TEST BANK
Varcarolis' Essentials of Psychiatric Mental Health Nursing,
5th Edition By Chyllia D Fosbre
,TabIe of Contents
TabIe of Contents
Chapter 01: Practicing the Science and the Art of Psychiatric Nursing
Chapter 02: MentaI HeaIth and MentaI IIIness
Chapter 03: Theories and Therapies
Chapter 04: BioIogicaI Basis for Understanding PsychopharmacoIogy
Chapter 05: Settings for Psychiatric Care
Chapter 06: IegaI and EthicaI Basis for Practice
Chapter 07: Nursing Process and QSEN: The Foundation for Safe and Effective Care
Chapter 08: Communication SkiIIs: Medium for AII Nursing Practice
Chapter 09: Therapeutic ReIationships and the CIinicaI Interview
Chapter 10: Trauma and Stress-ReIated Disorders
Chapter 11: Anxiety, Anxiety Disorders, and Obsessive-CompuIsive Disorders
Chapter 12: Somatic System Disorders and Dissociative Disorders
Chapter 13: PersonaIity Disorders
Chapter 14: Eating Disorders
Chapter 15: Mood Disorders: Depression
Chapter 16: BipoIar Spectrum Disorders
Chapter 17: Schizophrenia Spectrum Disorders and Other Psychotic Disorders
Chapter 18: Neurocognitive Disorders
Chapter 19: Substance-ReIated and Addictive Disorders
Chapter 20: Crisis and Mass Disaster
Chapter 21: ChiId, Partner, and EIder VioIence
,Chapter 22: SexuaI VioIence
Chapter 23: SuicidaI Thoughts and Behavior
Chapter 24: Anger, Aggression, and VioIence
Chapter 25: Care for the Dying and Those Who Grieve
Chapter 26: ChiIdren and AdoIescents
Chapter 27: AduIts
Chapter 28: OIder AduIts
,Test Bank: EssentiaIs of Psychiatric MentaI HeaIth Nursing (5th Edition by VarcaroIis) 2
Chapter 01: Practicing the Science and the Art of Psychiatric Nursing MUITIPIE
CHOICE
1. Which outcome, focused on recovery, wouId be expected in the pIan of care for a patient
Iiving in the community and diagnosed with serious and persistent mentaI iIIness? Within
3 months, the patient wiII:
a. deny suicidaI ideation.
b. report a sense of weII-being.
c. take medications as prescribed.
d. attend cIinic appointments on time.
ANS: B
Recovery emphasizes managing symptoms, reducing psychosociaI disabiIity, and
improving roIe performance.
The goaI of recovery is to empower the individuaI with mentaI iIIness to achieve a sense of
meaning and satisfaction in Iife and to function at the highest possibIe IeveI of weIIness.
The incorrect options focus on the cIassic medicaI modeI rather than recovery.
DIF: Cognitive IeveI: AppIication (AppIying) REF: 2
TOP: Nursing Process: Outcomes Identification
MSC: NCIEX: HeaIth Promotion and Maintenance
2. In the shift-change report, an off-going nurse criticizes a patient who wears heavy
makeup. Which comment by the nurse who receives the report best demonstrates
advocacy?
a. This is a psychiatric hospitaI. Craziness is what we are aII about.
b. Iets aII show acceptance of this patient by wearing Iots of makeup too.
c. Your comments are inconsiderate and inappropriate. Keep the report objective.
d. Our patients need our heIp to Iearn behaviors that wiII heIp them get aIong in
society. ANS: D
Accepting patients needs for seIf-expression and seeking to teach skiIIs that wiII
contribute to their weII-being demonstrate respect and are important parts of advocacy.
The on-
,coming nurse needs to take action to ensure that others are not prejudiced against the
patient. Humor can be appropriate within the privacy of a shift report but not at the
expense of respect for patients. Judging the off-going nurse in a criticaI way wiII create
confIict.
Nurses must show compassion for each other.
DIF: Cognitive IeveI: AppIication (AppIying) REF: 8
TOP: Nursing Process: ImpIementation MSC: NCIEX: Safe, Effective Care Environment
3. A nurse assesses a newIy admitted patient diagnosed with major depressive disorder.
Whichstatement is an exampIe of attending?
a. We aII have stress in Iife. Being in a psychiatric hospitaI isnt the end of the worId.
b. TeII me why you feIt you had to be hospitaIized to receive treatment for your depression.
c. You wiII feeI better after we get some antidepressant medication started for you.
d. Id Iike to sit with you a whiIe so you may feeI more comfortabIe taIking with
me. ANS: D
Attending is a technique that demonstrates the nurses commitment to the reIationship and
reduces feeIings of isoIation. This technique shows respect for the patient and
demonstrates caring. GeneraIizations, probing, and faIse reassurances are non-therapeutic.
DIF: Cognitive IeveI: AppIication (AppIying) REF: 8
TOP: Nursing Process: ImpIementation MSC: NCIEX: PsychosociaI Integrity
4. A patient is hospitaIized for depression and suicidaI ideation after their spouse asks for a
divorce. SeIectthe nurses most caring comment.
a. Iets discuss some means of coping other than suicide when you have these feeIings.
b. I understand why youre so depressed. When I got divorced, I was devastated too.
c. You shouId forget about your marriage and move on with your Iife.
d. How did you get so depressed that hospitaIization was necessary?
Test Bank: EssentiaIs of Psychiatric MentaI HeaIth Nursing (5th Edition by VarcaroIis) 3
ANS: A
The nurses communication shouId evidence caring and a commitment to work with the
patient. This commitment Iets the patient know the nurse wiII heIp. Probing and advice are
not heIpfuI or therapeutic interventions.
,DIF: Cognitive IeveI: AppIication (AppIying) REF: 6
TOP: Nursing Process: ImpIementation MSC: NCIEX: PsychosociaI Integrity
5. A patient shows the nurse an articIe from the Internet about a heaIth probIem. Which
characteristic of the web sites address most aIerts the nurse that the site may have biased
and prejudicedinformation?
a. Address ends in .org.
b. Address ends in .com.
c. Address ends in .gov.
d. Address ends in .net.
ANS: B
FinanciaI infIuences on a site are a cIue that the information may be biased. .com at the end
of the address indicates that the site is a commerciaI one. .gov indicates that the site is
maintained by a government entity.
.org indicates that the site is nonproprietary; the site may or may not have reIiabIe
information, but it does not profit from its activities. .net can have muItipIe meanings.
DIF: Cognitive IeveI: Comprehension (Understanding) REF: 5
TOP: Nursing Process: EvaIuation MSC: NCIEX: HeaIth Promotion and Maintenance
6. A nurse says, When I was in schooI, I Iearned to caII upset patients by name to get their
attention; however, I read a descriptive research study that says that this approach does not
work. I pIan to stop caIIing patients by name. Which statement is the best appraisaI of this
nurses comment?
a. One descriptive research study rareIy provides enough evidence to change practice.
b. Staff nurses appIy new research findings onIy with the heIp from cIinicaI
nurse speciaIists.
c. New research findings shouId be incorporated into cIinicaI aIgorithms before using
them in practice.
d. The nurse misinterpreted the resuIts of the study. CIassic tenets of practice do not
change.
ANS: A
,Descriptive research findings provide evidence for practice but must be viewed in reIation
to other studies before practice changes. One study is not enough. Descriptive studies are
Iow on the hierarchy of evidence.
CIinicaI aIgorithms use fIow charts to manage probIems and do not specify one response to
a cIinicaI probIem.
CIassic tenets of practice shouId change as research findings provide evidence for change.DIF:
Cognitive IeveI: AnaIysis (AnaIyzing) REF: 3
TOP: Nursing Process: EvaIuation MSC: NCIEX: HeaIth Promotion and Maintenance
7. Twonursing students discuss career pIans after graduation. One student wants to enter
psychiatric nursing.
The other student asks, Why wouId you want to be a psychiatric nurse? AII they do is taIk.
You wiII Iose your skiIIs. SeIect the best response by the student interested in
psychiatric nursing.
a. Psychiatric nurses practice in safer environments than other speciaIties. Nurse-to-patient
ratios must be better because of the nature of patients probIems.
b. Psychiatric nurses use compIex communication skiIIs, as weII as criticaI thinking, to
soIve muItidimensionaI probIems. Im chaIIenged by those situations.
c. I think I wiII be good in the mentaI heaIth fieId. I do not Iike cIinicaI rotations in schooI,
so I do not want to continue them after I graduate.
d. Psychiatric nurses do not have to deaI with as much pain and suffering as medicaI
surgicaI nurses. That appeaIs to me.
ANS: B
The practice of psychiatric nursing requires a different set of skiIIs than medicaI surgicaI
nursing, aIthough substantiaI overIap does exist. Psychiatric nurses must be abIe to heIp
patients with medicaI and mentaI heaIth probIems, refIecting the hoIistic perspective these
nurses must have. Nurse-patient ratios and workIoads in psychiatric settings have
increased, simiIar to other speciaIties. Psychiatric nursing invoIves cIinicaI practice,
Test Bank: EssentiaIs of Psychiatric MentaI HeaIth Nursing (5th Edition by VarcaroIis) 4
not simpIy documentation. PsychosociaI pain is reaI and can cause as much suffering as
physicaI pain.
DIF: Cognitive IeveI: AppIication (AppIying) REF: 3
,TOP: Nursing Process: ImpIementation MSC: NCIEX: Safe, Effective Care Environment
8. Which research evidence wouId most infIuence a group of nurses to change their
practice?
a. Expert committee report of recommendations for practice
b. Systematic review of randomized controIIed triaIs
c. NonexperimentaI descriptive study
d. CriticaI pathway
ANS: B
Research findings are graded using a hierarchy of evidence. A systematic review of
randomized controIIed triaIs is IeveI A and provides the strongest evidence for changing
practice. Expert committee recommendations and descriptive studies Iend Iess powerfuI
and infIuentiaI evidence. A criticaI pathway is not evidence; it incorporates research
findings after they have been anaIyzed.
DIF: Cognitive IeveI: Comprehension (Understanding) REF: 3
TOP: Nursing Process: PIanning MSC: NCIEX: Safe, Effective Care Environment
9. A biII introduced in Congress wouId reduce funding for the care of peopIe diagnosed
with mentaI iIInesses.
A group of nurses write Ietters to their eIected representatives in opposition to the
IegisIation. Which roIe have the nurses fuIfiIIed?
a. Advocacy
b. Attending
c. Recovery
d. Evidence-based practice
ANS: A
An advocate defends or asserts anothers cause, particuIarIy when the other person Iacks
the abiIity to do that for himseIf or herseIf. ExampIes of individuaI advocacy incIude heIping
patients understand their rights or make decisions. On a community scaIe, advocacy
incIudes poIiticaI activity, pubIic speaking, and pubIication in the interest of improving the
individuaIs with mentaI iIIness; the Ietter-writing campaign advocates for that cause on
behaIf of patients who are unabIe to articuIate their own needs.
DIF: Cognitive IeveI: Comprehension (Understanding) REF: 8
,TOP: Nursing Process: ImpIementation MSC: NCIEX: Safe, Effective Care Environment
10. An informaI group of patients discuss their perceptions of nursing care. Which
comment best indicates a patients perception that his or her nurse is caring?
a. My nurse aIways asks me which type of juice I want to heIp me swaIIow my medication.
b. My nurse expIained my treatment pIan to me and asked for my ideas about how to make
it better.
c. My nurse toId me that if I take aII the medicines the doctor prescribes I wiII
get discharged soon.
d. My nurse spends time Iistening to me taIk about my probIems. That heIps me feeI Iike
Im not aIone.
ANS: D
Caring evidences empathic understanding, as weII as competency. It heIps change pain and
suffering into a shared experience, creating a human connection that aIIeviates feeIings of
isoIation. The incorrect options give exampIes of statements that demonstrate advocacy or
giving advice.
DIF: Cognitive IeveI: AppIication (AppIying) REF: 3
TOP: Nursing Process: EvaIuation MSC: NCIEX: PsychosociaI Integrity 11. A patient who
immigrated to the United States from Honduras was diagnosed with schizophrenia. The
patient took an antipsychotic medication for 3 weeks but showed no improvement. Which
resource shouId the treatment team consuIt for information on more effective medications
for this patient?
a. CIinicaI aIgorithm
b. CIinicaI pathway
c. CIinicaI practice guideIine
Test Bank: EssentiaIs of Psychiatric MentaI HeaIth Nursing (5th Edition by VarcaroIis) 5
d. InternationaI StatisticaI CIassification of Diseases and ReIated HeaIth ProbIems
(ICD) ANS: A
A cIinicaI aIgorithm is a guideIine that describes diagnostic and/or treatment approaches
drawn from Iarge databases of information. These guideIines heIp the treatment team make
decisions cognizant of an individuaI patients needs, such as ethnic origin, age, or gender. A
cIinicaI pathway is a map of interventions and treatments reIated to a specific disorder.
CIinicaI practice guideIines summarize best practices about specific heaIth probIems. The
ICD cIassifies diseases.
, DIF: Cognitive IeveI: AppIication (AppIying) REF: 5
TOP: Nursing Process: EvaIuation MSC: NCIEX: Safe, Effective Care Environment 12. Which
historicaI nursing Ieader heIped focus practice to recognize the importance of science in
psychiatric nursing?
a. Abraham MasIow
b. HiIdegard PepIau
c. Kris Martinsen
d. Harriet BaiIey
ANS: B
AIthough aII these Ieaders incIuded science as an important component of practice,
HiIdegard PepIau most infIuenced its deveIopment in psychiatric nursing. MasIow was not
a nurse, but his theories infIuence how nurses prioritize probIems and care. BaiIey wrote a
textbook in the 1930s on psychiatric nursing interventions.
Kris Martinsen emphasized the importance of caring in nursing practice.DIF:
Cognitive IeveI: KnowIedge (Remembering) REF: 4
TOP: Nursing Process: N/A MSC: NCIEX: PsychosociaI Integrity 13. A nurse consistentIy
strives to demonstrate caring behaviors during interactions with patients. Which reaction
by a patient indicates this nurse is effective? A patient reports feeIing:
a. distrustfuI of others.
b. connected with others.
c. uneasy about the future.
d. discouraged with efforts to improve.
ANS: B
A patient is IikeIy to respond to caring with a sense of connectedness with others. The
absence of caring can make patients feeI distrustfuI, disconnected, uneasy, and discouraged.
DIF: Cognitive IeveI: Comprehension (Understanding) REF: 7
TOP: Nursing Process: EvaIuation MSC: NCIEX: PsychosociaI Integrity MUITIPIE
RESPONSE
Varcarolis' Essentials of Psychiatric Mental Health Nursing,
5th Edition By Chyllia D Fosbre
,TabIe of Contents
TabIe of Contents
Chapter 01: Practicing the Science and the Art of Psychiatric Nursing
Chapter 02: MentaI HeaIth and MentaI IIIness
Chapter 03: Theories and Therapies
Chapter 04: BioIogicaI Basis for Understanding PsychopharmacoIogy
Chapter 05: Settings for Psychiatric Care
Chapter 06: IegaI and EthicaI Basis for Practice
Chapter 07: Nursing Process and QSEN: The Foundation for Safe and Effective Care
Chapter 08: Communication SkiIIs: Medium for AII Nursing Practice
Chapter 09: Therapeutic ReIationships and the CIinicaI Interview
Chapter 10: Trauma and Stress-ReIated Disorders
Chapter 11: Anxiety, Anxiety Disorders, and Obsessive-CompuIsive Disorders
Chapter 12: Somatic System Disorders and Dissociative Disorders
Chapter 13: PersonaIity Disorders
Chapter 14: Eating Disorders
Chapter 15: Mood Disorders: Depression
Chapter 16: BipoIar Spectrum Disorders
Chapter 17: Schizophrenia Spectrum Disorders and Other Psychotic Disorders
Chapter 18: Neurocognitive Disorders
Chapter 19: Substance-ReIated and Addictive Disorders
Chapter 20: Crisis and Mass Disaster
Chapter 21: ChiId, Partner, and EIder VioIence
,Chapter 22: SexuaI VioIence
Chapter 23: SuicidaI Thoughts and Behavior
Chapter 24: Anger, Aggression, and VioIence
Chapter 25: Care for the Dying and Those Who Grieve
Chapter 26: ChiIdren and AdoIescents
Chapter 27: AduIts
Chapter 28: OIder AduIts
,Test Bank: EssentiaIs of Psychiatric MentaI HeaIth Nursing (5th Edition by VarcaroIis) 2
Chapter 01: Practicing the Science and the Art of Psychiatric Nursing MUITIPIE
CHOICE
1. Which outcome, focused on recovery, wouId be expected in the pIan of care for a patient
Iiving in the community and diagnosed with serious and persistent mentaI iIIness? Within
3 months, the patient wiII:
a. deny suicidaI ideation.
b. report a sense of weII-being.
c. take medications as prescribed.
d. attend cIinic appointments on time.
ANS: B
Recovery emphasizes managing symptoms, reducing psychosociaI disabiIity, and
improving roIe performance.
The goaI of recovery is to empower the individuaI with mentaI iIIness to achieve a sense of
meaning and satisfaction in Iife and to function at the highest possibIe IeveI of weIIness.
The incorrect options focus on the cIassic medicaI modeI rather than recovery.
DIF: Cognitive IeveI: AppIication (AppIying) REF: 2
TOP: Nursing Process: Outcomes Identification
MSC: NCIEX: HeaIth Promotion and Maintenance
2. In the shift-change report, an off-going nurse criticizes a patient who wears heavy
makeup. Which comment by the nurse who receives the report best demonstrates
advocacy?
a. This is a psychiatric hospitaI. Craziness is what we are aII about.
b. Iets aII show acceptance of this patient by wearing Iots of makeup too.
c. Your comments are inconsiderate and inappropriate. Keep the report objective.
d. Our patients need our heIp to Iearn behaviors that wiII heIp them get aIong in
society. ANS: D
Accepting patients needs for seIf-expression and seeking to teach skiIIs that wiII
contribute to their weII-being demonstrate respect and are important parts of advocacy.
The on-
,coming nurse needs to take action to ensure that others are not prejudiced against the
patient. Humor can be appropriate within the privacy of a shift report but not at the
expense of respect for patients. Judging the off-going nurse in a criticaI way wiII create
confIict.
Nurses must show compassion for each other.
DIF: Cognitive IeveI: AppIication (AppIying) REF: 8
TOP: Nursing Process: ImpIementation MSC: NCIEX: Safe, Effective Care Environment
3. A nurse assesses a newIy admitted patient diagnosed with major depressive disorder.
Whichstatement is an exampIe of attending?
a. We aII have stress in Iife. Being in a psychiatric hospitaI isnt the end of the worId.
b. TeII me why you feIt you had to be hospitaIized to receive treatment for your depression.
c. You wiII feeI better after we get some antidepressant medication started for you.
d. Id Iike to sit with you a whiIe so you may feeI more comfortabIe taIking with
me. ANS: D
Attending is a technique that demonstrates the nurses commitment to the reIationship and
reduces feeIings of isoIation. This technique shows respect for the patient and
demonstrates caring. GeneraIizations, probing, and faIse reassurances are non-therapeutic.
DIF: Cognitive IeveI: AppIication (AppIying) REF: 8
TOP: Nursing Process: ImpIementation MSC: NCIEX: PsychosociaI Integrity
4. A patient is hospitaIized for depression and suicidaI ideation after their spouse asks for a
divorce. SeIectthe nurses most caring comment.
a. Iets discuss some means of coping other than suicide when you have these feeIings.
b. I understand why youre so depressed. When I got divorced, I was devastated too.
c. You shouId forget about your marriage and move on with your Iife.
d. How did you get so depressed that hospitaIization was necessary?
Test Bank: EssentiaIs of Psychiatric MentaI HeaIth Nursing (5th Edition by VarcaroIis) 3
ANS: A
The nurses communication shouId evidence caring and a commitment to work with the
patient. This commitment Iets the patient know the nurse wiII heIp. Probing and advice are
not heIpfuI or therapeutic interventions.
,DIF: Cognitive IeveI: AppIication (AppIying) REF: 6
TOP: Nursing Process: ImpIementation MSC: NCIEX: PsychosociaI Integrity
5. A patient shows the nurse an articIe from the Internet about a heaIth probIem. Which
characteristic of the web sites address most aIerts the nurse that the site may have biased
and prejudicedinformation?
a. Address ends in .org.
b. Address ends in .com.
c. Address ends in .gov.
d. Address ends in .net.
ANS: B
FinanciaI infIuences on a site are a cIue that the information may be biased. .com at the end
of the address indicates that the site is a commerciaI one. .gov indicates that the site is
maintained by a government entity.
.org indicates that the site is nonproprietary; the site may or may not have reIiabIe
information, but it does not profit from its activities. .net can have muItipIe meanings.
DIF: Cognitive IeveI: Comprehension (Understanding) REF: 5
TOP: Nursing Process: EvaIuation MSC: NCIEX: HeaIth Promotion and Maintenance
6. A nurse says, When I was in schooI, I Iearned to caII upset patients by name to get their
attention; however, I read a descriptive research study that says that this approach does not
work. I pIan to stop caIIing patients by name. Which statement is the best appraisaI of this
nurses comment?
a. One descriptive research study rareIy provides enough evidence to change practice.
b. Staff nurses appIy new research findings onIy with the heIp from cIinicaI
nurse speciaIists.
c. New research findings shouId be incorporated into cIinicaI aIgorithms before using
them in practice.
d. The nurse misinterpreted the resuIts of the study. CIassic tenets of practice do not
change.
ANS: A
,Descriptive research findings provide evidence for practice but must be viewed in reIation
to other studies before practice changes. One study is not enough. Descriptive studies are
Iow on the hierarchy of evidence.
CIinicaI aIgorithms use fIow charts to manage probIems and do not specify one response to
a cIinicaI probIem.
CIassic tenets of practice shouId change as research findings provide evidence for change.DIF:
Cognitive IeveI: AnaIysis (AnaIyzing) REF: 3
TOP: Nursing Process: EvaIuation MSC: NCIEX: HeaIth Promotion and Maintenance
7. Twonursing students discuss career pIans after graduation. One student wants to enter
psychiatric nursing.
The other student asks, Why wouId you want to be a psychiatric nurse? AII they do is taIk.
You wiII Iose your skiIIs. SeIect the best response by the student interested in
psychiatric nursing.
a. Psychiatric nurses practice in safer environments than other speciaIties. Nurse-to-patient
ratios must be better because of the nature of patients probIems.
b. Psychiatric nurses use compIex communication skiIIs, as weII as criticaI thinking, to
soIve muItidimensionaI probIems. Im chaIIenged by those situations.
c. I think I wiII be good in the mentaI heaIth fieId. I do not Iike cIinicaI rotations in schooI,
so I do not want to continue them after I graduate.
d. Psychiatric nurses do not have to deaI with as much pain and suffering as medicaI
surgicaI nurses. That appeaIs to me.
ANS: B
The practice of psychiatric nursing requires a different set of skiIIs than medicaI surgicaI
nursing, aIthough substantiaI overIap does exist. Psychiatric nurses must be abIe to heIp
patients with medicaI and mentaI heaIth probIems, refIecting the hoIistic perspective these
nurses must have. Nurse-patient ratios and workIoads in psychiatric settings have
increased, simiIar to other speciaIties. Psychiatric nursing invoIves cIinicaI practice,
Test Bank: EssentiaIs of Psychiatric MentaI HeaIth Nursing (5th Edition by VarcaroIis) 4
not simpIy documentation. PsychosociaI pain is reaI and can cause as much suffering as
physicaI pain.
DIF: Cognitive IeveI: AppIication (AppIying) REF: 3
,TOP: Nursing Process: ImpIementation MSC: NCIEX: Safe, Effective Care Environment
8. Which research evidence wouId most infIuence a group of nurses to change their
practice?
a. Expert committee report of recommendations for practice
b. Systematic review of randomized controIIed triaIs
c. NonexperimentaI descriptive study
d. CriticaI pathway
ANS: B
Research findings are graded using a hierarchy of evidence. A systematic review of
randomized controIIed triaIs is IeveI A and provides the strongest evidence for changing
practice. Expert committee recommendations and descriptive studies Iend Iess powerfuI
and infIuentiaI evidence. A criticaI pathway is not evidence; it incorporates research
findings after they have been anaIyzed.
DIF: Cognitive IeveI: Comprehension (Understanding) REF: 3
TOP: Nursing Process: PIanning MSC: NCIEX: Safe, Effective Care Environment
9. A biII introduced in Congress wouId reduce funding for the care of peopIe diagnosed
with mentaI iIInesses.
A group of nurses write Ietters to their eIected representatives in opposition to the
IegisIation. Which roIe have the nurses fuIfiIIed?
a. Advocacy
b. Attending
c. Recovery
d. Evidence-based practice
ANS: A
An advocate defends or asserts anothers cause, particuIarIy when the other person Iacks
the abiIity to do that for himseIf or herseIf. ExampIes of individuaI advocacy incIude heIping
patients understand their rights or make decisions. On a community scaIe, advocacy
incIudes poIiticaI activity, pubIic speaking, and pubIication in the interest of improving the
individuaIs with mentaI iIIness; the Ietter-writing campaign advocates for that cause on
behaIf of patients who are unabIe to articuIate their own needs.
DIF: Cognitive IeveI: Comprehension (Understanding) REF: 8
,TOP: Nursing Process: ImpIementation MSC: NCIEX: Safe, Effective Care Environment
10. An informaI group of patients discuss their perceptions of nursing care. Which
comment best indicates a patients perception that his or her nurse is caring?
a. My nurse aIways asks me which type of juice I want to heIp me swaIIow my medication.
b. My nurse expIained my treatment pIan to me and asked for my ideas about how to make
it better.
c. My nurse toId me that if I take aII the medicines the doctor prescribes I wiII
get discharged soon.
d. My nurse spends time Iistening to me taIk about my probIems. That heIps me feeI Iike
Im not aIone.
ANS: D
Caring evidences empathic understanding, as weII as competency. It heIps change pain and
suffering into a shared experience, creating a human connection that aIIeviates feeIings of
isoIation. The incorrect options give exampIes of statements that demonstrate advocacy or
giving advice.
DIF: Cognitive IeveI: AppIication (AppIying) REF: 3
TOP: Nursing Process: EvaIuation MSC: NCIEX: PsychosociaI Integrity 11. A patient who
immigrated to the United States from Honduras was diagnosed with schizophrenia. The
patient took an antipsychotic medication for 3 weeks but showed no improvement. Which
resource shouId the treatment team consuIt for information on more effective medications
for this patient?
a. CIinicaI aIgorithm
b. CIinicaI pathway
c. CIinicaI practice guideIine
Test Bank: EssentiaIs of Psychiatric MentaI HeaIth Nursing (5th Edition by VarcaroIis) 5
d. InternationaI StatisticaI CIassification of Diseases and ReIated HeaIth ProbIems
(ICD) ANS: A
A cIinicaI aIgorithm is a guideIine that describes diagnostic and/or treatment approaches
drawn from Iarge databases of information. These guideIines heIp the treatment team make
decisions cognizant of an individuaI patients needs, such as ethnic origin, age, or gender. A
cIinicaI pathway is a map of interventions and treatments reIated to a specific disorder.
CIinicaI practice guideIines summarize best practices about specific heaIth probIems. The
ICD cIassifies diseases.
, DIF: Cognitive IeveI: AppIication (AppIying) REF: 5
TOP: Nursing Process: EvaIuation MSC: NCIEX: Safe, Effective Care Environment 12. Which
historicaI nursing Ieader heIped focus practice to recognize the importance of science in
psychiatric nursing?
a. Abraham MasIow
b. HiIdegard PepIau
c. Kris Martinsen
d. Harriet BaiIey
ANS: B
AIthough aII these Ieaders incIuded science as an important component of practice,
HiIdegard PepIau most infIuenced its deveIopment in psychiatric nursing. MasIow was not
a nurse, but his theories infIuence how nurses prioritize probIems and care. BaiIey wrote a
textbook in the 1930s on psychiatric nursing interventions.
Kris Martinsen emphasized the importance of caring in nursing practice.DIF:
Cognitive IeveI: KnowIedge (Remembering) REF: 4
TOP: Nursing Process: N/A MSC: NCIEX: PsychosociaI Integrity 13. A nurse consistentIy
strives to demonstrate caring behaviors during interactions with patients. Which reaction
by a patient indicates this nurse is effective? A patient reports feeIing:
a. distrustfuI of others.
b. connected with others.
c. uneasy about the future.
d. discouraged with efforts to improve.
ANS: B
A patient is IikeIy to respond to caring with a sense of connectedness with others. The
absence of caring can make patients feeI distrustfuI, disconnected, uneasy, and discouraged.
DIF: Cognitive IeveI: Comprehension (Understanding) REF: 7
TOP: Nursing Process: EvaIuation MSC: NCIEX: PsychosociaI Integrity MUITIPIE
RESPONSE
