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Test Bank For Essentials Of Psychiatric Mentalhealth Nursing 4Th Edition By Varcarolis All Chapters Covered

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TEST BANK Essentials of Psychiatric Mental Health Nursing 4th Edition By Varcarolis Chapter 01: Science and the Therapeutic Use of Self in Psychiatric Mental Health Nursing Varcarolis: Essentials of Psychiatric Mental Health Nurasbiinrbg.c:omA/teCst ommunication Approach to Evidence-Based Care, 4th Edition 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 n/ttemst ental illness? Within 3 months, the patient will demonstrate what behavior? a. Denying suicidal ideation b. Reporting a sense of well-being c. Taking medications as prescribed d. Attending 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 o/tedset l rather than recovery. DIF: Cognitive Level: Application (Applying) TOP: Nursing Process: Outcomes Identification MSC: NCLEX: Health Promotion and Maintenance 2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for a divorce. Select the nurse‘s most caring comment. a. ―Let‘s discuss healthy means of coping when you have suicidal feelings.‖ b. ―I understand why you‘re so depressed. When I got divorced, I was devastated too.‖ c. ―You should forget about your marriage and move on d. ―How did you get so depressed that hospitalization was necessary?‖ ANS: A The nurse‘s communication should evidence caring and a t/tmeset nt to work with the patient. This commitment lets the patient know the nurse will help. Probing and advice are not helpful for therapeutic interventions. DIF: Cognitive Level: Application (Applying) TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity 3. In the shift-change report, an off-going nurse criticizes a w/tehsot wears extremely heavy makeup. Which comment by the nurse who receives the report best demonstrates advocacy? a. ―This is a psychiatric hospital, so we expect our patients to behave bizarrely.‖ b. ―Let‘s all show acceptance of this patient by wearing 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 d/taegstainst 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) TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment 4. 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 is not 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 a/ttieostn started for you.‖ d. ―I‘d like to sit with you for a while, so you may feel more comfortable talking with me.‖ ANS: D Attending is a technique that demonstrates the nurse‘s 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 nontherapeutic. DIF: Cognitive Level: Application (Applying) TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity 5. A patient shows the nurse an article from the Internet al/ttehstproblem. Which characteristic of the website‘s address most alerts the nurse that the site may have biased and prejudiced information? a. Address ends in ―.org.‖ b. Address ends in ―.com.‖ c. Address ends in ―.gov.‖ d. Address ends in ―.net.‖ ANS: B Financial influences on a site are a clue that the information may be biased. ―.com‖ at the end of the address indicates that the site is a commercial one. ―.gov‖ indicates that the site is maintained by a government entity. ―.org‖ indicates that the site is nonproprietary; the site may or may not have reliable information, but it does not profit from its activities. ―.net‖ can have multiple meanings. DIF: Cognitive Level: Comprehension (Understanding) TOP: Nursing Process: Evaluation MSC: NCLEX: Health Promotion and Maintenance 6. A nurse says, ―When I was in school, I learned to call en/tetsst by name to get their attention; however, I read a descriptive research study that says that this approach does not work. I plan to stop calling patients by name.‖ Which statement is the best appraisal of this nurse‘s comment? a. One descriptive research study rarely provides enough evidence to change practice.

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TEST BANK FOR
ESSENTIALS OF
PSYCHIATRIC
MENTALHEALTH
NURSING 4TH
EDITION
BY VARCAROLIS
ALL CHAPTERS
COVERED

,Chapter 01: Science and the Therapeutic Use of Self in Psychiatric Mental HealthNursin
q q q q q q q q q q q q q

g
Varcarolis: Essentials of Psychiatric Mental Health Nurasbiinrbg.c:omA/teC
q q q q q
st ommunication Approac
q
q
q

h to Evidence-Based Care, 4th Edition
q q q q q




abirb.com/test
MULTIPLEqCHOICE

1. Whichqoutcome,qfocusedqonqrecovery,qwouldqbeqexpectedqinqtheqplanqofqcareqforqaqpatientqlivi
ngqinqtheqcommunityqandqdiagnosedqwithqseriousqandqpeabrisrbis.ctoemn/ttem
stqentalqillness?qWithinq3qmon
ths,qtheqpatientqwillqdemonstrateqwhatqbehavior?
a. Denyingqsuicidalqideation
b. Reportingqaqsenseqofqwell-being abirb.com/test
c. Takingqmedicationsqasqprescribed
d. Attendingqclinicqappointmentsqonqtime
ANS:q B abirb.com/test
Recoveryqemphasizesqmanagingqsymptoms,qreducingqpsychosocialqdisability,qandqimprovingqr
oleqperformance.qTheqgoalqofqrecoveryqisqtoqempowerqtheqindividualqwithqmentalqillnessqtoqachie
veqaqsenseqofqmeaningqandqsatisfactionqinqlifeqandqtoqfunctionqatqtheqhighestqpossibleqlevelqofqwell
ness.qTheqincorrectqoptionsqfocusqonqtheqclassicqmedabicirba.lcom
mo/tedse
tqlqratherqthanqrecovery.


DIF:
CognitiveqLevel:qApplicationq(Applying)q
TOP:qNursingqProcess:qOutcomesqIdentification
abirb.com/test
MSC:q NCLEX:qHealthqPromotionqandqMaintenance

2. Aqpatientqisqhospitalizedqforqdepressionqandqsuicidalqideationqafterqtheirqspouseqasksqforqaqd
ivorce.qSelectqtheqnurse‘sqmostqcaringqcomment. abirb.com/test
a. ―Let‘sqdiscussqhealthyqmeansqofqcopingqwhenqyouqhaveqsuicidalqfeelings.‖
b. ―Iqunderstandqwhyqyou‘reqsoqdepressed.qWhenqIqgotqdivorced,qIqwasqdevastatedqt
oo.‖
c. ―Youqshouldqforgetqaboutqyourqmarriageqandqmoveqonqawbiirtbh.coymo/u
test
r life.‖
d. ―Howqdidq youqgetqsoqdepressedqthatqhospitalizationqwasqnecessary?‖
ANS:q A
Theqnurse‘sqcommunicationqshouldqevidenceqcaringqandqaqacboirm
b.com/test
mitmeqntqtoqworkqwithqtheqpatient.
qThisqcommitmentqletsqtheqpatientqknowqtheqnurseqwillqhelp.qProbingqandqadviceqareqnotqhelpfulqf

orqtherapeuticqinterventions.
abirb.com/test
DIF: CognitiveqLevel:qApplicationq(Applying)
TOP:q NursingqProcess:qImplementation MSC:q NCLEX:qPsychosocialqIntegrity

3. Inqtheqshift-changeqreport,qanqoff-
goingqnurseqcriticizesqaqpaabtiirbe.ncotmw/tehsotqqwearsqextremelyqheavyqmakeup.qWhichqcommentqbyqtheq
nurseqwhoqreceivesqtheqreportqbestqdemonstratesqadvocacy?
a. ―Thisqisqaqpsychiatricqhospital,qsoqweqexpectqourqpatientsqtoqbehaveqbizarrely.‖
b. ―Let‘sqallqshowqacceptanceqofqthisqpatientqbyqwearingqlaobtisrbo .cfom
m/teasktqeupqtoo.‖
c. ―Yourqcommentsqareqinconsiderateqandqinappropriate.qKeepqtheqreportqobjective.‖
d. ―Ourqpatientsqneedqourqhelpqtoqlearnqbehaviorsqthatqwillqhelpqthemqgetqalongqinqs
ociety.‖
abirb.com/test
ANS:q D
abirb.com/test

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

, Acceptingqpatients‘qneedsqforqself-
expressionqandqseekingqtoqteachqskillsqthatqwillqcontributeqtoqtheirqwell-
beingqdemonstrateqrespectqandqareqimportantqpartsqofqadvocacy.qTheqon-
comingqnurseqneedsqtoqtakeqactionqtoqensureqthatqothersqareqnotqprejaubidrbi.ccoemd/taegstainstqtheqpatient.qH
umorqcanqbeqappropriateqwithinqtheqprivacyqofqaqshiftqreportqbutqnotqatqtheqexpenseqofqrespectqfor
qpatients.qJudgingqtheqoff-

goingqnurseqinqaqcriticalqwayqwillqcreateqconflict.qNursesqmustqshowqcompassionqforqeachqother.
abirb.com/test

DIF: CognitiveqLevel:qApplicationq(Applying)
TOP:q NursingqProcess:qImplementation MSC:q NCLEX:qSafe,qEffectiveqCareqEnvironment
abirb.com/test
4. Aqnurseqassessesqaqnewlyqadmittedqpatientqdiagnosedqwithqmajorqdepressiveqdisorder.qWhichqs
tatementqisqanqexampleqofq―attending‖?
a. ―Weqallqhaveqstressqinqlife.qBeingqinqaqpsychiatricqhospitalqisqnotqtheqendqofqtheq
world.‖ abirb.com/test
b. ―Tellqmeqwhyqyouqfeltq youqhadqtoqbeqhospitalizedqtoqreceiveqtreatmentqforq yourq
depression.‖
c. ―Youqwillqfeelqbetterqafterqweqgetqsomeqantidepressantqambie
rbd
.ciocm
a/ttieostnqstartedqforqyou.‖
d. ―I‘dqlikeqtoqsitqwithqyouqforqaqwhile,qsoqyouqmayqfeelqmoreqcomfortableqtalkingqwith
me.‖
ANS:q D abirb.com/test
Attendingqisqaqtechniqueqthatqdemonstratesqtheqnurse‘sqcommitmentqtoqtheqrelationshipqandqr
educesqfeelingsqofqisolation.qThisqtechniqueqshowsqrespectqforqtheqpatientqandqdemonstratesqca
ring.qGeneralizations,qprobing,qandqfalseqreassurancesqareqnontherapeutic.
abirb.com/test
DIF: CognitiveqLevel:qApplicationq(Applying)
TOP:q NursingqProcess:qImplementation MSC:q NCLEX:qPsychosocialqIntegrity

5. AqpatientqshowsqtheqnurseqanqarticleqfromqtheqInternetqabouatbiarb.hcoemal/ttehst problem.qWhichqcharacte
risticqofqtheqwebsite‘sqaddressqmostqalertsqtheqnurseqthatqtheqsiteqmayqhaveqbiasedqandqprejudice
dqinformation?
a. Addressqendsqinq―.org.‖ abirb.com/test
b. Addressqendsqinq―.com.‖
c. Addressqendsqinq―.gov.‖
d. Addressqendsqinq―.net.‖
abirb.com/test
ANS:q B
Financialqinfluencesqonqaqsiteqareqaqclueqthatqtheqinformationqmayqbeqbiased.q―.com‖qatqtheqendqo
fqtheqaddressqindicatesqthatqtheqsiteqisqaqcommercialqone.q―.gov‖ qindicatesqthatqtheqsiteqis
abirb.com/test
maintainedqbyqaqgovernmentqentity.q―.org‖qindicatesqthatqtheqsiteqisqnonproprietary;qtheqsite
mayqorqmayqnotqhaveqreliableqinformation,qbutqitqdoesqnotqprofitqfromqitsqactivities.q―.net‖qcanqh
aveqmultipleqmeanings.
abirb.com/test
DIF: CognitiveqLevel:qComprehensionq(Understanding)
TOP:q NursingqProcess:qEvaluationqMSC:q NCLEX:qHealthqPromotionqandqMaintenance

6. Aqnurseqsays,q―WhenqIqwasqinqschool,qIqlearnedqtoqcallqupseatbirpba.ctoim
en/tetsstqbyqnameqtoqgetqtheirqatte
ntion;qhowever,qIqreadqaqdescriptiveqresearchqstudyqthatqsaysqthatqthisqapproachqdoesqnotqwork
.qIqplanqtoqstopqcallingqpatientsqbyqname.‖qWhichqstatementqisqtheqbestqappraisalqofqthisqnurse‘
sqcomment? abirb.com/test
a. Oneqdescriptiveqresearchqstudyqrarelyqprovidesqenoughqevidenceqtoqchangeqpractice.

abirb.com/test

WWW.NURSYLAB.COM
WWW.THENURSINGMASTERY.COMq
abirb.com/tes

, b. Staffqnursesqapplyqnewqresearchqfindingsqonlyqwithqtheqhelpqfromqclinicalqnurseqs
pecialists.
c. Newqresearchqfindingsqshouldqbeqincorporatedqintoqclinaibcirabl.caom
lg/toesrtithmsqbeforequsingqt
hemqinqpractice.
d. Theqnurseqmisinterpretedqtheqresultsqofqtheqstudy.qClassicqtenetsqofqpracticeqdoqnotqc
hange.
abirb.com/test
ANS:q A
Descriptiveqresearchqfindingsqprovideqevidenceqforqpracticeqbutqmustqbeqviewedqinqrelationqtoqot
herqstudiesqbeforeqpracticeqchanges.qOneqstudyqisqnotqenough.qDescriptiveqstudiesqareqlowqonqtheq
abirb.com/test
hierarchyqofqevidence.qClinicalqalgorithmsquseqflowcharts to manageqproblemsqandqdoqnot
specifyqoneqresponseqtoqaqclinicalqproblem.qClassicqtenetsqofqpracticeqshouldqchangeqasqr
esearchqfindingsqprovideqevidenceqforqchange.
abirb.com/test
DIF: CognitiveqLevel:qAnalysisq(Analyzing)
TOP:q NursingqProcess:qEvaluationqMSC:q NCLEX:qHealthqPromotionqandqMaintenance

7. Twoqnursingqstudentsqdiscussqcareerqplansqafterqgraduationa.birb
On.ceoms/tteusdtqentqwantsqtoqenterqpsychi
atricqnursing.qTheqotherqstudentqasks,q―Whyqwouldqyouqwantqtoqbeqaqpsychiatricqnurse?qAllqthey
qdoqisqtalk.qYouqwillqloseqyourqskills.‖qSelectqtheqbestqresponseqbyqtheqstudent qinterestedqinqpsyc

hiatricqnursing. abirb.com/test
a. ―Psychiatricqnurses‘qpracticeqinqsaferqenvironmentsqthanqotherqspecialtiesqandq
nurse-to-patientqratiosqareqbetterqbecauseqofqtheqnatureqofqpatients‘qproblems.‖
b. ―Psychiatricqnursesquseqcomplexqcommunicationqskills,qasqwellqasqcriticalqthinking,qt
oqsolveqmultidimensionalqproblems.qI‘mqchallengedqbyabtirhb.cosom/
e steisttuations.‖
c. ―IqthinkqIqwillqbeqgoodqinqtheqmentalqhealthqfield.qIqdoqnotqlikeqclinicalqrotationsqinqs
chool,qsoqIqdoqnotqwantqtoqcontinueqthemqafterqIqgraduate.‖
d. ―Psychiatricqnursesqdoqnotqhaveqtoqdealqwithqasqmuchqpaabiirnb.caonmd/tessutfferingqasq
medical-surgicalqnurses.qThatqappealsqtoqme.‖
ANS:q B
Theqpracticeqofqpsychiatricqnursingqrequiresqaqdifferentqsetaobfirbs.ckoimll/stesthtqanqmedical-
surgicalqnursing,qalthoughqsubstantialqoverlapqdoesqexist.qPsychiatricqnursesqmustqbeqableqtoqh
elpqpatientsqwithqmedicalqandqmentalqhealthqproblems,qreflectingqtheqholisticqperspectiveqthese
qnursesqmustqhave.qNurse–

patientqratiosqandqworkloadsqinqpsychiatricqsettingsqhaveqincreased,qsimilarqtoqotherqspecialties.
abirb.com/test
qPsychiatricqnursingqinvolvesqclinical pracqtice,qnotqsimplyqdocumentation.qPsychosocialqpainqi

sqrealqandqcanqcauseqasqmuchqsufferingqasqphysicalqpain.

DIF: CognitiveqLevel:qApplicationq(Applying) abirb.com/test
TOP:q NursingqProcess:qImplementation MSC:q NCLEX:qSafe,qEffectiveqCareqEnvironment

8. Whichqresearchqevidenceqwouldqmostqinfluenceqaqgroupqofqnursesqtoqchangeqtheirqpractice?
a. Expertqcommitteeqreportqofqrecommendationsqforqpractaibcireb.com/test
b. Systematicqreviewqofqrandomizedqcontrolledqtrials
c. Nonexperimentalqdescriptiveqstudy
d. Criticalqpathway
abirb.com/test
ANS:q B

abirb.com/test



abirb.com/test

WWW.NURSYLAB.COM
WWW.THENURSINGMASTERY.COMq
abirb.com/tes
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Elizabeth M. Varcarolis Essentials of Psychiatric Mental Health Nursing - E-Book
Publisher: 2020 ISBN: 9780323625111 Edition: Unknown

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