Table of Contents
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Chapter 01: Practicing the Science and the Art of Psychiatric
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gy Nursing Chapter 02: Mental Health and Mental Illness
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Chapter 03: Theories and Therapies
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Chapter 04: Biological Basis for Understanding
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gy Psychopharmacology Chapter 05: Settings for Psychiatric Care
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Chapter 06: Legal and Ethical Basis for Practice
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Chapter 07: Nursing Process and QSEN: The Foundation for Safe and Effective
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Care Chapter 08: Communication Skills: Medium for All Nursing Practice
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Chapter 09: Therapeutic Relationships and the Clinical Interview
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gy Chapter 10: Trauma and Stress-Related Disorders
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Chapter 11: Anxiety, Anxiety Disorders, and Obsessive-Compulsive Disorders
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gy Chapter 12: Somatic System Disorders and Dissociative Disorders
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Chapter 13: Personality Disorders
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gy Chapter 14: Eating Disorders
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Chapter 15: Mood Disorders:
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gy Depression Chapter 16: Bipolar
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gy Spectrum Disorders gy
Chapter 17: Schizophrenia Spectrum Disorders and Other Psychotic
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Disorders Chapter 18: Neurocognitive Disorders
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Chapter 19: Substance-Related and Addictive
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gy Disorders Chapter 20: Crisis and Mass Disaster
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Chapter 21: Child, Partner, and Elder Violence
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, Chapter 22: Sexual Violence
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Chapter 23: Suicidal Thoughts and Behavior
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gy Chapter 24: Anger, Aggression, and Violence
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Chapter 25: Care for the Dying and Those Who Grieve
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gy Chapter 26: Children and Adolescents
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Chapter 27: Adults
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gy Chapter 28: Older Adults
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, Test Bank: Essentials of Psychiatric Mental Health Nursing (5th Edition by Varcarolis) 2
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Chapter 01: Practicing the Science and the Art of Psychiatric Nursing MULTIPLE
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CHOICE
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1. Which outcome, focused on recovery, would be expected in the plan of care for a
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patient living in the community and diagnosed with serious and persistent mental
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illness? Within 3 months, the patient will: a. deny suicidal ideation.
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b. report a sense of well-being. gy gy gy gy
c. take medications as prescribed.
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d. attend clinic appointments on gy gy gy
time. ANS: B
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Recovery emphasizes managing symptoms, reducing psychosocial disability, and
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improving role performance.
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The goal of recovery is to empower the individual with mental illness to achieve a
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sense of meaning and satisfaction in life and to function at the highest possible level of
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wellness. The incorrect options focus on the classic medical model rather than
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recovery.
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DIF: Cognitive Level: Application (Applying) REF:
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gy 2 TOP: Nursing Process: Outcomes
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gy Identification MSC: NCLEX: Health Promotion gy gy gy gy
gy and Maintenance
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2. In the shift-change report, an off-going nurse criticizes a patient who wears
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heavy makeup. Which comment by the nurse who receives the report best
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demonstrates advocacy?
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a. This is a psychiatric hospital. Craziness is what we are all about.
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b. Lets all show acceptance of this patient by wearing lots of makeup too.
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c. Your comments are inconsiderate and inappropriate. Keep the report objective.
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d. Our patients need our help to learn behaviors that will help them get along in
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society. ANS: D
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Accepting patients needs for self-expression and seeking to teach skills that will
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contribute to their well-being demonstrate respect and are important parts of
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advocacy. The on-
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