Essentials of Psychiatric Mental Health Nursing 4th Edition Elizabeth M.
Varcarolis Test Banks
Chapter 01: Science and the Therapeutic Use of Self in Psychiatric Mental Health
Nursing
Varcarolis: Essentials of Psychiatric Mental Health Nurasbin
irbg
.c:om
A/teC
st ommunication
Approach to Evidence-Based Care, 4th Edition
abirb.com/test
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 paebrisrbis.ctoemn/ttem
st ental illness? Within 3
months, the patient will demonstrate what behavior?
a. Denying suicidal ideation
b. Reporting a sense of well-being abirb.com/test
c. Taking medications as prescribed
d. Attending clinic appointments on time
ANS: B abirb.com/test
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 medabicirba.lcom
mo/tedse
t l rather than recovery.
DIF: Cognitive Level: Application (Applying)
TOP: Nursing Process: Outcomes Identification
abirb.com/test
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. abirb.com/test
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 awbiirtbh.coymo/u
test
r life.”
d. “How did you get so depressed that hospitalization was necessary?”
ANS: A
The nurse’s communication should evidence caring and a acboirm
b.com/test
mitment to work with the
patient. This commitment lets the patient know the nurse will help. Probing and advice are not
helpful for therapeutic interventions.
abirb.com/test
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 paabtiirbe.nc ot mw/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 laobtisrbo f makeup too.”
.com/test
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.”
abirb.com/test
ANS: 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 contribute to b. Staff nurses apply new research findings only with the help from clinical nurse
their well-being demonstrate respect and are important parts of advocacy. The on-coming specialists.
nurse needs to take action to ensure that others are not prejaubidrbi.cceomd/taegstainst the patient. Humor c. New research findings should be incorporated into clinaibcirabl.caom
lg/toesrtithms before using
can be appropriate within the privacy of a shift report but not at the expense of respect for them in practice.
patients. Judging the off-going nurse in a critical way will create conflict. Nurses must show d. The nurse misinterpreted the results of the study. Classic tenets of practice do not
compassion for each other. change.
abirb.com/test abirb.com/test
DIF: Cognitive Level: Application (Applying) ANS: A
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment Descriptive research findings provide evidence for practice but must be viewed in relation to
abirb.com/test
other studies before practice changes. One study is not enough. Descriptive studies are low on
abirb.com/test
4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder. Which the hierarchy of evidence. Clinical algorithms use flowcharts to manage problems and do not
statement is an example of “attending”? specify one response to a clinical problem. Classic tenets of practice should change as
a. “We all have stress in life. Being in a psychiatric hospital is not the end of the research findings provide evidence for change.
world.” abirb.com/test abirb.com/test
b. “Tell me why you felt you had to be hospitalized to receive treatment for your DIF: Cognitive Level: Analysis (Analyzing) TOP: Nursing Process: Evaluation
MSC: NCLEX: Health Promotion and Maintenance
depression.”
c. “You will feel better after we get some antidepressant ambirebd
.ciocm
a/ttieostn started for you.” 7. Two nursing students discuss career plans after graduationa.bO
irbn
.ce
oms/tte
usdt ent wants to enter
d. “I’d like to sit with you for a while, so you may feel more comfortable talking with
psychiatric nursing. The other student asks, “Why would you want to be a psychiatric nurse?
me.”
All they do is talk. You will lose your skills.” Select the best response by the student
ANS: D abirb.com/test interested in psychiatric nursing. abirb.com/test
Attending is a technique that demonstrates the nurse’s commitment to the relationship and a. “Psychiatric nurses’ practice in safer environments than other specialties and
reduces feelings of isolation. This technique shows respect for the patient and demonstrates nurse-to-patient ratios are better because of the nature of patients’ problems.”
caring. Generalizations, probing, and false reassurances are nontherapeutic. b. “Psychiatric nurses use complex communication skills, as well as critical thinking,
abirb.com/test
to solve multidimensional problems. I’m challenged byabtirhbo.csoem/steisttuations.”
DIF: Cognitive Level: Application (Applying) c. “I think I will be good in the mental health field. I do not like clinical rotations in
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity school, so I do not want to continue them after I graduate.”
d. “Psychiatric nurses do not have to deal with as much paabiirnb.caonmd/tessutffering as
5. A patient shows the nurse an article from the Internet abouatbiarb.hcoem
al/ttehst problem. Which medical-surgical nurses. That appeals to me.”
characteristic of the website’s address most alerts the nurse that the site may have biased and
prejudiced information? ANS: B
a. Address ends in “.org.” abirb.com/test The practice of psychiatric nursing requires a different set aobfirbs.ckoimll/stest ht an medical-surgical
b. Address ends in “.com.” nursing, although substantial overlap does exist. Psychiatric nurses must be able to help
c. Address ends in “.gov.” patients with medical and mental health problems, reflecting the holistic perspective these
d. Address ends in “.net.” nurses must have. Nurse–patient ratios and workloads in psychiatric settings have increased,
abirb.com/test
similar to other specialties. Psychiatric nursing involves claibniribc.acolmp/treasct tice, not simply
ANS: B documentation. Psychosocial pain is real and can cause as much suffering as physical pain.
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 DIF: Cognitive Level: Application (Applying) abirb.com/test
abirb.com/test
maintained by a government entity. “.org” indicates that the site is nonproprietary; the site TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
may or may not have reliable information, but it does not profit from its activities. “.net” can
have multiple meanings. 8. Which research evidence would most influence a group of nurses to change their practice?
abirb.com/test a. Expert committee report of recommendations for practaibcireb.com/test
DIF: Cognitive Level: Comprehension (Understanding) TOP: Nursing Process: Evaluation b. Systematic review of randomized controlled trials
MSC: NCLEX: Health Promotion and Maintenance c. Nonexperimental descriptive study
d. Critical pathway
6. A nurse says, “When I was in school, I learned to call upseatbirpba.ctoim
en/tetsst by name to get their abirb.com/test
attention; however, I read a descriptive research study that says that this approach does not ANS: B
work. I plan to stop calling patients by name.” Which statement is the best appraisal of this
nurse’s comment? abirb.com/test abirb.com/test
a. One descriptive research study rarely provides enough evidence to change practice.
abirb.com/test abirb.com/test
WWW.NURSYLAB.COM WWW.NURSYLAB.COM
WWW.THENURSINGMASTERY.COM WWW.THENURSINGMASTERY.COM
abirb.com/test abirb.com/test
Varcarolis Test Banks
Chapter 01: Science and the Therapeutic Use of Self in Psychiatric Mental Health
Nursing
Varcarolis: Essentials of Psychiatric Mental Health Nurasbin
irbg
.c:om
A/teC
st ommunication
Approach to Evidence-Based Care, 4th Edition
abirb.com/test
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 paebrisrbis.ctoemn/ttem
st ental illness? Within 3
months, the patient will demonstrate what behavior?
a. Denying suicidal ideation
b. Reporting a sense of well-being abirb.com/test
c. Taking medications as prescribed
d. Attending clinic appointments on time
ANS: B abirb.com/test
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 medabicirba.lcom
mo/tedse
t l rather than recovery.
DIF: Cognitive Level: Application (Applying)
TOP: Nursing Process: Outcomes Identification
abirb.com/test
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. abirb.com/test
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 awbiirtbh.coymo/u
test
r life.”
d. “How did you get so depressed that hospitalization was necessary?”
ANS: A
The nurse’s communication should evidence caring and a acboirm
b.com/test
mitment to work with the
patient. This commitment lets the patient know the nurse will help. Probing and advice are not
helpful for therapeutic interventions.
abirb.com/test
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 paabtiirbe.nc ot mw/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 laobtisrbo f makeup too.”
.com/test
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.”
abirb.com/test
ANS: 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 contribute to b. Staff nurses apply new research findings only with the help from clinical nurse
their well-being demonstrate respect and are important parts of advocacy. The on-coming specialists.
nurse needs to take action to ensure that others are not prejaubidrbi.cceomd/taegstainst the patient. Humor c. New research findings should be incorporated into clinaibcirabl.caom
lg/toesrtithms before using
can be appropriate within the privacy of a shift report but not at the expense of respect for them in practice.
patients. Judging the off-going nurse in a critical way will create conflict. Nurses must show d. The nurse misinterpreted the results of the study. Classic tenets of practice do not
compassion for each other. change.
abirb.com/test abirb.com/test
DIF: Cognitive Level: Application (Applying) ANS: A
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment Descriptive research findings provide evidence for practice but must be viewed in relation to
abirb.com/test
other studies before practice changes. One study is not enough. Descriptive studies are low on
abirb.com/test
4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder. Which the hierarchy of evidence. Clinical algorithms use flowcharts to manage problems and do not
statement is an example of “attending”? specify one response to a clinical problem. Classic tenets of practice should change as
a. “We all have stress in life. Being in a psychiatric hospital is not the end of the research findings provide evidence for change.
world.” abirb.com/test abirb.com/test
b. “Tell me why you felt you had to be hospitalized to receive treatment for your DIF: Cognitive Level: Analysis (Analyzing) TOP: Nursing Process: Evaluation
MSC: NCLEX: Health Promotion and Maintenance
depression.”
c. “You will feel better after we get some antidepressant ambirebd
.ciocm
a/ttieostn started for you.” 7. Two nursing students discuss career plans after graduationa.bO
irbn
.ce
oms/tte
usdt ent wants to enter
d. “I’d like to sit with you for a while, so you may feel more comfortable talking with
psychiatric nursing. The other student asks, “Why would you want to be a psychiatric nurse?
me.”
All they do is talk. You will lose your skills.” Select the best response by the student
ANS: D abirb.com/test interested in psychiatric nursing. abirb.com/test
Attending is a technique that demonstrates the nurse’s commitment to the relationship and a. “Psychiatric nurses’ practice in safer environments than other specialties and
reduces feelings of isolation. This technique shows respect for the patient and demonstrates nurse-to-patient ratios are better because of the nature of patients’ problems.”
caring. Generalizations, probing, and false reassurances are nontherapeutic. b. “Psychiatric nurses use complex communication skills, as well as critical thinking,
abirb.com/test
to solve multidimensional problems. I’m challenged byabtirhbo.csoem/steisttuations.”
DIF: Cognitive Level: Application (Applying) c. “I think I will be good in the mental health field. I do not like clinical rotations in
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity school, so I do not want to continue them after I graduate.”
d. “Psychiatric nurses do not have to deal with as much paabiirnb.caonmd/tessutffering as
5. A patient shows the nurse an article from the Internet abouatbiarb.hcoem
al/ttehst problem. Which medical-surgical nurses. That appeals to me.”
characteristic of the website’s address most alerts the nurse that the site may have biased and
prejudiced information? ANS: B
a. Address ends in “.org.” abirb.com/test The practice of psychiatric nursing requires a different set aobfirbs.ckoimll/stest ht an medical-surgical
b. Address ends in “.com.” nursing, although substantial overlap does exist. Psychiatric nurses must be able to help
c. Address ends in “.gov.” patients with medical and mental health problems, reflecting the holistic perspective these
d. Address ends in “.net.” nurses must have. Nurse–patient ratios and workloads in psychiatric settings have increased,
abirb.com/test
similar to other specialties. Psychiatric nursing involves claibniribc.acolmp/treasct tice, not simply
ANS: B documentation. Psychosocial pain is real and can cause as much suffering as physical pain.
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 DIF: Cognitive Level: Application (Applying) abirb.com/test
abirb.com/test
maintained by a government entity. “.org” indicates that the site is nonproprietary; the site TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
may or may not have reliable information, but it does not profit from its activities. “.net” can
have multiple meanings. 8. Which research evidence would most influence a group of nurses to change their practice?
abirb.com/test a. Expert committee report of recommendations for practaibcireb.com/test
DIF: Cognitive Level: Comprehension (Understanding) TOP: Nursing Process: Evaluation b. Systematic review of randomized controlled trials
MSC: NCLEX: Health Promotion and Maintenance c. Nonexperimental descriptive study
d. Critical pathway
6. A nurse says, “When I was in school, I learned to call upseatbirpba.ctoim
en/tetsst by name to get their abirb.com/test
attention; however, I read a descriptive research study that says that this approach does not ANS: B
work. I plan to stop calling patients by name.” Which statement is the best appraisal of this
nurse’s comment? abirb.com/test abirb.com/test
a. One descriptive research study rarely provides enough evidence to change practice.
abirb.com/test abirb.com/test
WWW.NURSYLAB.COM WWW.NURSYLAB.COM
WWW.THENURSINGMASTERY.COM WWW.THENURSINGMASTERY.COM
abirb.com/test abirb.com/test
