egTestgBankgChapterg1g-g28gUpdatedg2023
TestgBank:gEssentialsgofgPsychiatricgMentalgHealthgNursingg(5thg EditiongbygVarcarolis)g2
Chapterg01:gPracticinggthegSciencegandgthegArtgofgPsychiatricgNursinggMULTIPLEgC
HOICE
1. Whichgoutcome,gfocusedgongrecovery,gwouldgbegexpectedgingthegplangofgcaregforgagpatientgl
ivinggingthegcommunitygandgdiagnosedgwithgseriousgandgpersistentgmentalgillness?gWithing3g
months,gthegpatientgwill:ga.gdenygsuicidalgideation.
b. reportgagsensegofgwell-being.
c. takegmedicationsgasgprescribed.
d. attendgclinicgappointmentsgongtime.
g ANS:gB
Recoverygemphasizesgmanaginggsymptoms,greducinggpsychosocialgdisability,gandgimproving
grolegperformance.
Theggoalgofgrecoverygisgtogempowergthegindividualgwithgmentalgillnessgtogachievegagsensegofg
meaninggandgsatisfactionginglifegandgtogfunctiongatgtheghighestgpossibleglevelgofgwellness.gTheg
incorrectgoptionsgfocusgongthegclassicgmedicalgmodelgrathergthangrecovery.
DIF:gCognitivegLevel:gApplicationg(Applying)gREF:g2g
TOP:gNursinggProcess:gOutcomesgIdentificationgMS
C:gNCLEX:gHealthgPromotiongandgMaintenance
2. Ingthegshift-changegreport,gangoff-
goinggnursegcriticizesgagpatientgwhogwearsgheavygmakeup.gWhichgcommentgbygthegn
ursegwhogreceivesgthegreportgbestgdemonstratesgadvocacy?
a. Thisgisgagpsychiatricghospital.gCrazinessgisgwhatgwegaregallgabout.
b. Letsgallgshowgacceptancegofgthisgpatientgbygwearingglotsgofgmakeupgtoo.
c. Yourgcommentsgareginconsiderategandginappropriate.gKeepgthegreportgobjective.
d. Ourgpatientsgneedgourghelpgtoglearngbehaviorsgthatgwillghelpgthemggetgalonggingsociety.g
ANS:gD
Acceptinggpatientsgneedsgforgself-
expressiongandgseekinggtogteachgskillsgthatgwillgcontributegtogtheirgwell-
,beinggdemonstrategrespectgandgaregimportantgpartsgofgadvocacy.gThegon-
,cominggnursegneedsgtogtakegactiongtogensuregthatgothersgaregnotgprejudicedgagainstgthegp
atient.gHumorgcangbegappropriategwithingthegprivacygofgagshiftgreportgbutgnotgatgthegexp
ensegofgrespectgforgpatients.gJudginggthegoff-
goinggnursegingagcriticalgwaygwillgcreategconflict.
Nursesgmustgshowgcompassiongforgeachgother.
DIF:gCognitivegLevel:gApplicationg(Applying)gREF:g8
TOP:gNursinggProcess:gImplementationgMSC:gNCLEX:gSafe,gEffectivegCaregEnvironment
3. Agnursegassessesgagnewlygadmittedgpatientgdiagnosedgwithgmajorgdepressivegdisorder.g
Whichstatementgisgangexamplegofgattending?
a. Wegallghavegstressginglife.gBeinggingagpsychiatricghospitalgisntgthegendgofgthegworld.
b. Tellgmegwhygyougfeltgyoughadgtogbeghospitalizedgtogreceivegtreatmentgforgyourgdepression.
c. Yougwillgfeelgbettergaftergweggetgsomegantidepressantgmedicationgstartedgforgyou.
d. Idglikegtogsitgwithgyougagwhilegsogyougmaygfeelgmoregcomfortablegtalkinggwithgme.g
ANS:gD
Attendinggisgagtechniquegthatgdemonstratesgthegnursesgcommitmentgtogthegrelationshipgandg
reducesgfeelingsgofgisolation.gThisgtechniquegshowsgrespectgforgthegpatientgandgdemonstrat
esgcaring.gGeneralizations,gprobing,gandgfalsegreassurancesgaregnon-therapeutic.
DIF:gCognitivegLevel:gApplicationg(Applying)gREF:g8
TOP:gNursinggProcess:gImplementationgMSC:gNCLEX:gPsychosocialgIntegrity
4. Agpatientgisghospitalizedgforgdepressiongandgsuicidalgideationgaftergtheirgspousegasksgforgag
divorce.gSelectthegnursesgmostgcaringgcomment.
a. Letsgdiscussgsomegmeansgofgcopinggothergthangsuicidegwhengyoughavegthesegfeelings.
b. Igunderstandgwhygyouregsogdepressed.gWhengIggotgdivorced,gIgwasgdevastatedgtoo.
c. Yougshouldgforgetgaboutgyourgmarriagegandgmovegongwithgyourglife.
d. Howgdidgyouggetgsogdepressedgthatghospitalizationgwasgnecessary?
TestgBank:gEssentialsgofgPsychiatricgMentalgHealthgNursingg(5thgEditiongbygVarcarolis)g3g
ANS:gA
Thegnursesgcommunicationgshouldgevidencegcaringgandgagcommitmentgtogworkgwithgthegpat
ient.gThisgcommitmentgletsgthegpatientgknowgthegnursegwillghelp.gProbinggandgadvicegaregnotg
helpfulgorgtherapeuticginterventions.
, DIF:gCognitivegLevel:gApplicationg(Applying)gREF:g6
TOP:gNursinggProcess:gImplementationgMSC:gNCLEX:gPsychosocialgIntegrity
5. AgpatientgshowsgthegnursegangarticlegfromgthegInternetgaboutgaghealthgproblem.gWhichg
characteristicgofgthegwebgsitesgaddressgmostgalertsgthegnursegthatgthegsitegmayghavegbiasedg
andgprejudicedinformation?
a. Addressgendsging.org.
b. Addressgendsging.com.
c. Addressgendsging.gov.
d. Addressgendsging.net.
ANS:gB
Financialginfluencesgongagsitegaregagcluegthatgtheginformationgmaygbegbiased.g.comgatgthegendg
ofgthegaddressgindicatesgthatgthegsitegisgagcommercialgone.g.govgindicatesgthatgthegsitegisgmai
ntainedgbygaggovernmentgentity.
.orggindicatesgthatgthegsitegisgnonproprietary;gthegsitegmaygorgmaygnotghavegreliableginfo
rmation,gbutgitgdoesgnotgprofitgfromgitsgactivities.g.netgcanghavegmultiplegmeanings.
DIF:gCognitivegLevel:gComprehensiong (Understanding)gREF:g5
TOP:gNursinggProcess:gEvaluationgMSC:gNCLEX:gHealthgPromotiongandgMaintenance
6. Agnursegsays,gWhengIgwasgingschool,gIglearnedgtogcallgupsetgpatientsgbygnamegtoggetgtheirga
ttention;ghowever,gIgreadgagdescriptivegresearchgstudygthatgsaysgthatgthisgapproachgdoesgnotg
work.gIgplangtogstopgcallinggpatientsgbygname.gWhichgstatementgisgthegbestgappraisalgofgthisg
nursesgcomment?
a. Onegdescriptivegresearchgstudygrarelygprovidesgenoughg evidencegtogchangegpractice.
b. Staffgnursesgapplygnewgresearchgfindingsgonlygwithgtheghelpgfromgclinicalgnurseg
specialists.
c. Newgresearchgfindingsgshouldgbegincorporatedgintogclinicalgalgorithmsgbeforegusinggthemg
ingpractice.
d. Thegnursegmisinterpretedgthegresultsgofgthegstudy.gClassicgtenetsgofgpracticegdognotg
change.
ANS:gA