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Test Bank: Essentials of Psychiatric Mental Health
Nursing (3rd Edition by Varcarolis)
Document Outline
Table of Contents
• Chapter 01: Practicing the Science and the Art of Psychiatric Nursing
• Chapter 02: Mental Health and Mental Illness
• Chapter 03: Theories and Therapies
• Chapter 04: Biological Basis for Understanding Psychopharmacology
• Chapter 05: Settings for Psychiatric Care
• Chapter 06: Legal and Ethical Basis for Practice
• Chapter 07: Nursing Process and QSEN: The Foundation for Safe
and Effective Care
• Chapter 08: Communication Skills: Medium for All Nursing Practice
• Chapter 09: Therapeutic Relationships and the Clinical Interview
• Chapter 10: Trauma and Stress-Related Disorders
• Chapter 11: Anxiety, Anxiety Disorders, and Obsessive-Compulsive
Disorders
• Chapter 12: Somatic System Disorders and Dissociative 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 Behavior
• 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: 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.
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.
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.
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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