Test Bank Essentials of Psychiatric Mental Health Nursing (4th Edition by Varcarolis)
Test Bank Essentials of Psychiatric Mental Health Nursing (4th Edition by Varcarolis)
Test Bank Essentials of Psychiatric Mental Health Nursing (4th Edition by Varcarolis)
Test Bank Essentials of Psychiatric Me...
TEST BANK
Essentials of
Psychiatric Mental
Health Nursing
4th Edition
By
Varcarolis
,Chapter 01: Science and the Therapeutic Use of Self in Psychiatric Mental
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HealthNursing
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Varcarolis: Essentials of Psychiatric Mental Health Nurasbiinrbg.c:omA/teC
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st ommunication bg bg bg bg bg
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Approach to Evidence-Based Care, 4th Edition
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MULTIPLE CHOICE bg
1. Which outcome, focused on recovery, would be expected in the plan of care for a patient
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living in the community and diagnosed with serious and
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illness? Within 3
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months, the patient will demonstrate what behavior?
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a. Denying suicidal ideation bg bg
b. Reporting a sense of well-being bg bg bg bg
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c. Taking medications as prescribed bg bg bg
d. Attending clinic appointments on time bg bg bg bg
ANS: B b g
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Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving
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role performance. The goal of recovery is to empower the individual with mental illness to
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achieve a sense of meaning and satisfaction in life and to function at the highest possible
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levelof wellness. The incorrect options focus on the classic medabicirba.lcom
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mo/tedse
t l rather than recovery. bg bg bg bg bg bg bg bg
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DIF: Cognitive Level: Application bg bg
(Applying)TOP: Nursing Process: Outcomes
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Identification
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MSC: NCLEX: Health Promotion and Maintenance b g bg bg bg bg
2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for
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bg adivorce. Select the nurse‘s most caring comment.
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a. ―Let‘s discuss healthy means of coping when you have suicidal feelings.‖ bg bg bg bg bg bg bg bg bg bg
b. ―I understand why you‘re so depressed. When I got divorced, I was devastated
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too.‖ bg
c. ―You should forget about your marriage and move on awbiirtbh.coymo/u
test
r life.‖
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d. ―How did you get so depressed that hospitalization was necessary?‖ bg bg bg bg bg bg bg bg bg
ANS: A b g
The nurse‘s communication should evidence caring and aacboirm
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mitment to work with the patient. bg bg bg bg bg bg bg b
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This commitment lets the patient know the nurse will help. Probing and advice are nothelpful
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, Accepting patients‘ needs for self-expression and seeking to teach skills that will contribute
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totheir well-being demonstrate respect and are important parts of advocacy. The on-coming
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nurse needs to take action to ensure that others are not prejaubidrbi.ccoemd/taegstainst the patient. Humor
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can be appropriate within the privacy of a shift report but not at the expense of respect for
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patients. Judging the off-going nurse in a critical way will create conflict. Nurses must show
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TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
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4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder.
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Whichstatement is an example of ―attending‖?
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a. ―We all have stress in life. Being in a psychiatric hospital is not the end of the
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world.‖ bg abirb.com/test
b. ―Tell me why you felt you had to be hospitalized to receive treatment for your
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depression.‖ bg
c. ―You will feel better after we get some antidepressantam ed.ciocma/tteiostn started for you.‖
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d. ―I‘d like to sit with you for a while, so you may feel more comfortable talking with
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me.‖
ANS: b g D abirb.com/test
Attending is a technique that demonstrates the nurse‘s commitment to the relationship and
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reduces feelings of isolation. This technique shows respect for the patient and
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demonstratescaring. Generalizations, probing, and false reassurances are nontherapeutic.
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TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
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5. A patient shows the nurse an article from the Internet abouatbiarb.hcoemal/ttehst problem. Which
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characteristic of the website‘s address most alerts the nurse that the site may have biased
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andprejudiced information?
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a. Address ends in ―.org.‖ abirb.com/test bg bg bg
b. Address ends in ―.com.‖ bg bg bg
c. Address ends in ―.gov.‖ bg bg bg
d. Address ends in ―.net.‖ bg bg bg
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ANS: B b g
Financial influences on a site are a clue that the information may be biased. ―.com‖ at the end
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of the address indicates that the site is a commercial one. ―.gov‖
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maintained by a government entity. ―.org‖ indicates that the site is nonproprietary; the site
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may or may not have reliable information, but it does not profit from its activities. ―.net‖ can
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have multiple meanings.
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DIF: Cognitive Level: Comprehension (Understanding) TOP: Nursing Process: bg bg bg b g bg
EvaluationMSC: NCLEX: Health Promotion and Maintenance
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6. A nurse says, ―When I was in school, I learned to call upseatbirpba.ctoim
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g
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attention; however, I read a descriptive research study that says that this approach does
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notwork. I plan to stop calling patients by name.‖ Which statement is the best appraisal of
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thisnurse‘s comment?
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a. One descriptive research study rarely provides enough evidence to change practice.
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, b. Staff nurses apply new research findings only with the help from clinical
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b
c. New research findings should be incorporated into clinaibcirabl.caom
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them in practice.
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d. The nurse misinterpreted the results of the study. Classic tenets of practice do
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notchange. bg g
b
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ANS:
bA g
Descriptive research findings provide evidence for practice but must be viewed in relation to
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other studies before practice changes. One study is not enough. Descriptive studies are low
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onthe hierarchy of evidence. Clinical algorithms use flowcharts to manage problems and do
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not
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specify one response to a clinical problem. Classic tenets of practice should change
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asresearch findings provide evidence for change.
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DIF: Cognitive Level: Analysis (Analyzing) TOP: Nursing Process: bg bg bg b g bg
EvaluationMSC: NCLEX: Health Promotion and Maintenance
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7. Two nursing students discuss career plans after graduationa.birb
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psychiatric nursing. The other student asks, ―Why would you want to be a psychiatric nurse?All
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they do is talk. You will lose your skills.‖ Select the best response by the student interested in
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psychiatric nursing.
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a. ―Psychiatric nurses‘ practice in safer environments than other specialties and bg bg bg bg bg bg bg bg bg
nurse-to-patient ratios are better because of the nature of patients‘ problems.‖
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b. ―Psychiatric nurses use complex communication skills, as well as critical thinking, bg bg bg bg bg bg bg bg bg bg
to solve multidimensional problems. I‘m challenged byabtirhb.c
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e steisttuations.‖
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c. ―I think I will be good in the mental health field. I do not like clinical rotations in
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school, so I do not want to continue them after I graduate.‖
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d. ―Psychiatric nurses do not have to deal with as much paabiirnb.caonmd/tessutfferingas bg bg bg bg bg bg bg bg bg bg bg
medical-surgical nurses. That appeals to me.‖
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ANS: B b g
The practice of psychiatric nursing requires a different setaobfirbs.ckoimll/stestht an medical-surgical
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nursing, although substantial overlap does exist. Psychiatric nurses must be able to help
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patients with medical and mental health problems, reflecting the holistic perspective these
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nurses must have. Nurse–patient ratios and workloads in psychiatric settings have
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increased,similar to other specialties. Psychiatric nursing involves claibniribc.acolmp/treascttice, not
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simply documentation. Psychosocial pain is real and can cause as much suffering as physical
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TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
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8. Which research evidence would most influence a group of nurses to change their practice?
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a. Expert committee report of recommendations for practaibcireb.com/test bg bg bg bg bg bg
b. Systematic review of randomized controlled trials bg bg bg bg bg
c. Nonexperimental descriptive study bg bg
d. Critical pathway bg
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ANS: B b g
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