,Chapter 01: Science and the Therapeutic Use of Self in Psychiatric Mental Health Nursing
f f f f f f f f f f f f f
Varcarolis: Essentials of Psychiatric Mental Health N u r as bi inr bg. c:o mA/ t eC
f
s t ommunication f f f f f
f
Approach to Evidence-Based Care, 4th Edition
f f f f f f
abirb.com/test
MULTIPLE CHOICE f
1. Which outcome, focused on recovery, would be expected in the plan of care for a patient
f f f f f f f f f f f f f f f
living in the community and diagnosed with serious and p aebr isr bi s. ctoemn/ tt em
f f f f
s t ental illness? Within 3 f f f f f f
f
f f f
months, the patient will demonstrate what behavior?
f f f f f f f
a. Denying suicidal ideation f f
b. Reporting a sense of well-being abirb.com/test
f f f f
c. Taking medications as prescribed f f f
d. Attending clinic appointments on time f f f f
ANS: B f abirb.com/test
Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving
f f f f f f f f
role performance. The goal of recovery is to empower the individual with mental illness to
f f f f f f f f f f f f f f f
achieve a sense of meaning and satisfaction in life and to function at the highest possible level of
f f f f f f f f f f f f f f f f f f
wellness. The incorrect options focus on the classic m e da bi ci r ba. lc omm o/ t edset l rather than recovery.
f f f f f f f f f
f
f f f
DIF: Cognitive Level: Application (Applying) f f f
TOP: Nursing Process: Outcomes Identification
f f f f f
abirb.com/test
MSC: NCLEX: Health Promotion and Maintenance
f f f f f
2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for a
f f f f f f f f f f f f f f
divorce. Select the nurse‘s most caring comment.
f f abirb.com/test f f f f f
a. ―Let‘s discuss healthy means of coping when you have suicidal feelings.‖ f f f f f f f f f f
b. ―I understand why you‘re so depressed. When I got divorced, I was devastated
f f f f f f f f f f f f
too.‖ f
c. ―You should forget about your marriage and move on awbiirtbh.coymo/ uters t life.‖
f f f f f f f f f
d. ―How did you get so depressed that hospitalization was necessary?‖ f f f f f f f f f
ANS: A f
The nurse‘s communication should evidence caring and aacboi r m
f
b.c om /t es t
m i t m e nt to work with the patient.
f f f f f f f f f f f f f
This commitment lets the patient know the nurse will help. Probing and advice are not helpful
f f f f f f f f f f f f f f f f
for therapeutic interventions.
f f f
abirb.com/test
DIF: Cognitive Level: Application (Applying) f f f
TOP: Nursing Process: Implementation
f MSC: NCLEX: Psychosocial Integrity f f f f f
3. In the shift-change report, an off-going nurse criticizes a paabti ir be. nc ot mw/ t ehsot wears extremely heavy
f f f f f f f f f f f f
makeup. Which comment by the nurse who receives the report best demonstrates advocacy?
f f f f f f f f f f f f f
a. ―This is a psychiatric hospital, so we expect our patients to behave bizarrely.‖
f f f f f f f f f f f f
b. ―Let‘s all show acceptance of this patient by wearing l aobti sr b o. c fo mm/ t easkt eup too.‖
f f f f f f f f f
f
f
c. ―Your comments are inconsiderate and inappropriate. Keep the report objective.‖
f f f f f f f f f
d. ―Our patients need our help to learn behaviors that will help them get along in
f f f f f f f f f f f f f f
society.‖f
abirb.com/test
ANS:
fD
abirb.com/test
WWW.NURSYLAB.COM
WWW.THENURSINGMASTERY.COM
abirb.com/test
, Accepting patients‘ needs for self-expression and seeking to teach skills that will contribute to
f f f f f f f f f f f f f
their well-being demonstrate respect and are important parts of advocacy. The on-coming nurse
f f f f f f f f f f f f f
needs to take action to ensure that others are not prejaub idr bi.cc oemd / tae gs t ai ns t the patient. Humor can be
f f f f f f f f f f f f f f f f
appropriate within the privacy of a shift report but not at the expense of respect for patients.
f f f f f f f f f f f f f f f f f
Judging the off-going nurse in a critical way will create conflict. Nurses must show compassion
f f f f f f f f f f f f f f f
for each other.
f f f
abirb.com/test
DIF: Cognitive Level: Application (Applying) f f f
TOP: Nursing Process: Implementation
f MSC: NCLEX: Safe, Effective Care Environment f f f f f f f
abirb.com/test
4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder. Which
f f f f f f f f f f f f
statement is an example of ―attending‖?
f f f f f f
a. ―We all have stress in life. Being in a psychiatric hospital is not the end of the
f f f f f f f f f f f f f f f f
world.‖ f abirb.com/test
b. ―Tell me why you felt you had to be hospitalized to receive treatment for your
f f f f f f f f f f f f f f
depression.‖
f
c. ―You will feel better after we get some antidepressantamb i rebd. ciocma/tt ieos tn started for you.‖
f f f f f f f f f f f f
d. ―I‘d like to sit with you for a while, so you may feel more comfortable talking with
f f f f f f f f f f f f f f f f
me.‖
ANS: D f abirb.com/test
Attending is a technique that demonstrates the nurse‘s commitment to the relationship and
f f f f f f f f f f f f
reduces feelings of isolation. This technique shows respect for the patient and demonstrates
f f f f f f f f f f f f f
caring. Generalizations, probing, and false reassurances are nontherapeutic.
f f f f f f f f
abirb.com/test
DIF: Cognitive Level: Application (Applying) f f f
TOP: Nursing Process: Implementation
f MSC: NCLEX: Psychosocial Integrity f f f f f
5. A patient shows the nurse an article from the Internet abouatb iarb .hc oemal/ttehs t problem. Which
f f f f f f f f f f f
characteristic of the website‘s address most alerts the nurse that the site may have biased and
f f f f f f f f f f f f f f f f
prejudiced information?
f f
a. Address ends in ―.org.‖ abirb.com/test f f f
b. Address ends in ―.com.‖ f f f
c. Address ends in ―.gov.‖ f f f
d. Address ends in ―.net.‖ f f f
abirb.com/test
ANS: B f
Financial influences on a site are a clue that the information may be biased. ―.com‖ at the end of
f f f f f f f f f f f f f f f f f f
the address indicates that the site is a commercial one. ―.gov‖
f f indicates that the site is
abirb.com/test
f f f f f f f f f f f f f f
maintained by a government entity. ―.org‖ indicates that the site is nonproprietary; the site
f f f f f f f f f f f f f
may or may not have reliable information, but it does not profit from its activities. ―.net‖ can have
f f f f f f f f f f f f f f f f f
multiple meanings.
f f
abirb.com/test
DIF: Cognitive Level: Comprehension (Understanding) f f f TOP: Nursing Process: Evaluation f f f
MSC: NCLEX: Health Promotion and Maintenance
f f f f f f
6. A nurse says, ―When I was in school, I learned to call u ps ea tb i rpba. ctoi men/ t et ss t by name to get their
f f f f f f f f f f f f
f
f f f f
attention; however, I read a descriptive research study that says that this approach does not
f f f f f f f f f f f f f f f
work. I plan to stop calling patients by name.‖ Which statement is the best appraisal of this
f f f f f f f f f f f f f f f f f
nurse‘s comment?
f f abirb.com/test
a. One descriptive research study rarely provides enough evidence to change practice.
f f f f f f f f f f
abirb.com/test
WWW.NURSYLAB.COM
WWW.THENURSINGMASTERY.COM
abirb.com/tes
, b. Staff nurses apply new research findings only with the help from clinical nurse
f f f f f f f f f f f f
fspecialists.
c. New research findings should be incorporated into clinaibci rabl. c ao mlg/ toe srtithms before using
f f f f f f f f f
them in practice.
f f f
d. The nurse misinterpreted the results of the study. Classic tenets of practice do not
f f f f f f f f f f f f f
change.
f
abirb.com/test
ANS: A f
Descriptive research findings provide evidence for practice but must be viewed in relation to
f f f f f f f f f f f f f
other studies before practice changes. One study is not enough. Descriptive studies are low on the
f f f f f f f f f f f f f f f f
a b i r b . c om / t e s t
hierarchy of evidence. Clinical algorithms use flowcha r t s t o m a n age problems and do not
f f f f f f f f f f f
specify one response to a clinical problem. Classic tenets of practice should change as research
f f f f f f f f f f f f f f
findings provide evidence for change.
f f f f f
abirb.com/test
DIF: Cognitive Level: Analysis (Analyzing) f f f TOP: Nursing Process: Evaluation f f f
MSC: NCLEX: Health Promotion and Maintenance
f f f f f f
7. Two nursing students discuss career plans after graduationa.biO
f
rb n
.c eoms/tt eusdt ent wants to enter
f f f f f f
f
f f f
psychiatric nursing. The other student asks, ―Why would you want to be a psychiatric nurse? All
f f f f f f f f f f f f f f f
they do is talk. You will lose your skills.‖ Select the best response by the student interested in
f f f f f f f f f f f f f f f f f f
psychiatric nursing.
f f abirb.com/test
a. ―Psychiatric nurses‘ practice in safer environments than other specialties and f f f f f f f f f
nurse-to-patient ratios are better because of the nature of patients‘ problems.‖
f f f f f f f f f f f
b. ―Psychiatric nurses use complex communication skills, as well as critical thinking, to f f f f f f f f f f f
solve multidimensional problems. I‘m challenged bya b ti rhb .oc so em /st eist tuations.‖
f f f f f f
c. ―I think I will be good in the mental health field. I do not like clinical rotations in
f f f f f f f f f f f f f f f f f
school, so I do not want to continue them after I graduate.‖
f f f f f f f f f f f f
d. ―Psychiatric nurses do not have to deal with as much paabiirnb.caonmd/tessutfferingas f f f f f f f f f f f
medical-surgical nurses. That appeals to me.‖
f f f f f f
ANS: B f
The practice of psychiatric nursing requires a different s et aob fi r bs. ckoimll/st e st ht an medical-surgical
f f f f f f f f f f
nursing, although substantial overlap does exist. Psychiatric nurses must be able to help
f f f f f f f f f f f f f
patients with medical and mental health problems, reflecting the holistic perspective these
f f f f f f f f f f f f
nurses must have. Nurse–patient ratios and workloads in psychiatric settings have increased,
f f f f f f f f f f f f
similar to other specialties. Psychiatric nursing involves c lai bni ribc. ac ol mp/ treasct tice, not simply
f f f f f f f f f f f
documentation. Psychosocial pain is real and can cause as much suffering as physical pain.
f f f f f f f f f f f f f f
DIF: Cognitive Level: Application (Applying) abirb.com/test f f f
TOP: Nursing Process: Implementation
f MSC: NCLEX: Safe, Effective Care Environment f f f f f f f
8. Which research evidence would most influence a group of nurses to change their practice?
f f f f f f f f f f f f f
a. Expert committee report of recommendations for practaibcireb.com/test
f f f f f f
b. Systematic review of randomized controlled trials f f f f f
c. Nonexperimental descriptive study f f
d. Critical pathway f
abirb.com/test
ANS: B f
abirb.com/test
abirb.com/test
WWW.NURSYLAB.COM
WWW.THENURSINGMASTERY.COM
abirb.com/tes
f f f f f f f f f f f f f
Varcarolis: Essentials of Psychiatric Mental Health N u r as bi inr bg. c:o mA/ t eC
f
s t ommunication f f f f f
f
Approach to Evidence-Based Care, 4th Edition
f f f f f f
abirb.com/test
MULTIPLE CHOICE f
1. Which outcome, focused on recovery, would be expected in the plan of care for a patient
f f f f f f f f f f f f f f f
living in the community and diagnosed with serious and p aebr isr bi s. ctoemn/ tt em
f f f f
s t ental illness? Within 3 f f f f f f
f
f f f
months, the patient will demonstrate what behavior?
f f f f f f f
a. Denying suicidal ideation f f
b. Reporting a sense of well-being abirb.com/test
f f f f
c. Taking medications as prescribed f f f
d. Attending clinic appointments on time f f f f
ANS: B f abirb.com/test
Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving
f f f f f f f f
role performance. The goal of recovery is to empower the individual with mental illness to
f f f f f f f f f f f f f f f
achieve a sense of meaning and satisfaction in life and to function at the highest possible level of
f f f f f f f f f f f f f f f f f f
wellness. The incorrect options focus on the classic m e da bi ci r ba. lc omm o/ t edset l rather than recovery.
f f f f f f f f f
f
f f f
DIF: Cognitive Level: Application (Applying) f f f
TOP: Nursing Process: Outcomes Identification
f f f f f
abirb.com/test
MSC: NCLEX: Health Promotion and Maintenance
f f f f f
2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for a
f f f f f f f f f f f f f f
divorce. Select the nurse‘s most caring comment.
f f abirb.com/test f f f f f
a. ―Let‘s discuss healthy means of coping when you have suicidal feelings.‖ f f f f f f f f f f
b. ―I understand why you‘re so depressed. When I got divorced, I was devastated
f f f f f f f f f f f f
too.‖ f
c. ―You should forget about your marriage and move on awbiirtbh.coymo/ uters t life.‖
f f f f f f f f f
d. ―How did you get so depressed that hospitalization was necessary?‖ f f f f f f f f f
ANS: A f
The nurse‘s communication should evidence caring and aacboi r m
f
b.c om /t es t
m i t m e nt to work with the patient.
f f f f f f f f f f f f f
This commitment lets the patient know the nurse will help. Probing and advice are not helpful
f f f f f f f f f f f f f f f f
for therapeutic interventions.
f f f
abirb.com/test
DIF: Cognitive Level: Application (Applying) f f f
TOP: Nursing Process: Implementation
f MSC: NCLEX: Psychosocial Integrity f f f f f
3. In the shift-change report, an off-going nurse criticizes a paabti ir be. nc ot mw/ t ehsot wears extremely heavy
f f f f f f f f f f f f
makeup. Which comment by the nurse who receives the report best demonstrates advocacy?
f f f f f f f f f f f f f
a. ―This is a psychiatric hospital, so we expect our patients to behave bizarrely.‖
f f f f f f f f f f f f
b. ―Let‘s all show acceptance of this patient by wearing l aobti sr b o. c fo mm/ t easkt eup too.‖
f f f f f f f f f
f
f
c. ―Your comments are inconsiderate and inappropriate. Keep the report objective.‖
f f f f f f f f f
d. ―Our patients need our help to learn behaviors that will help them get along in
f f f f f f f f f f f f f f
society.‖f
abirb.com/test
ANS:
fD
abirb.com/test
WWW.NURSYLAB.COM
WWW.THENURSINGMASTERY.COM
abirb.com/test
, Accepting patients‘ needs for self-expression and seeking to teach skills that will contribute to
f f f f f f f f f f f f f
their well-being demonstrate respect and are important parts of advocacy. The on-coming nurse
f f f f f f f f f f f f f
needs to take action to ensure that others are not prejaub idr bi.cc oemd / tae gs t ai ns t the patient. Humor can be
f f f f f f f f f f f f f f f f
appropriate within the privacy of a shift report but not at the expense of respect for patients.
f f f f f f f f f f f f f f f f f
Judging the off-going nurse in a critical way will create conflict. Nurses must show compassion
f f f f f f f f f f f f f f f
for each other.
f f f
abirb.com/test
DIF: Cognitive Level: Application (Applying) f f f
TOP: Nursing Process: Implementation
f MSC: NCLEX: Safe, Effective Care Environment f f f f f f f
abirb.com/test
4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder. Which
f f f f f f f f f f f f
statement is an example of ―attending‖?
f f f f f f
a. ―We all have stress in life. Being in a psychiatric hospital is not the end of the
f f f f f f f f f f f f f f f f
world.‖ f abirb.com/test
b. ―Tell me why you felt you had to be hospitalized to receive treatment for your
f f f f f f f f f f f f f f
depression.‖
f
c. ―You will feel better after we get some antidepressantamb i rebd. ciocma/tt ieos tn started for you.‖
f f f f f f f f f f f f
d. ―I‘d like to sit with you for a while, so you may feel more comfortable talking with
f f f f f f f f f f f f f f f f
me.‖
ANS: D f abirb.com/test
Attending is a technique that demonstrates the nurse‘s commitment to the relationship and
f f f f f f f f f f f f
reduces feelings of isolation. This technique shows respect for the patient and demonstrates
f f f f f f f f f f f f f
caring. Generalizations, probing, and false reassurances are nontherapeutic.
f f f f f f f f
abirb.com/test
DIF: Cognitive Level: Application (Applying) f f f
TOP: Nursing Process: Implementation
f MSC: NCLEX: Psychosocial Integrity f f f f f
5. A patient shows the nurse an article from the Internet abouatb iarb .hc oemal/ttehs t problem. Which
f f f f f f f f f f f
characteristic of the website‘s address most alerts the nurse that the site may have biased and
f f f f f f f f f f f f f f f f
prejudiced information?
f f
a. Address ends in ―.org.‖ abirb.com/test f f f
b. Address ends in ―.com.‖ f f f
c. Address ends in ―.gov.‖ f f f
d. Address ends in ―.net.‖ f f f
abirb.com/test
ANS: B f
Financial influences on a site are a clue that the information may be biased. ―.com‖ at the end of
f f f f f f f f f f f f f f f f f f
the address indicates that the site is a commercial one. ―.gov‖
f f indicates that the site is
abirb.com/test
f f f f f f f f f f f f f f
maintained by a government entity. ―.org‖ indicates that the site is nonproprietary; the site
f f f f f f f f f f f f f
may or may not have reliable information, but it does not profit from its activities. ―.net‖ can have
f f f f f f f f f f f f f f f f f
multiple meanings.
f f
abirb.com/test
DIF: Cognitive Level: Comprehension (Understanding) f f f TOP: Nursing Process: Evaluation f f f
MSC: NCLEX: Health Promotion and Maintenance
f f f f f f
6. A nurse says, ―When I was in school, I learned to call u ps ea tb i rpba. ctoi men/ t et ss t by name to get their
f f f f f f f f f f f f
f
f f f f
attention; however, I read a descriptive research study that says that this approach does not
f f f f f f f f f f f f f f f
work. I plan to stop calling patients by name.‖ Which statement is the best appraisal of this
f f f f f f f f f f f f f f f f f
nurse‘s comment?
f f abirb.com/test
a. One descriptive research study rarely provides enough evidence to change practice.
f f f f f f f f f f
abirb.com/test
WWW.NURSYLAB.COM
WWW.THENURSINGMASTERY.COM
abirb.com/tes
, b. Staff nurses apply new research findings only with the help from clinical nurse
f f f f f f f f f f f f
fspecialists.
c. New research findings should be incorporated into clinaibci rabl. c ao mlg/ toe srtithms before using
f f f f f f f f f
them in practice.
f f f
d. The nurse misinterpreted the results of the study. Classic tenets of practice do not
f f f f f f f f f f f f f
change.
f
abirb.com/test
ANS: A f
Descriptive research findings provide evidence for practice but must be viewed in relation to
f f f f f f f f f f f f f
other studies before practice changes. One study is not enough. Descriptive studies are low on the
f f f f f f f f f f f f f f f f
a b i r b . c om / t e s t
hierarchy of evidence. Clinical algorithms use flowcha r t s t o m a n age problems and do not
f f f f f f f f f f f
specify one response to a clinical problem. Classic tenets of practice should change as research
f f f f f f f f f f f f f f
findings provide evidence for change.
f f f f f
abirb.com/test
DIF: Cognitive Level: Analysis (Analyzing) f f f TOP: Nursing Process: Evaluation f f f
MSC: NCLEX: Health Promotion and Maintenance
f f f f f f
7. Two nursing students discuss career plans after graduationa.biO
f
rb n
.c eoms/tt eusdt ent wants to enter
f f f f f f
f
f f f
psychiatric nursing. The other student asks, ―Why would you want to be a psychiatric nurse? All
f f f f f f f f f f f f f f f
they do is talk. You will lose your skills.‖ Select the best response by the student interested in
f f f f f f f f f f f f f f f f f f
psychiatric nursing.
f f abirb.com/test
a. ―Psychiatric nurses‘ practice in safer environments than other specialties and f f f f f f f f f
nurse-to-patient ratios are better because of the nature of patients‘ problems.‖
f f f f f f f f f f f
b. ―Psychiatric nurses use complex communication skills, as well as critical thinking, to f f f f f f f f f f f
solve multidimensional problems. I‘m challenged bya b ti rhb .oc so em /st eist tuations.‖
f f f f f f
c. ―I think I will be good in the mental health field. I do not like clinical rotations in
f f f f f f f f f f f f f f f f f
school, so I do not want to continue them after I graduate.‖
f f f f f f f f f f f f
d. ―Psychiatric nurses do not have to deal with as much paabiirnb.caonmd/tessutfferingas f f f f f f f f f f f
medical-surgical nurses. That appeals to me.‖
f f f f f f
ANS: B f
The practice of psychiatric nursing requires a different s et aob fi r bs. ckoimll/st e st ht an medical-surgical
f f f f f f f f f f
nursing, although substantial overlap does exist. Psychiatric nurses must be able to help
f f f f f f f f f f f f f
patients with medical and mental health problems, reflecting the holistic perspective these
f f f f f f f f f f f f
nurses must have. Nurse–patient ratios and workloads in psychiatric settings have increased,
f f f f f f f f f f f f
similar to other specialties. Psychiatric nursing involves c lai bni ribc. ac ol mp/ treasct tice, not simply
f f f f f f f f f f f
documentation. Psychosocial pain is real and can cause as much suffering as physical pain.
f f f f f f f f f f f f f f
DIF: Cognitive Level: Application (Applying) abirb.com/test f f f
TOP: Nursing Process: Implementation
f MSC: NCLEX: Safe, Effective Care Environment f f f f f f f
8. Which research evidence would most influence a group of nurses to change their practice?
f f f f f f f f f f f f f
a. Expert committee report of recommendations for practaibcireb.com/test
f f f f f f
b. Systematic review of randomized controlled trials f f f f f
c. Nonexperimental descriptive study f f
d. Critical pathway f
abirb.com/test
ANS: B f
abirb.com/test
abirb.com/test
WWW.NURSYLAB.COM
WWW.THENURSINGMASTERY.COM
abirb.com/tes
