Updated/Latest LPN to RN Transitions 4th Edition Lora Claywell Test Bank Complete Chapters 1–18 Comprehensive Professional Nursing Transition Resource Practice Questions Answers Rationales NCLEX-RN Review Clinical Judgment Study Guide For Nursing Students

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



b. Reporting a sense of well-being YFTL YFT L YFT L YFT L



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



Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving YFT L YFT L Y FT L YF TL YF TL YF TL L
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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
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level of wellness. The incorrect options focus on the classic medical model rather than
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recovery.
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DIF: Cognitive Level: Application (Applying) YF T L Y FT L Y FT 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
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YFT L a divorce. Select the nurse’s most caring comment.
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a. “Let’s discuss healthy means of coping when you have suicidal feelings.” YFT L YFTL L
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b. “I understand why you’re so depressed. When I got divorced, I was
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devastated too.” YFT L L
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c. “You should forget about your marriage and move on with your life.” YFT L YFT L YFTL YF T L YFTL YFT L YFTL YFT L L
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d. “How did you get so depressed that hospitalization was necessary?” L
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ANS: A Y F 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
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not helpful for therapeutic interventions.
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DIF: Cognitive Level: Application (Applying) L
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TOP: Nursing Process: Implementation MSC: Y F T L L
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3. In the shift-change report, an off-going nurse criticizes a patient who wears extremely
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heavy makeup. Which comment by the nurse who receives the report best demonstrates
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advocacy?
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a. “This is a psychiatric hospital, so we expect our patients to behave bizarrely.” YFT L YFTL YFT L YFT L Y FT L L
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b. “Let’s all show acceptance of this patient by wearing lots of makeup too.” 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 YFTL YFTL YFT L YFT L YFTL YFT L YFT L YFT L YFT L YFTL YFT L YFT L YFT L



in society.” YFT L Y FT L




ANS: D Y F T L




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



a. “We all have stress in life. Being in a psychiatric hospital is not the end of
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b. “Tell me why you felt you had to be hospitalized to receive treatment for YFT L YFT L YFT L L
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c. “You will feel better after we get some antidepressant medication started for you.” YFTL YF T L YFT L L
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d. “I’d like to sit with you for a while, so you may feel more comfortable talking
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L
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ANS: D Y F T L



Attending is a technique that demonstrates the nurse’s commitment to the relationship and YF T L YF T L YFT L Y FT L YFT L YFTL L
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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: Y F T L YFT L YFT L Y F T L NCLEX: Psychosocial Integrity YFT L L
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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 L
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prejudiced information?
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a. Address ends in “.org.” YFT L YFT L YFT L



b. Address ends in “.com.” YFT L L
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c. Address ends in “.gov.” YFTL YFT L YFT L



d. Address ends in “.net.” YFT L YFT L YFT L




ANS: B Y F T L



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



may or may not have reliable information, but it does not profit from its activities. “.net”
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can have multiple meanings.
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DIF: Cognitive Level: Comprehension (Understanding) TOP: Nursing Process: YF T L Y FT L YF T L Y F T L T
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Evaluation 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
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their attention; however, I read a descriptive research study that says that this approach
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does not work. I plan to stop calling patients by name.” Which statement is the best
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appraisal of this nurse’s comment?
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a. One descriptive research study rarely provides enough evidence to change practice.
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, b. Staff nurses apply new research findings only with the help from clinicalYFTL YFT L L
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nurse specialists.
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c. New research findings should be incorporated into clinical algorithms before using
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them in practice.
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d. The nurse misinterpreted the results of the study. Classic tenets of practice do
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not change. YFT L YFT L




ANS: A Y F T L



Descriptive research findings provide evidence for practice but must be viewed in relation Y FT L YFT L L
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to other studies before practice changes. One study is not enough. Descriptive studies are
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low on the hierarchy of evidence. Clinical algorithms use flowcharts to manage problems
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and do not specify one response to a clinical problem. Classic tenets of practice should
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change as research findings provide evidence for change.
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DIF: Cognitive Level: Analysis (Analyzing) TOP: Nursing Process: YF T L Y FT L Y FT L Y F T L T
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Evaluation MSC: NCLEX: Health Promotion and Maintenance
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7. Two nursing students discuss career plans after graduation. One student wants to enter
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psychiatric nursing. The other student asks, “Why would you want to be a psychiatric
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nurse? All they do is talk. You will lose your skills.” Select the best response by the
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student interested in psychiatric nursing.
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a. “Psychiatric nurses’ practice in safer environments than other specialties YFT L Y FT L YFT L Y FT L YF T L YFTL YF T L YFT L



and nurse-to-patient ratios are better because of the nature of patients’
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problems.” L
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b. “Psychiatric nurses use complex communication skills, as well as critical L
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thinking, to solve multidimensional problems. I’m challenged by those
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situations.”
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c. “I think I will be good in the mental health field. I do not like clinical rotations
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in school, so I do not want to continue them after I graduate.”
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d. “Psychiatric nurses do not have to deal with as much pain and suffering YFT L YFT L YFT L YFT L YFT L YFT L YFTL YFT L YFT L YFT L YFT L YFT L



as medical-surgical nurses. That appeals to me.”
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ANS: B Y F T L



The practice of psychiatric nursing requires a different set of skills than medical-surgical
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nursing, although substantial overlap does exist. Psychiatric nurses must be able to help
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patients with medical and mental health problems, reflecting the holistic perspective these
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nurses must have. Nurse–patient ratios and workloads in psychiatric settings have increased,
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similar to other specialties. Psychiatric nursing involves clinical practice, not simply
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documentation. Psychosocial pain is real and can cause as much suffering as physical pain.
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DIF: Cognitive Level: Application (Applying) L
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TOP: Nursing Process: Implementation MSC:
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8. Which research evidence would most influence a group of nurses to change their practice?
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a. Expert committee report of recommendations for practice YFT L YFT L YFTL L
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b. Systematic review of randomized controlled trials L
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c. Nonexperimental descriptive study YFT L YFT L



d. Critical pathway L
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ANS: B Y F T L




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