Test Bank For Varcarolis Essentials of Psychiatric Mental Health Nursing 3rd Edition

Test Bank: Essentials of Psychiatric Mental Health Nursing (3rd Edition by Varcarolis) 2
Chapter 01: Practicing the Science and the Art of Psychiatric Nursing
MULTIPLECHOICE
1. Which outcome, focused on recovery, would be expected in the plan of care for a
patient living in the community and diagnosed with serious and persistent mental
illness? Within 3months, the patient will: a. deny suicidal ideation.
b. report a sense of well-being.
c. take medications as prescribed.
d. attend clinic appointments on
time.ANS: B
Recovery emphasizes managing symptoms, reducing psychosocial disability, and
improvingrole performance.
The goal of recovery is to empower the individual with mental illness to achieve a sense
of meaning and satisfaction in life and to function at the highest possible level of wellness.
Theincorrect options focus on the classic medical model rather than recovery.
DIF: Cognitive Level: Application (Applying)
REF: 2TOP: Nursing Process: Outcomes
Identification MSC: NCLEX: Health Promotion
and Maintenance
2. In the shift-change report, an off-going nurse criticizes a patient who wears
heavymakeup. Which comment by the nurse who receives the report best
demonstrates advocacy?
a. This is a psychiatric hospital. Craziness is what we are all about.
b. Lets all show acceptance of this patient by wearing lots of makeup too.
c. Your comments are inconsiderate and inappropriate. Keep the report objective.
d. Our patients need our help to learn behaviors that will help them get along in
society.ANS: D
Accepting patients needs for self-expression and seeking to teach skills that will
contributeto their well-being demonstrate respect and are important parts of advocacy.
The on-
coming nurse needs to take action to ensure that others are not prejudiced against the
patient. Humor can be appropriate within the privacy of a shift report but not at the
expense of respect for patients. Judging the off-going nurse in a critical way will create
conflict.
Nurses must show compassion for each other.
DIF: Cognitive Level: Application (Applying) REF: 8
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care
Environment 3. A nurse assesses a newly admitted patient diagnosed with major
depressive disorder. Whichstatement is an example of attending?
a. We all have stress in life. Being in a psychiatric hospital isnt the end of the world.
b. Tell me why you felt you had to be hospitalized to receive treatment for your depression.
c. You will feel better after we get some antidepressant medication started for you.
d. Id like to sit with you a while so you may feel more comfortable talking with
me.ANS: D
Attending is a technique that demonstrates the nurses commitment to the relationship
andreduces feelings of isolation. This technique shows respect for the patient and
demonstrates caring. Generalizations, probing, and false reassurances are nontherapeutic.
DIF: Cognitive Level: Application (Applying) REF: 8
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity 4. A patient
is hospitalized for depression and suicidal ideation after their spouse asks for a divorce.
Selectthe nurses most caring comment.
a. Lets discuss some means of coping other than suicide when you have these feelings.
b. I understand why youre so depressed. When I got divorced, I was devastated too.
c. You should forget about your marriage and move on with your life.
d. How did you get so depressed that hospitalization was necessary?
Test Bank: Essentials of Psychiatric Mental Health Nursing (3rd Edition by Varcarolis) 3
ANS: A
The nurses communication should evidence caring and a commitment to work with the
patient. This commitment lets the patient know the nurse will help. Probing and advice
arenot helpful or therapeutic interventions.
DIF: Cognitive Level: Application (Applying) REF: 6
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity 5. A
patient shows the nurse an article from the Internet about a health problem. Which
characteristic of the web sites address most alerts the nurse that the site may have
biased and prejudicedinformation?
a. Address ends in .org.
b. Address ends in .com.
c. Address ends in .gov.
d. Address ends in
.net.ANS: B

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