FOUNDATIONS OF PSYCHIATRIC-MENTAL
HEALTH NURSING A CLINICAL 9TH
EDITION WITH COMPLETE SOTUTIONS
Which outcome, focused on recovery, would be expected in the plan of care for
a patient living in the community with serious and persistent mental illness?
Within 3 months, the patient will:
a. deny suicidal ideation.
b. report a sense of well-being.
c. take medications as prescribed.
d. attend clinic appointments on time. - Correct Answer-✔✔B
A patient is hospitalized for depression and suicidal ideation after their spouse
asks for a divorce. Select the nurse's most caring comment.
a. "Let's discuss some means of coping other than suicide when you have these
feelings."
b. "I understand why you're so depressed. When I got divorced, I was
devastated too."
c. "You should forget about your marriage and move on with your life."
d. "How did you get so depressed that hospitalization was necessary?" - Correct
Answer-✔✔A
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 hospital. Craziness is what we are all about."
,b. "Let's all show acceptance of this patient by wearing lots of makeup too."
c. "Your comments are inconsiderate and inappropriate. Keep the report
objective."
d. "Our patients need our help to learn behaviors that will help them get along in
society." - Correct Answer-✔✔D
A nurse assesses a newly admitted patient with depression. Which statement is
an example of "attending"?
a. "We all have stress in life. Being in a psychiatric hospital isn't the end of the
world."
b. "Tell me why you felt you had to be hospitalized to receive treatment for your
depression."
c. "You will feel better after we get some antidepressant medication started for
you."
d. "I'd like to sit with you a while so you may feel more comfortable talking with
me." - Correct Answer-✔✔D
A patient shows the nurse an article from the Internet about a health problem.
Which characteristic of the web site's address most alerts the nurse that the site
may have biased and prejudiced information?
a. Address ends in ".org."
b. Address ends in ".com."
c. Address ends in ".gov."
d. Address ends in ".net." - Correct Answer-✔✔B
A nurse says, "When I was in school I learned to call upset patients by name to
get their attention, but I read a descriptive research study that says that this
approach doesn't work. I'm going stop calling patients by name." Which
statement is the best appraisal of this nurse's comment?
,a. One descriptive research study rarely provides enough evidence to change
practice.
b. Staff nurses apply new research findings only with the help from clinical nurse
specialists.
c. New research findings should be incorporated into clinical algorithms before
using them in practice.
d. The nurse misinterpreted the results of the study. Classic tenets of practice
do not change. - Correct Answer-✔✔A
Two nursing students discuss career plans after graduation. One student wants
to enter psychiatric nursing. The other student asks, "Why would you want to be
a psychiatric nurse? All they do is talk. You'll lose your skills." Select the best
response by the student interested in psychiatric nursing.
a. "Psychiatric nurses practice in safer environments than other specialties.
Nurse-to-patient ratios must be better because of the nature of patients'
problems."
b. "Psychiatric nurses use complex communication skills, as well as critical
thinking, to solve multidimensional problems. I'm challenged by those
situations."
c. "I think I'll be good in the mental health field. I do not like clinical rotations in
school, so I don't want to continue them after I graduate."
d. "Psychiatric nurses don't have to deal with as much pain and suffering as
medical surgical nurses. That appeals to me." - Correct Answer-✔✔B
Which research evidence would most influence a group of nurses to change
their practice?
a. Expert committee report of recommendations for practice
b. Systematic review of randomized controlled trials
, c. Nonexperimental descriptive study
d. Critical pathway - Correct Answer-✔✔B
A bill introduced in Congress would reduce funding for the care of people with
mental illnesses. A group of nurses write letters to their elected representatives
in opposition to the legislation. Which role have the nurses fulfilled?
a. Advocacy
b. Attending
c. Recovery
d. Evidence-based practice - Correct Answer-✔✔A
An informal group of patients discuss their perceptions of nursing care. Which
comment best indicates a patient's perception that his or her nurse is caring?
a. "My nurse always asks me which type of juice I want to help me swallow my
medication."
b. "My nurse explained my treatment plan to me and asked for my ideas about
how to make it better."
c. "My nurse told me that if I take all the medicines the doctor prescribes I will
get discharged soon."
d. "My nurse spends time listening to me talk about my problems. That helps me
feel like I'm not alone." - Correct Answer-✔✔D
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 should the treatment team consult
for information on more effective medications for this patient?
a. Clinical algorithm