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MENTAL HEALTH(VARCAROLIS) EXAM 1 /135 QUESTIONS AND ANSWERS (A+)
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MENTALHEALTH(VARCAROLIS) EXAM
1 /135 QUESTIONS AND
ANSWERS (A+)
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 3 months, 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. - =Report a sense
of well-being
-2. A patient is hospitalized for depression and suicidal
ideation after their spouse asks for a divorce. Select the
nurse's most caring comment.
a. "Let's discuss some means of coping other than
suicide when you have these feelings."
b. "I understand why you're 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?" - =ANS: A
The nurse's 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 are not helpful or therapeutic interventions.
,-3. In the shift-change report, an off-going nurse
criticizes a patient who wears heavy makeup. 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. "Let's 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 contribute to 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.
-4. A nurse assesses a newly admitted patient
diagnosed with major depressive disorder. Which
statement is an example of "attending"?
a. "We all have stress in life. Being in a psychiatric
hospital isn't 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. "I'd 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 nurse's
commitment to the relationship and reduces feelings of
isolation. This technique shows respect for the patient
and demonstrates caring. Generalizations, probing, and
false reassurances are non-therapeutic.
-5. A patient shows the nurse an article from the Internet
about a health problem. Which characteristic of the web
site's address most alerts the nurse that the site may
have biased and prejudiced information?
a. Address ends in ".org."
b. Address ends in ".com."
c. Address ends in ".gov."
d. Address ends in ".net." - =ANS: B
Financial influences on a site are a clue that the
information may be biased. ".com" at the end of the
address indicates that the site is a commercial one.
".gov" indicates that the site is maintained by a
government entity. ".org" indicates that the site is
nonproprietary; the site may or may not have reliable
information, but it does not profit from its activities. ".net"
can have multiple meanings.
-6. A nurse says, "When I was in school, I learned to call
upset patients by name to get their attention; however, I
read a descriptive research study that says that this
approach does not work. I plan to stop calling patients
by name." Which statement is the best appraisal of this
nurse's comment?
a. One descriptive research study rarely provides
enough evidence to change practice.
, b. Staff nurses apply new research findings only with the
help from clinical nurse specialists.
c. New research findings should be incorporated into
clinical algorithms before using them in practice.
d. The nurse misinterpreted the results of the study.
Classic tenets of practice do not change. - =ANS: A
Descriptive research findings provide evidence for
practice but must be viewed in relation to other studies
before practice changes. One study is not enough.
Descriptive studies are low on the hierarchy of
evidence. Clinical algorithms use flow charts to manage
problems and do not specify one response to a clinical
problem. Classic tenets of practice should change as
research findings provide evidence for change.
-7. Two nursing students discuss career plans after
graduation. One student wants to enter psychiatric
nursing. The other student asks, "Why would you want
to be a psychiatric nurse? All they do is talk. You will
lose your skills." Select the best response by the student
interested in psychiatric nursing.
a. "Psychiatric nurses practice in safer environments
than other specialties. Nurse-to-patient ratios must be
better because of the nature of patients' problems."
b. "Psychiatric nurses use complex communication
skills, as well as critical thinking, to solve
multidimensional problems. I'm challenged by those
situations."
c. "I think I will be good in the mental health field. I do
not like clinical rotations in school, so I do not want to
continue them after I graduate."
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