorithms use flowcharts to manage problems and do not<br>specify one response to a clinical problem. Classic tenets of practice should change as<br>research findings provide evidence for change.<br>DIF: Cognitive Level: Analysis (Analyzing) TOP: Nursing Process: Evaluation<br>MSC: NCLEX: Health Promotion and Maintenance<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"7\">\n<li>Two nursing students discuss career plans after graduation. One student wants to enter<br>psychiatric nursing. The other student asks, \u201cWhy would you want to be a psychiatric nurse?<br>All they do is talk. You will lose your skills.\u201d Select the best response by the student interested<br>in psychiatric nursing.<br>a. \u201cPsychiatric nurses\u2019 practice in safer environments than other specialties and<br>nurse-to-patient ratios are better because of the nature of patients\u2019 problems.\u201d<br>b. \u201cPsychiatric nurses use complex communication skills, as well as critical thinking,<br>to solve multidimensional problems. I\u2019m challenged by those situations.\u201d<br>c. \u201cI think I will be good in the mental health field. I do not like clinical rotations in<br>school, so I do not want to continue them after I graduate.\u201d<br>d. \u201cPsychiatric nurses do not have to deal with as much pain and suffering as<br>medical-surgical nurses. That appeals to me.\u201d<br>ANS: B<br>The practice of psychiatric nursing requires a different set of skills than medical-surgical<br>nursing, although substantial overlap does exist. Psychiatric nurses must be able to help<br>patients with medical and mental health problems, reflecting the holistic perspective these<br>nurses must have. Nurse\u2013patient ratios and workloads in psychiatric settings have increased,<br>similar to other specialties. Psychiatric nursing involves clinical practice, not simply<br>documentation. Psychosocial pain is real and can cause as much suffering as physical pain.<br>DIF: Cognitive Level: Application (Applying)<br>TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment<\/li>\n\n\n\n<li>Which research evidence would most influence a group of nurses to change their practice?<br>a. Expert committee report of recommendations for practice<br>b. Systematic review of randomized controlled trials<br>c. Nonexperimental descriptive study<br>d. Critical pathway<br>ANS: B<\/li>\n<\/ol>\n\n\n\n<p>Research findings are graded using a hierarchy of evidence. A systematic review of<br>randomized controlled trials is level A and provides the strongest evidence for changing<br>practice. Expert committee recommendations and descriptive studies lend less powerful and<br>influential evidence. A critical pathway is not evidence; it incorporates research findings after<br>they have been analyzed.<br>DIF: Cognitive Level: Comprehension (Understanding) TOP: Nursing Process: Planning<br>MSC: NCLEX: Safe, Effective Care Environment<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"9\">\n<li>A bill introduced in Congress would reduce funding for the care of people diagnosed with<br>mental illnesses. A group of nurses write letters to their elected representatives in opposition<br>to the legislation. Which role have the nurses fulfilled?<br>a. Advocacy<br>b. Attending<br>c. Recovery<br>d. Evidence-based practice<br>ANS: A<br>An advocate defends or asserts another\u2019s cause, particularly when the other person lacks the<br>ability to do that for him or herself. Examples of individual advocacy include helping patients<br>understand their rights or make decisions. On a community scale, advocacy includes political<br>activity, public speaking, and publication in the interest of improving the individuals with<br>mental illness; the letter-writing campaign advocates for that cause on behalf of patients who<br>are unable to articulate their own needs.<br>DIF: Cognitive Level: Comprehension (Understanding)<br>TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment<\/li>\n\n\n\n<li>An informal group of patients discuss their perceptions of nursing care. Which comment best<br>indicates a patient\u2019s perception that his or her nurse is caring?<br>a. \u201cMy nurse always asks me which type of juice I want to help me swallow my<br>medication.\u201d<br>b. \u201cMy nurse explained my treatment plan to me and asked for my ideas about how to<br>make it better.\u201d<br>c. \u201cMy nurse told me that if I take all the medicines the doctor prescribes, I will get<br>discharged soon.\u201d<br>d. \u201cMy nurse spends time listening to me talk about my problems. That helps me feel<br>like I\u2019m not alone.\u201d<br>ANS: D<br>Caring evidences empathic understanding as well as competency. It helps change pain and<br>suffering into a shared experience, creating a human connection that alleviates feelings of<br>isolation. The incorrect options give examples of statements that demonstrate advocacy or<br>giving advice.<br>DIF: Cognitive Level: Application (Applying) TOP: Nursing Process: Evaluation<br>MSC: NCLEX: Psychosocial Integrity<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Varcarolis Essentials of Psychiatric Mental HealthNursing 5th Edition FosbreTest BankChapter 01: Science and the Therapeutic Use of Self in Psychiatric Mental HealthNursingVarcarolis: Essentials of Psychiatric Mental Health Nursing: A CommunicationApproach to Evidence-Based Care, 5eMULTIPLE CHOICE society.\u201dANS: DAccepting patients\u2019 needs for self-expression and seeking to teach skills that will contribute totheir well-being demonstrate respect and are [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-115661","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/115661","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=115661"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/115661\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=115661"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=115661"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=115661"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}