Test BANK FOR Essentials of Psychiatric Mental Health Nursing test bank 4th Edition by Elizabeth M. Varcarolis ALL CHAPTERS (1- 28)| A+ ULTIMTE GUIDE

Chapter 01: Science and the Therapeutic Use of Self in Psychiatric Mental Health
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Nursing
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Varcarolis: Essentials of Psychiatric Mental Health Nu r as bi inr bg. c:o mA/ t eC
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s t ommunication
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,nm Evidence-Based Care, 4th Edition nm nm nm




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MULTIPLE
CHOICE
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1. Which outcome, focused on recovery, would be expected in the plan of care for a
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nm patient nm living nminnmthe nmcommunity nmand nmdiagnosed nmwithnmserious nmand nmp e r s i s t e n t
a b i r b . c o m / t em
s t nmental
nm illness? Within 3 months, the patient will demonstrate what behavior?
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a. Denying suicidal ideation nm nm


b. Reporting a sense of well-being nm nm nm nm
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c. Taking medications as prescribed
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d. Attending clinic appointments on nm nm nm


time
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ANS: n m B
Recovery emphasizes managing symptoms, reducing psychosocial disability, and
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improving role performance. The goal of recovery is to empower the individual with
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mental illness to achieve a sense of meaning and satisfaction in life and to function
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at the highest possible level of wellness. The incorrect options focus on the classic
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m e da bi ci r ba .lc omm o/ t edset l rather than recovery.
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DIF: Cognitive Level: Application (Applying) nm nm nm


TOP:
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Identification MSC: NCLEX: Health
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Promotion and Maintenance
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2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for a
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divorce. Select the nurse’s most caring
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comment.
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a. “Let’s discuss healthy means of coping when you have suicidal feelings.”
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b. “I understand why you’re so depressed. When I got divorced, I was
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devastated too.”
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c. “You should forget about your marriage and move on awbiirtbh.coymo/u
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te st
r life.” nm nm nm nm nm nm nm


d. “How did you get so depressed that hospitalization was necessary?”
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ANS: n m A
The nurse’s communication should evidence caring and a acboi r m
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b.c om / t es t
m i t m e nt to work with nm nm nm nm nm nm nm nm nm nm


the patient. This commitment lets the patient know the nurse will help. Probing and
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advice are not helpful for therapeutic interventions.
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DIF: Cognitive Level: Application nm nm


(Applying)
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TOP: Nursing Process: Implementation MSC:
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3. In the shift-change report, an off-going nurse criticizes a paabti ir be. nc ot mw/ t ehsot
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extremely heavy makeup. Which comment by the nurse who receives the report best
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demonstrates advocacy?
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a. “This is a psychiatric hospital, so we expect our patients to behave bizarrely.”
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b. “Let’s all show acceptance of this patient by wearing l o t s o f m a k eup too.”
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c. “Your comments are inconsiderate and inappropriate. Keep the report objective.”
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d. “Our patients need our help to learn behaviors that will help them get
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along in society.”
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ANS:
D
n m WWW.NURSYLAB.COM
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, Accepting patients’ needs for self-expression and seeking to teach skills that will
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contribute to their well-being demonstrate respect and are important parts of
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advocacy. The on-coming nurse needs to take action to ensure that others are not
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prejaubidr bi.cc eo md / tae gs tainst the patient. Humor can be appropriate within the privacy of a
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shift report but not at the expense of respect for patients. Judging the off-going
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nurse in a critical way will create conflict. Nurses must show compassion for each
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other.
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DIF: Cognitive Level: Application (Applying) nm nm nm


TOP: Nursing Process: Implementation MSC:
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4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder.
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Which
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statement is an example of “attending”?
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a. “We all have stress in life. Being in a psychiatric hospital is not the end of the
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world.” abirb.com/test
b. “Tell me why you felt you had to be hospitalized to receive treatment
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for your depression.”
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c. “You will feel better after we get some antidepressant amb i rebd. ciocma/tt ieos tn started for you.”
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d. “I’d like to sit with you for a while, so you may feel more comfortable talking with
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me.”
ANS: abirb.com/test
D
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Attending is a technique that demonstrates the nurse’s commitment to the relationship
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and reduces feelings of isolation. This technique shows respect for the patient and
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demonstrates caring. Generalizations, probing, and false reassurances are
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nontherapeutic.
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DIF: Cognitive Level: Application (Applying) nm nm nm


TOP: Nursing Process: Implementation MSC:
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a bi r b. c o m /t e s t
5. A patient shows the nurse an article from the Internet abou t a h e al t h problem.
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Which characteristic of the website’s address most alerts the nurse that the site may
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have biased and prejudiced information?
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a. Address ends in nm abirb.com/testnm


“.org.”nm


b. Address ends in nm nm


“.com.”nm
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c. Address ends in nm nm


“.gov.”nm


d. Address ends in nm nm


“.net.”nm




ANS: n m B
Financial influences on a site are a clue that the information may be biased. “.com” at
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the end of the address indicates that the site is a commercial one. “.gov” indicates
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that the site is
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a bir b . c om /te st
maintained by a government entity. “.org” indicates that th e s i t e is n onproprietary; the site
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may or may not have reliable information, but it does not profit from its activities.
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“.net” can have multiple meanings.
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DIF: Cognitive Level: Comprehension (Understanding) TOP:
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Evaluation MSC: NCLEX: Health Promotion and Maintenance n m nm nm nm nm



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