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Test Bank for Varcarolis’ Essentials of Psychiatric Mental Health Nursing, 5th Edition (Fosbre, 2026), Chapter 1-28 + NCLEX Case Studies with Answers 9780323810302 Chapters 1-28 Complete Guide

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Test Bank for Varcarolis’ Essentials of Psychiatric Mental Health Nursing, 5th Edition (Fosbre, 2023), Chapter 1-28 + NCLEX Case Studies with Answers 9780323810302 Chapters 1-28 Complete Guide. UNIT I Essential Theoretical Concepts for Practice 1 Science and the Therapeutic Use of Self in Psychiatric-Mental Health Nursing 2 Mental Health and Mental Illness 3 Theories and Therapies 4 Biological Basis for Understanding Psychopharmacology 5 Settings for Psychiatric Care 6 Legal and Ethical Basis for Practice UNIT II Tools for Practice of the Art 7 The Nursing Process in Psychiatric-Mental Health Nursing 8 Communication Skills: Medium for All Nursing Practice 9 Therapeutic Relationships and the Clinical Interview UNIT III Caring for Patients With Psychobiological Disorders 10 Trauma and Stress-Related Disorders and Dissociative Disorders 11 Anxiety, Anxiety Disorders, and Obsessive-Compulsive and Related Disorders 12 Somatic Symptom Disorders 13 Personality Disorders 14 Eating Disorders 15 Mood Disorders: Depression 16 Bipolar Spectrum Disorders 17 Schizophrenia Spectrum Disorders and Other Psychotic Disorders 18 Neurocognitive Disorders 19 Substance-Related and Addictive Disorders UNIT IV Caring for Patients Experiencing Psychiatric Emergencies 20 Crisis and Mass Disaster 21 Child, Partner, and Elder Violence 22 Sexual Violence 23 Suicidal Thoughts and Behaviors 24 Anger, Aggression, and Violence 25 Care for the Dying and Those Who Grieve UNIT V Age-Related Mental Health Disorders 26 Children and Adolescents 27 Adults

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Chapter 01: Science and the Therapeutic Use of Self in Psychiatric Mental
kk kk kk kk kk kk kk kk kk kk kk


Health Nursing
kk kk

,kk



abirb.com/test
MULTIPLE CHOICE kk




1. Which outcome, focused on recovery, would be expected in the plan of care for a
kk kk kk kk kk kk kk kk kk kk kk kk kk kk


kkpatient kkliving kkin kkthe kkcommunitykkand kkdiagnosed kkwith kkserious kkand kkp e r s i s t e n t
a b i r b . c o m / t em
st kk
ental
illness? Within 3 months, the patient will demonstrate what behavior?
kk kk kk kk kk kk kk kk kk kk


a. Denying suicidal ideation kk kk


b. Reporting a sense of well-being kk kk
abirb.com/test
kk kk


c. Taking medications as prescribed kk kk kk


d. Attending clinic appointments on kk kk kk


timekk

abirb.com/test
ANS: k k B
Recovery emphasizes managing symptoms, reducing psychosocial disability, and
kk kk kk kk kk kk kk


improving role performance. The goal of recovery is to empower the individual with
kk kk kk kk kk kk kk kk kk kk kk kk kk


mental illness to achieve a sense of meaning and satisfaction in life and to function at
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk


the highest possible level of wellness. The incorrect options focus on the classic
kk kk kk kk kk kk kk kk kk kk kk kk kk


m e da bi ci r ba. lc omm o/ t edset l rather than recovery.
kk
kk
kk kk kk




DIF: Cognitive Level: Application (Applying) kk kk kk


TOP:
kk Nursing Process: Outcomes
k k kk kk
abirb.com/test
Identification MSC: NCLEX: Health Promotion
kk kk k k kk kk


and Maintenance
kk kk




2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for a
kk kk kk kk kk kk kk kk kk kk kk kk kk kk


divorce. Select the nurse‘s most caring
kk abirb.com/test
kk kk kk kk


comment.
kk


a. ―Let‘s discuss healthy means of coping when you have suicidal feelings.‖
kk kk kk kk kk kk kk kk kk kk


b. ―I understand why you‘re so depressed. When I got divorced, I was
kk kk kk kk kk kk kk kk kk kk kk


devastated too.‖
kk kk


c. ―You should forget about your marriage and move on awbiirtbh.coymo/uterstlife.‖
kk kk kk kk kk kk kk kk kk


d. ―How did you get so depressed that hospitalization was necessary?‖
kk kk kk kk kk kk kk kk kk




ANS: k k A
The nurse‘s communication should evidence caring and a acboi r m
kk kk
b.c om /t es t
m i t m e nt to work with the kk kk kk kk kk kk kk kk kk kk kk


patient. This commitment lets the patient know the nurse will help. Probing and advice
kk kk kk kk kk kk kk kk kk kk kk kk kk kk


are not helpful for therapeutic interventions.
kk kk kk kk kk kk


abirb.com/test
DIF: Cognitive Level: Application kk kk


(Applying)
kk


TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
k k kk kk k k kk kk




3. In the shift-change report, an off-going nurse criticizes a paabti ir be. nc ot mw/ t ehsot
kk kk kk wears extremely kk kk kk kk kk kk k k kk


heavy makeup. Which comment by the nurse who receives the report best demonstrates
kk kk kk kk kk kk kk kk kk kk kk kk kk


advocacy?
kk


a. ―This is a psychiatric hospital, so we expect our patients to behave bizarrely.‖
kk kk kk kk kk kk kk kk kk kk kk kk


b. ―Let‘s all show acceptance of this patient by wearing l o t s o f m a k eup too.‖
kk kk kk kk kk kk kk kk kk kk
a b i rb .c om /te s t kk

c. ―Your comments are inconsiderate and inappropriate. Keep the report objective.‖
kk kk kk kk kk kk kk kk kk


d. ―Our patients need our help to learn behaviors that will help them get
kk kk kk kk kk kk kk kk kk kk kk kk


along in society.‖
kk kk kk

abirb.com/test
ANS: k k D


abirb.com/test

WWW.NURSYLAB.COM
WWW.THENURSINGMASTERY.COM
abirb.com/test

, Accepting patients‘ needs for self-expression and seeking to teach skills that will
kk kk kk kk kk kk kk kk kk kk kk


contribute to their well-being demonstrate respect and are important parts of advocacy.
kk kk kk kk kk kk kk kk kk kk kk kk


The on-coming nurse needs to take action to ensure that others are not
kk kk kk kk kk kk kk kk kk kk kk kk kk


prejaub idr bi.cc eo md / tae gs t ainst the patient. Humor can be appropriate within the privacy of a
kk kk kk kk kk kk kk kk kk kk kk kk


shift report but not at the expense of respect for patients. Judging the off-going nurse
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk


in a critical way will create conflict. Nurses must show compassion for each other.
kk kk kk kk kk kk kk kk kk kk kk kk kk kk

abirb.com/test

DIF: Cognitive Level: Application (Applying) kk kk kk


TOP: Nursing Process: Implementation MSC:
k k kk kk k k NCLEX: Safe, Effective Care Environment kk kk kk kk


abirb.com/test
4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder. Which
kk kk kk kk kk kk kk kk kk kk kk kk


statement is an example of ―attending‖? kk kk kk kk kk


a. ―We all have stress in life. Being in a psychiatric hospital is not the end of the
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk


world.‖ abirb.com/test
b. ―Tell me why you felt you had to be hospitalized to receive treatment for
kk kk kk kk kk kk kk kk kk kk kk kk kk


your depression.‖
kk kk


c. ―You will feel better after we get some antidepressant amb i rebd. ciocma/tt ieos tn started for you.‖
kk kk kk kk kk kk kk kk kk kk kk kk


d. ―I‘d like to sit with you for a while, so you may feel more comfortable talking with
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk


me.‖
ANS: k k D abirb.com/test
Attending is a technique that demonstrates the nurse‘s commitment to the relationship
kk kk kk kk kk kk kk kk kk kk kk


and reduces feelings of isolation. This technique shows respect for the patient and
kk kk kk kk kk kk kk kk kk kk kk kk kk


demonstrates caring. Generalizations, probing, and false reassurances are nontherapeutic.
kk kk kk kk kk kk kk kk kk

abirb.com/test
DIF: Cognitive Level: Application (Applying) kk kk kk


TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
k k kk kk k k kk kk




a bi rb . co 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. Which
kk kk kk kk kk kk kk kk kk kk kk


characteristic of the website‘s address most alerts the nurse that the site may have
kk kk kk kk kk kk kk kk kk kk kk kk kk kk


biased and prejudiced information?
kk kk kk kk


a. Address ends in ―.org.‖ kk abirb.com/test kk kk


b. Address ends in kk kk


―.com.‖
kk


c. Address ends in ―.gov.‖ kk kk kk
abirb.com/test
d. Address ends in ―.net.‖ kk kk kk




ANS: k k B
Financial influences on a site are a clue that the information may be biased. ―.com‖ at
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk


the end of the address indicates that the site is a commercial one. ―.gov‖ indicates that
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk


the site is
kk kk kk
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
kk kk kk kk kk kk kk kk kk kk


may or may not have reliable information, but it does not profit from its activities. ―.net‖
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk


can have multiple meanings.
kk kk kk kk


abirb.com/test
DIF: Cognitive Level: Comprehension (Understanding) TOP: kk kk kk k k Nursing Process: kk


Evaluation MSC: NCLEX: Health Promotion and Maintenance
kk kk k k kk kk kk kk




6. A nurse says, ―When I was in school, I learned to call ups ea tb i rpba. ctoi men/ t et ss t by name to get
kk kk kk kk kk kk kk kk kk kk kk kk
kk
kk kk kk


their attention; however, I read a descriptive research study that says that this
kk kk kk kk kk kk kk kk kk kk kk kk kk


approach does not work. I plan to stop calling patients by name.‖ Which statement is
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk


the best appraisal of this
kk kk kk kk kk


nurse‘s comment? kk abirb.com/test
a. One descriptive research study rarely provides enough abirb.com/test
kk evidence to change practice.
kk kk kk kk kk kk kk kk kk


WWW.NURSYLAB.COM
WWW.THENURSINGMASTERY.COM

, b. Staff nurses apply new research findings only with the help from clinical
kk kk kk kk kk kk kk kk kk kk kk


nurse specialists.
kk kk


c. New research findings should be incorporated into clinaibci rabl. c ao mlg/ toe sr tithms before
kk kk kk kk kk kk kk kk


kk using them in practice.
kk kk kk


d. The nurse misinterpreted the results of the study. Classic tenets of practice do
kk kk kk kk kk kk kk kk kk kk kk kk


kk not change. kk
abirb.com/test
ANS: k k A
Descriptive research findings provide evidence for practice but must be viewed in
kk kk kk kk kk kk kk kk kk kk kk


relation to other studies before practice changes. One study is not enough. Descriptive
kk kk kk kk kk kk kk kk kk kk kk kk kk


studies are low on
kk kk kk kk
a b i rb .c om /t es t
the hierarchy of evidence. Clinical algorithms use flowcha r t s t o m a n age problems and do not
kk kk kk kk kk kk kk kk kk kk kk


specify one response to a clinical problem. Classic tenets of practice should change as
kk kk kk kk kk kk kk kk kk kk kk kk kk


research findings provide evidence for change.
kk kk kk kk kk kk


abirb.com/test
DIF: Cognitive Level: Analysis (Analyzing) TOP: kk kk kk k k Nursing Process: kk


Evaluation MSC: NCLEX: Health Promotion and Maintenance
kk kk k k kk kk kk kk




7. Two nursing students discuss career plans after graduationa.b iO
kk kk
r bn
. c eo ms/tt eusdt ent wants to enter
kk kk kk kk kk
kk
kk kk kk


psychiatric nursing. The other student asks, ―Why would you want to be a psychiatric
kk kk kk kk kk kk kk kk kk kk kk kk kk kk


nurse? All they do is talk. You will lose your skills.‖ Select the best response by the
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk


student
kk


interested in psychiatric kk kk abirb.com/test
nursing.
kk


a. ―Psychiatric nurses‘ practice in safer environments than other specialties
kk kk kk kk kk kk kk kk


and nurse-to-patient ratios are better because of the nature of patients‘
kk kk kk kk kk kk kk kk kk kk kk


problems.‖
kk


b. ―Psychiatric nurses use complex communication skills, as well as critical
kk kk kk kk kk kk kk kk kk


thinking, to solve multidimensional problems. I‘m challenged
kk kk kk kk kk kk kk


bya bti rhb o. c so em /steist tuations.‖
kk


c. ―I think I will be good in the mental health field. I do not like clinical
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk


rotations in school, so I do not want to continue them after I graduate.‖
kk kk kk kk kk kk kk kk kk kk kk kk kk kk


d. ―Psychiatric nurses do not have to deal with as much kk kk kk kk kk kk kk kk kk


paabii rnb. ac onmd/ t essut ffering as medical-surgical nurses. That appeals to
kk kk kk kk kk kk kk


me.‖ kk




ANS: k k B
The practice of psychiatric nursing requires a different s et aob fi r bs. ckoiml l/st e ts ht an medical-surgical
kk kk kk kk kk kk kk kk kk kk


nursing, although substantial overlap does exist. Psychiatric nurses must be able to help
kk kk kk kk kk kk kk kk kk kk kk kk kk


patients with medical and mental health problems, reflecting the holistic perspective
kk kk kk kk kk kk kk kk kk kk kk


these nurses must have. Nurse–patient ratios and workloads in psychiatric settings have
kk kk kk kk kk kk kk kk kk kk kk kk


increased, similar to other specialties. Psychiatric nursing involves c lai bni ri bc. ac ol mp/ treasct tice, not
kk kk kk kk kk kk kk kk kk kk kk


simply documentation. Psychosocial pain is real and can cause as much suffering as
kk kk kk kk kk kk kk kk kk kk kk kk kk


physical pain.
kk kk




DIF: Cognitive Level: Application kk kk abirb.com/test
(Applying)
kk


TOP: Nursing Process: Implementation MSC:
k k kk kk k k NCLEX: Safe, Effective Care Environment kk kk kk kk




8. Which research evidence would most influence a group of nurses to change their practice?
kk kk kk kk kk kk kk kk kk kk kk kk kk


a. Expert committee report of recommendations for practaibcireb.com/test
kk kk kk kk kk kk


b. Systematic review of randomized controlled trials kk kk kk kk kk


c. Nonexperimental descriptive study kk kk
abirb.com/test

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WWW.THENURSINGMASTERY.COM

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Publisher: 2022 ISBN: 9780323810319 Edition: Unknown

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