,TestppBank:ppEssentialsppofppPsychiatricppMentalppHealthppNursingpp(3rdppEditionppbyppVarc 1
arolis)
Table of Contents
pp pp
Table ofppContents 1
Chapterpp01:ppPracticingpptheppScienceppandpptheppArtppofppPsychiatricppNursi 2
ngpp 7
Chapterpp02:ppMentalppHealthppandppMentalppIllness 12
Chapterp p 03:p p Theoriespp andp p Therapies 20
Chapterpp04:ppBiologicalppBasisppforppUnderstandingppPsychopharmacology 28
Chapterpp05:ppSettingsppforppPsychiatricppCare 35
Chapterpp 06:pp Legalpp andpp Ethicalpp Basispp forpp Practice 43
Chapterpp07:ppNursingppProcessppandppQSEN:ppTheppFoundationppforppSafeppandppEffectivepp 51
Carepp 58
Chapterpp08:ppCommunicationppSkills:ppMediumppforppAllppNursingppPractice 67
Chapterpp09:ppTherapeuticppRelationshipsppandpptheppClinicalppInterviewpp 74
Chapterpp10:ppTraumappandppStress-RelatedppDisorders 85
Chapterpp11:ppAnxiety,ppAnxietyppDisorders,ppandppObsessive-CompulsiveppDisordersp 94
pChapterpp12:ppSomaticppSystem ppDisordersppandppDissociativeppDisorders 103
Chapterpp13:ppPersonalityppDisordersp 111
pChapterpp14:ppEatingppDisorders 121
Chapterpp15:ppMoodppDisorders:ppDepressio 131
npp 142
Chapterpp16:ppBipolarppSpectrumppDisorder 151
s 163
Chapterpp17:ppSchizophreniappSpectrumppDisordersppandppOtherppPsychoticppDisorderspp 171
Chapterpp18:ppNeurocognitiveppDisorders 179
Chapterpp19:ppSubstance-RelatedppandppAddictiveppDisorderspp 186
Chapterpp20:ppCrisisppandppMassppDisaster 195
Chapterpp21:ppChild,ppPartner,ppandppElderppViolencepp 204
Chapterpp22:ppSexualppViolence 213
Chapterpp23:ppSuicidalppThoughtsppandppBehaviorpp 221
Chapterpp24:ppAnger,ppAggression,ppandppViolence 230
Chapterpp25:ppCareppforpptheppDyingppandppThoseppWhoppGrievepp
Chapterpp26:ppChildrenppandppAdolescents
Chapterpp27:ppAdultspp
Chapterpp28:ppOlderppAdults
DownloadedppbyppJoshuappRuckypp(the2ndRucky@yahoo.c
,TestppBank:ppEssentialsppofppPsychiatricppMentalppHealthppNursingpp(3rdppEditionppbyppVarc 2
arolis)
Chapter 01: Practicing the Science and the Art of Psychiatric Nursing
pp pp pp pp pp pp pp pp pp pp
MULTIPLEp p CHOICE
1. Whichppoutcome,ppfocusedpponpprecovery,ppwouldppbeppexpectedppinpptheppplanppofppcareppforppapppatientppliving
ppinpptheppcommunityp p andp p diagnosedp p withp p seriousp p andp p persistentp p mentalp p illness?p p Withinp p 3p p months,
p p thep p patientp p will:
a. denypp suicidalpp ideation.
b. reportpp app sensepp ofpp well-being.
c. takepp medicationspp aspp prescribed.
d. attendpp clinicpp appointmentspp onpp time.
ANS:pp B
Recoveryppemphasizesppmanagingppsymptoms,ppreducingpppsychosocialppdisability,ppandppimprovingpproleppperform
ance.p p Theppgoalppofpprecoveryppispptoppempowerpptheppindividualppwithppmentalppillnesspptoppachieveppappsenseppofppme
aningppandppsatisfactionppinpplifeppandpptoppfunctionppatppthepphighestpppossiblepplevelppofppwellness.ppTheppincorrectppop
tionsppfocuspponppthep p classicppmedicalppmodelppratherppthanpprecovery.
DIF:ppCognitiveppLevel:ppApplicationpp(Applying)ppREF:p
p2ppTOP:p p Nursingp p Process:p p Outcomesp p Identificati
onppMSC:ppNCLEX:ppHealthppPromotionppandppMaintena
nce
2. Inpptheppshift-changeppreport,ppanppoff-
goingppnurseppcriticizesppapppatientppwhoppwearsppheavyppmakeup.ppWhichppcommentp p bypptheppnurseppwhoppreceivesppt
heppreportppbestppdemonstratesppadvocacy?
a. Thispp ispp app psychiatricpp hospital.pp Crazinesspp ispp whatpp wepparepp allpp about.
b. Letspp allpp showpp acceptanceppofpp thispp patientpp bypp wearingpp lotspp ofpp makeuppp too.
c. Yourpp commentspp arepp inconsideratep p andpp inappropriate.pp Keepp p thepp reportpp objective.
d. Ourpp patientspp needpp ourpp helppp topp learnpp behaviorspp thatppwillpp helppp thempp getpp alongppinpp society.
ANS:pp D
Acceptingpppatientsppneedsppforppself-
expressionppandppseekingpptoppteachppskillsppthatppwillppcontributepptopptheirppwell-
beingppdemonstratepprespectppandppareppimportantpppartsppofppadvocacy.ppTheppon-
comingppnurseppneedspptopptakeppactionpptoppensurep p thatppothersppareppnotppprejudicedppagainstppthepppatient.ppHumorpp
canppbeppappropriateppwithinpptheppprivacyppofppappshiftppreportp p butppnotppatpptheppexpenseppofpprespectppforpppatients.ppJ
udgingpptheppoff-
goingppnurseppinppappcriticalppwayppwillppcreateppconflict.p p Nursesppmustppshowppcompassionppforppeachppother.
DIF:p p Cognitivep p Level:p p Applicationp p (Applying)p p REF:p p 8
TOP:pp Nursingp p Process:p p Implementationp p MSC:p p NCLEX:pp Safe,pp Effectivep p Carep p Environment
3. Appnurseppassessesppappnewlyppadmittedpppatientppdiagnosedppwithppmajorppdepressiveppdisorder.ppWhichppstatementp
pisppanppexampleppofppattending?
a. Wepp allpp havepp stresspp inpp life.ppBeingpp inpp app psychiatricpp hospitalpp isntpp thepp endpp ofpp theppworld.
b. Tellpp mepp whypp youpp feltpp youpp hadpp topp bepp hospitalizedpp topp receivepp treatmentpp forpp yourpp depression.
c. Youpp willpp feelpp betterpp afterpp wepp getpp somepp antidepressantpp medicationpp startedpp forpp you.
d. Idpp likepp topp sitpp withpp youpp appwhilepp sopp youpp maypp feelpp morepp comfortablepp talkingpp withpp me.
ANS:pp D
Attendingppisppapptechniqueppthatppdemonstratespptheppnursesppcommitmentpptoppthepprelationshipppandppreducesppfeelin
gsppofppisolation.ppThispptechniqueppshowspprespectppforppthepppatientppandppdemonstratesppcaring.ppGeneralizations,pppr
obing,ppandppfalseppreassurancesppareppnon-therapeutic.
DIF:p p Cognitivep p Level:p p Applicationp p (Applying)p p REF:p p 8
TOP:p p Nursingp p Process:p p Implementationp p MSC:p p NCLEX:p p Psychosocialp p Integrity
4. Apppatientppispphospitalizedppforppdepressionppandppsuicidalppideationppafterpptheirppspouseppasksppforppappdivorce.ppSel
ectpptheppnursesppmostppcaringppcomment.
a. Letspp discusspp somepp meanspp ofpp copingpp otherpp thanpp suicidepp whenpp youpp havepp thesepp feelings.
b. Ipp understandpp whypp yourepp sopp depressed.pp Whenpp Ipp gotpp divorced,pp Ipp waspp devastatedpp too.
DownloadedppbyppJoshuappRuckypp(the2ndRucky@yahoo.c
, TestppBank:ppEssentialsppofppPsychiatricppMentalppHealthppNursingpp(3rdppEditionppbyppVarc 3
arolis)
c. Youpp shouldpp forgetpp aboutpp yourpp marriagepp andpp movepp onpp withpp yourpp life.
d. Howpp didpp youpp getpp sopp depressedpp thatpp hospitalizationpp waspp necessary?
ANS:pp A
Theppnursesppcommunicationppshouldppevidenceppcaringppandppappcommitmentpptoppworkppwithppthepppatient.ppThisppco
mmitmentppletsppthepppatientppknowpptheppnurseppwillpphelp.ppProbingppandppadviceppareppnotpphelpfulpporpptherapeuticppi
nterventions.
DIF:p p Cognitivep p Level:p p Applicationp p (Applying)p p REF:p p 6
TOP:p p Nursingp p Process:p p Implementationp p MSC:p p NCLEX:p p Psychosocialp p Integrity
5. ApppatientppshowspptheppnurseppanpparticleppfrompptheppInternetppaboutppapphealthppproblem.ppWhichppcharacteristicp
pofpptheppwebppsitesppaddressppmostppalertspptheppnurseppthatpptheppsiteppmaypphaveppbiasedppandppprejudicedppinformati
on?
a. Addresspp endspp inpp .org.
b. Addresspp endspp inpp .com.
c. Addresspp endspp inpp .gov.
d. Addresspp endspp inpp .net.
ANS:pp B
Financialppinfluencespponppappsiteppareppappclueppthatpptheppinformationppmayppbeppbiased.pp.comppatpptheppendppofpptheppa
ddressppindicatesp p thatp p thepp sitep p isp p ap p commercialp p one.p p .govp p indicatesp p thatp p thep p sitep p isp p maintainedp p byp p ap p
governmentp p entity.
.orgppindicatesppthatpptheppsiteppisppnonproprietary;pptheppsiteppmaypporppmayppnotpphaveppreliableppinformation,ppbutppitpp
doesppnotp p profitppfromppitsppactivities.pp.netppcanpphaveppmultipleppmeanings.
DIF:p p Cognitivep p Level:p p Comprehensionp p (Understanding)p p REF:p p 5
TOP:pp Nursingp p Process:p p Evaluationp p MSC:p p NCLEX:p p Healthpp Promotionp p andp p Maintenance
6. Appnurseppsays,ppWhenppIppwasppinppschool,ppIpplearnedpptoppcallppupsetpppatientsppbyppnamepptoppgetpptheirppattention;ppho
wever,ppIp p readppappdescriptiveppresearchppstudyppthatppsaysppthatppthisppapproachppdoesppnotppwork.ppIppplanpptoppstopppcall
ingpppatientsppbyp p name.ppWhichppstatementppispptheppbestppappraisalppofppthisppnursesppcomment?
a. Onepp descriptivepp researchpp studypp rarelyp p providespp enoughpp evidencepp topp changepp practice.
b. Staffpp nursespp applypp newpp researchpp findingspp onlypp withpp thepp helppp frompp clinicalpp nursepp specialists.
c. Newpp researchpp findingspp shouldpp bepp incorporatedpp intopp clinicalpp algorithmspp beforepp usingpp thempp inpp practice.
d. Theppnursepp misinterpretedpp thepp resultspp ofpp thepp study.pp Classicpp tenetspp ofpp practicepp dopp notpp change.
ANS:pp A
Descriptiveppresearchppfindingsppprovideppevidenceppforpppracticeppbutppmustppbeppviewedppinpprelationpptoppotherppstud
iesp p beforepppracticeppchanges.ppOneppstudyppisppnotppenough.ppDescriptiveppstudiespparepplowpponppthepphierarchyppof
ppevidence.p p Clinicalppalgorithmsppuseppflowppchartspptoppmanageppproblemsppandppdoppnotppspecifypponeppresponseppto
ppappclinicalppproblem.p p Classicpptenetsppofpppracticeppshouldppchangeppasppresearchppfindingsppprovideppevidenceppforp
pchange.
DIF:p p Cognitivep p Level:p p Analysisp p (Analyzing)p p REF:p p 3
TOP:pp Nursingp p Process:p p Evaluationp p MSC:p p NCLEX:p p Healthpp Promotionp p andp p Maintenance
7. Twoppnursingppstudentsppdiscussppcareerppplansppafterppgraduation.ppOneppstudentppwantspptoppenterpppsychiatricppnur
sing.ppTheppotherppstudentppasks,ppWhyppwouldppyouppwantpptoppbeppapppsychiatricppnurse?ppAllpptheyppdoppispptalk.ppYoupp
willpploseppyourppskills.ppSelectpptheppbestppresponseppbypptheppstudentppinterestedppinpppsychiatricppnursing.
a. Psychiatricppnursespppracticeppinppsaferppenvironmentsppthanppotherppspecialties.ppNurse-to-
patientppratiosppmustppbeppbetterppbecauseppofpptheppnatureppofpppatientsppproblems.
b. Psychiatricppnursesppuseppcomplexppcommunicationppskills,ppasppwellppasppcriticalppthinking,pptoppsolveppmultidimensi
onalppproblems.ppImppchallengedppbyppthoseppsituations.
c. IppthinkppIppwillppbeppgoodppinpptheppmentalpphealthppfield.ppIppdoppnotpplikeppclinicalpprotationsppinppschool,ppsoppIppdoppn
otppwantpptoppcontinueppthemppafterppIppgraduate.
d. Psychiatricppnursesppdoppnotpphavepptoppdealppwithppasppmuchpppainppandppsufferingppasppmedicalppsurgicalppnurse
s.ppThatppappealspptoppme.
ANS:pp B
Thepppracticeppofpppsychiatricppnursingpprequiresppappdifferentppsetppofppskillsppthanppmedicalppsurgicalppnursing,ppalthoughp
DownloadedppbyppJoshuappRuckypp(the2ndRucky@yahoo.c