Varcarolis: Essentials of Psychiatric Mental Health Nursing: A Communication Approach to Evidence-Based Care, 4th Edition

,Chapter 01: Science and the Therapeutic Use of Self in Psychiatric Mental
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Health Nursing
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Varcarolis: Essentials of Psychiatric Mental Health N u r as bi inr bg. c:o mA/ t eC
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s t ommunication mm mm mm
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Approach to Evidence-Based Care, 4th Edition
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MULTIPLE
CHOICE
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1. Which outcome, focused on recovery, would be expected in the plan of care for
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a patient living in the community and diagnosed with serious and p ae br isr bi s. ctoemn/ tt em
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ental illness? Within 3 months, the patient will demonstrate what behavior?
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a. Denying suicidal ideation mm mm


b. Reporting a sense of well-being mm mm mm mm
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c. Taking medications as prescribedmm mm mm


d. Attending clinic appointments on mm mm mm


time mm

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ANS: m m B
Recovery emphasizes managing symptoms, reducing psychosocial disability, and
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improving role performance. The goal of recovery is to empower the individual
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with mental illness to achieve a sense of meaning and satisfaction in life and to
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function at the highest possible level of wellness. The incorrect options focus on the
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classic m e da bi ci r ba. lc omm o/ t edset l rather than recovery.
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DIF: Cognitive Level: Application (Applying) mm mm mm


TOP:
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Identification MSC: NCLEX: Health
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Promotion and Maintenance
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2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for
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a
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divorce. Select the nurse‘s most caring
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mmcomment.
a. ―Let‘s discuss healthy means of coping when you have suicidal feelings.‖
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b. ―I understand why you‘re so depressed. When I got divorced, I was
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devastated too.‖
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c. ―You should forget about your marriage and move on awbiirtbh.coymo/uterstlife.‖
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d. ―How did you get so depressed that hospitalization was necessary?‖
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ANS: m m A
The nurse‘s communication should evidence caring and a acboi r m
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b.c om /t es t
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with the patient. This commitment lets the patient know the nurse will help.
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Probing and advice are not helpful for therapeutic interventions.
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DIF: Cognitive Level: Application mm mm


(Applying)
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TOP: Nursing Process: Implementation MSC:
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3. In the shift-change report, an off-going nurse criticizes a paabti ir be. nc ot mw/ t ehsot
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extremely heavy makeup. Which comment by the nurse who receives the report
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best demonstrates advocacy?
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a. ―This is a psychiatric hospital, so we expect our patients to behave bizarrely.‖
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b. ―Let‘s all show acceptance of this patient by wearing l aobti sr b o. c fo mm/ t easkt eup 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
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get along in society.‖
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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-coming nurse needs to take action to ensure that others are not
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prejaub idr bi.cc eo md / tae gs t ainst the patient. Humor can be appropriate within the privacy of
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a shift report but not at the expense of respect for patients. Judging the off-going
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nurse in a critical way will create conflict. Nurses must show compassion for
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each other.
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DIF: Cognitive Level: Application (Applying) mm mm mm


TOP: Nursing Process: Implementation MSC:
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4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder.
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Which
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statement 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.‖ abirb.com/test
b. ―Tell me why you felt you had to be hospitalized to receive
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treatment for your depression.‖
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c. ―You will feel better after we get some antidepressant amb i rebd. ciocma/tt ieos tn 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
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with mm


me.‖
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D
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Attending is a technique that demonstrates the nurse‘s commitment to the
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relationship and reduces feelings of isolation. This technique shows respect for the
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patient and demonstrates caring. Generalizations, probing, and false reassurances are
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nontherapeutic.
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DIF: Cognitive Level: Application (Applying) mm mm mm


TOP: Nursing Process: Implementation MSC:
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5. A patient shows the nurse an article from the Internet abouatb iarb .hc oemal/ttehs t problem.
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Which characteristic of the website‘s address most alerts the nurse that the site
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may have biased and prejudiced information?
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a. Address ends in mm abirb.com/test
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―.org.‖
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b. Address ends in mm mm


―.com.‖
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c. Address ends in mm mm


―.gov.‖
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d. Address ends in mm mm


―.net.‖
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ANS: m m B
Financial influences on a site are a clue that the information may be biased.
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―.com‖ at the end of the address indicates that the site is a commercial one.
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―.gov‖ indicates that the site is
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a bir b . c om /te st
maintained by a government entity. ―.org‖ indicates that th e s i t e is n onproprietary; the
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site
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may or may not have reliable information, but it does not profit from its activities.
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―.net‖ can have multiple meanings.
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