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Essentials Of Psychiatric Mental Health Nursing 3rd Edition Varcarolis Test Bank
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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 by Varcarolis A++
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ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING 3RD EDITION VARCAROLIS TEST BANKChapter 1: Practicing the Science and Art of Psychiatric Nursing Test Bank
MULTIPLE CHOICE
1. Which outcome, focused on recovery, would be expected in the plan of
care for a patient living in the community 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 REF: Pages: 2-3
TOP: Nursing Process: Outcomes Identification
MSC: NCLEX: Health Promotion and Maintenance
2. NURSINGTB.COM
A patient is hospitalized for depression and suicidal ideation after their
spouse asks for a divorce. Select the nurse’s most caring comment.
a. “Let’s discuss some means of coping
other than suicide when you have these
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?”
ANS: A
The nurse’s 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 REF: Pages: 6-8
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
3. 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
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,ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING 3RD EDITION VARCAROLIS TEST BANK
demonstrates advocacy?
a. “This is a psychiatric hospital. Craziness
is what we are all about.”
b. “Let’s 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 REF: Page: 8
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
4. A nurse assesses a newly admitted patient with depression. Which
statement is an example of “attending”?
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a. “We all have stress in life. Being in a
psychiatric hospital isn’t 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 a while so you
may feel more comfortable talking with
me.”
ANS: 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 patient and
demonstrates caring. Generalizations, probing, and false reassurances are nontherapeutic.
DIF: Cognitive Level: Application REF: Page: 8
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
5. A patient shows the nurse an article from the Internet about a health
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,ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING 3RD EDITION VARCAROLIS TEST BANK
problem. Which characteristic of the web site’s 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 REF: Page: 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, but I read a descriptive research study that says that this
approach doesn’t work. I’m going stop calling patients by name.” Which statement is the
best appraisal of this nurse’s comment?
a. One descriptive research study rarely
provides enough evidence to change
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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 REF: Pages: 3-4 TOP: Nursing Process:
Evaluation
MSC: NCLEX: Health Promotion and Maintenance
7. Two nursing students discuss career plans after graduation. One student
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, ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING 3RD EDITION VARCAROLIS TEST BANK
wants to enter psychiatric nursing. The other student asks, “Why would you want to be a
psychiatric nurse? All they do is talk. You’ll 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. I’m challenged by those
situations.”
c. “I think I’ll be good in the mental health
field. I do not like clinical rotations in
school, so I don’t want to continue them
after I graduate.”
d. “Psychiatric nurses don’t have to deal
with as much pain and suffering as
medical surgical nurses. That appeals to
me.”
ANS: B
NURSINGTB.COM
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 psychiatric settings have
increased, similar to other specialties. Psychiatric nursing involves clinical practice, not
simply documentation. Psychosocial pain is real and can cause as much suffering as
physical pain.
DIF: Cognitive Level: Application REF: Page: 3
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
8. Which research evidence would most influence a group of nurses to
change their practice?
a. Expert committee report of
recommendations for practice
b. Systematic review of randomized
controlled trials
c. Nonexperimental descriptive study
d. Critical pathway
ANS: B
Research findings are graded using a hierarchy of evidence. A systematic review of
randomized controlled trials is Level A and provides the strongest evidence for changing
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