Test Bank for Essentials of Psychiatric Mental Health Nursing 4th Edition by Elizabeth M. Varcarolis | All Chapters 1–28 | Comprehensive Practice Questions

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




1. Which outcome, focused on recovery, would be expected in the plan of care for a patient
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xliving xin xthe xcommunity xand xdiagnosed xwith xserious xand xp e r s i s t e n t
a b i r b . c o m / t em
st x
ental illness? Within 3
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months, the patient will demonstrate what behavior?
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a. Denying suicidal ideation x x


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


d. Attending clinic appointments on time x x x x




ANS: B x 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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x
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DIF: Cognitive Level: Application (Applying) x x x


TOP: Nursing Process: Outcomes Identification
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MSC: NCLEX: Health Promotion 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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x divorce. Select the nurse‘s most caring 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 devastated
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too.‖ x


c. ―You should forget about your marriage and move on awbiirtbh.c oymo/ uters t life.‖
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d. ―How did you get so depressed that hospitalization was necessary?‖
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ANS: A x


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 x x x x x x x x x x x


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) x x x


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 aobti sr b o. c fo mm/ t easkt eup too.‖
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x
x

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.‖ x

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ANS:
xD

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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 oemd / tae gs t ai nst 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) x x x


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‖?
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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.‖ x 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: D x 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) x x x


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 .hc oemal/ttehs t 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
x x x


b. Address ends in ―.com.‖ x x x


c. Address ends in ―.gov.‖ x x x


d. Address ends in ―.net.‖ x x x
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ANS: B x


Financial influences on a site are a clue that the information may be biased. ―.com‖ at the end
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x x x ―.gov‖ indicates that the site is
of the address indicates that the site is a commercial one. abirb.com/test x x x x x x x x x x x x x x


maintained by a government entity. ―.org‖ indicates that the site is nonproprietary; 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) x x x TOP: Nursing Process: Evaluationx x x


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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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?
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a. One descriptive research study rarely provides enough evidence to change practice.
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, b. Staff nurses apply new research findings only with the help from clinical nurse
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x specialists.
c. New research findings should be incorporated into clinaibci rabl. c ao mlg/ toe sr tithms before using
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them in practice.
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d. The nurse misinterpreted the results of the study. Classic tenets of practice do not
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change.
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ANS: A x


Descriptive research findings provide evidence for practice but must be viewed in relation to
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other studies before practice changes. One study is not enough. Descriptive studies are low on
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a b i r b . c om / t e s t
the hierarchy of evidence. Clinical algorithms use flowcha r t s t o m a n age problems and do not
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specify one response to a clinical problem. Classic tenets of practice should change as
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research findings provide evidence for change.
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DIF: Cognitive Level: Analysis (Analyzing) x x x TOP: Nursing Process: Evaluation
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MSC: NCLEX: Health Promotion and Maintenance
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7. Two nursing students discuss career plans after graduationa.biO
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rb n
.c eoms/tt eusdt ent wants to enter x x x x x
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psychiatric nursing. The other student asks, ―Why would you want to be a psychiatric nurse?
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All they do is talk. You will lose your skills.‖ Select the best response by the student
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interested in psychiatric nursing.
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a. ―Psychiatric nurses‘ practice in safer environments than other specialties and x x x x x x x x x


nurse-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 thinking, x x x x x x x x x x


to solve multidimensional problems. I‘m challenged bya b ti rhb .oc so em /st eist tuations.‖
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c. ―I think I will be good in the mental health field. I do not like clinical rotations in
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school, so I do not want to continue them after I graduate.‖
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d. ―Psychiatric nurses do not have to deal with as much paabiirnb.caonmd/tessutfferingas
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medical-surgical nurses. That appeals to me.‖
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ANS: B x


The practice of psychiatric nursing requires a different s et aob fi r bs. ckoimll/st e stht an medical-surgical
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nursing, although substantial overlap does exist. Psychiatric nurses must be able to help
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patients with medical and mental health problems, reflecting the holistic perspective these
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nurses must have. Nurse–patient ratios and workloads in psychiatric settings have increased,
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similar to other specialties. Psychiatric nursing involves c lai bni ribc. ac ol mp/ treasct tice, not simply
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documentation. Psychosocial pain is real and can cause as much suffering as physical pain.
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DIF: Cognitive Level: Application (Applying) abirb.com/test x x x


TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
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8. Which research evidence would most influence a group of nurses to change their practice?
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a. Expert committee report of recommendations for practaibcireb.com/test
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b. Systematic review of randomized controlled trials x x x x x


c. Nonexperimental descriptive study x x


d. Critical pathway x
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ANS: B x




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