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




1. Which outcome, focused on recovery, would be expected in the plan of care for a
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kkpatient kkliving kkin kkthe kkcommunitykkand kkdiagnosed kkwith kkserious kkand kkp e r s i s t e n t
a b i r b . c o m / t em
st kk
ental
illness? Within 3 months, the patient will demonstrate what behavior?
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a. Denying suicidal ideation kk kk


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


d. Attending clinic appointments on kk kk kk


time kk

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ANS: k k 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
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the 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) kk kk kk


TOP:
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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
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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: k k A
The nurse‘s communication should evidence caring and a acboi r m
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b.c om /t es t
m i t m e nt to work with the kk kk kk kk kk kk kk kk kk kk kk


patient. This commitment lets the patient know the nurse will help. Probing and advice
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are not helpful for therapeutic interventions.
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DIF: Cognitive Level: Application (Applying) kk kk kk


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
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along in society.‖
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ANS:
D
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URSYLA
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, Accepting patients‘ needs for self-expression and seeking to teach skills that will
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contribute to their well-being demonstrate respect and are important parts of advocacy.
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The on-coming nurse needs to take action to ensure that others are not
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prejaub idr bi.cc eo md / tae gs t ainst the patient. Humor can be appropriate within the privacy of a
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shift report but not at the expense of respect for patients. Judging the off-going nurse
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in a critical way will create conflict. Nurses must show compassion for each other.
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DIF: Cognitive Level: Application (Applying) kk kk kk


TOP: Nursing Process: Implementation MSC:
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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‖? kk kk kk kk kk


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 antidepressant amb 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
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and reduces feelings of isolation. This technique shows respect for the patient and
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demonstrates caring. Generalizations, probing, and false reassurances are nontherapeutic.
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DIF: Cognitive Level: Application (Applying) kk kk kk


TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
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5. A patient shows the nurse an article from the Internet abouatbiarb .hcoemal/ttehs t problem. Which
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characteristic of the website‘s address most alerts the nurse that the site may have
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biased and prejudiced information?
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a. Address ends in ―.org.‖ kk abirb.com/test kk kk


b. Address ends in kk kk


―.com.‖kk


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




ANS: k k B
Financial influences on a site are a clue that the information may be biased. ―.com‖ at
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the end of the address indicates that the site is a commercial one. ―.gov‖ indicates that
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the 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: kk kk kk k k Nursing Process: kk


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
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their attention; however, I read a descriptive research study that says that this
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approach does not work. I plan to stop calling patients by name.‖ Which statement is
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the best appraisal of this
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nurse‘s comment? kk
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