TEST BANK
Varcarolis’ Essentials of Psychiatric Mental Health Nursing: A
Communication Approach to Evidence-Based Care
BY CHYLLIA D FOSBRE
5th Edition
,TABLE OF CONTENTS
2|Page
,Chapter 01: Practicing the Science and the Art of Psychiatric Nursing
MULTIPLECHOICE
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:
a. deny suicidal ideation.
b. report a sense of well-being.
c. take medications as prescribed.
d. attend 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)
REF: 2 TOPIC: Nursing Process: Outcomes
Identification MSC:
NCLEX: Health Promotion and Maintenance
2. In the shift-change report, an off-going nurse criticizes a client 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 client by wearing lots of makeup too.
c. Your comments are inconsiderate and inappropriate. Keep the report objective.
d. Our clients need our help to learn behaviors that will help them get along
in society. CORRECT: D
Accepting clients needs for self-expression and seeking to teach skills that will
contributeto their well-being demonstrate respect and are important parts of
advocacy. The on-
3|Page
, coming nurse needs to take action to ensure that others are not prejudiced against
theclient. 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
createconflict.
Nurses must show compassion for each other.
DIF: Cognitive Level: Application (Applying) REF: 8
TOPIC: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
3. A nurse assesses a newly admitted client diagnosed with major depressive
disorder. Which statement is an example of attending?
a. We all have stress in life. Being in a psychiatric hospital isnt the end of the world.
b. Tell me why you felt you had to be hospitalized to receive treatment for your depression.
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. CORRECT: D
Attending is a technique that demonstrates the nurses 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 non-therapeutic.
DIF: Cognitive Level: Application (Applying) REF: 8
TOPIC: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
4. A client is hospitalized for depression and suicidal ideation after their spouse
asks for a divorce. Select the nurses most caring comment.
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.
d. How did you get so depressed that hospitalization was necessary?
Test Bank: Essentials of Psychiatric Mental Health Nursing (5th Edition by
Varcarolis) 3 CORRECT: A
The nurses 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 arenot helpful or therapeutic interventions.
4|Page
Varcarolis’ Essentials of Psychiatric Mental Health Nursing: A
Communication Approach to Evidence-Based Care
BY CHYLLIA D FOSBRE
5th Edition
,TABLE OF CONTENTS
2|Page
,Chapter 01: Practicing the Science and the Art of Psychiatric Nursing
MULTIPLECHOICE
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:
a. deny suicidal ideation.
b. report a sense of well-being.
c. take medications as prescribed.
d. attend 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)
REF: 2 TOPIC: Nursing Process: Outcomes
Identification MSC:
NCLEX: Health Promotion and Maintenance
2. In the shift-change report, an off-going nurse criticizes a client 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 client by wearing lots of makeup too.
c. Your comments are inconsiderate and inappropriate. Keep the report objective.
d. Our clients need our help to learn behaviors that will help them get along
in society. CORRECT: D
Accepting clients needs for self-expression and seeking to teach skills that will
contributeto their well-being demonstrate respect and are important parts of
advocacy. The on-
3|Page
, coming nurse needs to take action to ensure that others are not prejudiced against
theclient. 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
createconflict.
Nurses must show compassion for each other.
DIF: Cognitive Level: Application (Applying) REF: 8
TOPIC: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
3. A nurse assesses a newly admitted client diagnosed with major depressive
disorder. Which statement is an example of attending?
a. We all have stress in life. Being in a psychiatric hospital isnt the end of the world.
b. Tell me why you felt you had to be hospitalized to receive treatment for your depression.
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. CORRECT: D
Attending is a technique that demonstrates the nurses 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 non-therapeutic.
DIF: Cognitive Level: Application (Applying) REF: 8
TOPIC: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
4. A client is hospitalized for depression and suicidal ideation after their spouse
asks for a divorce. Select the nurses most caring comment.
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.
d. How did you get so depressed that hospitalization was necessary?
Test Bank: Essentials of Psychiatric Mental Health Nursing (5th Edition by
Varcarolis) 3 CORRECT: A
The nurses 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 arenot helpful or therapeutic interventions.
4|Page
