,Chapter 01: Science and the Therapeutic Use of Self in Psychiatric Mental Health
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Nursing
gg
Varcarolis: Essentials of Psychiatric Mental Health N u r as bi inr bg. c:o mA/ t eC
gg
s t ommunication gg gg gg gg gg
gg
Approach to Evidence-Based Care, 4th Edition
gg gg gg gg gg gg
abirb.com/test
MULTIPLE CHOICE gg
1. Which outcome, focused on recovery, would be expected in the plan of care for a patient
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
living in the community and diagnosed with serious
gg gg gg gg gg gg gg gg gg and p ae br isr bi s. ctoemn/ tt em
gg
st gg
ental illness? Withingg gg
3 months, the patient will demonstrate what behavior?
gg gg gg gg gg gg gg gg
a. Denying suicidal ideation gg gg
b. Reporting a sense of well-being gg gg gg gg
abirb.com/test
c. Taking medications as prescribed gg gg gg
d. Attending clinic appointments on time gg gg gg gg
ANS: g g B abirb.com/test
Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving
gg gg gg gg gg gg gg gg
role performance. The goal of recovery is to empower the individual with mental illness to
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
achieve a sense of meaning and satisfaction in life and to function at the highest possible
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
level of wellness. The incorrect options focus on the classic m e da bi ci r ba. lc omm o/ t edset l rather than
gg gg gg gg gg gg gg gg gg gg gg
gg
gg gg
recovery.
gg
DIF: Cognitive Level: Application (Applying) gg gg gg
TOP: Nursing Process: Outcomes Identification
gg g g gg gg gg
abirb.com/test
MSC: NCLEX: Health Promotion and
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Maintenance
gg
2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for a
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
divorce. Select the nurse‘s most caring gg
abirb.com/test gg gg gg gg
comment.
gg
a. ―Let‘s discuss healthy means of coping when you have suicidal feelings.‖
gg gg gg gg gg gg gg gg gg gg
b. ―I understand why you‘re so depressed. When I got divorced, I was
gg gg gg gg gg gg gg gg gg gg gg
devastated too.‖
gg gg
c. ―You should forget about your marriage and move on awbiirtbh.coymo/u
gg
te st
r life.‖ gg gg gg gg gg gg gg gg
d. ―How did you get so depressed that hospitalization was necessary?‖
gg gg gg gg gg gg gg gg gg
ANS: g g A
The nurse‘s communication should evidence caring and aacboi r m
gg
b.c om /t es t
ggm i t m e nt to work with the gg gg gg gg gg gg gg gg gg gg gg
patient. This commitment lets the patient know the nurse will help. Probing and advice are
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
not helpful for therapeutic interventions.
gg gg gg gg gg
abirb.com/test
DIF: Cognitive Level: Application (Applying) gg gg gg
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
g g gg gg g g gg gg
3. In the shift-change report, an off-going nurse criticizes a paabti ir be. nc ot mw/ t ehsot
gg gg wears extremely gg gg gg gg gg gg gg
g g
gg
heavy makeup. Which comment by the nurse who receives the report best demonstrates
gg gg gg gg gg gg gg gg gg gg gg gg gg
advocacy?
gg
a. ―This is a psychiatric hospital, so we expect our patients to behave bizarrely.‖
gg gg gg gg gg gg gg gg gg gg gg gg
b. ―Let‘s all show acceptance of this patient by wearing l o t s o f m a k eup too.‖
gg gg gg gg gg gg gg gg gg gg
a b i rb .c om /te s t gg
c. ―Your comments are inconsiderate and inappropriate. Keep the report objective.‖
gg gg gg gg gg gg gg gg gg
d. ―Our patients need our help to learn behaviors that will help them get along
gg gg gg gg gg gg gg gg gg gg gg gg gg
in society.‖
gg gg
ANS:
gD g WWW.NURSYLAB.COM
WWW.THENURSINGMASTERY.COM
,abirb.com/test
abirb.com/test
, Accepting patients‘ needs for self-expression and seeking to teach skills that will contribute
gg gg gg gg gg gg gg gg gg gg gg gg
to their well-being demonstrate respect and are important parts of advocacy. The on-
gg gg gg gg gg gg gg gg gg gg gg gg gg
coming nurse needs to take action to ensure that others are not prejaub idr bi.cc eo md / tae gs t ainst the
gg gg gg gg gg gg gg gg gg gg gg gg gg
patient. Humor can be appropriate within the privacy of a shift report but not at the expense
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
of respect for patients. Judging the off-going nurse in a critical way will create conflict.
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
Nurses must show compassion for each other.
gg gg gg gg gg gg gg
abirb.com/test
DIF: Cognitive Level: Application (Applying) gg gg gg
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
g g gg gg g g gg gg gg gg
abirb.com/test
4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder. Which
gg gg gg gg gg gg gg gg gg gg gg gg
statement is an example of ―attending‖? gg gg gg gg gg
a. ―We all have stress in life. Being in a psychiatric hospital is not the end of the
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
world.‖ abirb.com/test
b. ―Tell me why you felt you had to be hospitalized to receive treatment for
gg gg gg gg gg gg gg gg gg gg gg gg gg
your depression.‖
gg gg
c. ―You will feel better after we get some antidepressantamb i rebd. ciocma/tt ieos tn started for you.‖
gg gg gg gg gg gg gg gg gg gg gg gg
d. ―I‘d like to sit with you for a while, so you may feel more comfortable talking with
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
me.‖
ANS: abirb.com/test
gD g
Attending is a technique that demonstrates the nurse‘s commitment to the relationship and
gg gg gg gg gg gg gg gg gg gg gg gg
reduces feelings of isolation. This technique shows respect for the patient and demonstrates
gg gg gg gg gg gg gg gg gg gg gg gg gg
caring. Generalizations, probing, and false reassurances are nontherapeutic.
gg gg gg gg gg gg gg gg
abirb.com/test
DIF: Cognitive Level: Application (Applying) gg gg gg
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
g g gg gg g g gg gg
5. A patient shows the nurse an article from the Internet abouatb iarb .hc oemal/ttehs t problem. Which
gg gg gg gg gg gg gg gg gg gg gg
characteristic of the website‘s address most alerts the nurse that the site may have biased
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
and prejudiced information?
gg gg gg
a. Address ends in ―.org.‖ abirb.com/test
gg gg gg
b. Address ends in ―.com.‖ gg gg gg
c. Address ends in ―.gov.‖ gg gg gg
d. Address ends in ―.net.‖ gg gg gg
abirb.com/test
ANS: g g B
Financial influences on a site are a clue that the information may be biased. ―.com‖ at the
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
end of the address indicates that the site is a commercial one. ―.gov‖ indicates that the site
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
is
gg
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
gg gg gg gg gg gg gg gg gg gg
may or may not have reliable information, but it does not profit from its activities. ―.net‖ can
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
have multiple meanings.
gg gg gg
abirb.com/test
DIF: Cognitive Level: Comprehension (Understanding) TOP: gg gg gg g g Nursing Process: gg
Evaluation MSC: NCLEX: Health Promotion and Maintenance
gg gg g g gg gg gg gg
6. A nurse says, ―When I was in school, I learned to call u ps ea tb i rpba. ctoi men/ t et ss t by name to get their
gg gg gg gg gg gg gg gg gg gg gg gg
g
gg gg gg gg
attention; however, I read a descriptive research study that says that this approach does
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
not work. I plan to stop calling patients by name.‖ Which statement is the best appraisal
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
of this
gg gg
nurse‘s comment? gg
abirb.com/test
a. One descriptive research study rarely provides enoughabirb.com/test
gg evidence to change practice. gg gg gg gg gg gg gg gg gg
WWW.NURSYLAB.COM
WWW.THENURSINGMASTERY.COM
abirb.com/test
gg gg gg gg gg gg gg gg gg gg gg gg
Nursing
gg
Varcarolis: Essentials of Psychiatric Mental Health N u r as bi inr bg. c:o mA/ t eC
gg
s t ommunication gg gg gg gg gg
gg
Approach to Evidence-Based Care, 4th Edition
gg gg gg gg gg gg
abirb.com/test
MULTIPLE CHOICE gg
1. Which outcome, focused on recovery, would be expected in the plan of care for a patient
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
living in the community and diagnosed with serious
gg gg gg gg gg gg gg gg gg and p ae br isr bi s. ctoemn/ tt em
gg
st gg
ental illness? Withingg gg
3 months, the patient will demonstrate what behavior?
gg gg gg gg gg gg gg gg
a. Denying suicidal ideation gg gg
b. Reporting a sense of well-being gg gg gg gg
abirb.com/test
c. Taking medications as prescribed gg gg gg
d. Attending clinic appointments on time gg gg gg gg
ANS: g g B abirb.com/test
Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving
gg gg gg gg gg gg gg gg
role performance. The goal of recovery is to empower the individual with mental illness to
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
achieve a sense of meaning and satisfaction in life and to function at the highest possible
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
level of wellness. The incorrect options focus on the classic m e da bi ci r ba. lc omm o/ t edset l rather than
gg gg gg gg gg gg gg gg gg gg gg
gg
gg gg
recovery.
gg
DIF: Cognitive Level: Application (Applying) gg gg gg
TOP: Nursing Process: Outcomes Identification
gg g g gg gg gg
abirb.com/test
MSC: NCLEX: Health Promotion and
gg g g gg gg gg
Maintenance
gg
2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for a
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
divorce. Select the nurse‘s most caring gg
abirb.com/test gg gg gg gg
comment.
gg
a. ―Let‘s discuss healthy means of coping when you have suicidal feelings.‖
gg gg gg gg gg gg gg gg gg gg
b. ―I understand why you‘re so depressed. When I got divorced, I was
gg gg gg gg gg gg gg gg gg gg gg
devastated too.‖
gg gg
c. ―You should forget about your marriage and move on awbiirtbh.coymo/u
gg
te st
r life.‖ gg gg gg gg gg gg gg gg
d. ―How did you get so depressed that hospitalization was necessary?‖
gg gg gg gg gg gg gg gg gg
ANS: g g A
The nurse‘s communication should evidence caring and aacboi r m
gg
b.c om /t es t
ggm i t m e nt to work with the gg gg gg gg gg gg gg gg gg gg gg
patient. This commitment lets the patient know the nurse will help. Probing and advice are
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
not helpful for therapeutic interventions.
gg gg gg gg gg
abirb.com/test
DIF: Cognitive Level: Application (Applying) gg gg gg
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
g g gg gg g g gg gg
3. In the shift-change report, an off-going nurse criticizes a paabti ir be. nc ot mw/ t ehsot
gg gg wears extremely gg gg gg gg gg gg gg
g g
gg
heavy makeup. Which comment by the nurse who receives the report best demonstrates
gg gg gg gg gg gg gg gg gg gg gg gg gg
advocacy?
gg
a. ―This is a psychiatric hospital, so we expect our patients to behave bizarrely.‖
gg gg gg gg gg gg gg gg gg gg gg gg
b. ―Let‘s all show acceptance of this patient by wearing l o t s o f m a k eup too.‖
gg gg gg gg gg gg gg gg gg gg
a b i rb .c om /te s t gg
c. ―Your comments are inconsiderate and inappropriate. Keep the report objective.‖
gg gg gg gg gg gg gg gg gg
d. ―Our patients need our help to learn behaviors that will help them get along
gg gg gg gg gg gg gg gg gg gg gg gg gg
in society.‖
gg gg
ANS:
gD g WWW.NURSYLAB.COM
WWW.THENURSINGMASTERY.COM
,abirb.com/test
abirb.com/test
, Accepting patients‘ needs for self-expression and seeking to teach skills that will contribute
gg gg gg gg gg gg gg gg gg gg gg gg
to their well-being demonstrate respect and are important parts of advocacy. The on-
gg gg gg gg gg gg gg gg gg gg gg gg gg
coming nurse needs to take action to ensure that others are not prejaub idr bi.cc eo md / tae gs t ainst the
gg gg gg gg gg gg gg gg gg gg gg gg gg
patient. Humor can be appropriate within the privacy of a shift report but not at the expense
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
of respect for patients. Judging the off-going nurse in a critical way will create conflict.
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
Nurses must show compassion for each other.
gg gg gg gg gg gg gg
abirb.com/test
DIF: Cognitive Level: Application (Applying) gg gg gg
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
g g gg gg g g gg gg gg gg
abirb.com/test
4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder. Which
gg gg gg gg gg gg gg gg gg gg gg gg
statement is an example of ―attending‖? gg gg gg gg gg
a. ―We all have stress in life. Being in a psychiatric hospital is not the end of the
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
world.‖ abirb.com/test
b. ―Tell me why you felt you had to be hospitalized to receive treatment for
gg gg gg gg gg gg gg gg gg gg gg gg gg
your depression.‖
gg gg
c. ―You will feel better after we get some antidepressantamb i rebd. ciocma/tt ieos tn started for you.‖
gg gg gg gg gg gg gg gg gg gg gg gg
d. ―I‘d like to sit with you for a while, so you may feel more comfortable talking with
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
me.‖
ANS: abirb.com/test
gD g
Attending is a technique that demonstrates the nurse‘s commitment to the relationship and
gg gg gg gg gg gg gg gg gg gg gg gg
reduces feelings of isolation. This technique shows respect for the patient and demonstrates
gg gg gg gg gg gg gg gg gg gg gg gg gg
caring. Generalizations, probing, and false reassurances are nontherapeutic.
gg gg gg gg gg gg gg gg
abirb.com/test
DIF: Cognitive Level: Application (Applying) gg gg gg
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
g g gg gg g g gg gg
5. A patient shows the nurse an article from the Internet abouatb iarb .hc oemal/ttehs t problem. Which
gg gg gg gg gg gg gg gg gg gg gg
characteristic of the website‘s address most alerts the nurse that the site may have biased
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
and prejudiced information?
gg gg gg
a. Address ends in ―.org.‖ abirb.com/test
gg gg gg
b. Address ends in ―.com.‖ gg gg gg
c. Address ends in ―.gov.‖ gg gg gg
d. Address ends in ―.net.‖ gg gg gg
abirb.com/test
ANS: g g B
Financial influences on a site are a clue that the information may be biased. ―.com‖ at the
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
end of the address indicates that the site is a commercial one. ―.gov‖ indicates that the site
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
is
gg
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
gg gg gg gg gg gg gg gg gg gg
may or may not have reliable information, but it does not profit from its activities. ―.net‖ can
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
have multiple meanings.
gg gg gg
abirb.com/test
DIF: Cognitive Level: Comprehension (Understanding) TOP: gg gg gg g g Nursing Process: gg
Evaluation MSC: NCLEX: Health Promotion and Maintenance
gg gg g g gg gg gg gg
6. A nurse says, ―When I was in school, I learned to call u ps ea tb i rpba. ctoi men/ t et ss t by name to get their
gg gg gg gg gg gg gg gg gg gg gg gg
g
gg gg gg gg
attention; however, I read a descriptive research study that says that this approach does
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
not work. I plan to stop calling patients by name.‖ Which statement is the best appraisal
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
of this
gg gg
nurse‘s comment? gg
abirb.com/test
a. One descriptive research study rarely provides enoughabirb.com/test
gg evidence to change practice. gg gg gg gg gg gg gg gg gg
WWW.NURSYLAB.COM
WWW.THENURSINGMASTERY.COM
abirb.com/test
