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 Health
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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 ss ss ss ss ss
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Approach to Evidence-Based Care, 4th Edition
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MULTIPLE CHOICE ss




1. Which outcome, focused on recovery, would be expected in the plan of care for a
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sspatient ssliving ssin ssthe sscommunity ssand ssdiagnosed sswith ssserious ssand ssp e r s i s t e n t
a b i r b . c o m / t em
st ss
ental
illness? Within 3 months, the patient will demonstrate what behavior?
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a. Denying suicidal ideation ss ss


b. Reporting a sense of well-being abirb.com/test
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c. Taking medications as prescribed ss ss ss


d. Attending clinic appointments on ss ss ss


time ss

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ANS: s s 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 with
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mental illness to achieve a sense of meaning and satisfaction in life and to function at the
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highest possible level of wellness. The incorrect options focus on the classic
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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
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Identification MSC: NCLEX: Health Promotion
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and 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 ss abirb.com/test ss ss ss ss


comment.
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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
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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: 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 ss ss ss ss ss s ss ss ss ss ss


patient. This commitment lets the patient know the nurse will help. Probing and advice are
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not 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
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heavy makeup. Which comment by the nurse who receives the report best demonstrates
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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 get along
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in society.‖
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ANS:
D
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URSYLA
B.COM WWW.THENURSINGMASTERY.COM
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, Accepting patients‘ needs for self-expression and seeking to teach skills that will contribute
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to their well-being demonstrate respect and are important parts of advocacy. The on-
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coming nurse needs to take action to ensure that others are not prejaub idr bi.cc eo md / tae gs t ainst the
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patient. Humor can be appropriate within the privacy of a shift report but not at the
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expense of respect for patients. Judging the off-going nurse in a critical way will create
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conflict. Nurses must show 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
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your 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: abirb.com/test
D
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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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5. A patient shows the nurse an article from the Internet abouatb iarb .hcoemal/ttehs t 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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and prejudiced information?
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a. Address ends in ―.org.‖ abirb.com/test
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b. Address ends in ss ss


―.com.‖ ss


c. Address ends in ―.gov.‖ ss ss ss
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d. Address ends in ―.net.‖ ss ss ss




ANS: s s B
Financial influences on a site are a clue that the information may be biased. ―.com‖ at the
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end of the address indicates that the site is a commercial one. ―.gov‖ indicates that the
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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 site
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may or may not have reliable information, but it does not profit from its activities. ―.net‖
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can 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 u ps ea tb i rpba. ctoi men/ t et ss t by name to get
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their attention; however, I read a descriptive research study that says that this approach
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does not work. I plan to stop calling patients by name.‖ Which statement is the best
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appraisal of this
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nurse‘s comment? ss
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