Updated/Latest Varcarolis' Psychiatric Mental Health Nursing A Clinical Approach 4th Edition Elizabeth M. Varcarolis Test Bank Complete All Chapters Comprehensive Psychiatric Mental Health Nursing Questions Answers Rationales Clinical Case Studies

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,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 Nursing: A Communication T L L
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Approach to Evidence-Based Care, 4th Edition
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MULTIPLE CHOICE L
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1. Which outcome, focused on recovery, would be expected in the plan of care for a patient
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Tliving in the community and diagnosed with serious and persistent mental illness? Within 3
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Tmonths, the patient will demonstrate what behavior?
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a. Denying suicidal ideation T L T L



b. Reporting a sense of well-being T L T L T L T L



c. Taking medications as prescribed L
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d. Attending clinic appointments on time L
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ANS: B T L



Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving T L T L T L T L T L T L T L T L



role performance. The goal of recovery is to empower the individual with mental illness to
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achieve a sense of meaning and satisfaction in life and to function at the highest possible level
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of wellness. The incorrect options focus on the classic medical model rather than recovery.
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DIF: Cognitive Level: Application (Applying) T L T L T L



TOP: Nursing Process: Outcomes Identification
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MSC: NCLEX: Health Promotion and
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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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T L divorce. Select the nurse’s most caring comment. T L T L T L T L L
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a. “Let’s discuss healthy means of coping when you have suicidal feelings.” T L T L L
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b. “I understand why you’re so depressed. When I got divorced, I was devastated
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too.” T L



c. “You should forget about your marriage and move on with your life.” L
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d. “How did you get so depressed that hospitalization was necessary?” T L T L T L T L T L T L T L T L T L




ANS: A T L



The nurse’s communication should evidence caring and a commitment to work with the
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patient. This commitment lets the patient know the nurse will help. Probing and advice are not
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helpful for therapeutic interventions.
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DIF: Cognitive Level: Application (Applying) L
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TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
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3. In the shift-change report, an off-going nurse criticizes a patient who wears extremely heavy
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Tmakeup. Which comment by the nurse who receives the report best demonstrates advocacy?
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a. “This is a psychiatric hospital, so we expect our patients to behave bizarrely.” L
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b. “Let’s all show acceptance of this patient by wearing lots of makeup too.” T L T L L
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c. “Your comments are inconsiderate and inappropriate. Keep the report objective.” L
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d. “Our patients need our help to learn behaviors that will help them get along in L
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Accepting patients’ needs for self-expression and seeking to teach skills that will contribute to T L T L T L T L T L T L T L T L T L T L T L T L T L



their well-being demonstrate respect and are important parts of advocacy. The on-coming
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nurse needs to take action to ensure that others are not prejudiced against the patient. Humor
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can be appropriate within the privacy of a shift report but not at the expense of respect for
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patients. Judging the off-going nurse in a critical way will create conflict. Nurses must show
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compassion for each other.
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DIF: Cognitive Level: Application (Applying) L
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TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
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4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder. Which
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T L statement is an example of “attending”? T L T L T L T L T L



a. “We all have stress in life. Being in a psychiatric hospital is not the end of theT L T L T L T L T L T L T L T L T L T L T L T L T L T L T L T L



T L world.”
b. “Tell me why you felt you had to be hospitalized to receive treatment for your T L T L T L T L T L T L T L T L T L T L L
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T L depression.”
c. “You will feel better after we get some antidepressant medication started for you.” L
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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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T L me.”
ANS: D T L



Attending is a technique that demonstrates the nurse’s commitment to the relationship and T L T L T L T L T L T L T L T L T L T L T L T L



reduces feelings of isolation. This technique shows respect for the patient and demonstrates
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caring. Generalizations, probing, and false reassurances are nontherapeutic.
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DIF: Cognitive Level: Application (Applying) L
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TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
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5. A patient shows the nurse an article from the Internet about a health problem. Which
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characteristic of the website’s address most alerts the nurse that the site may have biased and T L T L T L T L T L T L T L T L T L T L T L T L L
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Tprejudiced information?
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a. Address ends in “.org.” T L T L T L



b. Address ends in “.com.” L
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c. Address ends in “.gov.” L
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d. Address ends in “.net.” T L T L T L




ANS: B T L



Financial influences on a site are a clue that the information may be biased. “.com” at the end of T L T L T L T L T L L
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the address indicates that the site is a commercial one. “.gov” indicates that the site is
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maintained by a government entity. “.org” indicates that the site is nonproprietary; the site T L T L T L T L T L T L T L T L T L T L T L T L T L



may or may not have reliable information, but it does not profit from its activities. “.net” can
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have multiple meanings.
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DIF: Cognitive Level: Comprehension (Understanding) T L T L T L TOP: Nursing Process: Evaluation T L L
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MSC: NCLEX: Health Promotion and Maintenance
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6. A nurse says, “When I was in school, I learned to call upset patients by name to get their
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Tattention; however, I read a descriptive research study that says that this approach does not
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Twork. I plan to stop calling patients by name.” Which statement is the best appraisal of this
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Tnurse’s comment?
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a. One descriptive research study rarely provides enough evidence to change practice.
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