Varcarolis Essentials of Psychiatric Mental Health Nursing 5th Edition (Fosbre) – Test Bank (Chapters 1–28) practice questions with answers

,Chapter01: Science andtheTherapeutic Use of SelfinPsychiatric Mental Health Nursing
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Varcarolis:EssentialsofPsychiatricMentalHealthNursing:ACoabirb.com/test mmunication
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ApproachtoEvidence-BasedCare, 5thEdition3q 3q 3q 3q 3q




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MULTIPLE CHOICE 3q




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 3q 3q




b. Reporting a sense ofwell-being abirb.com/test 3q 3q 3q 3q




c. Takingmedicationsasprescribed 3q 3q 3q




d. Attending clinic appointments ontime 3q 3q 3q 3q




ANS:B 3q abirb.com/test

Recoveryemphasizes managingsymptoms, reducingpsychosocialdisability, and improvi ng 3q 3q 3q 3q 3q 3q 3q 3q 3 q




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.” 3q 3q 3q 3q 3q 3q 3q 3q 3q 3q




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 marriageand move onwith your life.”abirb.com/test
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d. “How did you get so depressed that hospitalization was necessary?” 3q 3q 3q 3q 3q 3q 3q 3q 3q




ANS:A 3q




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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3q makeup. Which comment by the nurse who receives the report best demonstrates
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advocacy?
3q a. “This is a psychiatric hospital, so we expect our patients to behave 3q 3q 3q 3q 3q 3q 3q 3q 3q 3q 3q 3q




bizarrely.”
b. “Let’s all show acceptance ofthis patient bywearing lots of makeup too.”abirb.com/test 3q 3q 3q 3q 3q 3q 3 q 3q 3q 3q 3q 3q 3q




c. “Your commentsareinconsiderateand inappropriate.Keep thereportobjective. ” 3q 3q 3q 3q 3q 3q 3q 3q 3q




d. “Our patients need our help to learn behaviors that will help themget along in society.”
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ANS:D 3q




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 3q 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 3q




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 3q 3q 3q
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d. Address ends in “.net.” ased and 3q 3q 3q
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Financialinfluences on 3q 3q




abirb.com/test a site are a clue that the 3 q
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ANS: B information maybe 3q 3q




biased. “. com” 3q




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. 3q




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DIF: Cognitive Level: Comprehension (Understanding)
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3q 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 3q 3q 3q 3q




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. 3q




c. New research findings should be incorporated intoclinical algorithms before using
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abirb.com/test them inpractice. 3q 3q 3q




d. The nurse misinterpretedthe resultsofthe study. Classic tenets ofpractice do not
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change. 3q




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ANS:A 3q