,
,Test t Bank: t Essentials t of t Psychiatric t Mental t Health t Nursing t (5th t Edition t by
t Varcarolis)
Chapter t 01: t Practicing t the t Science t and t the t Art t of t Psychiatric t Nursing
t MULTIPLE tCHOICE
1. Which toutcome, tfocused ton trecovery, twould tbe texpected tin tthe tplan tof tcare tfor ta
t patient tliving tin tthe tcommunity tand tdiagnosed twith tserious tand tpersistent tmental
t illness? t Within t 3 t months, t the t patient t will:
a. deny t suicidal t ideation.
b. report t a t sense t of t well-being.
c. take t medications t as t prescribed.
d. attend t clinic t appointments t on
t time. tANS: t B
Recovery temphasizes tmanaging tsymptoms, treducing tpsychosocial tdisability, tand
timproving t role t performance.
The t goal t of t recovery t is t to t empower t the t individual t with t mental t illness t to
t achieve t a tsense t of t meaning t and t satisfaction t in t life t and t to
t function t at t the t highest t possible tlevel t of t wellness. t The t incorrect t options
t focus t on t the t classic t medical t model t rather t than t recovery.
DIF: t Cognitive t Level: t Application t (Applying)
t REF: t 2 tTOP: t Nursing t Process: t Outcomes
t Identification t MSC: t NCLEX: t Health t Promotion
t and t Maintenance
2. In t the t shift-change t report, t an t off-going t nurse t criticizes t a
t patient t who twears t heavy t makeup. t Which t comment t by t the t nurse
t who t receives t the t report tbest t demonstrates t advocacy?
a. This t is t a t psychiatric t hospital. t Craziness t is t what t we t are t all t about.
b. Lets t all t show t acceptance t of t this t patient t by t wearing t lots t of t makeup t too.
c. Your t comments t are t inconsiderate t and t inappropriate. t Keep t the t report
t objective.
d. Our t patients t need t our t help t to t learn t behaviors t that t will t help
t them t get t along t in tsociety.
ANS: t D
,Accepting tpatients tneeds tfor tself-expression tand tseeking tto tteach tskills tthat twill
t contribute t to t their t well-being t demonstrate t respect t and t are t important t parts
t of tadvocacy. tThe ton- tcoming tnurse tneeds tto ttake taction tto tensure tthat tothers tare tnot
tprejudiced t against t the t patient. t Humor t can t be t appropriate t within t the
t privacy t of t a t shift t report t but t not t at t the t expense t of t respect t for t patients.
t Judging t the t off-going t nurse t in t a t critical t way t will t create t conflict.
Nurses t must t show t compassion t for t each t other.
DIF: t Cognitive t Level: t Application t (Applying) t REF: t 8
TOP: t Nursing t Process: t Implementation t MSC: t NCLEX: t Safe, t Effective t Care
t Environment
3. A t nurse t assesses t a t newly t admitted t patient t diagnosed t with
t major t depressive tdisorder. t Whichstatement t is t an t example t of t attending?
a. We t all t have t stress t in t life. t Being t in t a t psychiatric t hospital
t isnt t the t end t of t the t world.
b. Tell t me t why t you t felt t you t had t to t be t hospitalized t to t receive
t treatment t for t your tdepression.
c. You t will t feel t better t after t we t get t some t antidepressant t medication t started
t for t you.
d. Id t like t to t sit t with t you t a t while t so t you t may t feel t more
t comfortable t talking t with tme.
ANS: t D
Attending t is t a t technique t that t demonstrates t the t nurses t commitment t to t the
trelationship tand treduces tfeelings tof tisolation. tThis ttechnique tshows trespect tfor tthe
tpatient t and t demonstrates t caring. t Generalizations, t probing, t and t false
t reassurances t are t non-therapeutic.
DIF: t Cognitive t Level: t Application t (Applying) t REF: t 8
TOP: t Nursing t Process: t Implementation t MSC: t NCLEX: t Psychosocial t Integrity
4. A t patient t is t hospitalized t for t depression t and t suicidal t ideation
t after t their t spouse tasks t for t a t divorce. t Selectthe t nurses t most t caring
t comment.
a. Lets t discuss tsome t means t of t coping t other t than t suicide t when
t you t have t these tfeelings.
b. I t understand t why t youre t so t depressed. t When t I t got t divorced, t I t was
t devastated t too.
,c. You t should t forget t about t your t marriage t and t move t on t with t your t life.
d. How t did t you t get t so t depressed t that t hospitalization t was t necessary?
Test t Bank: t Essentials t of t Psychiatric t Mental t Health t Nursing t (5th
t Edition t by tVarcarolis) t 3
ANS: t A
The t nurses t communication t should t evidence t caring t and t a t commitment t to
t work t with tthe t patient. t This t commitment t lets t the t patient t know t the
t nurse t will t help. t Probing tand t advice t are t not t helpful t or t therapeutic
t interventions.
DIF: t Cognitive t Level: t Application t (Applying) t REF: t 6
TOP: t Nursing t Process: t Implementation t MSC: t NCLEX: t Psychosocial t Integrity
5. A t patient t shows t the t nurse t an t article t from t the t Internet
t about t a t health tproblem. t Which t characteristic t of t the t web t sites t address
t most t alerts t the t nurse t that tthe t site t may t have t biased t and
t prejudicedinformation?
a. Address t ends t in t .org.
b. Address t ends t in t .com.
c. Address t ends t in t .gov.
d. Address t ends t in
t .net. tANS: t B
Financial t influences t on t a t site t are t a t clue t that t the t information t may
t be t biased. t .com tat t the t end t of t the t address t indicates t that t the
t site t is t a t commercial t one. t .gov tindicates t that t the t site t is t maintained
t by t a t government t entity.
.org tindicates tthat tthe tsite tis tnonproprietary; tthe tsite tmay tor tmay tnot thave treliable
tinformation, t but t it t does t not t profit t from t its t activities. t .net t can t have
t multiple t meanings.
DIF: t Cognitive t Level: t Comprehension t (Understanding) t REF: t 5
TOP: t Nursing t Process: t Evaluation t MSC: t NCLEX: t Health t Promotion t and
t Maintenance
6. A t nurse t says, t When t I t was t in t school, t I t learned t to t call t upset
t patients t by t name t to tget t their t attention; t however, t I t read t a t descriptive
t research t study t that t says t that t this
, approach t does t not t work. t I t plan t to t stop t calling t patients t by t name.
t Which t statement tis t the t best t appraisal t of t this t nurses t comment?
a. One descriptive research study rarely provides enough evidence to change
tpractice.
b. Staff t nurses t apply t new t research t findings t only t with t the t help
t from t clinical t nurse tspecialists.
c. New t research t findings t should t be t incorporated t into t clinical t algorithms
t before t using tthem t in t practice.
d. The t nurse t misinterpreted t the t results t of t the t study. t Classic t tenets t of
t practice t do t not tchange.
D ANS: t A
Descriptive tresearch tfindings tprovide tevidence tfor tpractice tbut tmust tbe tviewed tin
trelation t to t other t studies t before t practice t changes. t One t study t is t not
t enough. tDescriptive t studies t are t low t on t the t hierarchy t of t evidence.
Clinical t algorithms t use t flow t charts t to t manage t problems t and t do t not t specify
t one tresponse t to t a t clinical t problem.
Classic t tenets t of t practice t should t change t as t research t findings
t provide t evidence t for t change.DIF:
Cognitive t Level: t Analysis t (Analyzing) t REF: t 3
TOP: t Nursing t Process: t Evaluation t MSC: t NCLEX: t Health t Promotion t and
t Maintenance
7. Twonursing t students t discuss t career t plans t after t graduation. t One t student
t wants t to t enter t psychiatric t nursing.
The t other t student t asks, t Why t would t you t want t to t be t a t psychiatric
t nurse? t All t they tdo t is t talk. t You t will t lose t your t skills. t Select t the t best
t response t by t the t student tinterested t in t psychiatric t nursing.
a. Psychiatric t nurses t practice t in t safer t environments t than t other t specialties.
t Nurse- t to-patient t ratios t must t be t better t because t of t the t nature t of t patients
t problems.
b. Psychiatric nurses use complex communication skills, as well as critical
tthinking, t to t solve t multidimensional t problems. t Im t challenged t by t those
t situations.
c. I t think t I t will t be t good t in t the t mental t health t field. t I t do t not t like
t clinical t rotations tin t school, t so t I t do t not t want t to t continue t them t after t I
,Test t Bank: t Essentials t of t Psychiatric t Mental t Health t Nursing t (5th t Edition t by
t Varcarolis)
Chapter t 01: t Practicing t the t Science t and t the t Art t of t Psychiatric t Nursing
t MULTIPLE tCHOICE
1. Which toutcome, tfocused ton trecovery, twould tbe texpected tin tthe tplan tof tcare tfor ta
t patient tliving tin tthe tcommunity tand tdiagnosed twith tserious tand tpersistent tmental
t illness? t Within t 3 t months, t the t patient t will:
a. deny t suicidal t ideation.
b. report t a t sense t of t well-being.
c. take t medications t as t prescribed.
d. attend t clinic t appointments t on
t time. tANS: t B
Recovery temphasizes tmanaging tsymptoms, treducing tpsychosocial tdisability, tand
timproving t role t performance.
The t goal t of t recovery t is t to t empower t the t individual t with t mental t illness t to
t achieve t a tsense t of t meaning t and t satisfaction t in t life t and t to
t function t at t the t highest t possible tlevel t of t wellness. t The t incorrect t options
t focus t on t the t classic t medical t model t rather t than t recovery.
DIF: t Cognitive t Level: t Application t (Applying)
t REF: t 2 tTOP: t Nursing t Process: t Outcomes
t Identification t MSC: t NCLEX: t Health t Promotion
t and t Maintenance
2. In t the t shift-change t report, t an t off-going t nurse t criticizes t a
t patient t who twears t heavy t makeup. t Which t comment t by t the t nurse
t who t receives t the t report tbest t demonstrates t advocacy?
a. This t is t a t psychiatric t hospital. t Craziness t is t what t we t are t all t about.
b. Lets t all t show t acceptance t of t this t patient t by t wearing t lots t of t makeup t too.
c. Your t comments t are t inconsiderate t and t inappropriate. t Keep t the t report
t objective.
d. Our t patients t need t our t help t to t learn t behaviors t that t will t help
t them t get t along t in tsociety.
ANS: t D
,Accepting tpatients tneeds tfor tself-expression tand tseeking tto tteach tskills tthat twill
t contribute t to t their t well-being t demonstrate t respect t and t are t important t parts
t of tadvocacy. tThe ton- tcoming tnurse tneeds tto ttake taction tto tensure tthat tothers tare tnot
tprejudiced t against t the t patient. t Humor t can t be t appropriate t within t the
t privacy t of t a t shift t report t but t not t at t the t expense t of t respect t for t patients.
t Judging t the t off-going t nurse t in t a t critical t way t will t create t conflict.
Nurses t must t show t compassion t for t each t other.
DIF: t Cognitive t Level: t Application t (Applying) t REF: t 8
TOP: t Nursing t Process: t Implementation t MSC: t NCLEX: t Safe, t Effective t Care
t Environment
3. A t nurse t assesses t a t newly t admitted t patient t diagnosed t with
t major t depressive tdisorder. t Whichstatement t is t an t example t of t attending?
a. We t all t have t stress t in t life. t Being t in t a t psychiatric t hospital
t isnt t the t end t of t the t world.
b. Tell t me t why t you t felt t you t had t to t be t hospitalized t to t receive
t treatment t for t your tdepression.
c. You t will t feel t better t after t we t get t some t antidepressant t medication t started
t for t you.
d. Id t like t to t sit t with t you t a t while t so t you t may t feel t more
t comfortable t talking t with tme.
ANS: t D
Attending t is t a t technique t that t demonstrates t the t nurses t commitment t to t the
trelationship tand treduces tfeelings tof tisolation. tThis ttechnique tshows trespect tfor tthe
tpatient t and t demonstrates t caring. t Generalizations, t probing, t and t false
t reassurances t are t non-therapeutic.
DIF: t Cognitive t Level: t Application t (Applying) t REF: t 8
TOP: t Nursing t Process: t Implementation t MSC: t NCLEX: t Psychosocial t Integrity
4. A t patient t is t hospitalized t for t depression t and t suicidal t ideation
t after t their t spouse tasks t for t a t divorce. t Selectthe t nurses t most t caring
t comment.
a. Lets t discuss tsome t means t of t coping t other t than t suicide t when
t you t have t these tfeelings.
b. I t understand t why t youre t so t depressed. t When t I t got t divorced, t I t was
t devastated t too.
,c. You t should t forget t about t your t marriage t and t move t on t with t your t life.
d. How t did t you t get t so t depressed t that t hospitalization t was t necessary?
Test t Bank: t Essentials t of t Psychiatric t Mental t Health t Nursing t (5th
t Edition t by tVarcarolis) t 3
ANS: t A
The t nurses t communication t should t evidence t caring t and t a t commitment t to
t work t with tthe t patient. t This t commitment t lets t the t patient t know t the
t nurse t will t help. t Probing tand t advice t are t not t helpful t or t therapeutic
t interventions.
DIF: t Cognitive t Level: t Application t (Applying) t REF: t 6
TOP: t Nursing t Process: t Implementation t MSC: t NCLEX: t Psychosocial t Integrity
5. A t patient t shows t the t nurse t an t article t from t the t Internet
t about t a t health tproblem. t Which t characteristic t of t the t web t sites t address
t most t alerts t the t nurse t that tthe t site t may t have t biased t and
t prejudicedinformation?
a. Address t ends t in t .org.
b. Address t ends t in t .com.
c. Address t ends t in t .gov.
d. Address t ends t in
t .net. tANS: t B
Financial t influences t on t a t site t are t a t clue t that t the t information t may
t be t biased. t .com tat t the t end t of t the t address t indicates t that t the
t site t is t a t commercial t one. t .gov tindicates t that t the t site t is t maintained
t by t a t government t entity.
.org tindicates tthat tthe tsite tis tnonproprietary; tthe tsite tmay tor tmay tnot thave treliable
tinformation, t but t it t does t not t profit t from t its t activities. t .net t can t have
t multiple t meanings.
DIF: t Cognitive t Level: t Comprehension t (Understanding) t REF: t 5
TOP: t Nursing t Process: t Evaluation t MSC: t NCLEX: t Health t Promotion t and
t Maintenance
6. A t nurse t says, t When t I t was t in t school, t I t learned t to t call t upset
t patients t by t name t to tget t their t attention; t however, t I t read t a t descriptive
t research t study t that t says t that t this
, approach t does t not t work. t I t plan t to t stop t calling t patients t by t name.
t Which t statement tis t the t best t appraisal t of t this t nurses t comment?
a. One descriptive research study rarely provides enough evidence to change
tpractice.
b. Staff t nurses t apply t new t research t findings t only t with t the t help
t from t clinical t nurse tspecialists.
c. New t research t findings t should t be t incorporated t into t clinical t algorithms
t before t using tthem t in t practice.
d. The t nurse t misinterpreted t the t results t of t the t study. t Classic t tenets t of
t practice t do t not tchange.
D ANS: t A
Descriptive tresearch tfindings tprovide tevidence tfor tpractice tbut tmust tbe tviewed tin
trelation t to t other t studies t before t practice t changes. t One t study t is t not
t enough. tDescriptive t studies t are t low t on t the t hierarchy t of t evidence.
Clinical t algorithms t use t flow t charts t to t manage t problems t and t do t not t specify
t one tresponse t to t a t clinical t problem.
Classic t tenets t of t practice t should t change t as t research t findings
t provide t evidence t for t change.DIF:
Cognitive t Level: t Analysis t (Analyzing) t REF: t 3
TOP: t Nursing t Process: t Evaluation t MSC: t NCLEX: t Health t Promotion t and
t Maintenance
7. Twonursing t students t discuss t career t plans t after t graduation. t One t student
t wants t to t enter t psychiatric t nursing.
The t other t student t asks, t Why t would t you t want t to t be t a t psychiatric
t nurse? t All t they tdo t is t talk. t You t will t lose t your t skills. t Select t the t best
t response t by t the t student tinterested t in t psychiatric t nursing.
a. Psychiatric t nurses t practice t in t safer t environments t than t other t specialties.
t Nurse- t to-patient t ratios t must t be t better t because t of t the t nature t of t patients
t problems.
b. Psychiatric nurses use complex communication skills, as well as critical
tthinking, t to t solve t multidimensional t problems. t Im t challenged t by t those
t situations.
c. I t think t I t will t be t good t in t the t mental t health t field. t I t do t not t like
t clinical t rotations tin t school, t so t I t do t not t want t to t continue t them t after t I
