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Test Bank: Essentials Of Psychiatric Mental Health Nursing (2rd Edition By Varcarolis) 1
Table Of Contents
Table Of Contents 1
Chapter 01: Practicing The Science And The Art Of Psychiatric Nursing 2
Chapter 02: Mental Health And Mental Illness 7
Chapter 03: Theories And Therapies 12
Chapter 04: Biological Basis For Understanding Psychopharmacology 20
Chapter 05: Settings For Psychiatric Care 28
Chapter 06: Legal And Ethical Basis For Practice 35
Chapter 07: Nursing Process And Qsen: The Foundation For Safe And Effective Care 43
Chapter 08: Communication Skills: Medium For All Nursing Practice 51
Chapter 09: Therapeutic Relationships And The Clinical Interview 58
Chapter 10: Trauma And Stress-Related Disorders 67
Chapter 11: Anxiety, Anxiety Disorders, And Obsessive-Compulsive Disorders 74
Chapter 12: Somatic System Disorders And Dissociative Disorders 85
Chapter 13: Personality Disorders 94
Chapter 14: Eating Disorders 103
Chapter 15: Mood Disorders: Depression 111
Chapter 16: Bipolar Spectrum Disorders 121
Chapter 17: Schizophrenia Spectrum Disorders And Other Psychotic Disorders 131
Chapter 18: Neurocognitive Disorders 142
Chapter 19: Substance-Related And Addictive Disorders 151
Chapter 20: Crisis And Mass Disaster 163
Chapter 21: Child, Partner, And Elder Violence 171
Chapter 22: Sexual Violence 179
Chapter 23: Suicidal Thoughts And Behavior 186
Chapter 24: Anger, Aggression, And Violence 195
Chapter 25: Care For The Dying And Those Who Grieve 204
Chapter 26: Children And Adolescents 213
Chapter 27: Adults 221
Chapter 28: Older Adults 230
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Test Bank: Essentials Of Psychiatric Mental Health Nursing (2rd Edition By Varcarolis) 2
Chapter 01: Practicing The Science And The Art Of Psychiatric Nursing
Multiple Choice
1. Which Outcome, Focused On Recovery, Would Be Expected In The Plan Of Care For A Patient Living
In The Community And Diagnosed With Serious And Persistent Mental Illness? Within 3 Months, The
Patient Will:
a. Deny Suicidal Ideation.
b. Report A Sense Of Well-Being.
c. Take Medications As Prescribed.
d. Attend Clinic Appointments On Time.
Ans: B
Recovery Emphasizes Managing Symptoms, Reducing Psychosocial Disability, And Improving Role
Performance. The Goal Of Recovery Is To Empower The Individual With Mental Illness To Achieve A
Sense Of Meaning And Satisfaction In Life And To Function At The Highest Possible Level Of Wellness. The
Incorrect Options Focus On The Classic Medical Model Rather Than Recovery.
Dif: Cognitive Level: Application (Applying) Ref: 2
Top: Nursing Process: Outcomes Identification Msc:
Nclex: Health Promotion And Maintenance
2. In The Shift-Change Report, An Off-Going Nurse Criticizes A Patient Who Wears Heavy Makeup. Which
Comment By The Nurse Who Receives The Report Best Demonstrates Advocacy?
a. This Is A Psychiatric Hospital. Craziness Is What We Are All About.
b. Lets All Show Acceptance Of This Patient By Wearing Lots Of Makeup Too.
c. Your Comments Are Inconsiderate And Inappropriate. Keep The Report Objective.
d. Our Patients Need Our Help To Learn Behaviors That Will Help Them Get Along In Society.
Ans: D
Accepting Patients Needs For Self-Expression And Seeking To Teach Skills That Will Contribute To Their
Well-Being Demonstrate Respect And Are Important Parts Of Advocacy. The On-Coming Nurse Needs To
Take Action To Ensure That Others Are Not Prejudiced Against The Patient. Humor Can Be Appropriate
Within The Privacy Of A Shift Report But Not At The Expense Of Respect For Patients. Judging The Off-
Going Nurse In A Critical Way Will Create Conflict. Nurses Must Show Compassion For Each Other.
Dif: Cognitive Level: Application (Applying) Ref: 8
Top: Nursing Process: Implementation Msc: Nclex: Safe, Effective Care Environment
3. A Nurse Assesses A Newly Admitted Patient Diagnosed With Major Depressive Disorder. Which Statement
Is An Example Of Attending?
a. We All Have Stress In Life. Being In A Psychiatric Hospital Isnt The End Of The World.
b. Tell Me Why You Felt You Had To Be Hospitalized To Receive Treatment For Your Depression.
c. You Will Feel Better After We Get Some Antidepressant Medication Started For You.
d. Id Like To Sit With You A While So You May Feel More Comfortable Talking With Me.
Ans: D
Attending Is A Technique That Demonstrates The Nurses Commitment To The Relationship And Reduces
Feelings Of Isolation. This Technique Shows Respect For The Patient And Demonstrates Caring.
Generalizations, Probing, And False Reassurances Are Non-Therapeutic.
Dif: Cognitive Level: Application (Applying) Ref: 8
Top: Nursing Process: Implementation Msc: Nclex: Psychosocial Integrity
4. A Patient Is Hospitalized For Depression And Suicidal Ideation After Their Spouse Asks For A Divorce.
Select The Nurses Most Caring Comment.
a. Lets Discuss Some Means Of Coping Other Than Suicide When You Have These Feelings.
b. I Understand Why Youre So Depressed. When I Got Divorced, I Was Devastated Too.
c. You Should Forget About Your Marriage And Move On With Your Life.
d. How Did You Get So Depressed That Hospitalization Was Necessary?
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Top: Nursing Process:
Test Bank: Essentials Of Psychiatric Mental Health Nursing (2rd Edition By Evaluation Msc: Nclex:
Varcarolis) Health Promotion
3 And
Maintenance
7. Two Nursing
Students
Ans: A
Discuss Career
The Nurses Communication Should Evidence Caring And A
Plans After
Commitment To Work With The Patient. This Commitment Lets
Graduation. One
The Patient Know The Nurse Will Help. Probing And Advice Are
Student Wants
Not Helpful Or Therapeutic Interventions.
To Enter
Dif: Cognitive Level: Application (Applying) Ref: 6 Psychiatric
Top: Nursing Process: Implementation Msc: Nclex: Psychosocial Integrity Nursing. The
Other Student
5. A Patient Shows The Nurse An Article From The Internet Asks, Why
About A Health Problem. Which Characteristic Of The Web Sites Would You
Address Most Alerts The Nurse That The Site May Have Want To Be A
Biased And Prejudiced Information? Psychiatric
a. Address Ends In .Org. Nurse? All They
b. Address Ends In .Com. Do Is Talk. You
c. Address Ends In .Gov. Will Lose Your
d. Address Ends In .Net. Skills. Select
The Best
Ans: B Response By
Financial Influences On A Site Are A Clue That The Information The Student
May Be Biased. .Com At The End Of The Address Indicates That Interested In
The Site Is A Commercial One. .Gov Indicates That The Site Is Psychiatric
Maintained By A Government Entity. Nursing.
.Org Indicates That The Site Is Nonproprietary; The Site May Or a. Psychiatri
May Not Have Reliable Information, But It Does Not Profit From Its c Nurses
Activities. .Net Can Have Multiple Meanings. Practice In
Safer
Dif: Cognitive Level: Comprehension (Understanding) Ref: 5 Environmen
Top: Nursing Process: Evaluation Msc: Nclex: Health Promotion And ts Than
Maintenance Other
Specialties.
6. A Nurse Says, When I Was In School, I Learned To Call Upset Nurse-To-
Patients By Name To Get Their Attention; However, I Read A Patient
Descriptive Research Study That Says That This Approach Does Ratios Must
Not Work. I Plan To Stop Calling Patients By Name. Which Be Better
Statement Is The Best Appraisal Of This Nurses Comment? Because Of
a. One Descriptive Research Study Rarely Provides Enough Evidence To Change The Nature
Practice. Of Patients
b. Staff Nurses Apply New Research Findings Only With The Help From Problems.
Clinical Nurse Specialists. b. Psychiatric
c. New Research Findings Should Be Incorporated Into Clinical Algorithms Nurses Use
Before Using Them In Practice. Complex
d. The Nurse Misinterpreted The Results Of The Study. Classic Tenets Of Communication
Practice Do Not Change. Skills, As Well
As Critical
Ans: A Thinking, To
Descriptive Research Findings Provide Evidence For Practice But Solve
Must Be Viewed In Relation To Other Studies Before Practice Multidimensional
Changes. One Study Is Not Enough. Descriptive Studies Are Low Problems. Im
On The Hierarchy Of Evidence. Clinical Algorithms Use Flow Challenged By
Charts To Manage Problems And Do Not Specify One Response To Those
A Clinical Problem. Classic Tenets Of Practice Should Change As Situations.
Research Findings Provide Evidence For Change. c. I Think I Will
Be Good In The
Dif: Cognitive Level: Analysis (Analyzing) Ref: 3 Mental Health
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d. Psychiatric Nurses Do Not Have To Deal With As Much Pain
And Suffering As Medical Surgical Nurses. That Appeals To
Me.
Ans: B
The Practice Of Psychiatric Nursing Requires A Different Set Of
Skills Than Medical Surgical Nursing, Although Substantial
Overlap Does Exist. Psychiatric Nurses Must Be Able To Help
Patients With Medical And Mental Health Problems, Reflecting
The Holistic Perspective These Nurses Must Have. Nurse-Patient
Ratios And Workloads In Psychiatric Settings Have Increased,
Similar To Other Specialties. Psychiatric Nursing Involves
Clinical Practice,
Test Bank: Essentials Of Psychiatric Mental Health Nursing (2rd Edition By Varcarolis) 1
Table Of Contents
Table Of Contents 1
Chapter 01: Practicing The Science And The Art Of Psychiatric Nursing 2
Chapter 02: Mental Health And Mental Illness 7
Chapter 03: Theories And Therapies 12
Chapter 04: Biological Basis For Understanding Psychopharmacology 20
Chapter 05: Settings For Psychiatric Care 28
Chapter 06: Legal And Ethical Basis For Practice 35
Chapter 07: Nursing Process And Qsen: The Foundation For Safe And Effective Care 43
Chapter 08: Communication Skills: Medium For All Nursing Practice 51
Chapter 09: Therapeutic Relationships And The Clinical Interview 58
Chapter 10: Trauma And Stress-Related Disorders 67
Chapter 11: Anxiety, Anxiety Disorders, And Obsessive-Compulsive Disorders 74
Chapter 12: Somatic System Disorders And Dissociative Disorders 85
Chapter 13: Personality Disorders 94
Chapter 14: Eating Disorders 103
Chapter 15: Mood Disorders: Depression 111
Chapter 16: Bipolar Spectrum Disorders 121
Chapter 17: Schizophrenia Spectrum Disorders And Other Psychotic Disorders 131
Chapter 18: Neurocognitive Disorders 142
Chapter 19: Substance-Related And Addictive Disorders 151
Chapter 20: Crisis And Mass Disaster 163
Chapter 21: Child, Partner, And Elder Violence 171
Chapter 22: Sexual Violence 179
Chapter 23: Suicidal Thoughts And Behavior 186
Chapter 24: Anger, Aggression, And Violence 195
Chapter 25: Care For The Dying And Those Who Grieve 204
Chapter 26: Children And Adolescents 213
Chapter 27: Adults 221
Chapter 28: Older Adults 230
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Test Bank: Essentials Of Psychiatric Mental Health Nursing (2rd Edition By Varcarolis) 2
Chapter 01: Practicing The Science And The Art Of Psychiatric Nursing
Multiple Choice
1. Which Outcome, Focused On Recovery, Would Be Expected In The Plan Of Care For A Patient Living
In The Community And Diagnosed With Serious And Persistent Mental Illness? Within 3 Months, The
Patient Will:
a. Deny Suicidal Ideation.
b. Report A Sense Of Well-Being.
c. Take Medications As Prescribed.
d. Attend Clinic Appointments On Time.
Ans: B
Recovery Emphasizes Managing Symptoms, Reducing Psychosocial Disability, And Improving Role
Performance. The Goal Of Recovery Is To Empower The Individual With Mental Illness To Achieve A
Sense Of Meaning And Satisfaction In Life And To Function At The Highest Possible Level Of Wellness. The
Incorrect Options Focus On The Classic Medical Model Rather Than Recovery.
Dif: Cognitive Level: Application (Applying) Ref: 2
Top: Nursing Process: Outcomes Identification Msc:
Nclex: Health Promotion And Maintenance
2. In The Shift-Change Report, An Off-Going Nurse Criticizes A Patient Who Wears Heavy Makeup. Which
Comment By The Nurse Who Receives The Report Best Demonstrates Advocacy?
a. This Is A Psychiatric Hospital. Craziness Is What We Are All About.
b. Lets All Show Acceptance Of This Patient By Wearing Lots Of Makeup Too.
c. Your Comments Are Inconsiderate And Inappropriate. Keep The Report Objective.
d. Our Patients Need Our Help To Learn Behaviors That Will Help Them Get Along In Society.
Ans: D
Accepting Patients Needs For Self-Expression And Seeking To Teach Skills That Will Contribute To Their
Well-Being Demonstrate Respect And Are Important Parts Of Advocacy. The On-Coming Nurse Needs To
Take Action To Ensure That Others Are Not Prejudiced Against The Patient. Humor Can Be Appropriate
Within The Privacy Of A Shift Report But Not At The Expense Of Respect For Patients. Judging The Off-
Going Nurse In A Critical Way Will Create Conflict. Nurses Must Show Compassion For Each Other.
Dif: Cognitive Level: Application (Applying) Ref: 8
Top: Nursing Process: Implementation Msc: Nclex: Safe, Effective Care Environment
3. A Nurse Assesses A Newly Admitted Patient Diagnosed With Major Depressive Disorder. Which Statement
Is An Example Of Attending?
a. We All Have Stress In Life. Being In A Psychiatric Hospital Isnt The End Of The World.
b. Tell Me Why You Felt You Had To Be Hospitalized To Receive Treatment For Your Depression.
c. You Will Feel Better After We Get Some Antidepressant Medication Started For You.
d. Id Like To Sit With You A While So You May Feel More Comfortable Talking With Me.
Ans: D
Attending Is A Technique That Demonstrates The Nurses Commitment To The Relationship And Reduces
Feelings Of Isolation. This Technique Shows Respect For The Patient And Demonstrates Caring.
Generalizations, Probing, And False Reassurances Are Non-Therapeutic.
Dif: Cognitive Level: Application (Applying) Ref: 8
Top: Nursing Process: Implementation Msc: Nclex: Psychosocial Integrity
4. A Patient Is Hospitalized For Depression And Suicidal Ideation After Their Spouse Asks For A Divorce.
Select The Nurses Most Caring Comment.
a. Lets Discuss Some Means Of Coping Other Than Suicide When You Have These Feelings.
b. I Understand Why Youre So Depressed. When I Got Divorced, I Was Devastated Too.
c. You Should Forget About Your Marriage And Move On With Your Life.
d. How Did You Get So Depressed That Hospitalization Was Necessary?
Downloaded By: Testbankprofessor | D
o
, lOMoAR cPSD| 31368207
wnloaddeisdtrbibyuiktioonnyoaf Jtahm
isedso(Cjw
umike
onntya
is2i0ll@
Eggam
l Ail.Com)
Want To Earn $1.236
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Stuvia.Com - The Marketplace To Buy And Sell Your Study Material
Top: Nursing Process:
Test Bank: Essentials Of Psychiatric Mental Health Nursing (2rd Edition By Evaluation Msc: Nclex:
Varcarolis) Health Promotion
3 And
Maintenance
7. Two Nursing
Students
Ans: A
Discuss Career
The Nurses Communication Should Evidence Caring And A
Plans After
Commitment To Work With The Patient. This Commitment Lets
Graduation. One
The Patient Know The Nurse Will Help. Probing And Advice Are
Student Wants
Not Helpful Or Therapeutic Interventions.
To Enter
Dif: Cognitive Level: Application (Applying) Ref: 6 Psychiatric
Top: Nursing Process: Implementation Msc: Nclex: Psychosocial Integrity Nursing. The
Other Student
5. A Patient Shows The Nurse An Article From The Internet Asks, Why
About A Health Problem. Which Characteristic Of The Web Sites Would You
Address Most Alerts The Nurse That The Site May Have Want To Be A
Biased And Prejudiced Information? Psychiatric
a. Address Ends In .Org. Nurse? All They
b. Address Ends In .Com. Do Is Talk. You
c. Address Ends In .Gov. Will Lose Your
d. Address Ends In .Net. Skills. Select
The Best
Ans: B Response By
Financial Influences On A Site Are A Clue That The Information The Student
May Be Biased. .Com At The End Of The Address Indicates That Interested In
The Site Is A Commercial One. .Gov Indicates That The Site Is Psychiatric
Maintained By A Government Entity. Nursing.
.Org Indicates That The Site Is Nonproprietary; The Site May Or a. Psychiatri
May Not Have Reliable Information, But It Does Not Profit From Its c Nurses
Activities. .Net Can Have Multiple Meanings. Practice In
Safer
Dif: Cognitive Level: Comprehension (Understanding) Ref: 5 Environmen
Top: Nursing Process: Evaluation Msc: Nclex: Health Promotion And ts Than
Maintenance Other
Specialties.
6. A Nurse Says, When I Was In School, I Learned To Call Upset Nurse-To-
Patients By Name To Get Their Attention; However, I Read A Patient
Descriptive Research Study That Says That This Approach Does Ratios Must
Not Work. I Plan To Stop Calling Patients By Name. Which Be Better
Statement Is The Best Appraisal Of This Nurses Comment? Because Of
a. One Descriptive Research Study Rarely Provides Enough Evidence To Change The Nature
Practice. Of Patients
b. Staff Nurses Apply New Research Findings Only With The Help From Problems.
Clinical Nurse Specialists. b. Psychiatric
c. New Research Findings Should Be Incorporated Into Clinical Algorithms Nurses Use
Before Using Them In Practice. Complex
d. The Nurse Misinterpreted The Results Of The Study. Classic Tenets Of Communication
Practice Do Not Change. Skills, As Well
As Critical
Ans: A Thinking, To
Descriptive Research Findings Provide Evidence For Practice But Solve
Must Be Viewed In Relation To Other Studies Before Practice Multidimensional
Changes. One Study Is Not Enough. Descriptive Studies Are Low Problems. Im
On The Hierarchy Of Evidence. Clinical Algorithms Use Flow Challenged By
Charts To Manage Problems And Do Not Specify One Response To Those
A Clinical Problem. Classic Tenets Of Practice Should Change As Situations.
Research Findings Provide Evidence For Change. c. I Think I Will
Be Good In The
Dif: Cognitive Level: Analysis (Analyzing) Ref: 3 Mental Health
, lOMoAR cPSD| 31368207
Field. I Do Not Like Clinical Rotations In School, So I Do Not Want To Earn $1.236
Want To Continue Them After I Graduate. Extra Per Year?
d. Psychiatric Nurses Do Not Have To Deal With As Much Pain
And Suffering As Medical Surgical Nurses. That Appeals To
Me.
Ans: B
The Practice Of Psychiatric Nursing Requires A Different Set Of
Skills Than Medical Surgical Nursing, Although Substantial
Overlap Does Exist. Psychiatric Nurses Must Be Able To Help
Patients With Medical And Mental Health Problems, Reflecting
The Holistic Perspective These Nurses Must Have. Nurse-Patient
Ratios And Workloads In Psychiatric Settings Have Increased,
Similar To Other Specialties. Psychiatric Nursing Involves
Clinical Practice,
