{"id":115785,"date":"2023-08-24T18:53:21","date_gmt":"2023-08-24T18:53:21","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=115785"},"modified":"2023-08-24T18:53:23","modified_gmt":"2023-08-24T18:53:23","slug":"test-bank-for-essentials-of-psychiatric-mental-health-nursing-4th-edition-varcarolis-chapters-1-28","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/24\/test-bank-for-essentials-of-psychiatric-mental-health-nursing-4th-edition-varcarolis-chapters-1-28\/","title":{"rendered":"Test Bank for Essentials of Psychiatric Mental Health Nursing 4th Edition Varcarolis Chapters 1 &#8211; 28"},"content":{"rendered":"\n<p>WWW.THENURSINGMASTERY.COM<\/p>\n\n\n\n<p>WWW.THENURSINGMASTERY.COM<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, 4th Edition<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<br>society.\u201d<\/li>\n<\/ol>\n\n\n\n<p>WWW.THENURSINGMASTERY.COM<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>WWW.THENURSINGMASTERY.COM<br>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<br>interested 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","protected":false},"excerpt":{"rendered":"<p>WWW.THENURSINGMASTERY.COM WWW.THENURSINGMASTERY.COMChapter 01: Science and the Therapeutic Use of Self in Psychiatric Mental HealthNursingVarcarolis: Essentials of Psychiatric Mental Health Nursing: A CommunicationApproach to Evidence-Based Care, 4th EditionMULTIPLE CHOICE WWW.THENURSINGMASTERY.COMANS: DAccepting patients\u2019 needs for self-expression and seeking to teach skills that will contribute totheir well-being demonstrate respect and are important parts of advocacy. The on-comingnurse needs [&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-115785","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/115785","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=115785"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/115785\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=115785"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=115785"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=115785"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}