,Chapter01: Science andtheTherapeutic Use of SelfinPsychiatric Mental Health Nursing
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
Varcarolis:EssentialsofPsychiatricMentalHealthNursing:ACoabirb.com/test mmunication
8
k k8 8
k k8 8
k 8
k 8
k 8
k k8
ApproachtoEvidence-BasedCare, 5thEdition8
k 8
k 8
k k8 8
k
abirb.com/test
MULTIPLE CHOICE k8
1. Which outcome, focused on recovery, would be expected in the plan ofcare for a patient living in the
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k 8 k8 k8
community and diagnosed with serious and persistent mental illness?abirb.com/test Within 3 months,
k8 k8 k8 k8 k8 k8 k8 k8 k8 k 8 k8 k8
the patient will demonstrate what behavior?
k8 k8 k8 k8 k8 k8
a. Denying suicidal ideation k8 k8
b. Reporting a sense ofwell-being abirb.com/test k8 k8 k8 k8
c. Takingmedicationsasprescribed k8 k8 k8
d. Attending clinic appointments ontime k8 k8 k8 k8
ANS:B k8 abirb.com/test
Recoveryemphasizes managingsymptoms, reducingpsychosocialdisability, and improvi ng k8 k8 k8 k8 k8 k8 k8 k8 k 8
role performance. The goal of recovery is to empower the individual with mental illne ssto
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
achieve a sense of meaning and satisfaction in life and to function at the hig
k8 k8 hest
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
possible level of wellness. The incorrect options focus on the classic medical model rather
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
thaabirb.com/test n recovery.
k8
k8
DIF: Cognitive Level: Application (Applying)
k8 k8 k8 k8 TOP:
Nursing Process: Outcomes Identification
k8 k8 k8 k8
abirb.com/test
MSC:NCLEX: Health Promotion andMaintenance
k8 k8 k8 k8 k8
2. A patient is hospitalized for depression and suicidal ideation after their spou
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 seasksfora k8 k8 k8
k8
divorce. Select the nurse’s most caring comment.
k8 k8 k8 k8 k8 k8
abirb.com/test
a. “Let’sdiscuss healthy means ofcoping when you have suicidal feelings.” k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
b. “I understand why you’re so depressed. When I got divorced, I was devastated too.”
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k 8
c. “You should forget aboutyour marriageand move onwith your life.”abirb.com/test
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
d. “How did you get so depressed that hospitalization was necessary?” k8 k8 k8 k8 k8 k8 k8 k8 k8
ANS:A k8
The nurse’s communicationshould evidence caring and a commitment to work with the
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
abirb.com/test
, patient. This commitment lets the patient know the nurse will help. Probing and advi
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 ce
are not helpful for therapeutic interventions.
k8 k8 k8 k8 k8 k8
abirb.com/test
DIF: Cognitive Level: Application (Applying)
k8 k8 k8 k8 TOP:Nursing k8
Process: Implementation MSC: NCLEX: Psychosocial Integrity
k8 k8 k 8 k8 k8 k8
3. In the shift-change report, an off-going nurse criticizes a patient who wears extremely heavy
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
k8 makeup. Which comment by the nurse who receives the report best demonstrates
abirb.com/test k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
advocacy?
k8 a. “This is a psychiatric hospital, so we expect our patients to behave k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
bizarrely.”
b. “Let’s all show acceptance ofthis patient bywearing lots of makeup too.”abirb.com/test k8 k8 k8 k8 k8 k8 k 8 k8 k8 k8 k8 k8 k8
c. “Your commentsareinconsiderateand inappropriate.Keep thereportobjective. ” k8 k8 k8 k8 k8 k8 k8 k8 k8
d. “Our patients need our help to learn behaviors that will help themget along in society.”
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k 8 k 8
ANS:D k8
Acceptingpatients’needs for self-expression and seeking toteachskillsthat willcontribute to their
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
well-being demonstrate respect and are important parts of advocacy. The on-coming nurse needs
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
to take action to ensure that others are not prejudiced against the patiabirb.com/test ent. Humor can be
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
appropriate within the privacy of a shift report but not at the expense of respect for
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
patients. Judging the off-going nurse ina criticalwaywillcreate conflict. Nurses must show
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
compassion for each other.
k8 k8 k8 k8
abirb.com/test
DIF: CognitiveLevel:Application (Applying)
k8 k8 k8 k8
TOP:NursingProcess: Implementation
k8 MSC:NCLEX:Safe, Effective Care Environment k8 k8 k8 k8 k8 k8 k8
abirb.com/test
4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder. Wh
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 ich
statement is an example of “attending”?
k8 k8 k8 k8 k8 k8
a. “We all have stress in life. Being ina psychiatric hospitalis notthe end ofthe world.”
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k 8
abirb.com/test
b. “Tellme why you felt you had to be hospitalized to receive treatment for your depression.”
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k 8
c. “You willfeelbetter after we get some antidepressant medicationstarted for you. abirb.com/test
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
”
d. “I’d like to sit with you for a while, so you may feelmore comfortable talking with me.”
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
ANS:D k8 abirb.com/test
, Attending is a technique that demonstrates the nurse’s commitment to therelationship
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
and reduces feelings of isolation. This technique shows respect for the patient and dem onstrates
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
caring. Generalizations, probing, and false reassurances are nontherapeutic.
k8 k8 k8 k8 k8 k8 k8 k8
abirb.com/test
DIF: CognitiveLevel:Application (Applying)
k8 k8 k8 k8
TOP:NursingProcess: Implementation
k8 MSC:NCLEX:Psychosocial Integrity k8 k8 k8 k8 k8
5. Apatient shows the nurse an article fromthe Internet about a healthproblem. Wabirb.com/test
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
hich characteristic k8
prejudiced information? of the website’s address
k8
a. Address ends in “.org.”
k8 k8 k8
abirb.com/test mostalertsthenursethat the
k8 k8 k8
b. Address ends in “.com.”
k8 k8 k8 k8 k8 k8
k8 k8 k8
c. Address ends in “.gov.” site may have bi k8 k8 k8
k8 k8 k8 k8
d. Address ends in “.net.” ased and k8 k8 k8
k8
Financialinfluences on k8 k8
abirb.com/test a site are a clue that the k 8
k8 k8 k8 k8 k8 k8
ANS: B information maybe k8 k8
biased. “. com” k8
at the end ofthe address indicates that the site is a commercialone. “.gov” indicates that t he site is
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
maintained by a government entity. “.org” indicates that the site abirb.com/test
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
is nonproprietary;the site mayor maynot have reliable information, but it doesnot profit from
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
its activities. “.
k8 k8 net” can k8 k8
have
multiple meanings. k8
abirb.com/test
DIF: Cognitive Level: Comprehension (Understanding)
k8 k8 k8 k8 TOP:NursingProcess:Evaluation k8 k8 k8
k8 MSC: NCLEX: Health Promotion and Maintenance
k8 k8 k8 k8 k8
6. Anurse says, “WhenI was inschool, I learned to callupset patientsby name to get
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
theiabirb.com/test r
k8
attention; however, I read a k8 k8 k8 k8
descriptive research study that says that this
k8 approachdoesnot work. I planto stop k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
calling patients byname.” Whichstatement is the best appraisalof this nurse’s comment?
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k 8 k8
abirb.com/test
a. One descriptive research studyrarelyprovides enough evidence to change practice.
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
b. Staff nurses apply new research findings onlywith the help fromclinicalnurse
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
specialists. k8
c. New research findings should be incorporated intoclinical algorithms before using
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
abirb.com/test them inpractice. k8 k8 k8
d. The nurse misinterpretedthe resultsofthe study. Classic tenets ofpractice do not
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
change. k8
abirb.com/test
ANS:A k8
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
Varcarolis:EssentialsofPsychiatricMentalHealthNursing:ACoabirb.com/test mmunication
8
k k8 8
k k8 8
k 8
k 8
k 8
k k8
ApproachtoEvidence-BasedCare, 5thEdition8
k 8
k 8
k k8 8
k
abirb.com/test
MULTIPLE CHOICE k8
1. Which outcome, focused on recovery, would be expected in the plan ofcare for a patient living in the
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k 8 k8 k8
community and diagnosed with serious and persistent mental illness?abirb.com/test Within 3 months,
k8 k8 k8 k8 k8 k8 k8 k8 k8 k 8 k8 k8
the patient will demonstrate what behavior?
k8 k8 k8 k8 k8 k8
a. Denying suicidal ideation k8 k8
b. Reporting a sense ofwell-being abirb.com/test k8 k8 k8 k8
c. Takingmedicationsasprescribed k8 k8 k8
d. Attending clinic appointments ontime k8 k8 k8 k8
ANS:B k8 abirb.com/test
Recoveryemphasizes managingsymptoms, reducingpsychosocialdisability, and improvi ng k8 k8 k8 k8 k8 k8 k8 k8 k 8
role performance. The goal of recovery is to empower the individual with mental illne ssto
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
achieve a sense of meaning and satisfaction in life and to function at the hig
k8 k8 hest
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
possible level of wellness. The incorrect options focus on the classic medical model rather
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
thaabirb.com/test n recovery.
k8
k8
DIF: Cognitive Level: Application (Applying)
k8 k8 k8 k8 TOP:
Nursing Process: Outcomes Identification
k8 k8 k8 k8
abirb.com/test
MSC:NCLEX: Health Promotion andMaintenance
k8 k8 k8 k8 k8
2. A patient is hospitalized for depression and suicidal ideation after their spou
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 seasksfora k8 k8 k8
k8
divorce. Select the nurse’s most caring comment.
k8 k8 k8 k8 k8 k8
abirb.com/test
a. “Let’sdiscuss healthy means ofcoping when you have suicidal feelings.” k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
b. “I understand why you’re so depressed. When I got divorced, I was devastated too.”
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k 8
c. “You should forget aboutyour marriageand move onwith your life.”abirb.com/test
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
d. “How did you get so depressed that hospitalization was necessary?” k8 k8 k8 k8 k8 k8 k8 k8 k8
ANS:A k8
The nurse’s communicationshould evidence caring and a commitment to work with the
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
abirb.com/test
, patient. This commitment lets the patient know the nurse will help. Probing and advi
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 ce
are not helpful for therapeutic interventions.
k8 k8 k8 k8 k8 k8
abirb.com/test
DIF: Cognitive Level: Application (Applying)
k8 k8 k8 k8 TOP:Nursing k8
Process: Implementation MSC: NCLEX: Psychosocial Integrity
k8 k8 k 8 k8 k8 k8
3. In the shift-change report, an off-going nurse criticizes a patient who wears extremely heavy
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
k8 makeup. Which comment by the nurse who receives the report best demonstrates
abirb.com/test k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
advocacy?
k8 a. “This is a psychiatric hospital, so we expect our patients to behave k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
bizarrely.”
b. “Let’s all show acceptance ofthis patient bywearing lots of makeup too.”abirb.com/test k8 k8 k8 k8 k8 k8 k 8 k8 k8 k8 k8 k8 k8
c. “Your commentsareinconsiderateand inappropriate.Keep thereportobjective. ” k8 k8 k8 k8 k8 k8 k8 k8 k8
d. “Our patients need our help to learn behaviors that will help themget along in society.”
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k 8 k 8
ANS:D k8
Acceptingpatients’needs for self-expression and seeking toteachskillsthat willcontribute to their
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
well-being demonstrate respect and are important parts of advocacy. The on-coming nurse needs
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
to take action to ensure that others are not prejudiced against the patiabirb.com/test ent. Humor can be
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
appropriate within the privacy of a shift report but not at the expense of respect for
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
patients. Judging the off-going nurse ina criticalwaywillcreate conflict. Nurses must show
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
compassion for each other.
k8 k8 k8 k8
abirb.com/test
DIF: CognitiveLevel:Application (Applying)
k8 k8 k8 k8
TOP:NursingProcess: Implementation
k8 MSC:NCLEX:Safe, Effective Care Environment k8 k8 k8 k8 k8 k8 k8
abirb.com/test
4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder. Wh
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 ich
statement is an example of “attending”?
k8 k8 k8 k8 k8 k8
a. “We all have stress in life. Being ina psychiatric hospitalis notthe end ofthe world.”
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k 8
abirb.com/test
b. “Tellme why you felt you had to be hospitalized to receive treatment for your depression.”
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k 8
c. “You willfeelbetter after we get some antidepressant medicationstarted for you. abirb.com/test
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
”
d. “I’d like to sit with you for a while, so you may feelmore comfortable talking with me.”
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
ANS:D k8 abirb.com/test
, Attending is a technique that demonstrates the nurse’s commitment to therelationship
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
and reduces feelings of isolation. This technique shows respect for the patient and dem onstrates
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
caring. Generalizations, probing, and false reassurances are nontherapeutic.
k8 k8 k8 k8 k8 k8 k8 k8
abirb.com/test
DIF: CognitiveLevel:Application (Applying)
k8 k8 k8 k8
TOP:NursingProcess: Implementation
k8 MSC:NCLEX:Psychosocial Integrity k8 k8 k8 k8 k8
5. Apatient shows the nurse an article fromthe Internet about a healthproblem. Wabirb.com/test
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
hich characteristic k8
prejudiced information? of the website’s address
k8
a. Address ends in “.org.”
k8 k8 k8
abirb.com/test mostalertsthenursethat the
k8 k8 k8
b. Address ends in “.com.”
k8 k8 k8 k8 k8 k8
k8 k8 k8
c. Address ends in “.gov.” site may have bi k8 k8 k8
k8 k8 k8 k8
d. Address ends in “.net.” ased and k8 k8 k8
k8
Financialinfluences on k8 k8
abirb.com/test a site are a clue that the k 8
k8 k8 k8 k8 k8 k8
ANS: B information maybe k8 k8
biased. “. com” k8
at the end ofthe address indicates that the site is a commercialone. “.gov” indicates that t he site is
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
maintained by a government entity. “.org” indicates that the site abirb.com/test
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
is nonproprietary;the site mayor maynot have reliable information, but it doesnot profit from
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
its activities. “.
k8 k8 net” can k8 k8
have
multiple meanings. k8
abirb.com/test
DIF: Cognitive Level: Comprehension (Understanding)
k8 k8 k8 k8 TOP:NursingProcess:Evaluation k8 k8 k8
k8 MSC: NCLEX: Health Promotion and Maintenance
k8 k8 k8 k8 k8
6. Anurse says, “WhenI was inschool, I learned to callupset patientsby name to get
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
theiabirb.com/test r
k8
attention; however, I read a k8 k8 k8 k8
descriptive research study that says that this
k8 approachdoesnot work. I planto stop k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
calling patients byname.” Whichstatement is the best appraisalof this nurse’s comment?
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k 8 k8
abirb.com/test
a. One descriptive research studyrarelyprovides enough evidence to change practice.
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
b. Staff nurses apply new research findings onlywith the help fromclinicalnurse
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
specialists. k8
c. New research findings should be incorporated intoclinical algorithms before using
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
abirb.com/test them inpractice. k8 k8 k8
d. The nurse misinterpretedthe resultsofthe study. Classic tenets ofpractice do not
k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8 k8
change. k8
abirb.com/test
ANS:A k8
