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Test Bank for Essentials of Psychiatric Mental Health Nursing: A Communication Approach to Evidence-Based Care 4th Edition by Varcarolis and Fosbre$16.99
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Test Bank for Essentials of Psychiatric Mental Health
Nursing: A Communication Approach to Evidence-Based
Care 4th Edition by Varcarolis and Fosbre
,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, 4th Edition
MULTIPLE CHOICE
1. Which result, focused on recovery, would be expected in the plan of care for a client living
in the community and diagnosed with serious and persistent mental illness? Within 3
months, the client 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
RIGHT CHOICE✔✔ 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.
COMPLEXITY: CL Application (Applying)
TOP: Nursing Process: Results Identification MSC:
NCLEX: Health Promotion and Maintenance
2. A client 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?”
RIGHT CHOICE✔✔ A
The nurse’s communication should evidence caring and a commitment to work with the
client. This commitment lets the client know the registered nurse will help. Probing and
advice are not helpful for therapeutic interventions.
3. In the shift-change report, an off-going registered nurse criticizes a client who wears
extremely heavymakeup. Which comment by the registered nurse who receives the report
best demonstrates advocacy?
a. “This is a psychiatric hospital, so we expect our clients to behave bizarrely.”
b. “Let’s all show acceptance of this client by wearing lots of makeup too.”
c. “Your comments are inconsiderate and inappropriate. Keep the report objective.”
d. “Our clients need our help to learn behaviors that will help them get along in
society.”
RIGHT CHOICE✔✔ D
, Accepting clients’ 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
registered nurse needs to take action to ensure that others are not prejudiced against the client.
Humor can be appropriate within the privacy of a shift report but not at the expense of respect
for clients. Judging the off-going registered nurse in a critical way will create conflict.
Nursing practitioners must show compassion for each other.
4. A registered nurse assesses a newly admitted client diagnosed with major depressive
disorder. Whichstatement 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.”
RIGHT CHOICE✔✔ 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 client and demonstrates
caring. Generalizations, probing, and false reassurances are nontherapeutic.
5. A client shows the registered nurse an article from the Internet about a health problem. Which
characteristic of the website’s address most alerts the registered nurse that the site may have
biased andprejudiced information?
a. Address ends in “.org.”
b. Address ends in “.com.”
c. Address ends in “.gov.”
d. Address ends in “.net.”
RIGHT CHOICE✔✔ 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.
COMPLEXITY: CL Comprehension
(Understanding) TOP: Nursing Process: Evaluation
MSC: NCLEX: Health Promotion and Maintenance
6. A registered nurse says, “When I was in school, I learned to call upset clients 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 clients 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 nursing practitioners apply new research findings only with the help
from clinical registered nurse specialists.
c. New research findings should be incorporated into clinical algorithms before using
them in practice.
d. The registered nurse misinterpreted the results of the study. Classic tenets of
practice do not change.
RIGHT CHOICE✔✔ 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.
COMPLEXITY: CL Analysis (Analyzing) TOP:
Nursing Process: EvaluationMSC: 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 nursing practitioners’ practice in safer environments than other
specialties and nurse-to-client ratios are better because of the nature of
clients’ problems.”
b. “Psychiatric nursing practitioners 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 nursing practitioners do not have to deal with as much pain
and suffering as medical-surgical nursing practitioners. That appeals to
me.”
RIGHT CHOICE✔✔ B
The practice of psychiatric nursing requires a different set of skills than medical-surgical
nursing, although substantial overlap does exist. Psychiatric nursing practitioners must be
able to help clients with medical and mental health problems, reflecting the holistic
perspective these nursing practitioners must have. Nurse–client 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 nursing practitioners 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
RIGHT CHOICE✔✔ B
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