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Test Bank for Essentials of Psychiatric Mental Health Nursing: A Communication Approach to Evidence-Based Care 4th Edition by Varcarolis and Fosbre$17.99
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Test Bank for Essentials of Psychiatric Mental Health
Nursing: A Communication Approach to Evidence-Based
Care 4th Edition by Varcarolis and Fosbre
, Chapter 01: Science and the Therapeutic Use of Self in Psychiatric Mental Health
Nursing
Varcarolis: Essentials of Psychiatric Mental Health Nursing: A Communication
Approach to Evidence-Based Care, 4th Edition
MULTIPLE CHOICE
1. Which result, focused on recovery, would be expected in the plan of care for a unwell
person living in the community and diagnosed with serious and persistent mental illness?
Within 3 months, the unwell person will demonstrate what behavior?
a. Denying suicidal ideation
b. Reporting a sense of well-being
c. Taking medications as prescribed
d. Attending clinic appointments on time
CORRECT RESPOND>>>✔
B
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.
COMPLEXITY: CL Application (Applying)
TOP: Nursing Process: Results Identification MSC:
NCLEX: Health Promotion and Maintenance
2. A unwell person is hospitalized for depression and suicidal ideation after their spouse
asks for adivorce. Select the nurse’s most caring comment.
a. “Let’s discuss healthy means of coping when you have suicidal 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?”
CORRECT RESPOND>>>✔
A
The nurse’s communication should evidence caring and a commitment to work with the
unwell person. This commitment lets the unwell person know the practicing nurse will help.
Probing and advice are not helpful for therapeutic interventions.
3. In the shift-change report, an off-going practicing nurse criticizes a unwell person who
wears extremely heavymakeup. Which comment by the practicing nurse who receives the
report best demonstrates advocacy?
a. “This is a psychiatric hospital, so we expect our unwell persons to behave bizarrely.”
b. “Let’s all show acceptance of this unwell person by wearing lots of makeup too.”
c. “Your comments are inconsiderate and inappropriate. Keep the report objective.”
d. “Our unwell persons need our help to learn behaviors that will help them get
along insociety.”
, CORRECT RESPOND>>>✔ D
Accepting unwell persons’ 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-coming practicing nurse needs to take action to ensure that others are not prejudiced
against the unwell person. Humor can be appropriate within the privacy of a shift report but
not at the expense of respect for unwell persons. Judging the off-going practicing nurse in a
critical way will create conflict. Nursing practitioners must show compassion for each other.
4. A practicing nurse assesses a newly admitted unwell person diagnosed with major
depressive disorder. Which statement is an example of “attending”?
a. “We all have stress in life. Being in a psychiatric hospital is not 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 for a while, so you may feel more comfortable talking with
me.”
CORRECT RESPOND>>>✔ 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 unwell person and
demonstratescaring. Generalizations, probing, and false reassurances are nontherapeutic.
5. A unwell person shows the practicing nurse an article from the Internet about a health problem.
Which
characteristic of the website’s address most alerts the practicing nurse that the site may have
biased andprejudiced information?
a. Address ends in “.org.”
b. Address ends in “.com.”
c. Address ends in “.gov.”
d. Address ends in “.net.”
CORRECT RESPOND>>>✔ 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.
COMPLEXITY: CL Comprehension
(Understanding) TOP: Nursing Process: Evaluation
MSC: NCLEX: Health Promotion and Maintenance
6. A practicing nurse says, “When I was in school, I learned to call upset unwell persons by
name to get their attention; however, I read a descriptive research study that says that this
approach does notwork. I plan to stop calling unwell persons by name.” Which statement
is the best appraisal of thisnurse’s comment?
, a. One descriptive research study rarely provides enough evidence to change practice.
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