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For Varcarolis’ Essentials of Psychiatric Mental Health Nursing: A Communication
Approach to Evidence-Based Care 5th Edition
by Chyllia D Fosbre Latest Update Graded A+
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, Table Of Contents

TABLE OF 1
CONTENTS

chapter 01: practicing the science and the art of psychiatric nursing 2
chapter 02: mental health and mental illness 7
chapter 03: theories and therapies 12
chapter 04: biological basis for understanding psychopharmacology 20
chapter 05: settings for psychiatric care 28
chapter 06: legal and ethical basis for practice 35
chapter 07: nursing process and qsen: the foundation for safe and effective care 43
chapter 08: communication skills: medium for all nursing practice 51
chapter 09: therapeutic relationships and the clinical interview chapter 58
10: trauma and stress-related disorders 67
chapter 11: anxiety, anxiety disorders, and obsessive-compulsive disorders chapter 74
12: somatic system disorders and dissociative disorders 85
chapter 13: personality disorders chapter 94
14: eating disorders 103
chapter 15: mood disorders: depression 111
chapter 16: bipolar spectrum disorders 121
chapter 17: schizophrenia spectrum disorders and other psychotic disorders chapter 131
18: neurocognitive disorders 142
chapter 19: substance-related and addictive disorders chapter 151
20: crisis and mass disaster 163
chapter 21: child, partner, and elder violence 171
chapter 22: sexual violence 179
chapter 23: suicidal thoughts and behavior chapter 186
24: anger, aggression, and violence 195
chapter 25: care for the dying and those who grieve chapter 204
26: children and adolescents 213
chapter 27: adults chapter 221
28: older adults 230

,Chapter 01: Practicing The Science And The Art Of Psychiatric Nursing
Multiple Choice

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. 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 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.

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 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 And Reduces
Feelings Of Isolation. This Technique Shows Respect For The Patient And Demonstrates Caring.
Generalizations, Probing, And False Reassurances Are Non-Therapeutic.

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 Your Life.
d. How Did You Get So Depressed That Hospitalization Was Necessary?

, 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
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 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.

Dif: Cognitive Level: Comprehension (Understanding) Ref: 5
Top: Nursing Process: Evaluation Msc: Nclex: Health Promotion And Maintenance

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 Nurses 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.

Dif: Cognitive Level: Analysis (Analyzing) Ref: 3
Top: Nursing Process: Evaluation Msc: Nclex: Health Promotion And Maintenance

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. im 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.
d. psychiatric nurses do not have to deal with as much pain and suffering as medical surgical nurses. that
appeals to me.

ans: b
the practice of psychiatric nursing requires a different set of skills than medical surgical nursing, although
substantial overlap does exist. psychiatric nurses must be able to help patients with medical and mental health
problems, reflecting the holistic perspective these nurses must have. nurse-patient ratios and workloads in

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