TESTBANK
i
,Essentials iof iPsychiatric iMental iHealth iNursing i(3rd iEdition iby iVarcarolis) i2
Chapta i01: iPracticing ithe iScience iand ithe iArt iof iPsychiatric iNursing iMULTIPLE iCHOICE
1. Which ioutcome, ifocused ion irecovery, iwould ibe iexpected iin ithe iplan iof icare ifor ia
ipatientliving iin ithe icommunity iand idiagnosed iwith iserious iand ipersistent imental
iillness? iWithin i3 imonths, ithe ipatient iwill: ia. idenies isuicidal iideation.
b. report ia isense iof iwell-being.
c. take imedications ias iprescribed.
d. attend iclinic iappointments ion itime.
i ANS: iB
Recovery iemphasizes imanaging isymptoms, ireducing ipsychosocial idisability, iand iimproving irole
iperformance.
The igoal iof irecovery iis ito iempower ithe iindividual iwith imental iillness ito iachieve ia isense iof
imeaning iand isatisfaction iin ilife iand ito ifunction iat ithe ihighest ipossible ilevel iof iwellness. iThe
iincorrect ioptions ifocus ion ithe iclassic imedical imodel irather ithan irecovery.
DIF: iCognitive iLevel: iApplication i(Applying) iREF: i2
i TOP: iNursing iProcess: iOutcomes iIdentification
i MSC: iNCLEX: iHealth iPromotion iand iMaintenance
2. In ithe ishift-change ireport, ian ioff-going inurse icriticizes ia ipatient iwho iwears iheavy imakeup.
iWhich icomment iby ithe inurse iwho ireceives ithe ireport ibest idemonstrates iadvocacy?
a. This iis ia ipsychiatric ihospital. iCraziness iis iwhat iwe iare iall iabout.
b. Lets iall ishow iacceptance iof ithis ipatient iby iwearing ilots iof imakeup itoo.
c. Your icomments iare iinconsiderate iand iinappropriate. iKeep ithe ireport iobjective.
d. Our ipatients ineed iour ihelp ito ilearn ibehaviors ithat iwill ihelp ithem iget ialong iin isociety.
i ANS: iD
Accepting ipatients ineeds ifor iself-expression iand iseeking ito iteach iskills ithat iwill icontribute ito
itheir iwell-being idemonstrate irespect iand iare iimportant iparts iof iadvocacy. iThe ioncoming inurse
ineeds ito itake iaction ito iensure ithat iothas iare inot iprejudiced iagainst ithe ipatient. iHumor ican
ibe iappropriate iwithin ithe iprivacy iof ia ishift ireport ibut inot iat ithe iexpense iof irespect ifor
ipatients.
Judging ithe ioff-going inurse iin ia icritical iway iwill icreate iconflict.
,Nurses imust ishow icompassion ifor ieach iother.
i DIF: iCognitive iLevel: iApplication i(Applying) iREF: i8
TOP: iNursing iProcess: iImplementation iMSC: iNCLEX: iSafe, iEffective iCare iEnvironment i3. iA inurse
iassesses ia inewly iadmitted ipatient idiagnosed iwith imajor idepressive idisorder. iWhich
istatement iis ian iexample iof iattending?
a. We iall ihave istress iin ilife. iBeing iin ia ipsychiatric ihospital iisnt ithe iend iof ithe iworld.
b. Tell ime iwhy iyou ifelt iyou ihad ito ibe ihospitalized ito ireceive itreatment ifor iyour idepression.
c. You iwill ifeel ibetta iafter iwe iget isome iantidepressant imedication istarted ifor iyou.
d. Id ilike ito isit iwith iyou ia iwhile iso iyou imay ifeel imore icomfortable italking iwith ime.
i ANS: iD
Attending iis ia itechnique ithat idemonstrates ithe inurses icommitment ito ithe irelationship iand
ireduces ifeelings iof iisolation. iThis itechnique ishows irespect ifor ithe ipatient iand idemonstrates
icaring. iGeneralizations, iprobing, iand ifalse ireassurances iare inon-therapeutic.
DIF: iCognitive iLevel: iApplication i(Applying) iREF: i8
TOP: iNursing iProcess: iImplementation iMSC: iNCLEX: iPsychosocial iIntegrity i4. iA ipatient iis
ihospitalized ifor idepression iand isuicidal iideation iafter itheir ispouse iasks ifor ia idivorce. iSelect ithe
inurses imost icaring icomment.
a. Lets idiscuss isome imeans iof icoping iotha ithan isuicide iwhen iyou ihave ithese ifeelings.
b. I iunderstand iwhy iyou’re iso idepressed. iWhen iI igot idivorced, iI iwas idevastated itoo.
c. You ishould iforget iabout iyour imarriage iand imove ion iwith iyour ilife.
d. How idid iyou iget iso idepressed ithat ihospitalization iwas inecessary?
Test iBank: iEssentials iof iPsychiatric iMental iHealth iNursing i(3rd iEdition iby iVarcarolis) i3
i ANS: iA
The inurses icommunication ishould ievidence icaring iand ia icommitment ito iwork iwith ithe ipatient.
iThis icommitment ilets ithe ipatient iknow ithe inurse iwill ihelp. iProbing iand iadvice iare inot
ihelpful ior itherapeutic iinterventions.
DIF: iCognitive iLevel: iApplication i(Applying) iREF: i6
, TOP: iNursing iProcess: iImplementation iMSC: iNCLEX: iPsychosocial iIntegrity i5. iA ipatient
ishows ithe inurse ian iarticle ifrom ithe iInternet iabout ia ihealth iproblem. iWhich icharacteristic
iof ithe iweb isites iaddress imost ialerts ithe inurse ithat ithe isite imay ihave ibiased iand
iprejudiced iinformation?
a. Address iends iin i.org.
b. Address iends iin i.com.
c. Address iends iin i.gov.
d. Address iends iin i.net.
i ANS: iB
Financial iinfluences ion ia isite iare ia iclue ithat ithe iinformation imay ibe ibiased. i.com iat ithe iend
iof ithe iaddress iindicates ithat ithe isite iis ia icommercial ione. i.gov iindicates ithat ithe isite iis
imaintainedby ia igovernment ientity.
.org iindicates ithat ithe isite iis inonproprietary; ithe isite imay ior imay inot ihave ireliable iinformation,
ibut iit idoes inot iprofit ifrom iits iactivities. i.net ican ihave imultiple imeanings.
DIF: iCognitive iLevel: iComprehension i(Understanding) iREF: i5
TOP: iNursing iProcess: iEvaluation iMSC: iNCLEX: iHealth iPromotion iand iMaintenance i6. iA inurse
isays, iWhen iI iwas iin ischool, iI ilearned ito icall iupset ipatients iby iname ito iget itheir iattention;
ihowever, iI iread ia idescriptive iresearch istudy ithat isays ithat ithis iapproach idoes inot iwork. iI iplan
ito istop icalling ipatients iby iname. iWhich istatement iis ithe ibest iappraisal iof ithis inurses
icomment?
a. One idescriptive iresearch istudy irarely iprovides ienough ievidence ito ichange ipractice.
b. Staff inurses iapply inew iresearch ifindings ionly iwith ithe ihelp ifrom iclinical inurse ispecialists.
c. New iresearch ifindings ishould ibe iincorporated iinto iclinical ialgorithms ibefore iusing ithem iin
ipractice.
d. The inurse imisintapreted ithe iresults iof ithe istudy. iClassic itenets iof ipractice ido inot ichange.
i ANS: iA
Descriptive iresearch ifindings iprovide ievidence ifor ipractice ibut imust ibe iviewed iin irelation
ito iotha istudies ibefore ipractice ichanges. iOne istudy iis inot ienough. iDescriptive istudies iare ilow
ion ithe ihiaarchy iof ievidence.
Clinical ialgorithms iuse iflow icharts ito imanage iproblems iand ido inot ispecify ione iresponse ito ia
iclinical iproblem.
Classic itenets iof ipractice ishould ichange ias iresearch ifindings iprovide ievidence ifor ichange.
i
,Essentials iof iPsychiatric iMental iHealth iNursing i(3rd iEdition iby iVarcarolis) i2
Chapta i01: iPracticing ithe iScience iand ithe iArt iof iPsychiatric iNursing iMULTIPLE iCHOICE
1. Which ioutcome, ifocused ion irecovery, iwould ibe iexpected iin ithe iplan iof icare ifor ia
ipatientliving iin ithe icommunity iand idiagnosed iwith iserious iand ipersistent imental
iillness? iWithin i3 imonths, ithe ipatient iwill: ia. idenies isuicidal iideation.
b. report ia isense iof iwell-being.
c. take imedications ias iprescribed.
d. attend iclinic iappointments ion itime.
i ANS: iB
Recovery iemphasizes imanaging isymptoms, ireducing ipsychosocial idisability, iand iimproving irole
iperformance.
The igoal iof irecovery iis ito iempower ithe iindividual iwith imental iillness ito iachieve ia isense iof
imeaning iand isatisfaction iin ilife iand ito ifunction iat ithe ihighest ipossible ilevel iof iwellness. iThe
iincorrect ioptions ifocus ion ithe iclassic imedical imodel irather ithan irecovery.
DIF: iCognitive iLevel: iApplication i(Applying) iREF: i2
i TOP: iNursing iProcess: iOutcomes iIdentification
i MSC: iNCLEX: iHealth iPromotion iand iMaintenance
2. In ithe ishift-change ireport, ian ioff-going inurse icriticizes ia ipatient iwho iwears iheavy imakeup.
iWhich icomment iby ithe inurse iwho ireceives ithe ireport ibest idemonstrates iadvocacy?
a. This iis ia ipsychiatric ihospital. iCraziness iis iwhat iwe iare iall iabout.
b. Lets iall ishow iacceptance iof ithis ipatient iby iwearing ilots iof imakeup itoo.
c. Your icomments iare iinconsiderate iand iinappropriate. iKeep ithe ireport iobjective.
d. Our ipatients ineed iour ihelp ito ilearn ibehaviors ithat iwill ihelp ithem iget ialong iin isociety.
i ANS: iD
Accepting ipatients ineeds ifor iself-expression iand iseeking ito iteach iskills ithat iwill icontribute ito
itheir iwell-being idemonstrate irespect iand iare iimportant iparts iof iadvocacy. iThe ioncoming inurse
ineeds ito itake iaction ito iensure ithat iothas iare inot iprejudiced iagainst ithe ipatient. iHumor ican
ibe iappropriate iwithin ithe iprivacy iof ia ishift ireport ibut inot iat ithe iexpense iof irespect ifor
ipatients.
Judging ithe ioff-going inurse iin ia icritical iway iwill icreate iconflict.
,Nurses imust ishow icompassion ifor ieach iother.
i DIF: iCognitive iLevel: iApplication i(Applying) iREF: i8
TOP: iNursing iProcess: iImplementation iMSC: iNCLEX: iSafe, iEffective iCare iEnvironment i3. iA inurse
iassesses ia inewly iadmitted ipatient idiagnosed iwith imajor idepressive idisorder. iWhich
istatement iis ian iexample iof iattending?
a. We iall ihave istress iin ilife. iBeing iin ia ipsychiatric ihospital iisnt ithe iend iof ithe iworld.
b. Tell ime iwhy iyou ifelt iyou ihad ito ibe ihospitalized ito ireceive itreatment ifor iyour idepression.
c. You iwill ifeel ibetta iafter iwe iget isome iantidepressant imedication istarted ifor iyou.
d. Id ilike ito isit iwith iyou ia iwhile iso iyou imay ifeel imore icomfortable italking iwith ime.
i ANS: iD
Attending iis ia itechnique ithat idemonstrates ithe inurses icommitment ito ithe irelationship iand
ireduces ifeelings iof iisolation. iThis itechnique ishows irespect ifor ithe ipatient iand idemonstrates
icaring. iGeneralizations, iprobing, iand ifalse ireassurances iare inon-therapeutic.
DIF: iCognitive iLevel: iApplication i(Applying) iREF: i8
TOP: iNursing iProcess: iImplementation iMSC: iNCLEX: iPsychosocial iIntegrity i4. iA ipatient iis
ihospitalized ifor idepression iand isuicidal iideation iafter itheir ispouse iasks ifor ia idivorce. iSelect ithe
inurses imost icaring icomment.
a. Lets idiscuss isome imeans iof icoping iotha ithan isuicide iwhen iyou ihave ithese ifeelings.
b. I iunderstand iwhy iyou’re iso idepressed. iWhen iI igot idivorced, iI iwas idevastated itoo.
c. You ishould iforget iabout iyour imarriage iand imove ion iwith iyour ilife.
d. How idid iyou iget iso idepressed ithat ihospitalization iwas inecessary?
Test iBank: iEssentials iof iPsychiatric iMental iHealth iNursing i(3rd iEdition iby iVarcarolis) i3
i ANS: iA
The inurses icommunication ishould ievidence icaring iand ia icommitment ito iwork iwith ithe ipatient.
iThis icommitment ilets ithe ipatient iknow ithe inurse iwill ihelp. iProbing iand iadvice iare inot
ihelpful ior itherapeutic iinterventions.
DIF: iCognitive iLevel: iApplication i(Applying) iREF: i6
, TOP: iNursing iProcess: iImplementation iMSC: iNCLEX: iPsychosocial iIntegrity i5. iA ipatient
ishows ithe inurse ian iarticle ifrom ithe iInternet iabout ia ihealth iproblem. iWhich icharacteristic
iof ithe iweb isites iaddress imost ialerts ithe inurse ithat ithe isite imay ihave ibiased iand
iprejudiced iinformation?
a. Address iends iin i.org.
b. Address iends iin i.com.
c. Address iends iin i.gov.
d. Address iends iin i.net.
i ANS: iB
Financial iinfluences ion ia isite iare ia iclue ithat ithe iinformation imay ibe ibiased. i.com iat ithe iend
iof ithe iaddress iindicates ithat ithe isite iis ia icommercial ione. i.gov iindicates ithat ithe isite iis
imaintainedby ia igovernment ientity.
.org iindicates ithat ithe isite iis inonproprietary; ithe isite imay ior imay inot ihave ireliable iinformation,
ibut iit idoes inot iprofit ifrom iits iactivities. i.net ican ihave imultiple imeanings.
DIF: iCognitive iLevel: iComprehension i(Understanding) iREF: i5
TOP: iNursing iProcess: iEvaluation iMSC: iNCLEX: iHealth iPromotion iand iMaintenance i6. iA inurse
isays, iWhen iI iwas iin ischool, iI ilearned ito icall iupset ipatients iby iname ito iget itheir iattention;
ihowever, iI iread ia idescriptive iresearch istudy ithat isays ithat ithis iapproach idoes inot iwork. iI iplan
ito istop icalling ipatients iby iname. iWhich istatement iis ithe ibest iappraisal iof ithis inurses
icomment?
a. One idescriptive iresearch istudy irarely iprovides ienough ievidence ito ichange ipractice.
b. Staff inurses iapply inew iresearch ifindings ionly iwith ithe ihelp ifrom iclinical inurse ispecialists.
c. New iresearch ifindings ishould ibe iincorporated iinto iclinical ialgorithms ibefore iusing ithem iin
ipractice.
d. The inurse imisintapreted ithe iresults iof ithe istudy. iClassic itenets iof ipractice ido inot ichange.
i ANS: iA
Descriptive iresearch ifindings iprovide ievidence ifor ipractice ibut imust ibe iviewed iin irelation
ito iotha istudies ibefore ipractice ichanges. iOne istudy iis inot ienough. iDescriptive istudies iare ilow
ion ithe ihiaarchy iof ievidence.
Clinical ialgorithms iuse iflow icharts ito imanage iproblems iand ido inot ispecify ione iresponse ito ia
iclinical iproblem.
Classic itenets iof ipractice ishould ichange ias iresearch ifindings iprovide ievidence ifor ichange.
