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Test Bank - Essentials of Psychiatric Mental Health Nursing: A Communication Approach to Evidence-Based Care, 4th edition (Varcarolis, 2021), Chapter 1-28 | All Chapters

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Test Bank - Essentials of Psychiatric Mental Health Nursing: A Communication Approach to Evidence-Based Care, 4th edition (Varcarolis, 2021), Chapter 1-28 | All Chapters

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,
,MULTIPLE CHOICE ss




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1. Which outcome, focused on recovery, would be expected in the plan of care for a patient
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ss living in the community and diagnosed with serious and p ae br isr bi s. ctoemn/ tt e m
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st ss ss ss ss ss ss
ss
ental illness? Within 3 ss ss ss



months, the patient will demonstrate what behavior?
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a. Denying suicidal ideation ss ss



b. Reporting a sense of well-being ss ss ss ss
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c. Taking medications as prescribed ss ss ss



d. Attending clinic appointments on time ss ss ss ss




ANS: s s B abirb.com/test
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 level
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of wellness. The incorrect options focus on the 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) ss ss ss



TOP: Nursing Process: Outcomes Identification
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MSC: NCLEX: Health Promotion and
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Maintenance
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2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for a
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divorce. Select the nurse‘s most caring comment. ss ss ss ss ss ss
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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 devastated
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too.‖ ss



c. ―You should forget about your marriage and move on awbiirtbh.coymo/u
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te st
r life.‖ ss ss ss ss ss ss ss ss



d. ―How did you get so depressed that hospitalization was necessary?‖
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ANS: s s A
The nurse‘s communication should evidence caring and aacboi r m
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b.c om /t es t
m i t m e nt to work with the
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patient. This commitment lets the patient know the nurse will help. Probing and advice are not
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helpful for therapeutic interventions.
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DIF: Cognitive Level: Application (Applying) ss ss ss



TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
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3. In the shift-change report, an off-going nurse criticizes a paabti ir be. nc ot mw/ t ehsot wears extremely heavy
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makeup. Which comment by the nurse who receives the report 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 o t s o f m a k eup too.‖
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a b i rb .c om /te s t ss

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.‖ ss


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ANS: s s D


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WWW.THENURSINGMASTERY.COM
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, Accepting patients‘ needs for self-expression and seeking to teach skills that will contribute to
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their 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 prejaub idr bi.cc eo md / tae gs t ainst 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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compassion for each other.
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DIF: Cognitive Level: Application (Applying) ss ss ss



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. Which
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statement is an example of ―attending‖? ss ss ss ss ss



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 treatment for your
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depression.‖
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c. ―You will feel better after we get some antidepressantamb 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 with
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me.‖
ANS: s s 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 demonstrates
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caring. Generalizations, probing, and false reassurances are nontherapeutic.
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DIF: Cognitive Level: Application (Applying) ss ss ss



TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
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a bi rb . c o m /t e s t
5. A patient shows the nurse an article from the Internet abou t a h e al t h problem. Which
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characteristic of the website‘s address most alerts the nurse that the site may have biased and
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prejudiced information?
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a. Address ends in ―.org.‖ abirb.com/test ss ss ss



b. Address ends in ―.com.‖ ss ss ss



c. Address ends in ―.gov.‖ ss ss ss



d. Address ends in ―.net.‖ ss ss ss

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ANS: s s B
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.
ss ss ss ―.gov‖ indicates that the site is ss ss ss ss ss ss ss ss ss ss ss ss ss ss

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 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: ss ss ss s s Nursing Process: ss



Evaluation MSC: NCLEX: Health Promotion and Maintenance
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6. A nurse says, ―When I was in school, I learned to call ups ea tb i rpba. ctoi men/ t et ss t by name to get their
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s
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attention; however, I read a descriptive research study that says that this approach does not
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work. I plan to stop calling patients by name.‖ Which statement is the best appraisal of this
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nurse‘s comment? ss
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a. One descriptive research study rarely provides enough evidence to change practice.
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WWW.NURSYLAB.COM


WWW.THENURSINGMASTERY.COM

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Publisher: 2020 ISBN: 9780323625111 Edition: Unknown

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