PSYCHIATRIC MENTAL HEALTH DIF: Cognitive Level: Application (Applying)
Nursing Process: Outcomes Identification
TOP:
NURSING 4TH EDITION BY VARCAROLIS - MSC: NCLEX: Health Promotion and Maintenance abirb.com/test
COVERING ALL CHAPTERS UPDATED 2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for a
VESION 2026 divorce. Select the nurse’s most caring comment. abirb.com/test
Chapter 01: Science and the Therapeutic Use of Self in Psychiatric Mental Health a. “Let’s discuss healthy means of coping when you have suicidal feelings.”
Nursing b. “I understand why you’re so depressed. When I got divorced, I was devastated too.”
Varcarolis: Essentials of Psychiatric Mental Health Nursing: A Communication c. “You should forget about your marriage and move on with your life.”abirb.com/test
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d. “How did you get so depressed that hospitalization was necessary?”
Approach to Evidence-Based Care, 4th Edition
ANS: A
The nurse’s communication should evidence caring and a commitment to work with the
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MULTIPLE CHOICE
patient. This commitment lets the patient know the nurse will help. Probing and advice are not
helpful for therapeutic interventions.
1. Which outcome, focused on recovery, would be expected in the plan of care for a patient living abirb.com/test
in the community and diagnosed with serious and persistent mental illness? Within 3 abirb.com/test DIF: Cognitive Level: Application (Applying) TOP: Nursing
Process: Implementation MSC: NCLEX: Psychosocial Integrity
months, the patient will demonstrate what behavior?
a. Denying suicidal ideation
b. Reporting a sense of well-being abirb.com/test 3. In the shift-change report, an off-going nurse criticizes a patient who wears extremely heavy
c. Taking medications as prescribed abirb.com/test makeup.
Which comment by the nurse who receives the report best demonstrates
d. Attending clinic appointments on time advocacy? a. “This is a psychiatric hospital, so we expect our patients to behave bizarrely.”
b. “Let’s all show acceptance of this patient by wearing lots of makeup too.” abirb.com/test
c. “Your comments are inconsiderate and inappropriate. Keep the report objective.”
ANS: B abirb.com/test
d. “Our patients need our help to learn behaviors that will help them get along in society.”
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 ANS: D
of wellness. The incorrect options focus on the classic medical model rather than Accepting patients’ needs for self-expression and seeking to teach skills that will contribute to
recovery.abirb.com/test their well-being demonstrate respect and are important parts of advocacy. The on-coming
nurse needs to take action to ensure that others are not prejudiced against the patient. Humor
abirb.com/test can be appropriate within the privacy of a shift report but not at the expense of
respect for
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, A patient shows the nurse an article from the Internet about a health problem. Which abirb.com/test
TEST BANK FOR ESSENTIALS OF 5.
characteristic of the
prejudiced information?
PSYCHIATRIC MENTAL HEALTH a. Address ends in “.org.”
website’s address most
alerts the nurse that the
NURSING 4TH EDITION BY VARCAROLIS - b. Address ends in “.com.”
c. Address ends in “.gov.”
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site may have biased and
Financial influences on
COVERING ALL CHAPTERS UPDATED d. Address ends in “.net.”
a site are a clue that the
VESION 2026 abirb.com/test
information may be
biased. “.com” at the
patients. Judging the off-going nurse in a critical way will create conflict. Nurses must show ANS: B
compassion for each other. end of the address
abirb.com/test indicates that the site is
DIF: Cognitive Level: Application (Applying) a commercial one. “.gov” indicates that the site is maintained by a government entity. “.org”
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment indicates that the site is nonproprietary; the site abirb.com/test
may or may not have reliable information, but it does not profit from its activities. “.net” can
abirb.com/test have multiple meanings.
4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder. Which abirb.com/test
statement is an example of “attending”? DIF: Cognitive Level: Comprehension (Understanding) TOP: Nursing Process: Evaluation
a. “We all have stress in life. Being in a psychiatric hospital is not the end of the world.” MSC: NCLEX: Health Promotion and Maintenance
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b. “Tell me why you felt you had to be hospitalized to receive treatment for your depression.” 6. A nurse says, “When I was in school, I learned to call upset patients by name to get their
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c. “You will feel better after we get some antidepressant medication started for you. abirb.com/test 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
d. “I’d like to sit with you for a while, so you may feel more comfortable talking with
me.” nurse’s comment? abirb.com/test
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
ANS: D abirb.com/test specialists.
Attending is a technique that demonstrates the nurse’s commitment to the relationship and c. New research findings should be incorporated into clinical algorithms before using
reduces feelings of isolation. This technique shows respect for the patient and demonstrates abirb.com/test them in practice.
caring. Generalizations, probing, and false reassurances are nontherapeutic. d. The nurse misinterpreted the results of the study. Classic tenets of practice do not
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change.
DIF: Cognitive Level: Application (Applying) abirb.com/test
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
ANS: A
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
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on the hierarchy of evidence. Clinical algorithms use flowcharts to manage problems and do
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