Test Bank for Essentials of Psychiatric Mental Health Nursing, 3rd Edition

Test Bank: Essentials of Psychiatric Mental Health
Nursing (3rd Edition 2024)

Chapter 01: Practicing the Science and the Art of Psychiatric Nursing MULTIPLE
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lk CHOICE


1. Which outcome, focused on recovery, would be expected in the plan of care for a
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lk patient living in the community and diagnosed with serious and persistent mental illness?
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Within 3 months, the patient will: a. deny suicidal ideation.
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b. report a sense of well-being. lk lk lk lk




c. take medications as prescribed.
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d. attend clinic appointments on time. lk lk lk lk




ANS: B lk




Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving
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lk role performance.
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The goal of recovery is to empower the individual with mental illness to achieve a sense
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lk of meaning and satisfaction in life and to function at the highest possible level of wellness.
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The incorrect options focus on the classic medical model rather than recovery.
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DIF: Cognitive Level: Application (Applying) REF: 2
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lk TOP: Nursing Process: Outcomes Identification
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lk MSC: NCLEX: Health Promotion and Maintenance
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2. In the shift-change report, an off-going nurse criticizes a patient who wears heavy
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lk makeup. Which comment by the nurse who receives the report best demonstrates
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, advocacy?
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,a. This is a psychiatric hospital. Craziness is what we are all about.
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b. Lets all show acceptance of this patient by wearing lots of makeup too.
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c. Your comments are inconsiderate and inappropriate. Keep the report objective.
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d. Our patients need our help to learn behaviors that will help them get along in society.
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ANS: D lk




Accepting patients needs for self-expression and seeking to teach skills that will contribute
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to their well-being demonstrate respect and are important parts of advocacy. The on-
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, coming nurse needs to take action to ensure that others are not prejudiced against the
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patient. Humor can be appropriate within the privacy of a shift report but not at the
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expense of respect for patients. Judging the off-going nurse in a critical way will create
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conflict.
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Nurses must show compassion for each other.
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DIF: Cognitive Level: Application (Applying) REF: 8
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TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment 3. A
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nurse assesses a newly admitted patient diagnosed with major depressive disorder. Which
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statement is an example of attending?
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a. We all have stress in life. Being in a psychiatric hospital isnt the end of the world.
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b. Tell me why you felt you had to be hospitalized to receive treatment for your depression.
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c. You will feel better after we get some antidepressant medication started for you.
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d. Id like to sit with you a while so you may feel more comfortable talking with me.
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ANS: D lk




Attending is a technique that demonstrates the nurses commitment to the relationship and
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reduces feelings of isolation. This technique shows respect for the patient and
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demonstrates caring. Generalizations, probing, and false reassurances are non-therapeutic.
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DIF: Cognitive Level: Application (Applying) REF: 8
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TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity 4. A patient is
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hospitalized for depression and suicidal ideation after their spouse asks for a divorce. Select
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the nurses most caring comment.
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