Test Bank for Varcarolis Essentials of Psychiatric Mental Health Nursing 5th Edition Fosbre All Chapters 1 - 28 + NCLEX Case Studies with Answers Full Complete 2024

Test Bank for Varcarolis Essentials of Psychiatric Mental
Health Nursing 5th Edition Fosbre
All Chapters 1 - 28 + NCLEX Case Studies with Answers
Full Complete 2024

,TABLE OF CONTENTS
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,Chapter 01: Practicing the Science and the Art of Psychiatric Nursing MULTIPLE
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CHOICE
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1. Which outcome, focused on recovery, would be expected in the plan of care for a
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patient living in the community and diagnosed with serious and persistent mental
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illness? Within 3 months, the patient will: a. deny suicidal ideation.
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b. report a sense of well-being. nx nx nx nx




c. take medications as prescribed.
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d. attend clinic appointments on nx nx nx




time. ANSWER: B
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Recovery emphasizes managing symptoms, reducing psychosocial disability, and
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improving role performance.
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The goal of recovery is to empower the individual with mental illness to achieve a
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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 medical model rather than
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recovery.
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DIF: Cognitive Level: Application (Applying) REF:
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nx 2 TOP: Nursing Process: Outcomes
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nx Identification MSC: NCLEX: Health Promotion nx nx nx nx




nx and Maintenance
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2. In the shift-change report, an off-going nurse criticizes a patient who wears
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heavy makeup. Which comment by the nurse who receives the report best
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demonstrates advocacy?
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a. This is a psychiatric hospital. Craziness is what we are all about.
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b. Lets all show acceptance of this patient by wearing lots of makeup 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 along in
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society. ANSWER: D
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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
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advocacy. The on-
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, coming nurse needs to take action to ensure that others are not prejudiced against the
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patient. Humor can be appropriate within the privacy of a shift report but not at
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the expense of respect for patients. Judging the off-going nurse in a critical way will
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create conflict.
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Nurses must show compassion for each other.
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DIF: Cognitive Level: Application (Applying) REF: 8
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TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
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3. A nurse assesses a newly admitted patient diagnosed with major depressive
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disorder. Whichstatement is an example of attending?
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a. We all have stress in life. Being in a psychiatric hospital isnt the end of the world.
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b. Tell me why you felt you had to be hospitalized to receive treatment for your depression.
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c. You will feel better after we get some antidepressant medication started for you.
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d. Id like to sit with you a while so you may feel more comfortable talking
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with me. ANSWER: D
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Attending is a technique that demonstrates the nurses 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 non-
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therapeutic.

DIF: Cognitive Level: Application (Applying) REF: 8
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TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
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4. A patient is hospitalized for depression and suicidal ideation after their spouse asks
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for a divorce. Selectthe nurses most caring comment.
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a. Lets discuss some means of coping other than suicide when you have these feelings.
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b. I understand why youre so depressed. When I got divorced, I was devastated too.
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c. You should forget about your marriage and move on with your life.
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d. How did you get so depressed that hospitalization was necessary?
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Test Bank: Essentials of Psychiatric Mental Health Nursing (5th Edition by Varcarolis) 3
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nx ANSWER: A nx




The nurses communication should evidence caring and a commitment to work with
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the patient. This commitment lets the patient know the nurse will help. Probing and
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advice are not helpful or therapeutic interventions.
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