TEST BANK FOR -Essentials of Psychiatric Mental Health Nursing test bank 4th Edition by Elizabeth M. Varcarolis ALL CHAPTERS (1- 28)| A+ STUDY GUIDE ' with 100% correct answers

Test Bank: Essentials of Psychiatric Mental Health
Nursing 28CHAPTERS (4rd Edition by Varcarolis) 1
Graded A+

,Test Bank: Essentials of Psychiatric Mental Health Nursing (4rd Edition by Varcarolis) 2
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Chapter 01: Practicing the Science and the Art of Psychiatric Nursing MULTIPLECHOICE
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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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living in the community and diagnosed with serious and persistent mental illness? Within
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3months, the patient will: a. deny suicidal ideation.
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b. report a sense of well-being. R R R R




c. take medications as prescribed.
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d. attend clinic appointments on time. R R R R




ANS: B R




Recovery emphasizes managing symptoms, reducing psychosocial disability, and
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improvingrole performance.
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The goal of recovery is to empower the individual with mental illness to achieve a sense of
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meaning and satisfaction in life and to function at the highest possible level of wellness.
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Theincorrect options focus on the classic medical model rather than recovery.
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DIF: Cognitive Level: Application (Applying) REF:
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2TOP: Nursing Process: Outcomes Identification
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R MSC: NCLEX: Health Promotion and Maintenance
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2. In the shift-change report, an off-going nurse criticizes a patient who wears
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heavymakeup. Which comment by the nurse who receives the report best
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demonstrates advocacy?
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a. This is a psychiatric hospital. Craziness is what we are all about.
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b. Lets all show acceptance of this patient by wearing lots of makeup too.
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c. Your comments are inconsiderate and inappropriate. Keep the report objective.
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,d. Our patients need our help to learn behaviors that will help them get along
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insociety.ANS: D
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Accepting patients needs for self-expression and seeking to teach skills that will contributeto
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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.
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Humor can be appropriate within the privacy of a shift report but not at the expense of
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respect for patients. Judging the off-going nurse in a critical way will create conflict.
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Nurses must show compassion for each other.
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DIF: Cognitive Level: Application (Applying) REF: 8
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TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment 3. A
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nurse assesses a newly admitted patient diagnosed with major depressive disorder. Which
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statement is an example of attending?
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a. We all have stress in life. Being in a psychiatric hospital isnt the end of the world.
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b. Tell me why you felt you had to be hospitalized to receive treatment for yourdepression.
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c. You will feel better after we get some antidepressant medication started for you.
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d. Id like to sit with you a while so you may feel more comfortable talking with me.
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ANS: D R




Attending is a technique that demonstrates the nurses commitment to the relationship and
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reduces feelings of isolation. This technique shows respect for the patient and
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demonstrates caring. Generalizations, probing, and false reassurances are non-therapeutic.
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DIF: Cognitive Level: Application (Applying) REF: 8
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TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity 4. A patient
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ishospitalized for depression and suicidal ideation after their spouse asks for a divorce.
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Select the nurses most caring comment.
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a. Lets discuss some means of coping other than suicide when you have these feelings.
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b. I understand why youre so depressed. When I got divorced, I was devastated too.
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, c. You should forget about your marriage and move on with yourlife.
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d. How did you get so depressed that hospitalization wasnecessary?
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