TEST BANK ESSENTIALS OF PS YCHIATRIC MENTAL HEALTH NURSING 3RD EDITION A Communication A pproach to Evidence -
Based Care BY ELIZABETH VARCAROLIS TEST BANK Test Bank: Essentials of Psychiatric Mental Health Nursing (3rd Edition by Varcarolis) Contents: Unit I: Essential Theoretical Concepts f or Practice Chapter 1. Practicing the Science and the Art of Psychiatric 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 6. Legal and Ethical Basis for Practice Unit II : Tools for Practice of the Art Chapter 7. Nursing Process and QSEN: The Foundation for Safe and Effective Care Chapter 8. Skills: Medium for All Nursing Practice Chapter 9. Therapeutic Relations hips and the Clinical Interview Unit III: Caring for Patients with Psychobiological Disorders Chapter 10. Stress and Stress -Related Disorders Chapter 11. Anxiety, Anxiety Disorders, and Obsessive -Compulsive Disorders Chapter 12. Somatic Symptom Disorders and Related Disorders Chapter 13. Personality Disorders Chapter 14. Eating Disorders Chapter 15. Mood Disorders: Dep ression 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 Unit IV: Caring for Patients Experiencing Psychiatric Emergencies Chapter 20. Cris is 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 Unit V: Age -Related Mental Health Disorders Chapter 26. Children an d Adolescents Chapter 27. Adults Chapter 28. Older Adults Test Bank: Essentials of Psychiatric Mental Health Nursing (3rd Edition by Varcarolis) Chapter 01: Practicing the Science and the Art of Psychiatric Nursing Varcarolis: Essentials of Psychiatric Mental Hea lth Nursing: A Communication Approach to Evidence -Based Care , 3rd Edition 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 inconsidera te 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- Test Bank: Essentials of Psychiatric Mental Health Nursing (3rd Edition by Varcarolis) 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? 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.
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