Test Bank for Varcarolis Essentials of Psychiatric Mental
Health Nursing 5th Edition Fosbre
All Chapters 1 - 28 + NCLEX Case Studies with Answers
Full Complete 2024
,TABLEOF CONTENTS
23 23
,Chapter2301:23Practicing23the23Science23and23the23Art23of23Psychiatric23Nursing23MULTIPLE2 3 CHOICE
1. Which23outcome,23focused23on23recovery,23would23be23expected23in23the23plan23of23care23for23a2
3patient23living23in23the23community23and23diagnosed23with23serious23and23persistent23mental23ill
ness?23Within23323months,23the23patient23will:23a.23deny23suicidal23ideation.
b. report23a23sense23of23well-being.
c. take23medications23as23prescribed.
d. attend23clinic23appointments23on23time.
ANSWER:23B
Recovery23emphasizes23managing23symptoms,23reducing23psychosocial23disability,23and23improv
ing23role23performance.
The23goal23of23recovery23is23to23empower23the23individual23with23mental23illness23to23achieve23a23
sense23of23meaning23and23satisfaction23in23life23and23to23function23at23the23highest23possible23level23
of23wellness.23The23incorrect23options23focus23on23the23classic23medical23model23rather23than23re
covery.
DIF:23Cognitive23Level:23Application23(Applying)23REF:232
TOP:23Nursing23Process:23Outcomes23Identification23
23
MSC:23NCLEX:23Health23Promotion23and23Maintenanc
e
2. In23the23shift-change23report,23an23off-
going23nurse23criticizes23a23patient23who23wears23heavy23makeup.23Which23comment23by2
3the23nurse23who23receives23the23report23best23demonstrates23advocacy?
a. This23is23a23psychiatric23hospital.23Craziness23is23what23we23are23all23about.
b. Lets23all23show23acceptance23of23this23patient23by23wearing23lots23of23makeup23too.
c. Your23comments23are23inconsiderate23and23inappropriate.23Keep23the23report23objective.
d. Our23patients23need23our23help23to23learn23behaviors23that23will23help23them23get23along23in23society.
ANSWER:23D
Accepting23patients23needs23for23self-
expression23and23seeking23to23teach23skills23that23will23contribute23to23their23well-
being23demonstrate23respect23and23are23important23parts23of23advocacy.23The23on-
, coming23nurse23needs23to23take23action23to23ensure23that23others23are23not23prejudiced23against23th
e23patient.23Humor23can23be23appropriate23within23the23privacy23of23a23shift23report23but23not23at
23the23expense23of23respect23for23patients.23Judging23the23off-
going23nurse23in23a23critical23way23will23create23conflict.
Nurses23must23show23compassion23for23each23other.
DIF:23Cognitive23Level:23Application23(Applying)23REF:238
TOP:23Nursing23Process:23Implementation23MSC:23NCLEX:23Safe,23Effective23Care23Environment
3. A23nurse23assesses23a23newly23admitted23patient23diagnosed23with23major23depressive23dis
order.23Whichstatement23is23an23example23of23attending?
a. We23all23have23stress23in23life.23Being23in23a23psychiatric23hospital23isnt23the23end23of23the23world.
b. Tell23me23why23you23felt23you23had23to23be23hospitalized23to23receive23treatment23for23your23depression.
c. You23will23feel23better23after23we23get23some23antidepressant23medication23started23for23you.
d. Id23like23to23sit23with23you23a23while23so23you23may23feel23more23comfortable23talking23with23me.
ANSWER:23D
Attending23is23a23technique23that23demonstrates23the23nurses23commitment23to23the23relationship23
and23reduces23feelings23of23isolation.23This23technique23shows23respect23for23the23patient23and23
demonstrates23caring.23Generalizations,23probing,23and23false23reassurances23are23non-
therapeutic.
DIF:23Cognitive23Level:23Application23(Applying)23REF:238
TOP:23Nursing23Process:23Implementation23MSC:23NCLEX:23Psychosocial23Integrity
4. A23patient23is23hospitalized23for23depression23and23suicidal23ideation23after23their23spouse23ask
s23for23a23divorce.23Selectthe23nurses23most23caring23comment.
a. Lets23discuss23some23means23of23coping23other23than23suicide23when23you23have23these23feelings.
b. I23understand23why23youre23so23depressed.23When23I23got23divorced,23I23was23devastated23too.
c. You23should23forget23about23your23marriage23and23move23on23with23your23life.
d. How23did23you23get23so23depressed23that23hospitalization23was23necessary?
Test23Bank:23Essentials23of23Psychiatric23Mental23Health23Nursing23(5th23Edition23by23Varcarolis)233
ANSWER:23A
The23nurses23communication23should23evidence23caring23and23a23commitment23to23work23wit
h23the23patient.23This23commitment23lets23the23patient23know23the23nurse23will23help.23Probing23an
d23advice23are23not23helpful23or23therapeutic23interventions.
Health Nursing 5th Edition Fosbre
All Chapters 1 - 28 + NCLEX Case Studies with Answers
Full Complete 2024
,TABLEOF CONTENTS
23 23
,Chapter2301:23Practicing23the23Science23and23the23Art23of23Psychiatric23Nursing23MULTIPLE2 3 CHOICE
1. Which23outcome,23focused23on23recovery,23would23be23expected23in23the23plan23of23care23for23a2
3patient23living23in23the23community23and23diagnosed23with23serious23and23persistent23mental23ill
ness?23Within23323months,23the23patient23will:23a.23deny23suicidal23ideation.
b. report23a23sense23of23well-being.
c. take23medications23as23prescribed.
d. attend23clinic23appointments23on23time.
ANSWER:23B
Recovery23emphasizes23managing23symptoms,23reducing23psychosocial23disability,23and23improv
ing23role23performance.
The23goal23of23recovery23is23to23empower23the23individual23with23mental23illness23to23achieve23a23
sense23of23meaning23and23satisfaction23in23life23and23to23function23at23the23highest23possible23level23
of23wellness.23The23incorrect23options23focus23on23the23classic23medical23model23rather23than23re
covery.
DIF:23Cognitive23Level:23Application23(Applying)23REF:232
TOP:23Nursing23Process:23Outcomes23Identification23
23
MSC:23NCLEX:23Health23Promotion23and23Maintenanc
e
2. In23the23shift-change23report,23an23off-
going23nurse23criticizes23a23patient23who23wears23heavy23makeup.23Which23comment23by2
3the23nurse23who23receives23the23report23best23demonstrates23advocacy?
a. This23is23a23psychiatric23hospital.23Craziness23is23what23we23are23all23about.
b. Lets23all23show23acceptance23of23this23patient23by23wearing23lots23of23makeup23too.
c. Your23comments23are23inconsiderate23and23inappropriate.23Keep23the23report23objective.
d. Our23patients23need23our23help23to23learn23behaviors23that23will23help23them23get23along23in23society.
ANSWER:23D
Accepting23patients23needs23for23self-
expression23and23seeking23to23teach23skills23that23will23contribute23to23their23well-
being23demonstrate23respect23and23are23important23parts23of23advocacy.23The23on-
, coming23nurse23needs23to23take23action23to23ensure23that23others23are23not23prejudiced23against23th
e23patient.23Humor23can23be23appropriate23within23the23privacy23of23a23shift23report23but23not23at
23the23expense23of23respect23for23patients.23Judging23the23off-
going23nurse23in23a23critical23way23will23create23conflict.
Nurses23must23show23compassion23for23each23other.
DIF:23Cognitive23Level:23Application23(Applying)23REF:238
TOP:23Nursing23Process:23Implementation23MSC:23NCLEX:23Safe,23Effective23Care23Environment
3. A23nurse23assesses23a23newly23admitted23patient23diagnosed23with23major23depressive23dis
order.23Whichstatement23is23an23example23of23attending?
a. We23all23have23stress23in23life.23Being23in23a23psychiatric23hospital23isnt23the23end23of23the23world.
b. Tell23me23why23you23felt23you23had23to23be23hospitalized23to23receive23treatment23for23your23depression.
c. You23will23feel23better23after23we23get23some23antidepressant23medication23started23for23you.
d. Id23like23to23sit23with23you23a23while23so23you23may23feel23more23comfortable23talking23with23me.
ANSWER:23D
Attending23is23a23technique23that23demonstrates23the23nurses23commitment23to23the23relationship23
and23reduces23feelings23of23isolation.23This23technique23shows23respect23for23the23patient23and23
demonstrates23caring.23Generalizations,23probing,23and23false23reassurances23are23non-
therapeutic.
DIF:23Cognitive23Level:23Application23(Applying)23REF:238
TOP:23Nursing23Process:23Implementation23MSC:23NCLEX:23Psychosocial23Integrity
4. A23patient23is23hospitalized23for23depression23and23suicidal23ideation23after23their23spouse23ask
s23for23a23divorce.23Selectthe23nurses23most23caring23comment.
a. Lets23discuss23some23means23of23coping23other23than23suicide23when23you23have23these23feelings.
b. I23understand23why23youre23so23depressed.23When23I23got23divorced,23I23was23devastated23too.
c. You23should23forget23about23your23marriage23and23move23on23with23your23life.
d. How23did23you23get23so23depressed23that23hospitalization23was23necessary?
Test23Bank:23Essentials23of23Psychiatric23Mental23Health23Nursing23(5th23Edition23by23Varcarolis)233
ANSWER:23A
The23nurses23communication23should23evidence23caring23and23a23commitment23to23work23wit
h23the23patient.23This23commitment23lets23the23patient23know23the23nurse23will23help.23Probing23an
d23advice23are23not23helpful23or23therapeutic23interventions.
