TEST BANK FOR VARCAROLIS: ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING: A COMMUNICATION APPROACH TO EVIDENCE-BASED CARE, 4TH EDITION

,Chapter 01: Science and the Therapeutic Use of Self in Psychiatric Mental
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Health Nursing
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Varcarolis: Essentials of Psychiatric Mental Health Nurasbiinr bg. c:o mA/ t e Cs t
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ommunication Approach to Evidence-Based Care, 4th Edition
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ss CHOICE
MULTIPLE

1. Which s s outcome, ssfocused s s on ssrecovery, s s would s s be ssexpected s s in ssthe ssplan ssof sscare

for ssa sspatient ssliving ssin ssthe sscommunity ssand ssdiagnosed sswith ssserious ssand ssp ssaebrisr ssbi sss.
ss

ssctoemn/ sstt sse m s sst s s ental ssillness? ssWithin ss3 ssmonths, s s the s s patient s s will s s demonstrate
s s what s s behavior?

a. Denying s s suicidal s s ideation
b. Reporting s s a s s sense s s of s s well- s s on sstime

being
ANS: B
c. Taking s s medications s s as
s s prescribed

d. Attending s s clinic s s appointments
Recovery s s emphasizes s s managing s s symptoms, s s reducing s s psychosocial s s disability,
s s and ssimproving s s role s s performance. s s The s s goal s s of s s recovery s s is s s to s s empower s s the

s s individual s s with ssmental s s illness s s to s s achieve s s a s s sense s s of s s meaning s s and

s s satisfaction s s in s s life s s and s s to s s function s s at ssthe s s highest s s possible s s level s s of sswellness.

ssThe ssincorrect ssoptions ssfocus sson ssthe ssclassic

msesdassbiscissrssba.lcssommsso/sstssedset s s l s s rather s s than s s recovery.

DIF: Cognitive s s Level: s s Application
s s (Applying) ssTOP: Nursing s s Process:
s s Outcomes ssIdentification s s MSC: NCLEX:
s s Health ssPromotion ssand s s Maintenance




2. A s s patient s s is s s hospitalized s s for s s depression s s and s s suicidal s s ideation s s after s s their s s spouse

asks s s for s s a
s s

divorce. s s Select s s the s s nurse‘s s s most s s caring sscomment.

a. ―Let‘s s s discuss s s healthy s s means s s of s s coping s s when s s you s s have s s suicidal s s feelings.‖
b. ―I s s understand s s why s s you‘re s s so s s depressed. s s When s s I s s got
s s divorced, s s I s s was ssdevastated s s too.‖

c. ―You s s should s s forget s s about s s your s s marriage s s and s s move s s on ssawbiirtbh.coymo/ uterst life.‖
d. ―How s s did s s you s s get s s so s s depressed s s that s s hospitalization s s was s s necessary?‖
ANS: A
The ssnurse‘s sscommunication ssshould ssevidence sscaring ssand ssassacboissr mb ss.ssc mo ssmisst/sst me ssset ssnt ssto sswork
sswith ssthe sspatient. s s This s s commitment s s lets s s the s s patient s s know s s the s s nurse s s will

s s help. s s Probing s s and ssadvice s s are s s not s s helpful s s for s s therapeutic s s interventions.


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DIF: Cognitive s s Level: s s Application
s s (Applying)

TOP: Nursing s s Process: s s Implementation s s MSC: NCLEX: s s Psychosocial s s Integrity

3. In ssthe ssshift-change ssreport, ssan ssoff-going ssnurse sscriticizes ss a sspaabtissir ssbe.nc ssotssmw/ sst ssehsot
wears
extremelyssheavy ssmakeup. s s Which s s comment s s by s s the s s nurse s s who s s receives s s the
ss

s s report s s best ssdemonstrates s s advocacy?

a. ―This s s is s s a s s psychiatric s s hospital, s s so s s we s s expect s s our s s patients s s to s s behave s s bizarrely.‖
b. ―Let‘s s s all s s show s s acceptance s s of s s this s s patient s s by s s wearing s s laobtisrssbsso.sscssfossmm/sstsseaskt s s eup s s too.‖
c. ―Your s s comments s s are s s inconsiderate s s and s s inappropriate. s s Keep s s the s s report s s objective.‖
d. ―Our s s patients s s need s s our s s help s s to s s learn s s behaviors s s that s s will s s help

, ss them s s get ssalong s s in s s society.‖
ANS:
D

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