Test Bank for Varcarolis Essentials of Psychiatric Mental Health Nursing 5th Edition Fosbre / All Chapters 1-28 / Full Complete 2024
Chapter 01: Science and the Therapeutic Use of Self in Psychiatric Mental Health Nursing Varcarolis: Essentials of Psychiatric Mental Health Nursing: A Communicatio...
Test Bank for
Varcarolis
Essentials of
Psychiatric Mental
Health Nursing 5th
Edition Fosbre / All
Chapters 1-28 / Full
Complete 2024
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Varcarolis Essentials of Psychiatric
Mental Health Nursing 5th Edition
Fosbre
Test Bank
Chapter 01: Science and the Therapeutic Use of Self in Psychiatric Mental Health
Nursing
Varcarolis: Essentials of Psychiatric Mental Health Nursing: A Communication
Approach to Evidence-Based Care, 5e
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 demonstrate what behavior?
a. Denying suicidal ideation
b. Reporting a sense of well-being
c. Taking medications as prescribed
d. Attending 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)
TOP: Nursing Process: Outcomes Identification
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.
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 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 for therapeutic interventions.
3. In the shift-change report, an off-going nurse criticizes a patient who wears
extremely heavy makeup. Which comment by the nurse who receives the report best
demonstrates advocacy?
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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.”
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.
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.”
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 for 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.
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.”
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) 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
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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?
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 flowcharts 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) 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 and nurse-to-patient ratios are 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 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
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.
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
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