[DOCUMENT TITLE]
Test Bank For Varcarolis Essentials Of Psychiatric Mental
Health Nursing, 5th Edition (Fosbre) Chapters (1 – 28),
Complete With Rationale 2025 Newest Version
, [DOCUMENT TITLE]
chapter 01: practicing the science and the art of psychiatric nursing
multiplechoice
1. which outcome, 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:
a. deny suicidal ideation.
b. report a sense of well-being.
c. take medications as prescribed.
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
topic: nursing process: outcomes identification
msc:
nclex: health promotion and maintenance
2. in the shift-change report, an off-going nurse criticizes a client 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 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. ANS: d
accepting clients needs for self-expression and seeking to teach skills that will
contributeto their well-being demonstrate respect and are important parts of advocacy.
the on-
, [DOCUMENT TITLE]
coming nurse needs to take action to ensure that others are not prejudiced against
theclient. humor can be appropriate within the privacy of a shift report but not at the
expense of respect for clients. judging the off-going nurse in a critical way will
createconflict.
nurses must show compassion for each other.
dif: cognitive level: application (applying) ref: 8
topic: nursing process: implementation msc: nclex: safe, effective care environment
3. a nurse assesses a newly admitted client 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.
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 client and
demonstrates caring. generalizations, probing, and false reassurances are non-
therapeutic.
dif: cognitive level: application (applying) ref: 8
topic: nursing process: implementation msc: nclex: psychosocial integrity
4. a client 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?
ANS: a
the nurses communication should evidence caring and a commitment to work with the
client. this commitment lets the client know the nurse will help. probing and advice
arenot helpful or therapeutic interventions.
, [DOCUMENT TITLE]
dif: cognitive level: application (applying) ref: 6
topic: nursing process: implementation msc: nclex: psychosocial integrity
5. a client shows the nurse an article from the internet about a health problem.
which characteristic of the web sites 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
endof 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) ref: 5
topic: nursing process: evaluation msc: nclex: health promotion and maintenance
6. a 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 nurses 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
themin practice.
d. the nurse misinterpreted the results of the study. classic tenets of practice do
not change.
ANS: a
Test Bank For Varcarolis Essentials Of Psychiatric Mental
Health Nursing, 5th Edition (Fosbre) Chapters (1 – 28),
Complete With Rationale 2025 Newest Version
, [DOCUMENT TITLE]
chapter 01: practicing the science and the art of psychiatric nursing
multiplechoice
1. which outcome, 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:
a. deny suicidal ideation.
b. report a sense of well-being.
c. take medications as prescribed.
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
topic: nursing process: outcomes identification
msc:
nclex: health promotion and maintenance
2. in the shift-change report, an off-going nurse criticizes a client 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 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. ANS: d
accepting clients needs for self-expression and seeking to teach skills that will
contributeto their well-being demonstrate respect and are important parts of advocacy.
the on-
, [DOCUMENT TITLE]
coming nurse needs to take action to ensure that others are not prejudiced against
theclient. humor can be appropriate within the privacy of a shift report but not at the
expense of respect for clients. judging the off-going nurse in a critical way will
createconflict.
nurses must show compassion for each other.
dif: cognitive level: application (applying) ref: 8
topic: nursing process: implementation msc: nclex: safe, effective care environment
3. a nurse assesses a newly admitted client 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.
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 client and
demonstrates caring. generalizations, probing, and false reassurances are non-
therapeutic.
dif: cognitive level: application (applying) ref: 8
topic: nursing process: implementation msc: nclex: psychosocial integrity
4. a client 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?
ANS: a
the nurses communication should evidence caring and a commitment to work with the
client. this commitment lets the client know the nurse will help. probing and advice
arenot helpful or therapeutic interventions.
, [DOCUMENT TITLE]
dif: cognitive level: application (applying) ref: 6
topic: nursing process: implementation msc: nclex: psychosocial integrity
5. a client shows the nurse an article from the internet about a health problem.
which characteristic of the web sites 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
endof 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) ref: 5
topic: nursing process: evaluation msc: nclex: health promotion and maintenance
6. a 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 nurses 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
themin practice.
d. the nurse misinterpreted the results of the study. classic tenets of practice do
not change.
ANS: a
