Psychiatric Mental Health Nursing 5th
Edition by Fosbre,All Chapters 1 – 28 Full
Complete 2024
,TABLE OF CONTENTS
,Chapter 01: Practicing the Science and the Art of Psychiatric Nursing
MULTIPLE CHOICE
1. Which outcome, focused on recovery, would be expected in the plan of care for a
patient living in the community and diagnosed 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. ANSWER: 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) REF: 2
TOP: Nursing Process: Outcomes Identification
MSC: NCLEX: Health Promotion and Maintenance
2. 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. Lets 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. ANSWER: D
, Accepting patients 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 dnurse dneeds dto dtake daction dto densure dthat dothers dare dnot dprejudiced
dagainst dthedpatient. dHumor dcan dbe dappropriate dwithin dthe dprivacy dof da dshift
dreport dbut dnot dat dthe dexpense dof drespect dfor dpatients. dJudging dthe doff-going
dnurse din da dcritical dway dwill dcreatedconflict.
Nurses dmust dshow dcompassion dfor deach dother.
DIF: dCognitive dLevel: dApplication d(Applying) dREF: d8
TOP: dNursing dProcess: dImplementation dMSC: dNCLEX: dSafe, dEffective dCare dEnvironment
3. A d nurse d assesses d a d newly d admitted dpatient d diagnosed d with d major
d depressive d disorder.dWhich dstatement dis dan dexample dof dattending?
a. We dall dhave dstress din dlife. dBeing din da dpsychiatric dhospital disnt dthe dend dof dthe dworld.
b. Tell dme dwhy dyou dfelt dyou dhad dto dbe dhospitalized dto dreceive dtreatment dfor dyour
ddepression.
c. You dwill dfeel dbetter dafter dwe dget dsome dantidepressant dmedication dstarted dfor dyou.
d. Id dlike dto dsit dwith dyou da dwhile dso dyou dmay dfeel dmore dcomfortable
dtalking dwith dme.dANSWER: dD
Attending dis da dtechnique dthat ddemonstrates dthe dnurses dcommitment dto dthe
drelationship danddreduces dfeelings dof disolation. dThis dtechnique dshows drespect dfor
dthe dpatient dand ddemonstrates dcaring. dGeneralizations, dprobing, dand dfalse
dreassurances dare dnon-therapeutic.
DIF: dCognitive dLevel: dApplication d(Applying) dREF: d8
TOP: dNursing dProcess: dImplementation dMSC: dNCLEX: dPsychosocial dIntegrity
4. A dpatient dis dhospitalized dfor ddepression dand dsuicidal dideation dafter dtheir dspouse
dasks dfor daddivorce. dSelect d dthe dnurses dmost dcaring dcomment.
a. Lets ddiscuss dsome dmeans dof dcoping dother dthan dsuicide dwhen dyou dhave dthese
dfeelings.
b. I dunderstand dwhy dyoure dso ddepressed. dWhen dI dgot ddivorced, dI dwas ddevastated dtoo.
c. You dshould dforget dabout dyour dmarriage dand dmove don dwith dyour dlife.