TEST BANK
VARCAROLIS’ ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING
CHYLLIA D FOSBRE
5th Edition
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TEST BANK
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Passvibes
,Table of Contents
Table of Contents
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Chapter 01: Practicing the Science and the Art of Psychiatric Nursing
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Chapter 02: Mental Health and Mental Illness
a
Chapter 03: Theories and Therapies
Pa
Chapter 04: Biological Basis for Understanding Psychopharmacology
h i
Chapter 05: Settings for Psychiatric Care
Chapter 06: Legal and Ethical Basis for Practice
u t
Chapter 07: Nursing Process and QSEN: The Foundation for Safe and Effective Care
ss
Chapter 08: Communication Skills: Medium for All Nursing Practice
b
Chapter 09: Therapeutic Relationships and the Clinical Interview
M
Chapter 10: Trauma and Stress-Related Disorders
vi
Chapter 11: Anxiety, Anxiety Disorders, and Obsessive-Compulsive Disorders
Chapter 12: Somatic System Disorders and Dissociative Disorders
be
Chapter 13: Personality Disorders
Chapter 14: Eating Disorders
Chapter 15: Mood Disorders: Depression
Chapter 16: Bipolar Spectrum Disorders
s
Chapter 17: Schizophrenia Spectrum Disorders and Other Psychotic Disorders
Chapter 18: Neurocognitive Disorders
Chapter 19: Substance-Related and Addictive Disorders
Chapter 20: Crisis and Mass Disaster
Chapter 21: Child, Partner, and Elder Violence
Passvibes
,Chapter 22: Sexual Violence
Chapter 23: Suicidal Thoughts and Behavior
Chapter 24: Anger, Aggression, and Violence
Chapter 25: Care for the Dying and Those Who Grieve
Chapter 26: Children and Adolescents
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Chapter 27: Adults
Chapter 28: Older Adults
Mbuthia
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Passvibes
,Test Bank: Essentials of Psychiatric Mental Health Nursing (5th Edition by Varcarolis) 2
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.
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b. report a sense of well-being.
Mbuthia
c. take medications as prescribed.
a
d. attend clinic appointments on time.
Pa
i
ANS: B
h
Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving
role performance. u t
The goal of recovery is to empower the individual with mental illness to achieve a sense of
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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.
b
DIF: Cognitive Level: Application (Applying) REF: 2
M
TOP: Nursing Process: Outcomes Identification
vi
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
be
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.
s
d. Our patients need our help to learn behaviors that will help them get along in society.
ANS: 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-
Passvibes
,coming nurse needs to take action to ensure that others are not prejudiced against the
patient. Humor can be appropriate within the privacy of a shift report but not at the
expense of respect for patients. Judging the off-going nurse in a critical way will create
conflict.
Nurses must show compassion for each other.
DIF: Cognitive Level: Application (Applying) REF: 8
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
@
3. A nurse assesses a newly admitted patient diagnosed with major depressive disorder.
Whichstatement is an example of attending?
Mbuthia
a
a. We all have stress in life. Being in a psychiatric hospital isnt the end of the world.
Pa
b. Tell me why you felt you had to be hospitalized to receive treatment for your depression.
h i
c. You will feel better after we get some antidepressant medication started for you.
d. Id like to sit with you a while so you may feel more comfortable talking with me.
u t
ANS: D
ss
Attending is a technique that demonstrates the nurses commitment to the relationship and
b
reduces feelings of isolation. This technique shows respect for the patient and
demonstrates caring. Generalizations, probing, and false reassurances are non-therapeutic.
M
DIF: Cognitive Level: Application (Applying) REF: 8
vi
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
4. A patient is hospitalized for depression and suicidal ideation after their spouse asks for a
divorce. Selectthe nurses most caring comment.
be
a. Lets discuss some means of coping other than suicide when you have these feelings.
b. I understand why youre so depressed. When I got divorced, I was devastated too.
c. You should forget about your marriage and move on with your life.
s
d. How did you get so depressed that hospitalization was necessary?
Test Bank: Essentials of Psychiatric Mental Health Nursing (5th Edition by Varcarolis) 3
ANS: A
The nurses communication should evidence caring and a commitment to work with the
patient. This commitment lets the patient know the nurse will help. Probing and advice are
not helpful or therapeutic interventions.
Passvibes
,DIF: Cognitive Level: Application (Applying) REF: 6
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
5. A patient shows the nurse an article from the Internet about a health problem. Which
characteristic of the web sites address most alerts the nurse that the site may have biased
and prejudicedinformation?
a. Address ends in .org.
@
b. Address ends in .com.
c. Address ends in .gov.
Mbuthia
d. Address ends in .net.
a
Pa
ANS: B h i
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.
u t
.org indicates that the site is nonproprietary; the site may or may not have reliable
ss
information, but it does not profit from its activities. .net can have multiple meanings.
b
DIF: Cognitive Level: Comprehension (Understanding) REF: 5
M
TOP: Nursing Process: Evaluation MSC: NCLEX: Health Promotion and Maintenance
6. A nurse says, When I was in school, I learned to call upset patients by name to get their
vi
attention; however, I read a descriptive research study that says that this approach does not
work. I plan to stop calling patients by name. Which statement is the best appraisal of this
nurses comment?
be
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
s
in practice.
d. The nurse misinterpreted the results of the study. Classic tenets of practice do not
change.
ANS: A
Passvibes
, Descriptive research findings provide evidence for practice but must be viewed in relation
to other studies before practice changes. One study is not enough. Descriptive studies are
low on the hierarchy of evidence.
Clinical algorithms use flow charts to manage problems and do not specify one response to
a clinical problem.
Classic tenets of practice should change as research findings provide evidence for change.DIF:
Cognitive Level: Analysis (Analyzing) REF: 3
@
TOP: Nursing Process: Evaluation MSC: NCLEX: Health Promotion and Maintenance
Mbuthia
7. Twonursing students discuss career plans after graduation. One student wants to enter
psychiatric nursing.
a
Pa
The other student asks, Why would you want to be a psychiatric nurse? All they do is talk.
i
You will lose your skills. Select the best response by the student interested in psychiatric
nursing.
h
a. Psychiatric nurses practice in safer environments than other specialties. Nurse-to-patient
t
ratios must be better because of the nature of patients problems.
u
ss
b. Psychiatric nurses use complex communication skills, as well as critical thinking, to solve
b
multidimensional problems. Im challenged by those situations.
c. I think I will be good in the mental health field. I do not like clinical rotations in school, so
M
I do not want to continue them after I graduate.
vi
d. Psychiatric nurses do not have to deal with as much pain and suffering as medical
surgical nurses. That appeals to me.
ANS: B
be
The practice of psychiatric nursing requires a different set of skills than medical surgical
nursing, although substantial overlap does exist. Psychiatric nurses must be able to help
patients with medical and mental health problems, reflecting the holistic perspective these
nurses must have. Nurse-patient ratios and workloads in psychiatric settings have
increased, similar to other specialties. Psychiatric nursing involves clinical practice,
s
Test Bank: Essentials of Psychiatric Mental Health Nursing (5th Edition by Varcarolis) 4
not simply documentation. Psychosocial pain is real and can cause as much suffering as
physical pain.
DIF: Cognitive Level: Application (Applying) REF: 3
Passvibes
VARCAROLIS’ ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING
CHYLLIA D FOSBRE
5th Edition
@
Mbuthia
a
Pa
h i
u t
ss
b
M
vi
be
TEST BANK
s
Passvibes
,Table of Contents
Table of Contents
@
Chapter 01: Practicing the Science and the Art of Psychiatric Nursing
Mbuthia
Chapter 02: Mental Health and Mental Illness
a
Chapter 03: Theories and Therapies
Pa
Chapter 04: Biological Basis for Understanding Psychopharmacology
h i
Chapter 05: Settings for Psychiatric Care
Chapter 06: Legal and Ethical Basis for Practice
u t
Chapter 07: Nursing Process and QSEN: The Foundation for Safe and Effective Care
ss
Chapter 08: Communication Skills: Medium for All Nursing Practice
b
Chapter 09: Therapeutic Relationships and the Clinical Interview
M
Chapter 10: Trauma and Stress-Related Disorders
vi
Chapter 11: Anxiety, Anxiety Disorders, and Obsessive-Compulsive Disorders
Chapter 12: Somatic System Disorders and Dissociative Disorders
be
Chapter 13: Personality Disorders
Chapter 14: Eating Disorders
Chapter 15: Mood Disorders: Depression
Chapter 16: Bipolar Spectrum Disorders
s
Chapter 17: Schizophrenia Spectrum Disorders and Other Psychotic Disorders
Chapter 18: Neurocognitive Disorders
Chapter 19: Substance-Related and Addictive Disorders
Chapter 20: Crisis and Mass Disaster
Chapter 21: Child, Partner, and Elder Violence
Passvibes
,Chapter 22: Sexual Violence
Chapter 23: Suicidal Thoughts and Behavior
Chapter 24: Anger, Aggression, and Violence
Chapter 25: Care for the Dying and Those Who Grieve
Chapter 26: Children and Adolescents
@
Chapter 27: Adults
Chapter 28: Older Adults
Mbuthia
a
Pa
h i
u t
ss
b
M
vi
be
s
Passvibes
,Test Bank: Essentials of Psychiatric Mental Health Nursing (5th Edition by Varcarolis) 2
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.
Mbuthia
c. take medications as prescribed.
a
d. attend clinic appointments on time.
Pa
i
ANS: B
h
Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving
role performance. u t
The goal of recovery is to empower the individual with mental illness to achieve a sense of
ss
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.
b
DIF: Cognitive Level: Application (Applying) REF: 2
M
TOP: Nursing Process: Outcomes Identification
vi
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
be
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.
s
d. Our patients need our help to learn behaviors that will help them get along in society.
ANS: 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-
Passvibes
,coming nurse needs to take action to ensure that others are not prejudiced against the
patient. Humor can be appropriate within the privacy of a shift report but not at the
expense of respect for patients. Judging the off-going nurse in a critical way will create
conflict.
Nurses must show compassion for each other.
DIF: Cognitive Level: Application (Applying) REF: 8
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
@
3. A nurse assesses a newly admitted patient diagnosed with major depressive disorder.
Whichstatement is an example of attending?
Mbuthia
a
a. We all have stress in life. Being in a psychiatric hospital isnt the end of the world.
Pa
b. Tell me why you felt you had to be hospitalized to receive treatment for your depression.
h i
c. You will feel better after we get some antidepressant medication started for you.
d. Id like to sit with you a while so you may feel more comfortable talking with me.
u t
ANS: D
ss
Attending is a technique that demonstrates the nurses commitment to the relationship and
b
reduces feelings of isolation. This technique shows respect for the patient and
demonstrates caring. Generalizations, probing, and false reassurances are non-therapeutic.
M
DIF: Cognitive Level: Application (Applying) REF: 8
vi
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
4. A patient is hospitalized for depression and suicidal ideation after their spouse asks for a
divorce. Selectthe nurses most caring comment.
be
a. Lets discuss some means of coping other than suicide when you have these feelings.
b. I understand why youre so depressed. When I got divorced, I was devastated too.
c. You should forget about your marriage and move on with your life.
s
d. How did you get so depressed that hospitalization was necessary?
Test Bank: Essentials of Psychiatric Mental Health Nursing (5th Edition by Varcarolis) 3
ANS: A
The nurses communication should evidence caring and a commitment to work with the
patient. This commitment lets the patient know the nurse will help. Probing and advice are
not helpful or therapeutic interventions.
Passvibes
,DIF: Cognitive Level: Application (Applying) REF: 6
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
5. A patient shows the nurse an article from the Internet about a health problem. Which
characteristic of the web sites address most alerts the nurse that the site may have biased
and prejudicedinformation?
a. Address ends in .org.
@
b. Address ends in .com.
c. Address ends in .gov.
Mbuthia
d. Address ends in .net.
a
Pa
ANS: B h i
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.
u t
.org indicates that the site is nonproprietary; the site may or may not have reliable
ss
information, but it does not profit from its activities. .net can have multiple meanings.
b
DIF: Cognitive Level: Comprehension (Understanding) REF: 5
M
TOP: Nursing Process: Evaluation MSC: NCLEX: Health Promotion and Maintenance
6. A nurse says, When I was in school, I learned to call upset patients by name to get their
vi
attention; however, I read a descriptive research study that says that this approach does not
work. I plan to stop calling patients by name. Which statement is the best appraisal of this
nurses comment?
be
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
s
in practice.
d. The nurse misinterpreted the results of the study. Classic tenets of practice do not
change.
ANS: A
Passvibes
, Descriptive research findings provide evidence for practice but must be viewed in relation
to other studies before practice changes. One study is not enough. Descriptive studies are
low on the hierarchy of evidence.
Clinical algorithms use flow charts to manage problems and do not specify one response to
a clinical problem.
Classic tenets of practice should change as research findings provide evidence for change.DIF:
Cognitive Level: Analysis (Analyzing) REF: 3
@
TOP: Nursing Process: Evaluation MSC: NCLEX: Health Promotion and Maintenance
Mbuthia
7. Twonursing students discuss career plans after graduation. One student wants to enter
psychiatric nursing.
a
Pa
The other student asks, Why would you want to be a psychiatric nurse? All they do is talk.
i
You will lose your skills. Select the best response by the student interested in psychiatric
nursing.
h
a. Psychiatric nurses practice in safer environments than other specialties. Nurse-to-patient
t
ratios must be better because of the nature of patients problems.
u
ss
b. Psychiatric nurses use complex communication skills, as well as critical thinking, to solve
b
multidimensional problems. Im challenged by those situations.
c. I think I will be good in the mental health field. I do not like clinical rotations in school, so
M
I do not want to continue them after I graduate.
vi
d. Psychiatric nurses do not have to deal with as much pain and suffering as medical
surgical nurses. That appeals to me.
ANS: B
be
The practice of psychiatric nursing requires a different set of skills than medical surgical
nursing, although substantial overlap does exist. Psychiatric nurses must be able to help
patients with medical and mental health problems, reflecting the holistic perspective these
nurses must have. Nurse-patient ratios and workloads in psychiatric settings have
increased, similar to other specialties. Psychiatric nursing involves clinical practice,
s
Test Bank: Essentials of Psychiatric Mental Health Nursing (5th Edition by Varcarolis) 4
not simply documentation. Psychosocial pain is real and can cause as much suffering as
physical pain.
DIF: Cognitive Level: Application (Applying) REF: 3
Passvibes
