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Test Bank for Essentials of Psychiatric Mental Health Nursing 3rd Edition by Varcarolis A++
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Test Bank for Essentials of Psychiatric Mental Health Nursing 3rd Edition by Varcarolis A++
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TEST BANK ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING 3RD EDITION A Communication Approach to Evidence-Based Care BY ELIZABETH VARCAROLIS
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Essentials of Psychiatric Mental Health Nursing: A Communication Approach to Evidence-Based Care 3rd Edition Test Bank by Elizabeth M. Varcarolis
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TEST BANK FOR: ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING (3RD EDITION
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Created By: Irfan AliTest Bank for Essentials of Psychiatric Mental Health
Nursing 3rd Edition by Varcarolis A++
Chapter 01: Practicing the Science and the Art of Psychiatric Nursing
MULTIPLE CHOICES:
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.
ANS: B
Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving role
performance.
1
,Created By: Irfan Ali
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 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. 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 insociety.
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.
2
,Created By: Irfan Ali
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. 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 yourdepression.
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 and
reduces feelings of isolation. This technique shows respect for the patient and demonstrates
caring. Generalizations, probing, and false reassurances are non-therapeutic.
3
, Created By: Irfan Ali
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.
Select the 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 yourlife.
d. How did you get so depressed that hospitalization wasnecessary?
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 are not helpful or
therapeutic interventions.
DIF: Cognitive Level: Application (Applying) REF: 6
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