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,Test Bank: Essentials of Psychiatric Mental Health Nursing (3rd Edition by Va
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Table of Contents r r r r
Tableof r Contents 1
Chapter 01: Practicing the Science and the Art of Psychiatric Nursi
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ng 7
Chapter 02: r r Mental Health and Mental Illness
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Chapter 03: r Theories and Therapies
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Chapter 04: r r Biological Basis for Understanding Psychopharmacology
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Chapter 05: r r Settings for Psychiatric Care
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Chapter 06: r Legal and Ethical Basis for Practice
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Chapter 07: r r Nursing Process and QSEN: The Foundation for Safe and Effective
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Care 58
Chapter 08: r r Communication Skills: Medium for All Nursing Practice r r r r r r r r r r r r 67
Chapter 09: r r Therapeutic Relationships and the Clinical Interview
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Chapter 10: r r Trauma and Stress-Related Disorders
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Chapter 11: r r Anxiety, Anxiety Disorders, and Obsessive-Compulsive Disorders
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Chapter r r 12: r r Somatic System Disorders and Dissociative Disorders
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Chapter 13: Personality Disorders r r 111
Chapter 14: Eating Disorders
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Chapter 15: Mood Disorders: Depressio
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n 142
Chapter 16: Bipolar Spectrum Disorderr r r r 151
s 163
Chapter 17: Schizophrenia Spectrum Disorders and Other Psychotic Disorders r r r r r r r r 171
Chapter 18: Neurocognitive Disorders r r 179
Chapter 19: Substance-Related and Addictive Disorders r r r r r r 186
Chapter 20: Crisis and Mass Disaster
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Chapter 21: Child, Partner, and Elder Violence
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Chapter 22: Sexual Violence r r 213
Chapter 23: Suicidal Thoughts and Behavior
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Chapter 24: Anger, Aggression, and Violence
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Chapter 25: Care for the Dying and Those Who Grieve
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Chapter 26: Children and Adolescentsr r r r
Chapter 27: Adults
Chapter r r 28: r r Older Adults
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Downloaded by Joshua r r r r r r Rucky (the2ndRucky@yaho
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,Test Bank: Essentials of Psychiatric Mental Health Nursing (3rd Edition by Va
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Chapter 01: Practicing the Science and the Art of Psychiatric Nursin r r r r r r r r r r r r r r r r r r r r
g
MULTIPLE CHOICE r r
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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r 3 months, the patient will:
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a. deny suicidal ideation. r r r r
b. report a sense of well-being. r r r r r r r r
c. take medications as prescribed. r r r r r r
d. attend clinic appointments on time. r r r r r r r r
ANS: B r r
Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving role perform ance.
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r The goal of recovery is to empower the individual with mental illness to achieve a sense of me
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aning and satisfaction in life and to function at the highest possible level of wellness. The incorrect
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op tions focus on the classic medical model rather than recovery.
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DIF: Cognitive Level: Application (Applying) REF:
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2 TOP: Nursing Process: Outcomes Identificat
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i on MSC: NCLEX: Health Promotion and Maintena
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nce
2. In the shift-change report, an off-
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going nurse criticizes a patient who wears heavy makeup. Which comment by the nurse who rece
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ives t he report best 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 in society.
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ANS: D r r
Accepting patients needs for self-expression and seeking to teach skills that will contribute to their well-
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being demonstrate respect and are important parts of advocacy. The on-
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coming nurse needs to take action to ensure that others are not prejudiced against the patient. Hu
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mor can be appropriate within the privacy of a shift report but not at the expense of respect for p
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atients. J udging the off- r r rr r r r r
going nurse in a critical way will create conflict. 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
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3. A nurse assesses a newly admitted patient diagnosed with major depressive disorder. Which statem
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ent 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 your depression.
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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 r
Attending is ap technique that demonstrates the nurses commitment to the relationship and reduces fe
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elin gs of isolation. This technique shows respect for the patient and demonstrates caring. Generalizati
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ons, pr obing, 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
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4. A patient is hospitalized for depression and suicidal ideation after their spouse asks for a divorce.
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r r Sel ect the nurses most caring comment.
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Downloaded by Joshua r r r r r r Rucky (the2ndRucky@yaho r r
, Test Bank: Essentials of Psychiatric Mental Health Nursing (3rd Edition by Va
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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 your life.
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d. How did you get so depressed that hospitalization was necessary?
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ANS: A r r
The nurses communication should evidence caring and a commitment to work with the patient. This co mmitment
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lets the patient know the nurse will help. Probing and advice are not helpful or therapeutic i nterventions.
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DIF: Cognitive Level: Application (Applying) REF: 6
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TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
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5. A patient shows the nurse an article from the Internet about a health problem. Which characteri
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stic of the web sites address most alerts the nurse that the site may have biased and prejudiced in
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formati on? rr
a. Address ends in .org. r r r r r r
b. Address ends in .com. r r r r r r
c. Address ends in .gov. r r r r r r
d. Address ends in .net. r r r r r r
ANS: B r r
Financial influences on a site are a clue that the information may be biased. .com at the end of th
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e a ddress indicates that the site is a commercial one. .gov indicates that the site is mai
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ntained by a government entity. r r r r rr r r
.org indicates that the site is nonproprietary; the site may or may not have reliable information, but
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it does not profit from its activities. .net can have multiple meanings.
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DIF: Cognitive Level: Comprehension (Understanding) REF: 5
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TOP: Nursing Process: Evaluation MSC: NCLEX: Health Promotion and Maintenance
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6. A nurse says, When I was in school, I learned to call upset patients by name to get their attention
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; ho wever, I read a descriptive research study that says that this approach does not work. I plan to
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rstop call ing patients by name. Which statement is the best appraisal of this nurses comment?
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a. One descriptive research study rarely provides enough evidence to change practice.
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b. Staff nurses apply new research findings only with the helpp from clinical nurse specialists.
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c. New research findings should be incorporated into clinical algorithms before using them in practic
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e.
d. The nurse misinterpreted the results of the study. Classic tenets of practice do not change.
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ANS: A r r
Descriptive research findings provide evidence for practice but must be viewed in relation to other s
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tud ies before practice changes. One study is not enough. Descriptive studies are low on the hierarchy of evide
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nce. Clinical algorithms use flow charts to manage problems and do not specify one response t
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o a clinical problem. Classic tenets of practice should change as research findings provide evidence
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forp change. r r
DIF: Cognitive Level: Analysis (Analyzing) REF: 3
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TOP: Nursing Process: Evaluation MSC: NCLEX: Health Promotion and Maintenance
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7. Two nursing students discuss career plans after graduation. One student wants to enter psychiatric
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nur sing. The other student asks, Why would you want to be a psychiatric nurse? All they do is tal
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k. You will lose your skills. Select the best response by the student interested in psychiatric nursing.
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a. Psychiatric nurses practice in safer environments than other specialties. Nurse- r r r r r r r r r r r r r r r r r r
to- patient ratios must be better because of the nature of patients problems.
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b. Psychiatric nurses use complex communication skills, as well as critical thinking, to solve multidim
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ensi onal problems. Im challenged by those situations.
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c. I think I will be good in the mental health field. I do not like clinical rotations in school, so I
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do n ot want to continue them after I graduate.
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d. Psychiatric nurses do not have to deal with as much pain and suffering as medical surgical nurse
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s. That appeals to me.
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ANS: B r r
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