VARCAROLIS’ ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING, 5TH - 2025 ALL CHAPTERS - 9780323810302 TEST BANK

Chapter01: Science andthe Therapeutic Use of Self inPsychiatric Mental Health Nursing
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Varcarolis:EssentialsofPsychiatricMentalHealthNursing:ACoabirb.com/test mmunication
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ApproachtoEvidence-BasedCare, 5thEditionn
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MULTIPLE CHOICE bn




1. Which outcome, focused on recovery, would be expected in the plan ofcare for a patient living in the
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community and diagnosed with serious and persistent mental illness?abirb.com/test Within 3 months,
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the patient will demonstrate what behavior?
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a. Denying suicidal ideation bn bn




b. Reporting a sense ofwell-being abirb.com/test bn bn bn bn




c. Takingmedicationsasprescribed bn bn bn




d. Attending clinic appointments ontime bn bn bn bn




ANS:B bn abirb.com/test

Recoveryemphasizes managingsymptoms, reducingpsychosocialdisability, and improvi ng bn bn bn bn bn bn bn bn b n




role performance. The goal of recovery is to empower the individual with mental illne ssto
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achieve a sense of meaning and satisfaction in life and to function at the hig
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possible level of wellness. The incorrect options focus on the classic medical model rather
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thaabirb.com/test n recovery.
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DIF: Cognitive Level: Application (Applying)
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Nursing Process: Outcomes Identification
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MSC:NCLEX: Health Promotion andMaintenance
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2. A patient is hospitalized for depression and suicidal ideation after their spou
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divorce. Select the nurse’s most caring comment.
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a. “Let’sdiscuss healthy means ofcoping when you have suicidal feelings.” bn bn bn bn bn bn bn bn bn bn




b. “I understand why you’re so depressed. When I got divorced, I was devastated too.”
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c. “You should forget aboutyour marriage and move onwith your life.”abirb.com/test bn bn bn bn bn bn bn bn bn bn bn




d. “How did you get so depressed that hospitalization was necessary?” bn bn bn bn bn bn bn bn bn




ANS:A bn




The nurse’s communicationshould evidence caring and a commitment to work with the
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, patient. This commitment lets the patient know the nurse will help. Probing and advi
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are not helpful for therapeutic interventions.
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DIF: Cognitive Level: Application (Applying)
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Process: Implementation MSC: NCLEX: Psychosocial Integrity
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3. In the shift-change report, an off-going nurse criticizes a patient who wears extremely heavy
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bn makeup. Which comment by the nurse who receives the report best demonstrates
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advocacy?
bn a. “This is a psychiatric hospital, so we expect our patients to behave bn bn bn bn bn bn bn bn bn bn bn bn




bizarrely.”
b. “Let’s all show acceptance ofthis patient bywearing lots of makeup too.”abirb.com/test bn bn bn bn bn bn b n bn bn bn bn bn bn




c. “Your commentsareinconsiderateand inappropriate.Keep thereportobjective. ” bn bn bn bn bn bn bn bn bn




d. “Our patients need our help to learn behaviors that will help themget along in society.”
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ANS:D bn




Acceptingpatients’needs for self-expression and seeking toteachskillsthat willcontribute to their
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well-being demonstrate respect and are important parts of advocacy. The on-coming nurse needs
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to take action to ensure that others are not prejudiced against the patiabirb.com/test ent. Humor can be
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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 ina criticalwaywillcreate conflict. Nurses must show
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compassion for each other.
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DIF: CognitiveLevel:Application (Applying)
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TOP:NursingProcess: Implementation
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4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder. Wh
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statement is an example of “attending”?
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a. “We all have stress in life. Being ina psychiatric hospitalis notthe end ofthe world.”
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b. “Tellme why you felt you had to be hospitalized to receive treatment for your depression.”
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c. “You willfeelbetter after we get some antidepressant medicationstarted for you. abirb.com/test
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”
d. “I’d like to sit with you for a while, so you may feelmore comfortable talking with me.”
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ANS:D bn abirb.com/test

, Attending is a technique that demonstrates the nurse’s commitment to therelationship
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and reduces feelings of isolation. This technique shows respect for the patient and dem onstrates
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caring. Generalizations, probing, and false reassurances are nontherapeutic.
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DIF: CognitiveLevel:Application (Applying)
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TOP:NursingProcess: Implementation
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5. Apatient shows the nurse an article fromthe Internet about a healthproblem. Wabirb.com/test
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hich characteristic bn




prejudiced information? of the website’s address
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a. Address ends in “.org.”
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abirb.com/test mostalertsthenursethat the
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b. Address ends in “.com.”
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c. Address ends in “.gov.” site may have bi bn bn bn
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d. Address ends in “.net.” ased and bn bn bn
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Financialinfluences on bn bn




abirb.com/test a site are a clue that the b n
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ANS: B information maybe bn bn




biased. “. com” bn




at the end ofthe address indicates that the site is a commercialone. “.gov” indicates that t he site is
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maintained by a government entity. “.org” indicates that the site abirb.com/test
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is nonproprietary;the site mayor maynot have reliable information, but it doesnot profit from
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its activities. “.
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have
multiple meanings. bn




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DIF: Cognitive Level: Comprehension (Understanding)
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bn MSC: NCLEX: Health Promotion and Maintenance
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6. Anurse says, “WhenI was inschool, I learned to callupset patientsby name to get
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theiabirb.com/test r
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attention; however, I read a bn bn bn bn




descriptive research study that says that this
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calling patients byname.” Whichstatement is the best appraisalof this nurse’s comment?
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a. One descriptive research studyrarelyprovides enough evidence to change practice.
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b. Staff nurses apply new research findings onlywith the help fromclinical nurse
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specialists. bn




c. New research findings should be incorporated intoclinical algorithms before using
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abirb.com/test them inpractice. bn bn bn




d. The nurse misinterpretedthe resultsofthe study. Classic tenets ofpractice do not
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change. bn




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ANS:A bn

, Descriptive research findings provide evidence for practice but must be viewed in bn bn bn bn bn bn bn bn bn bn




relationto other studiesbefore practice changes. One studyisnot enough. Descriptive studies a re
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low on the hierarchy of evidence. Clinical algorithms use flowcharts to manage
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probleabirb.com/test ms and do not specifyone response to a clinicalproblem. Classic tenets of b n bn bn bn bn bn bn bn bn bn bn bn bn bn




practice should chang
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research
findings provide evidence for change. bn bn bn bn




abirb.com/test
DIF: Cognitive Level: Analysis (Analyzing)
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bn MSC: NCLEX: Health Promotion and Maintenance bn bn bn bn bn




7. Two nursing students discusscareer plansafter graduation. One student wants toabirb.com/test enter
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psychiatricnursing. Theother student asks, “Whywould you want to beapsychiatric nurse?
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Alltheydo istalk.You will lose your skills.” Selectthe best response bythe student
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interested
in psychiatric nursing.
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a. “Psychiatric nurses’ practice in safer environments than other specialties and nurse- bn bn bn bn bn bn bn bn bn




to-patient ratios are better because of the nature of patients’problems.”
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b. “Psychiatric nurses use complex communication skills, as well as critical th inking, bn bn bn bn bn bn bn bn bn bn




to solve multidimensional problems. I’m challenged by those situations.”
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c. “I think I willbe good inthe mentalhealth field. I do not like clinicalrotations in school, so I do
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not want to continue them after I graduate.”
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d. “Psychiatric nurses do not have to dealwith as much painand suffering as bn bn bn bn bn bn bn bn bn bn bn bn bn b n abirb.com/test
medical-surgicalnurses.That appealsto me.” bn bn bn bn bn




ANS:B bn




The practice ofpsychiatric nursing requires a different setofskills than medica abirb.com/test
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l-surgicalnursing, althoughsubstantialoverlap doesexist. Psychiatric nurses must be able bn bn bn bn bn bn bn bn bn bn bn




to help patients with medical and mental health problems, reflecting the holistic
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perspective these
nurses must have. Nurse–patient ratios and workloads inpsychiatric settings have increased,
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similar to other specialties. Psychiatric nursing involves clinical practice, nabirb.com/test ot simply
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documentation. Psychosocialpain is realand cancause as muchsuffering as physical
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pain.


DIF: CognitiveLevel:Application (Applying)
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TOP:NursingProcess: Implementation bn MSC:NCLEX:Safe, Effective Care Environment bn bn bn bn bn bn bn




8. Whichresearchevidence would most influence a groupofnurses to change their practi ce? bn bn bn bn bn bn bn bn bn bn bn bn bn bn




a. Expert committee reportof recommendations for practiceabirb.com/test bn bn bn bn bn bn




b. Systematic review ofrandomized controlled trials bn bn bn bn bn