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Test Bank for Essentials of Psychiatric Mental Health Nursing A Communication Approach to Evidence-Based Care, 4th Edition by Varcarolis, 9780323625111, Covering Chapters 1-28 | Includes Rationales
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Test Bank for Essentials of Psychiatric Mental Health Nursing A Communication Approach to Evidence-Based Care, 4th Edition by Varcarolis, 9780323625111, Covering Chapters 1-28 | Includes Rationales

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  • May 22, 2024
  • 309
  • 2023/2024
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TEST BANK
Essentials of Psychiatric Mental Health Nursing A
Communication Approach to Evidence-Based Care

Elizabeth M. Varcarolis; Chyllia D Fosbre
4th Edition




9780323625111

,Table of content
Chapter 1. Science and the Therapeutic Use of Self in Psychiatric-Mental
Health Nursing
Chapter 2. Mental Health and Mental Illness
Chapter 3. Theories and Therapies
Chapter 4. Biological Basis for Understanding Psychopharmacology
Chapter 5. Settings for Psychiatric Care
Chapter 6. Legal and Ethical Basis for Practice
Chapter 7. The Nursing Process in Psychiatric-Mental Health Nursing
Chapter 8. Communication Skills: Medium for All Nursing Practice
Chapter 9. Therapeutic Relationships and the Clinical Interview
Chapter 10. Trauma and Stress-Related Disorders and Dissociative
Disorders
Chapter 11. Anxiety, Anxiety Disorders, and Obsessive-Compulsive and
Related Disorders
Chapter 12. Somatic Symptom Disorders
Chapter 13. Personality Disorders
Chapter 14. Eating Disorders
Chapter 15. Mood Disorders: Depression
Chapter 16. Bipolar Spectrum Disorders
Chapter 17. Schizophrenia Spectrum Disorders and Other Psychotic
Disorders
Chapter 18. Neurocognitive Disorders
Chapter 19. Substance-Related and Addictive Disorders
Chapter 20. Crisis and Mass Disaster
Chapter 21. Child, Partner, and Elder Violence
Chapter 22. Sexual Violence
Chapter 23. Suicidal Thoughts and Behaviors
Chapter 24. Anger, Aggression, and Violence
Chapter 25. Care for the Dying and Those Who Grieve
Chapter 26. Children and Adolescents
Chapter 27. Adults
Chapter 28. Older Adults

,Chapter 01: Science and the Therapeutic Use of Self in Psychiatric Mental Health
Nursing
abirb.com/test
Varcarolis: Essentials of Psychiatric Mental Health Nursing: A Communication
Approach to Evidence-Based Care, 4th Edition

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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
abirb.com/test
months, the patient will demonstrate what behavior?
a. Denying suicidal ideation
b. Reporting a sense of well-being abirb.com/test
c. Taking medications as prescribed
d. Attending clinic appointments on time
ANS: B abirb.com/test
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
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of wellness. The incorrect options focus on the classic medical model rather than recovery.

DIF: Cognitive Level: Application (Applying)
TOP: Nursing Process: Outcomes Identification
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MSC: NCLEX: Health Promotion and Maintenance

2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for a
divorce. Select the nurse’s most caring comment. abirb.com/test
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 abirb.com/test
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 abirb.com/test
commitment to work with the
patient. This commitment lets the patient know the nurse will help. Probing and advice are not
helpful for therapeutic interventions.
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DIF: Cognitive Level: Application (Applying)
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity

3. In the shift-change report, an off-going nurse criticizes a patient who wears extremely heavy
abirb.com/test
makeup. Which comment by the nurse who receives the report best demonstrates advocacy?
a. “This is a psychiatric hospital, so we expect our patients to behave bizarrely.”
b. “Let’s all show acceptance of this patient by wearing lots of makeup too.”
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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.”
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ANS: D


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WWW.NURSYLAB.COM
WWW.THENURSINGMASTERY.COM
abirb.com/test

, 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
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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.
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DIF: Cognitive Level: Application (Applying)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
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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 is not the end of the
world.” abirb.com/test

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 abirb.com/test
medication started for you.”
d. “I’d like to sit with you for a while, so you may feel more comfortable talking with
me.”
ANS: D abirb.com/test
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 nontherapeutic.
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DIF: Cognitive Level: Application (Applying)
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
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5. A patient shows the nurse an article from the Internet about a health problem. Which
characteristic of the website’s address most alerts the nurse that the site may have biased and
prejudiced information?
a. Address ends in “.org.” abirb.com/test
b. Address ends in “.com.”
c. Address ends in “.gov.”
d. Address ends in “.net.”
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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
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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.
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DIF: Cognitive Level: Comprehension (Understanding) TOP: Nursing Process: Evaluation
MSC: NCLEX: Health Promotion and Maintenance

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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? abirb.com/test
a. One descriptive research study rarely provides enough evidence to change practice.


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WWW.NURSYLAB.COM
WWW.THENURSINGMASTERY.COM
abirb.com/test

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