TEST BANK For Varcarolis Essentials of Psychiatric
Mental Health Nursing, 5th Edition (Fosbre) Chapters (1
– 28), Complete with Rationale 2025 Newest Version
,TABLE OF CONTENTS
,Chapter 01: Practicing the Science and the Art of Psychiatric Nursing
MULTIPLECHOICE
1. Which outcome, focused on recovery, would be expected in the plan of care for a client living
in the community and diagnosed with serious and persistent mental illness? Within 3 months,
the client will:
a. deny suicidal ideation.
b. report a sense of well-being.
c. take medications as prescribed.
d. attend clinic appointments on time.
CORRECT: B
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 medical model rather than recovery.
DIF: Cognitive Level: Application (Applying) REF: 2
TOPIC: Nursing Process: Outcomes Identification
MSC:
NCLEX: Health Promotion and Maintenance
2. In the shift-change report, an off-going nurse criticizes a client who wears heavy
makeup. Which comment by the nurse who receives the report best demonstrates
advocacy?
a. This is a psychiatric hospital. Craziness is what we are all about.
b. Lets all show acceptance of this client by wearing lots of makeup too.
c. Your comments are inconsiderate and inappropriate. Keep the report objective.
d. Our clients need our help to learn behaviors that will help them get along in society.
CORRECT: D
Accepting clients needs for self-expression and seeking to teach skills that will contributeto
their well-being demonstrate respect and are important parts of advocacy. The on-
, coming nurse needs to take action to ensure that others are not prejudiced against theclient.
Humor can be appropriate within the privacy of a shift report but not at the expense of
respect for clients. Judging the off-going nurse in a critical way will createconflict.
Nurses must show compassion for each other.
DIF: Cognitive Level: Application (Applying) REF: 8
TOPIC: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
3. A nurse assesses a newly admitted client diagnosed with major depressive disorder.
Which statement is an example of attending?
a. We all have stress in life. Being in a psychiatric hospital isnt the end of the world.
b. Tell me why you felt you had to be hospitalized to receive treatment for your depression.
c. You will feel better after we get some antidepressant medication started for you.
d. Id like to sit with you a while so you may feel more comfortable talking with me.
CORRECT: D
Attending is a technique that demonstrates the nurses commitment to the relationship and
reduces feelings of isolation. This technique shows respect for the client and demonstrates
caring. Generalizations, probing, and false reassurances are non-therapeutic.
DIF: Cognitive Level: Application (Applying) REF: 8
TOPIC: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
4. A client is hospitalized for depression and suicidal ideation after their spouse asks for a
divorce. Select the nurses most caring comment.
a. Lets discuss some means of coping other than suicide when you have these feelings.
b. I understand why youre so depressed. When I got divorced, I was devastated too.
c. You should forget about your marriage and move on with your life.
d. How did you get so depressed that hospitalization was necessary?
Test Bank: Essentials of Psychiatric Mental Health Nursing (5th Edition by Varcarolis) 3
CORRECT: A
The nurses communication should evidence caring and a commitment to work with the
client. This commitment lets the client know the nurse will help. Probing and advice arenot
helpful or therapeutic interventions.
Mental Health Nursing, 5th Edition (Fosbre) Chapters (1
– 28), Complete with Rationale 2025 Newest Version
,TABLE OF CONTENTS
,Chapter 01: Practicing the Science and the Art of Psychiatric Nursing
MULTIPLECHOICE
1. Which outcome, focused on recovery, would be expected in the plan of care for a client living
in the community and diagnosed with serious and persistent mental illness? Within 3 months,
the client will:
a. deny suicidal ideation.
b. report a sense of well-being.
c. take medications as prescribed.
d. attend clinic appointments on time.
CORRECT: B
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 medical model rather than recovery.
DIF: Cognitive Level: Application (Applying) REF: 2
TOPIC: Nursing Process: Outcomes Identification
MSC:
NCLEX: Health Promotion and Maintenance
2. In the shift-change report, an off-going nurse criticizes a client who wears heavy
makeup. Which comment by the nurse who receives the report best demonstrates
advocacy?
a. This is a psychiatric hospital. Craziness is what we are all about.
b. Lets all show acceptance of this client by wearing lots of makeup too.
c. Your comments are inconsiderate and inappropriate. Keep the report objective.
d. Our clients need our help to learn behaviors that will help them get along in society.
CORRECT: D
Accepting clients needs for self-expression and seeking to teach skills that will contributeto
their well-being demonstrate respect and are important parts of advocacy. The on-
, coming nurse needs to take action to ensure that others are not prejudiced against theclient.
Humor can be appropriate within the privacy of a shift report but not at the expense of
respect for clients. Judging the off-going nurse in a critical way will createconflict.
Nurses must show compassion for each other.
DIF: Cognitive Level: Application (Applying) REF: 8
TOPIC: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
3. A nurse assesses a newly admitted client diagnosed with major depressive disorder.
Which statement is an example of attending?
a. We all have stress in life. Being in a psychiatric hospital isnt the end of the world.
b. Tell me why you felt you had to be hospitalized to receive treatment for your depression.
c. You will feel better after we get some antidepressant medication started for you.
d. Id like to sit with you a while so you may feel more comfortable talking with me.
CORRECT: D
Attending is a technique that demonstrates the nurses commitment to the relationship and
reduces feelings of isolation. This technique shows respect for the client and demonstrates
caring. Generalizations, probing, and false reassurances are non-therapeutic.
DIF: Cognitive Level: Application (Applying) REF: 8
TOPIC: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
4. A client is hospitalized for depression and suicidal ideation after their spouse asks for a
divorce. Select the nurses most caring comment.
a. Lets discuss some means of coping other than suicide when you have these feelings.
b. I understand why youre so depressed. When I got divorced, I was devastated too.
c. You should forget about your marriage and move on with your life.
d. How did you get so depressed that hospitalization was necessary?
Test Bank: Essentials of Psychiatric Mental Health Nursing (5th Edition by Varcarolis) 3
CORRECT: A
The nurses communication should evidence caring and a commitment to work with the
client. This commitment lets the client know the nurse will help. Probing and advice arenot
helpful or therapeutic interventions.
