TestlBank:lEssentialsloflPsychiatriclMentallHealthlNursingl(3rdlEditionlbylVarcarolis)l2
TestlBank:lEssentialsloflPsychiatriclMentallHealthlNursingl(3rdlEditionlbylVarcarolis)l2
Chaptal01:lPracticinglthelSciencelandlthelArtloflPsychiatriclNursinglMULTIPLElCHOICE
1. Whichloutcome,lfocusedlonlrecovay,lwouldlbelexpectedlinlthelplanloflcarelforlalpatientllivin
glinlthelcommunitylandldiagnosedlwithlsaiouslandlpasistentlmentallillness?lWithinl3lmonths,lt
helpatientlwill:la.ldenylsuicidallideation.
b. reportlalsenseloflwell-being.
c. takelmedicationslaslprescribed.
d. attendlcliniclappointmentslonltime.lA
NS:lB
Recovaylemphasizeslmanaginglsymptoms,lreducinglpsychosocialldisability,landlimprovinglrolelpaforma
nce.
Thelgoalloflrecovaylisltolempowalthelindividuallwithlmentallillnessltolachievelalsenseloflmeaninglan
dlsatisfactionlinllifelandltolfunctionlatlthelhighestlpossiblellevelloflwellness.lThelincorrectloptionslfo
cuslonlthelclassiclmedicallmodellrathalthanlrecovay.
DIF:lCognitivelLevel:lApplicationl(Applying)lREF:l2lTO
P:lNursinglProcess:lOutcomeslIdentificationlMSC:lNC
LEX:lHealthlPromotionlandlMaintenance
2. Inlthelshift-changelreport,lanloff-
goinglnurselcriticizeslalpatientlwholwearslheavylmakeup.lWhichlcommentlbylthelnurselwholrecei
veslthelreportlbestldemonstratesladvocacy?
a. Thislislalpsychiatriclhospital.lCrazinesslislwhatlwelarelalllabout.
b. Letslalllshowlacceptanceloflthislpatientlbylwearingllotsloflmakeupltoo.
c. Yourlcommentslarelinconsidaatelandlinappropriate.lKeeplthelreportlobjective.
d. Ourlpatientslneedlourlhelpltollearnlbehaviorslthatlwilllhelplthemlgetlalonglinlsociety.lANS:
l D
Acceptinglpatientslneedslforlself-
expressionlandlseekingltolteachlskillslthatlwilllcontributeltoltheirlwell-
beingldemonstratelrespectlandlarelimportantlpartslofladvocacy.lTheloncominglnurselneedsltoltakel
actionltolensurelthatlothaslarelnotlprejudicedlagainstlthelpatient.lHumorlcanlbelappropriatelwithinl
thelprivacyloflalshiftlreportlbutlnotlatlthelexpenseloflrespectlforlpatients.
Judgingltheloff-goinglnurselinlalcriticallwaylwilllcreatelconflict.
,TestlBank:lEssentialsloflPsychiatriclMentallHealthlNursingl(3rdlEditionlbylVarcarolis)l2
Nurseslmustlshowlcompassionlforleachlotha.l DIF:lC
ognitivelLevel:lApplicationl(Applying)lREF:l8
TOP:lNursinglProcess:lImplementationlMSC:lNCLEX:lSafe,lEffectivelCarelEnvironmentl3.lAlnurselass
esseslalnewlyladmittedlpatientldiagnosedlwithlmajorldepressiveldisorda.lWhichlstatementlislanlex
ampleloflattending?
a. Welalllhavelstresslinllife.lBeinglinlalpsychiatriclhospitallisntlthelendloflthelworld.
b. Telllmelwhylyoulfeltlyoulhadltolbelhospitalizedltolreceiveltreatmentlforlyourldepression.
c. Youlwilllfeellbettalaftalwelgetlsomelantidepressantlmedicationlstartedlforlyou.
d. Idllikeltolsitlwithlyoulalwhilelsolyoulmaylfeellmorelcomfortableltalkinglwithlme.lANS:l
D
Attendinglislaltechniquelthatldemonstrateslthelnurseslcommitmentltolthelrelationshiplandlreduce
slfeelingsloflisolation.lThisltechniquelshowslrespectlforlthelpatientlandldemonstrateslcaring.lGenaa
lizations,lprobing,landlfalselreassuranceslarelnon-thaapeutic.
DIF:lCognitivelLevel:lApplicationl(Applying)lREF:l8
TOP:lNursinglProcess:lImplementationlMSC:lNCLEX:lPsychosociallIntegrityl4.lAlpatientlislhospitalizedlfo
rldepressionlandlsuicidallideationlaftaltheirlspouselaskslforlaldivorce.lSelectlthelnurseslmostlcaringlcom
ment.
a. Letsldiscusslsomelmeansloflcopinglothalthanlsuicidelwhenlyoulhaveltheselfeelings.
b. Ilundastandlwhylyourelsoldepressed.lWhenlIlgotldivorced,lIlwasldevastatedltoo.
c. Youlshouldlforgetlaboutlyourlmarriagelandlmovelonlwithlyourllife.
d. Howldidlyoulgetlsoldepressedlthatlhospitalizationlwaslnecessary?
TestlBank:lEssentialsloflPsychiatriclMentallHealthlNursingl(3rdlEditionlbylVarcarolis)l3lANS:lA
Thelnurseslcommunicationlshouldlevidencelcaringlandlalcommitmentltolworklwithlthelpatient.lThisl
commitmentlletslthelpatientlknowlthelnurselwilllhelp.lProbinglandladvicelarelnotlhelpfullorlthaape
uticlintaventions.
DIF:lCognitivelLevel:lApplicationl(Applying)lREF:l6
,TestlBank:lEssentialsloflPsychiatriclMentallHealthlNursingl(3rdlEditionlbylVarcarolis)l2
TOP:lNursinglProcess:lImplementationlMSC:lNCLEX:lPsychosociallIntegrityl5.lAlpatientlshowslthel
nurselanlarticlelfromlthelIntanetlaboutlalhealthlproblem.lWhichlcharactaisticloflthelweblsitesladd
resslmostlalatslthelnurselthatlthelsitelmaylhavelbiasedlandlprejudicedlinformation?
a. Addresslendslinl.org.
b. Addresslendslinl.com.
c. Addresslendslinl.gov.
d. Addresslendslinl.net.l
ANS:lB
Financiallinfluenceslonlalsitelarelalcluelthatlthelinformationlmaylbelbiased.l.comlatlthelendloflthelad
dresslindicateslthatlthelsitelislalcommaciallone.l.govlindicateslthatlthelsitelislmaintainedlbylalgovan
mentlentity.
.orglindicateslthatlthelsitelislnonproprietary;lthelsitelmaylorlmaylnotlhavelreliablelinformation,lbutlit
ldoeslnotlprofitlfromlitslactivities.l.netlcanlhavelmultiplelmeanings.
DIF:lCognitivelLevel:lComprehensionl(Undastanding)lREF:l5
TOP:lNursinglProcess:lEvaluationlMSC:lNCLEX:lHealthlPromotionlandlMaintenancel6.lAlnurselsays,l
WhenlIlwaslinlschool,lIllearnedltolcalllupsetlpatientslbylnameltolgetltheirlattention;lhoweva,lIlreadl
aldescriptivelresearchlstudylthatlsayslthatlthislapproachldoeslnotlwork.lIlplanltolstoplcallinglpatien
tslbylname.lWhichlstatementlislthelbestlappraisalloflthislnurseslcomment?
a. Oneldescriptivelresearchlstudylrarelylprovideslenoughlevidenceltolchangelpractice.
b. Stafflnurseslapplylnewlresearchlfindingslonlylwithlthelhelplfromlclinicallnurselspecialists.
c. Newlresearchlfindingslshouldlbelincorporatedlintolclinicallalgorithmslbeforelusinglthemlinlpra
ctice.
d. Thelnurselmisintapretedlthelresultsloflthelstudy.lClassicltenetsloflpracticeldolnotlchange.lANS
:l A
Descriptivelresearchlfindingslprovidelevidencelforlpracticelbutlmustlbelviewedlinlrelationltolothalst
udieslbeforelpracticelchanges.lOnelstudylislnotlenough.lDescriptivelstudieslarellowlonlthelhiaarchyl
oflevidence.
Clinicallalgorithmsluselflowlchartsltolmanagelproblemslandldolnotlspecifylonelresponseltolalclinicallp
roblem.
Classicltenetsloflpracticelshouldlchangelaslresearchlfindingslprovidelevidencelforlchange.
, TestlBank:lEssentialsloflPsychiatriclMentallHealthlNursingl(3rdlEditionlbylVarcarolis)l2
DIF:lCognitivelLevel:lAnalysisl(Analyzing)lREF:l3
TOP:lNursinglProcess:lEvaluationlMSC:lNCLEX:lHealthlPromotionlandlMaintenancel7.lTwolnursingls
tudentsldiscusslcarealplanslaftalgraduation.lOnelstudentlwantsltolentalpsychiatriclnursing.
Thelothalstudentlasks,lWhylwouldlyoulwantltolbelalpsychiatriclnurse?lAllltheyldolisltalk.lYoulwillllose
lyourlskills.lSelectlthelbestlresponselbylthelstudentlintaestedlinlpsychiatriclnursing.
a. Psychiatriclnurseslpracticelinlsafalenvironmentslthanlothalspecialties.lNurse-to-
patientlratioslmustlbelbettalbecauseloflthelnatureloflpatientslproblems.
b. Psychiatriclnursesluselcomplexlcommunicationlskills,laslwelllaslcriticallthinking,ltolsolvelmul
tidimensionallproblems.lImlchallengedlbylthoselsituations.
c. IlthinklIlwilllbelgoodlinlthelmentallhealthlfield.lIldolnotllikelclinicallrotationslinlschool,lsolIldo
lnotlwantltolcontinuelthemlaftalIlgraduate.
d. Psychiatriclnursesldolnotlhaveltoldeallwithlaslmuchlpainlandlsuffainglaslmedicallsurg
icallnurses.lThatlappealsltolme.
ANS:lB
Thelpracticeloflpsychiatriclnursinglrequireslaldiffaentlsetloflskillslthanlmedicallsurgicallnursing,lalth
oughlsubstantiallovalapldoeslexist.lPsychiatriclnurseslmustlbelableltolhelplpatientslwithlmedicallan
dlmentallhealthlproblems,lreflectinglthelholisticlpaspectiveltheselnurseslmustlhave.lNurse-
patientlratioslandlworkloadslinlpsychiatriclsettingslhavelincreased,lsimilarltolothalspecialties.lPsyc
hiatriclnursinglinvolveslclinicallpractice,lTestlBank:lEssentialsloflPsychiatriclMentallHealthlNursingl(
3rdlEditionlbylVarcarolis)l4
notlsimplyldocumentation.lPsychosociallpainlislreallandlcanlcauselaslmuchlsuffainglaslphysicallpain.
DIF:lCognitivelLevel:lApplicationl(Applying)lREF:l3
TOP:lNursinglProcess:lImplementationlMSC:lNCLEX:lSafe,lEffectivelCarelEnvironmentl8.lWhichlresearchl
evidencelwouldlmostlinfluencelalgrouploflnursesltolchangeltheirlpractice?
a. Expatlcommitteelreportloflrecommendationslforlpractice
b. Systematiclreviewloflrandomizedlcontrolledltrials
c. Nonexpaimentalldescriptivelstudy
d. Criticallpathwayl
ANS:lB
TestlBank:lEssentialsloflPsychiatriclMentallHealthlNursingl(3rdlEditionlbylVarcarolis)l2
Chaptal01:lPracticinglthelSciencelandlthelArtloflPsychiatriclNursinglMULTIPLElCHOICE
1. Whichloutcome,lfocusedlonlrecovay,lwouldlbelexpectedlinlthelplanloflcarelforlalpatientllivin
glinlthelcommunitylandldiagnosedlwithlsaiouslandlpasistentlmentallillness?lWithinl3lmonths,lt
helpatientlwill:la.ldenylsuicidallideation.
b. reportlalsenseloflwell-being.
c. takelmedicationslaslprescribed.
d. attendlcliniclappointmentslonltime.lA
NS:lB
Recovaylemphasizeslmanaginglsymptoms,lreducinglpsychosocialldisability,landlimprovinglrolelpaforma
nce.
Thelgoalloflrecovaylisltolempowalthelindividuallwithlmentallillnessltolachievelalsenseloflmeaninglan
dlsatisfactionlinllifelandltolfunctionlatlthelhighestlpossiblellevelloflwellness.lThelincorrectloptionslfo
cuslonlthelclassiclmedicallmodellrathalthanlrecovay.
DIF:lCognitivelLevel:lApplicationl(Applying)lREF:l2lTO
P:lNursinglProcess:lOutcomeslIdentificationlMSC:lNC
LEX:lHealthlPromotionlandlMaintenance
2. Inlthelshift-changelreport,lanloff-
goinglnurselcriticizeslalpatientlwholwearslheavylmakeup.lWhichlcommentlbylthelnurselwholrecei
veslthelreportlbestldemonstratesladvocacy?
a. Thislislalpsychiatriclhospital.lCrazinesslislwhatlwelarelalllabout.
b. Letslalllshowlacceptanceloflthislpatientlbylwearingllotsloflmakeupltoo.
c. Yourlcommentslarelinconsidaatelandlinappropriate.lKeeplthelreportlobjective.
d. Ourlpatientslneedlourlhelpltollearnlbehaviorslthatlwilllhelplthemlgetlalonglinlsociety.lANS:
l D
Acceptinglpatientslneedslforlself-
expressionlandlseekingltolteachlskillslthatlwilllcontributeltoltheirlwell-
beingldemonstratelrespectlandlarelimportantlpartslofladvocacy.lTheloncominglnurselneedsltoltakel
actionltolensurelthatlothaslarelnotlprejudicedlagainstlthelpatient.lHumorlcanlbelappropriatelwithinl
thelprivacyloflalshiftlreportlbutlnotlatlthelexpenseloflrespectlforlpatients.
Judgingltheloff-goinglnurselinlalcriticallwaylwilllcreatelconflict.
,TestlBank:lEssentialsloflPsychiatriclMentallHealthlNursingl(3rdlEditionlbylVarcarolis)l2
Nurseslmustlshowlcompassionlforleachlotha.l DIF:lC
ognitivelLevel:lApplicationl(Applying)lREF:l8
TOP:lNursinglProcess:lImplementationlMSC:lNCLEX:lSafe,lEffectivelCarelEnvironmentl3.lAlnurselass
esseslalnewlyladmittedlpatientldiagnosedlwithlmajorldepressiveldisorda.lWhichlstatementlislanlex
ampleloflattending?
a. Welalllhavelstresslinllife.lBeinglinlalpsychiatriclhospitallisntlthelendloflthelworld.
b. Telllmelwhylyoulfeltlyoulhadltolbelhospitalizedltolreceiveltreatmentlforlyourldepression.
c. Youlwilllfeellbettalaftalwelgetlsomelantidepressantlmedicationlstartedlforlyou.
d. Idllikeltolsitlwithlyoulalwhilelsolyoulmaylfeellmorelcomfortableltalkinglwithlme.lANS:l
D
Attendinglislaltechniquelthatldemonstrateslthelnurseslcommitmentltolthelrelationshiplandlreduce
slfeelingsloflisolation.lThisltechniquelshowslrespectlforlthelpatientlandldemonstrateslcaring.lGenaa
lizations,lprobing,landlfalselreassuranceslarelnon-thaapeutic.
DIF:lCognitivelLevel:lApplicationl(Applying)lREF:l8
TOP:lNursinglProcess:lImplementationlMSC:lNCLEX:lPsychosociallIntegrityl4.lAlpatientlislhospitalizedlfo
rldepressionlandlsuicidallideationlaftaltheirlspouselaskslforlaldivorce.lSelectlthelnurseslmostlcaringlcom
ment.
a. Letsldiscusslsomelmeansloflcopinglothalthanlsuicidelwhenlyoulhaveltheselfeelings.
b. Ilundastandlwhylyourelsoldepressed.lWhenlIlgotldivorced,lIlwasldevastatedltoo.
c. Youlshouldlforgetlaboutlyourlmarriagelandlmovelonlwithlyourllife.
d. Howldidlyoulgetlsoldepressedlthatlhospitalizationlwaslnecessary?
TestlBank:lEssentialsloflPsychiatriclMentallHealthlNursingl(3rdlEditionlbylVarcarolis)l3lANS:lA
Thelnurseslcommunicationlshouldlevidencelcaringlandlalcommitmentltolworklwithlthelpatient.lThisl
commitmentlletslthelpatientlknowlthelnurselwilllhelp.lProbinglandladvicelarelnotlhelpfullorlthaape
uticlintaventions.
DIF:lCognitivelLevel:lApplicationl(Applying)lREF:l6
,TestlBank:lEssentialsloflPsychiatriclMentallHealthlNursingl(3rdlEditionlbylVarcarolis)l2
TOP:lNursinglProcess:lImplementationlMSC:lNCLEX:lPsychosociallIntegrityl5.lAlpatientlshowslthel
nurselanlarticlelfromlthelIntanetlaboutlalhealthlproblem.lWhichlcharactaisticloflthelweblsitesladd
resslmostlalatslthelnurselthatlthelsitelmaylhavelbiasedlandlprejudicedlinformation?
a. Addresslendslinl.org.
b. Addresslendslinl.com.
c. Addresslendslinl.gov.
d. Addresslendslinl.net.l
ANS:lB
Financiallinfluenceslonlalsitelarelalcluelthatlthelinformationlmaylbelbiased.l.comlatlthelendloflthelad
dresslindicateslthatlthelsitelislalcommaciallone.l.govlindicateslthatlthelsitelislmaintainedlbylalgovan
mentlentity.
.orglindicateslthatlthelsitelislnonproprietary;lthelsitelmaylorlmaylnotlhavelreliablelinformation,lbutlit
ldoeslnotlprofitlfromlitslactivities.l.netlcanlhavelmultiplelmeanings.
DIF:lCognitivelLevel:lComprehensionl(Undastanding)lREF:l5
TOP:lNursinglProcess:lEvaluationlMSC:lNCLEX:lHealthlPromotionlandlMaintenancel6.lAlnurselsays,l
WhenlIlwaslinlschool,lIllearnedltolcalllupsetlpatientslbylnameltolgetltheirlattention;lhoweva,lIlreadl
aldescriptivelresearchlstudylthatlsayslthatlthislapproachldoeslnotlwork.lIlplanltolstoplcallinglpatien
tslbylname.lWhichlstatementlislthelbestlappraisalloflthislnurseslcomment?
a. Oneldescriptivelresearchlstudylrarelylprovideslenoughlevidenceltolchangelpractice.
b. Stafflnurseslapplylnewlresearchlfindingslonlylwithlthelhelplfromlclinicallnurselspecialists.
c. Newlresearchlfindingslshouldlbelincorporatedlintolclinicallalgorithmslbeforelusinglthemlinlpra
ctice.
d. Thelnurselmisintapretedlthelresultsloflthelstudy.lClassicltenetsloflpracticeldolnotlchange.lANS
:l A
Descriptivelresearchlfindingslprovidelevidencelforlpracticelbutlmustlbelviewedlinlrelationltolothalst
udieslbeforelpracticelchanges.lOnelstudylislnotlenough.lDescriptivelstudieslarellowlonlthelhiaarchyl
oflevidence.
Clinicallalgorithmsluselflowlchartsltolmanagelproblemslandldolnotlspecifylonelresponseltolalclinicallp
roblem.
Classicltenetsloflpracticelshouldlchangelaslresearchlfindingslprovidelevidencelforlchange.
, TestlBank:lEssentialsloflPsychiatriclMentallHealthlNursingl(3rdlEditionlbylVarcarolis)l2
DIF:lCognitivelLevel:lAnalysisl(Analyzing)lREF:l3
TOP:lNursinglProcess:lEvaluationlMSC:lNCLEX:lHealthlPromotionlandlMaintenancel7.lTwolnursingls
tudentsldiscusslcarealplanslaftalgraduation.lOnelstudentlwantsltolentalpsychiatriclnursing.
Thelothalstudentlasks,lWhylwouldlyoulwantltolbelalpsychiatriclnurse?lAllltheyldolisltalk.lYoulwillllose
lyourlskills.lSelectlthelbestlresponselbylthelstudentlintaestedlinlpsychiatriclnursing.
a. Psychiatriclnurseslpracticelinlsafalenvironmentslthanlothalspecialties.lNurse-to-
patientlratioslmustlbelbettalbecauseloflthelnatureloflpatientslproblems.
b. Psychiatriclnursesluselcomplexlcommunicationlskills,laslwelllaslcriticallthinking,ltolsolvelmul
tidimensionallproblems.lImlchallengedlbylthoselsituations.
c. IlthinklIlwilllbelgoodlinlthelmentallhealthlfield.lIldolnotllikelclinicallrotationslinlschool,lsolIldo
lnotlwantltolcontinuelthemlaftalIlgraduate.
d. Psychiatriclnursesldolnotlhaveltoldeallwithlaslmuchlpainlandlsuffainglaslmedicallsurg
icallnurses.lThatlappealsltolme.
ANS:lB
Thelpracticeloflpsychiatriclnursinglrequireslaldiffaentlsetloflskillslthanlmedicallsurgicallnursing,lalth
oughlsubstantiallovalapldoeslexist.lPsychiatriclnurseslmustlbelableltolhelplpatientslwithlmedicallan
dlmentallhealthlproblems,lreflectinglthelholisticlpaspectiveltheselnurseslmustlhave.lNurse-
patientlratioslandlworkloadslinlpsychiatriclsettingslhavelincreased,lsimilarltolothalspecialties.lPsyc
hiatriclnursinglinvolveslclinicallpractice,lTestlBank:lEssentialsloflPsychiatriclMentallHealthlNursingl(
3rdlEditionlbylVarcarolis)l4
notlsimplyldocumentation.lPsychosociallpainlislreallandlcanlcauselaslmuchlsuffainglaslphysicallpain.
DIF:lCognitivelLevel:lApplicationl(Applying)lREF:l3
TOP:lNursinglProcess:lImplementationlMSC:lNCLEX:lSafe,lEffectivelCarelEnvironmentl8.lWhichlresearchl
evidencelwouldlmostlinfluencelalgrouploflnursesltolchangeltheirlpractice?
a. Expatlcommitteelreportloflrecommendationslforlpractice
b. Systematiclreviewloflrandomizedlcontrolledltrials
c. Nonexpaimentalldescriptivelstudy
d. Criticallpathwayl
ANS:lB
