TEST BANK Varcarolis’ Essentials of Psychiatric Mental Health Nursing: A Communication Approach to Evidence-Based Care 5th Edition By Chyllia D Fosbre |chapter 1-28

,Chapter 01: Science andthe Therapeutic Use of Self in Psychiatric Mental Health Nursing
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Varcarolis:Essentials ofPsychiatricMentalHealthNursing:ACoabirb.com/test mmunication 98
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ApproachtoEvidence-BasedCare, 5thEdition 98
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MULTIPLE CHOICE k9k8




1. Which outcome, focused on recovery, would be expected in the plan ofcare for a patient
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the community and diagnosed with serious and persistent mental illness?abirb.com/test
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months, the patient will demonstrate what behavior?
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a. Denying suicidal ideation k9k8 k9k8




b. Reporting a sense of well-being abirb.com/test k9k8 k9k8 k9k8 k9k8




c. Taking medicationsasprescribed k9k8 k98 k98




d. Attending clinic appointments ontime k9k8 k9k8 k9k8 k98




ANS:B k9k8 abirb.com/test

Recoveryemphasizes managing symptoms, reducing psychosocialdisability, and improvi ng k98 k9k8 k9k8 k9k8 k9k8 k98 k9k8 k9k8 k 9 k 8




role performance. The goal of recovery is to empower the individual with mental illne
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to 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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abirb.com/test
MSC: NCLEX: Health Promotion and Maintenance k9k8 k9k8 k9k8 k9k8 k9k8




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. k9k8 k9k8 k9k8 k9k8 k9k8 k9 k8
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a. “Let’s discuss healthy means ofcoping when you have suicidal feelings.” k9k8 k9k8 k9k8 k9k8 k98 k9 k8 k9k8 k 9k 8 k9k8 k9k8




b. “I understand why you’re so depressed. When I got divorced, I was devastated
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c. “You should forget about your marriage and move onwith your k9k8 k9k8 k9k8 k9k8 k9k8 k9k8 k9k8 k9k8 k98 k9k8 k 9k 8 life.”abirb.com/test
d. “How did you get so depressed that hospitalization was necessary?” k9k8 k9 k8 k9k8 k9k8 k9k8 k9k8 k9k8 k9k8 k9k8




ANS:A k98




The nurse’s communication should 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)
k9 k8 TOP:Nursing k9k8 k9k8 k9k8 k98




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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k9k8 makeup. Which comment by the nurse who receives the report best demonstrates
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advocacy?
k9k8 a. “This is a psychiatric hospital, so we expect our patients to behave k9k8 k9k8 k9k8 k9k8 k 9k 8 k 9k 8 k9 k8 k 9k 8 k9k8 k9 k8 k9 k8 k9 k8




bizarrely.”
b. “Let’s all show acceptance of this patient by wearing lots of makeup too.”abirb.com/test k9k8 k9k8 k9 k8 k9k8 k9k8 k9k8 k9k 8 k9k8 k9k8 k9k8 k9k 8 k9k8 k98




c. “Your comments are inconsiderate and inappropriate. Keep the report objective. ” k9k8 k9k8 k9k8 k9k8 k9k8 k9k8 k9k8 k9k8 k9k8




d. “Our patients need our help to learn behaviors that will help themget along in society.” k9k8 k9k8 k9k8 k9k8 k9k8 k9k 8 k9k8 k9k8 k9 k8 k9k8 k9k 8 k98 k9 k8 k 9k 8 k 9 k 8 k 9 k 8




ANS:D k9k8




Accepting patients’needs for self-expression and seeking toteach skills that will contribute to their k9k8 k98 k9k8 k9k8 k9k8 k9k8 k9k8 k9k8 k9k8 k9k8 k9 k8 k9k8 k9k8 k9k8




well-being demonstrate respect and are important parts of advocacy. The on-coming nurse
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needs to take action to ensure that others are not prejudiced against the patiabirb.com/test ent.
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Humor can be appropriate within the privacy of a shift report but not at the expense of respect
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for
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patients. Judging the off-going nurse ina critical waywill create 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: Nursing Process: 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 in a psychiatric hospital is not the end ofthe world.”
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b. “Tell me why you felt you had to be hospitalized to receive treatment for your
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c. “You will feel better after we get some antidepressant medication started 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 k9k8 abirb.com/test

, Attending is a technique that demonstrates the nurse’s commitment to therelationship k9k8 k9k8 k9k8 k9k8 k9k8 k 9k 8 k 9k 8 k 9 k8 k 9k 8 k98




and reduces feelings of isolation. This technique shows respect for the patient and dem
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onstrates caring. Generalizations, probing, and false reassurances are nontherapeutic.
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abirb.com/test

DIF: CognitiveLevel:Application (Applying)
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TOP: Nursing Process: Implementation MSC: NCLEX:Psychosocial Integrity
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5. Apatient shows the nurse an article fromthe Internet about a health problem. Wabirb.com/test
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hich characteristic k9k8




prejudiced information? of the website’s address k9k8




a. Address ends in “.org.”
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abirb.com/test most alertsthenursethat the
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b. Address ends in “.com.”
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c. Address ends in “.gov.” site may have bi k9k8 k9k8 k9k8
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d. Address ends in “.net.” ased and k9k8 k9k8 k9k8
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Financial influences on k9k8 k9k8




abirb.com/test a site are a clue that the k 9 k 8
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ANS: B information may be k9k8 k9k8




biased. “. com” k9k8




at the end ofthe address indicates that the site is a commercialone. “.gov” indicates that t he
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site is 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 does not profit
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from its activities. “.
k9 k8 net” can k9k8 k9k8 k9k8 k9k8




have
multiple meanings. k9k8




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DIF: Cognitive Level: Comprehension (Understanding)
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k9 k8 MSC: NCLEX: Health Promotion and Maintenance k9k8 k9k8 k9 k8 k 9k 8 k 9k 8




6. Anurse says, “When I was in school, I learned to callupset patients by name to get
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theiabirb.com/test r
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attention; however, I read a k 9k 8 k 9k 8 k 9k 8 k9 k8




descriptive research study that says that this
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calling patients by name.” Which statement 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 k9k8 k9k8 k9k8 k9k8 k9k8 k9k8 k98 k9k8 k9k8 k9 k8 k98 k9k8




specialists. k9k8




c. New research findings should be incorporated into clinical algorithms before using
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abirb.com/test them inpractice. k9k8 k9k8 k98




d. The nurse misinterpreted the results ofthe study. Classic tenets ofpractice do not
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change. k9k8




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ANS:A k98