TESTn BANK:n ESSENTIALSn OFnPSYCHIATRICnMENTALHEALTHn NURSINGn (3RDn EDITIONBYVARCAROLIS)
, TESTn BANK:n ESSENTIALSn OFnPSYCHIATRICnMENTALHEALTHn NURSINGn (3RDn EDITIONBYVARCAROLIS)
Table of Contents
n n
TablenofnContents
Chaptern01:nPracticingnthenSciencenandnthenArtnofnPsychiatricnNursingn
Chaptern02:nMentalnHealthnandnMentalnIllness
Chaptern03:nTheoriesnandnTherapies
Chaptern04:nBiologicalnBasisnfornUnderstandingnPsychopharmacologyn
Chaptern05:nSettingsnfornPsychiatricnCare
Chaptern06:nLegalnandnEthicalnBasisnfornPractice
Chaptern07:nNursingnProcessnandnQSEN:nThenFoundationnfornSafenandnEffectivenCarenChapt
ern08:nCommunicationnSkills:nMediumnfornAllnNursingnPractice
Chaptern09:nTherapeuticnRelationshipsnandnthenClinicalnInterviewnCha
ptern10:nTraumanandnStress-RelatednDisorders
Chaptern11:nAnxiety,nAnxietynDisorders,nandnObsessive-
CompulsivenDisordersnChaptern12:nSomaticnSystemnDisordersnandnDissociati
venDisorders
Chaptern13:nPersonalitynDisorder
snChaptern14:nEatingnDisorders
Chaptern15:nMoodnDisorders:nDepressionnCh
aptern16:nBipolarnSpectrumnDisorders
Chaptern17:nSchizophrenianSpectrumnDisordersnandnOthernPsychoticnDisordersnChapte
rn18:nNeurocognitivenDisorders
Chaptern19:nSubstance-
RelatednandnAddictivenDisordersnChaptern20:nCrisisnandn
MassnDisaster
Chaptern21:nChild,nPartner,nandnEldernViolenceChaptern2
2:nSexualnViolence
Chaptern23:nSuicidalnThoughtsnandnBehaviorChaptern24:n
Anger,nAggression,nandnViolence
Chaptern25:nCarenfornthenDyingnandnThosenWhonGrievenChapt
ern26:nChildrennandnAdolescents
Chaptern27:nAdultsnChapte
rn28:nOldernAdults
, TESTn BANK:n ESSENTIALSn OFnPSYCHIATRICnMENTALHEALTHn NURSINGn (3RDn EDITIONBYVARCAROLIS)
TestnBank:nEssentialsnofnPsychiatricnMentalnHealthnNursingn(3rdnEditionnbynVarcarolis)n
Chaptern01:nPracticingnthenSciencenandnthenArtnofnPsychiatricnNursingnMULTIPLEnCH
OICE
1. Whichnoutcome,nfocusednonnrecovery,nwouldnbenexpectedninnthenplannofncarenfornanpatient
nlivingninnthencommunitynandndiagnosednwithnseriousnandnpersistentnmentalnillness?nWithinn
3nmonths,nthenpatientnwill:na.ndenynsuicidalnideation.
b. reportnansensenofnwell-being.
c. takenmedicationsnasnprescribed.
d. attendnclinicnappointmentsnonntime.
ANS:nB
Recoverynemphasizesnmanagingnsymptoms,nreducingnpsychosocialndisability,nandnimprovin
gnrolenperformance.
Thengoalnofnrecoverynisntonempowernthenindividualnwithnmentalnillnessntonachievenansensenofn
meaningnandnsatisfactionninnlifenandntonfunctionnatnthenhighestnpossiblenlevelnofnwellness.nThen
incorrectnoptionsnfocusnonnthenclassicnmedicalnmodelnrathernthannrecovery.
DIF:nCognitivenLevel:nApplicationn(Applying)nREF:n2
TOP:nNursingnProcess:nOutcomesnIdentificationnM
n
SC:nNCLEX:nHealthnPromotionnandnMaintenance
2. Innthenshift-changenreport,nannoff-
goingnnursencriticizesnanpatientnwhonwearsnheavynmakeup.nWhichncommentnbynthenn
ursenwhonreceivesnthenreportnbestndemonstratesnadvocacy?
a. Thisnisnanpsychiatricnhospital.nCrazinessnisnwhatnwenarenallnabout.
b. Letsnallnshownacceptancenofnthisnpatientnbynwearingnlotsnofnmakeupntoo.
c. Yourncommentsnareninconsideratenandninappropriate.nKeepnthenreportnobjective.
, TESTn BANK:n ESSENTIALSn OFnPSYCHIATRICnMENTALHEALTHn NURSINGn (3RDn EDITIONBYVARCAROLIS)
d. Ournpatientsnneednournhelpntonlearnnbehaviorsnthatnwillnhelpnthemngetnalongninsociety.
nANS:nD
Acceptingnpatientsnneedsnfornself-
expressionnandnseekingntonteachnskillsnthatnwillncontributentontheirnwell-
beingndemonstratenrespectnandnarenimportantnpartsnofnadvocacy.nThenon-
ncomingnnursenneedsntontakenactionntonensurenthatnothersnarennotnprejudicednagainstnthenpa
tient.nHumorncannbenappropriatenwithinnthenprivacynofnanshiftnreportnbutnnotnatnthenexpense
nofnrespectnfornpatients.nJudgingnthenoff-goingnnurseninnancriticalnwaynwillncreatenconflict.
Nursesnmustnshowncompassionnforneachnother.
DIF:nCognitivenLevel:nApplicationn(Applying)nREF:n8
TOP:nNursingnProcess:nImplementationnMSC:nNCLEX:nSafe,nEffectivenCarenEnvironmentn3.nAn
nursenassessesnannewlynadmittednpatientndiagnosednwithnmajorndepressivendisorder.nWhich
nstatementnisnannexamplenofnattending?
a. Wenallnhavenstressninnlife.nBeingninnanpsychiatricnhospitalnisntnthenendnofnthenworld.
b. Tellnmenwhynyounfeltnyounhadntonbenhospitalizedntonreceiventreatmentnfornyourdepression.
c. Younwillnfeelnbetternafternwengetnsomenantidepressantnmedicationnstartednfornyou.
d. Idnlikentonsitnwithnyounanwhilensonyounmaynfeelnmorencomfortablentalkingnwithnme.
ANS:nD
Attendingnisnantechniquenthatndemonstratesnthennursesncommitmentntonthenrelationshipnand
nreducesnfeelingsnofnisolation.nThisntechniquenshowsnrespectnfornthenpatientnandndemonstrat
esncaring.nGeneralizations,nprobing,nandnfalsenreassurancesnarennon-therapeutic.
DIF:nCognitivenLevel:nApplicationn(Applying)nREF:n8
TOP:nNursingnProcess:nImplementationnMSC:nNCLEX:nPsychosocialnIntegrityn4.nAnpatientnisnh
ospitalizednforndepressionnandnsuicidalnideationnafterntheirnspousenasksnfornandivorce.
Selectnthennursesnmostncaringncomment.
a. Letsndiscussnsomenmeansnofncopingnothernthannsuicidenwhennyounhaventhesenfeelings.
b. Inunderstandnwhynyourensondepressed.nWhennIngotndivorced,nInwasndevastatedntoo.
c. Younshouldnforgetnaboutnyournmarriagenandnmovenonnwithnyourlife.
d. Howndidnyoungetnsondepressednthatnhospitalizationnwasnecessary?
, TESTn BANK:n ESSENTIALSn OFnPSYCHIATRICnMENTALHEALTHn NURSINGn (3RDn EDITIONBYVARCAROLIS)
Table of Contents
n n
TablenofnContents
Chaptern01:nPracticingnthenSciencenandnthenArtnofnPsychiatricnNursingn
Chaptern02:nMentalnHealthnandnMentalnIllness
Chaptern03:nTheoriesnandnTherapies
Chaptern04:nBiologicalnBasisnfornUnderstandingnPsychopharmacologyn
Chaptern05:nSettingsnfornPsychiatricnCare
Chaptern06:nLegalnandnEthicalnBasisnfornPractice
Chaptern07:nNursingnProcessnandnQSEN:nThenFoundationnfornSafenandnEffectivenCarenChapt
ern08:nCommunicationnSkills:nMediumnfornAllnNursingnPractice
Chaptern09:nTherapeuticnRelationshipsnandnthenClinicalnInterviewnCha
ptern10:nTraumanandnStress-RelatednDisorders
Chaptern11:nAnxiety,nAnxietynDisorders,nandnObsessive-
CompulsivenDisordersnChaptern12:nSomaticnSystemnDisordersnandnDissociati
venDisorders
Chaptern13:nPersonalitynDisorder
snChaptern14:nEatingnDisorders
Chaptern15:nMoodnDisorders:nDepressionnCh
aptern16:nBipolarnSpectrumnDisorders
Chaptern17:nSchizophrenianSpectrumnDisordersnandnOthernPsychoticnDisordersnChapte
rn18:nNeurocognitivenDisorders
Chaptern19:nSubstance-
RelatednandnAddictivenDisordersnChaptern20:nCrisisnandn
MassnDisaster
Chaptern21:nChild,nPartner,nandnEldernViolenceChaptern2
2:nSexualnViolence
Chaptern23:nSuicidalnThoughtsnandnBehaviorChaptern24:n
Anger,nAggression,nandnViolence
Chaptern25:nCarenfornthenDyingnandnThosenWhonGrievenChapt
ern26:nChildrennandnAdolescents
Chaptern27:nAdultsnChapte
rn28:nOldernAdults
, TESTn BANK:n ESSENTIALSn OFnPSYCHIATRICnMENTALHEALTHn NURSINGn (3RDn EDITIONBYVARCAROLIS)
TestnBank:nEssentialsnofnPsychiatricnMentalnHealthnNursingn(3rdnEditionnbynVarcarolis)n
Chaptern01:nPracticingnthenSciencenandnthenArtnofnPsychiatricnNursingnMULTIPLEnCH
OICE
1. Whichnoutcome,nfocusednonnrecovery,nwouldnbenexpectedninnthenplannofncarenfornanpatient
nlivingninnthencommunitynandndiagnosednwithnseriousnandnpersistentnmentalnillness?nWithinn
3nmonths,nthenpatientnwill:na.ndenynsuicidalnideation.
b. reportnansensenofnwell-being.
c. takenmedicationsnasnprescribed.
d. attendnclinicnappointmentsnonntime.
ANS:nB
Recoverynemphasizesnmanagingnsymptoms,nreducingnpsychosocialndisability,nandnimprovin
gnrolenperformance.
Thengoalnofnrecoverynisntonempowernthenindividualnwithnmentalnillnessntonachievenansensenofn
meaningnandnsatisfactionninnlifenandntonfunctionnatnthenhighestnpossiblenlevelnofnwellness.nThen
incorrectnoptionsnfocusnonnthenclassicnmedicalnmodelnrathernthannrecovery.
DIF:nCognitivenLevel:nApplicationn(Applying)nREF:n2
TOP:nNursingnProcess:nOutcomesnIdentificationnM
n
SC:nNCLEX:nHealthnPromotionnandnMaintenance
2. Innthenshift-changenreport,nannoff-
goingnnursencriticizesnanpatientnwhonwearsnheavynmakeup.nWhichncommentnbynthenn
ursenwhonreceivesnthenreportnbestndemonstratesnadvocacy?
a. Thisnisnanpsychiatricnhospital.nCrazinessnisnwhatnwenarenallnabout.
b. Letsnallnshownacceptancenofnthisnpatientnbynwearingnlotsnofnmakeupntoo.
c. Yourncommentsnareninconsideratenandninappropriate.nKeepnthenreportnobjective.
, TESTn BANK:n ESSENTIALSn OFnPSYCHIATRICnMENTALHEALTHn NURSINGn (3RDn EDITIONBYVARCAROLIS)
d. Ournpatientsnneednournhelpntonlearnnbehaviorsnthatnwillnhelpnthemngetnalongninsociety.
nANS:nD
Acceptingnpatientsnneedsnfornself-
expressionnandnseekingntonteachnskillsnthatnwillncontributentontheirnwell-
beingndemonstratenrespectnandnarenimportantnpartsnofnadvocacy.nThenon-
ncomingnnursenneedsntontakenactionntonensurenthatnothersnarennotnprejudicednagainstnthenpa
tient.nHumorncannbenappropriatenwithinnthenprivacynofnanshiftnreportnbutnnotnatnthenexpense
nofnrespectnfornpatients.nJudgingnthenoff-goingnnurseninnancriticalnwaynwillncreatenconflict.
Nursesnmustnshowncompassionnforneachnother.
DIF:nCognitivenLevel:nApplicationn(Applying)nREF:n8
TOP:nNursingnProcess:nImplementationnMSC:nNCLEX:nSafe,nEffectivenCarenEnvironmentn3.nAn
nursenassessesnannewlynadmittednpatientndiagnosednwithnmajorndepressivendisorder.nWhich
nstatementnisnannexamplenofnattending?
a. Wenallnhavenstressninnlife.nBeingninnanpsychiatricnhospitalnisntnthenendnofnthenworld.
b. Tellnmenwhynyounfeltnyounhadntonbenhospitalizedntonreceiventreatmentnfornyourdepression.
c. Younwillnfeelnbetternafternwengetnsomenantidepressantnmedicationnstartednfornyou.
d. Idnlikentonsitnwithnyounanwhilensonyounmaynfeelnmorencomfortablentalkingnwithnme.
ANS:nD
Attendingnisnantechniquenthatndemonstratesnthennursesncommitmentntonthenrelationshipnand
nreducesnfeelingsnofnisolation.nThisntechniquenshowsnrespectnfornthenpatientnandndemonstrat
esncaring.nGeneralizations,nprobing,nandnfalsenreassurancesnarennon-therapeutic.
DIF:nCognitivenLevel:nApplicationn(Applying)nREF:n8
TOP:nNursingnProcess:nImplementationnMSC:nNCLEX:nPsychosocialnIntegrityn4.nAnpatientnisnh
ospitalizednforndepressionnandnsuicidalnideationnafterntheirnspousenasksnfornandivorce.
Selectnthennursesnmostncaringncomment.
a. Letsndiscussnsomenmeansnofncopingnothernthannsuicidenwhennyounhaventhesenfeelings.
b. Inunderstandnwhynyourensondepressed.nWhennIngotndivorced,nInwasndevastatedntoo.
c. Younshouldnforgetnaboutnyournmarriagenandnmovenonnwithnyourlife.
d. Howndidnyoungetnsondepressednthatnhospitalizationnwasnecessary?