TEST BANK FOR VARCAROLIS ESSENTIALS OF
PSYCHIATRIC MENTAL HEALTH NURSING, 5TH EDITION
(FOSBRE, 2024)/ALL CHAPTERS 1-28
,TABLE OF CONTENTS
,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 client living
in the community and diagnosed with serious and persistent mental illness? Within 3 months,
the client will:
a. deny suicidal ideation.
b. report a sense of well-being.
c. take medications as prescribed.
d. attend clinic appointments on time.
CORRECT CHOICE:- B
Rationale :->>>Recovery emphasizes managing symptoms, reducing psychosocial disability,
and improving role 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. The
incorrect options focus on the classic medical model rather than recovery.
DIF: Cognitive Level: Application (Applying) REF:
2 TOP: Nursing Process: Outcomes Identification
MSC:
NCLEX: Health Promotion and Maintenance
2. In the shift-change report, an off-going registered nurse criticizes a client who wears
heavy makeup. Which comment by the registered 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 client by wearing lots of makeup too.
c. Your comments are inconsiderate and inappropriate. Keep the report objective.
d. Our clients need our help to learn behaviors that will help them get along in society.
CORRECT CHOICE:- D
Rationale :->>>Accepting clients 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 registered nurse needs to take action to ensure that others are not prejudiced against
theclient. Humor can be appropriate within the privacy of a shift report but not at the expense of
respect for clients. Judging the off-going registered nurse in a critical way will createconflict.
Registered nurses must show compassion for each other.
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
3. A registered nurse assesses a newly admitted client diagnosed with major depressive
disorder. Which statement 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.
CORRECT CHOICE:- D
Rationale :->>>Attending is a technique that demonstrates the registered nurses commitment to
the relationship and reduces feelings of isolation. This technique shows respect for the client and
demonstrates caring. Generalizations, probing, and false reassurances are non-therapeutic.
4. A client is hospitalized for depression and suicidal ideation after their spouse asks for a
divorce. Select the registered 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 (5th Edition by Varcarolis) 3
CORRECT CHOICE:- A
Rationale :->>>The registered nurses communication should evidence caring and a
commitment to work with the client. This commitment lets the client know the registered nurse
will help. Probing and advice arenot helpful or therapeutic interventions.
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