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Test Bank for Essentials of Psychiatric Mental Health Nursing 5th Edition. Varcarolis Nursing All Chapters (1-28) Complete Guide questions with correct and verified answers. GRADED A+.

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Test Bank for Essentials of Psychiatric Mental Health Nursing 5th Edition. Varcarolis Nursing All Chapters (1-28) Complete Guide questions with correct and verified answers. GRADED A+. Chapter 01: Science and the Therapeutic Use of Self in Psychiatric Mental Health Nursing Varcarolis: Essentials of Psychiatric Mental Health Nursing: A Communication Approach to Evidence-Based Care, 5th Edition QUIZ 1. Which outcome, focused on recovery, would be expected in the plan of care for a client living in the community and diagnosed with serious and persistent mental illness? Within 3 months, the client will demonstrate what behavior? a. b. c. d. Denying suicidal ideation Reporting a sense of well-being Taking medications as prescribed Attending clinic appointments on time CORRECT: B Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving role performance. The goal of recovery is to empower the individual with mental illness to achieve a sense of meaning and satisfaction in life and to function at the highest possible level of wellness. The incorrect options focus on the classic medical model rather than recovery. DIF: Cognitive Level: Application (Applying) TOPIC: Nursing Process: Outcomes Identification MSC: NCLEX: Health Promotion and Maintenance 2. A client is hospitalized for depression and suicidal ideation after their spouse asks for a divorce. Select the nurse’s most caring comment. a. b. c. d. “Let’s discuss healthy means of coping when you have suicidal feelings.” “I understand why you’re so depressed. When I got divorced, I was devastated too.” “You should forget about your marriage and move on with your life.” “How did you get so depressed that hospitalization was necessary?” CORRECT: A The nurse’s communication should evidence caring and a commitment to work with the client. This commitment lets the client know the nurse will help. Probing and advice are not helpful for therapeutic interventions. DIF: Cognitive Level: Application (Applying) TOPIC: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity 3. In the shift-change report, an off-going nurse criticizes a client who wears extremely heavy makeup. Which comment by the nurse who receives the report best demonstrates advocacy? a. “This is a psychiatric hospital, so we expect our clients to behave bizarrely.” b. c. d. “Let’s all show acceptance of this client by wearing lots of makeup too.” “Your comments are inconsiderate and inappropriate. Keep the report objective.” “Our clients need our help to learn behaviors that will help them get along in society.” CORRECT: D lOMoARcPSD| Accepting clients’ needs for self-expression and seeking to teach skills that will contribute to their well-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 client. Humor can be appropriate within the privacy of a shift report but not at the expense of respect for clients. Judging the off-going nurse in a critical way will create conflict. Nurses must show compassion for each other. DIF: Cognitive Level: Application (Applying) TOPIC: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment 4. A nurse assesses a newly admitted client diagnosed with major depressive disorder. Which statement is an example of “attending”? a. b. c. d. “We all have stress in life. Being in a psychiatric hospital is not the end of the world.” “Tell me why you felt you had to be hospitalized to receive treatment for your depression.” “You will feel better after we get some antidepressant medication started for you.” “I’d like to sit with you for a while, so you may feel more comfortable talking with me.” CORRECT: D Attending is a technique that demonstrates the nurse’s commitment to the relationship and reduces feelings of isolation. This technique shows respect for the client and demonstrates caring. Generalizations, probing, and false reassurances are nontherapeutic. DIF: Cognitive Level: Application (Applying) TOPIC: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity 5. A client shows the nurse an article from the Internet about a health problem. Which characteristic of the website’s address most alerts the nurse that the site may have biased and prejudiced information? a. b. c. d. Address ends in “.org.” Address ends in “.com.” Address ends in “.gov.” Address ends in “.net.” CORRECT: B Financial influences on a site are a clue that the information may be biased. “.com” at the end of the address indicates that the site is a commercial 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 reliable information, but it does not profit from its activities. “.net” can have multiple meanings. DIF: Cognitive Level: Comprehension (Understanding) EvaluationMSC: NCLEX: Health Promotion and Maintenance TOPIC: Nursing Process:

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