TEST BANK
Varcarolis: Essentials of Psychiatric Mental Health Nursing: A Communication
Approach to Evidence-Based Care, 5e
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,Contents
Chapter 01: Science and the Therapeutic Use of Self in Psychiatric Mental Health Nursing
................................................................................................................................................ 3
Chapter 02: Mental Health and Mental Illness ..................................................................... 10
Chapter 03: Theories and Therapies ..................................................................................... 17
Chapter 04: Biological Basis for Understanding Psychopharmacology ............................. 27
Chapter 05: Settings for Psychiatric Care............................................................................. 37
Chapter 06: Legal and Ethical Basis for Practice ................................................................. 45
Chapter 07: The Nursing Process in Psychiatric-Mental Health Nursing ........................... 55
Chapter 08: Communication Skills: Medium for All Nursing Practice .............................. 65
Chapter 09: Therapeutic Relationships and the Clinical Interview ...................................... 73
Chapter 10: Trauma and Stress-Related Disorders and Dissociative Disorders ................. 84
Chapter 11: Anxiety, Anxiety Disorders, and Obsessive-Compulsive and Related Disorders
.............................................................................................................................................. 92
Chapter 12: Somatic Symptom Disorders .......................................................................... 106
Chapter 13: Personality Disorders ...................................................................................... 117
Chapter 14: Eating Disorders ............................................................................................. 128
Chapter 15: Mood Disorders: Depression .......................................................................... 138
Chapter 16: Bipolar Spectrum Disorders............................................................................ 150
Chapter 17: Schizophrenia Spectrum Disorders and Other Psychotic Disorders.............. 162
Chapter 18: Neurocognitive Disorders ............................................................................... 176
Chapter 19: Substance-Related and Addictive Disorders................................................... 187
Chapter 28: Older Adults.................................................................................................... 202
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,Varcarolis: Essentials of Psychiatric Mental Health Nursing: A Communication Approach
to Evidence-Based Care, 5e
Chapter 01: Science and the Therapeutic Use of Self in Psychiatric Mental Health Nursing
Varcarolis: Essentials of Psychiatric Mental Health Nursing: A Communication
Approach to Evidence-Based Care, 5e
MULTIPLE CHOICE
1. Which outcome, focused on recovery, would be expected in the plan of care for a patient
living in the community and diagnosed with serious and persistent mental illness? Within 3
months, the patient will demonstrate what behavior?
a. Denying suicidal ideation
b. Reporting a sense of well-being
c. Taking medications as prescribed
d. Attending clinic appointments on time
ANS: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)
TOP: Nursing Process: Outcomes Identification
MSC: NCLEX: Health Promotion and Maintenance
2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for a
divorce. Select the nurse’s most caring comment.
a. “Let’s discuss healthy means of coping when you have suicidal feelings.”
b. “I understand why you’re 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?”
ANS:A
The nurse’s communication should evidence caring and a commitment to work with the
patient. This commitment lets the patient know the nurse will help. Probing and advice are not
helpful for therapeutic interventions.
DIF: Cognitive Level: Application (Applying)
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
3. In the shift-change report, an off-going nurse criticizes a patient who wears extremely heavy
makeup. Which comment by the nurse who receives the report best demonstrates advocacy?
a. “This is a psychiatric hospital, so we expect our patients to behave bizarrely.”
b. “Let’s all show acceptance of this patient by wearing lots of makeup too.”
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.”
ANS:D
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Varcarolis: Essentials of Psychiatric Mental Health Nursing: A Communication
Approach to Evidence-Based Care, 5e
WWW.NURSYLAB.COM
,Contents
Chapter 01: Science and the Therapeutic Use of Self in Psychiatric Mental Health Nursing
................................................................................................................................................ 3
Chapter 02: Mental Health and Mental Illness ..................................................................... 10
Chapter 03: Theories and Therapies ..................................................................................... 17
Chapter 04: Biological Basis for Understanding Psychopharmacology ............................. 27
Chapter 05: Settings for Psychiatric Care............................................................................. 37
Chapter 06: Legal and Ethical Basis for Practice ................................................................. 45
Chapter 07: The Nursing Process in Psychiatric-Mental Health Nursing ........................... 55
Chapter 08: Communication Skills: Medium for All Nursing Practice .............................. 65
Chapter 09: Therapeutic Relationships and the Clinical Interview ...................................... 73
Chapter 10: Trauma and Stress-Related Disorders and Dissociative Disorders ................. 84
Chapter 11: Anxiety, Anxiety Disorders, and Obsessive-Compulsive and Related Disorders
.............................................................................................................................................. 92
Chapter 12: Somatic Symptom Disorders .......................................................................... 106
Chapter 13: Personality Disorders ...................................................................................... 117
Chapter 14: Eating Disorders ............................................................................................. 128
Chapter 15: Mood Disorders: Depression .......................................................................... 138
Chapter 16: Bipolar Spectrum Disorders............................................................................ 150
Chapter 17: Schizophrenia Spectrum Disorders and Other Psychotic Disorders.............. 162
Chapter 18: Neurocognitive Disorders ............................................................................... 176
Chapter 19: Substance-Related and Addictive Disorders................................................... 187
Chapter 28: Older Adults.................................................................................................... 202
WWW.NURSYLAB.COM
,Varcarolis: Essentials of Psychiatric Mental Health Nursing: A Communication Approach
to Evidence-Based Care, 5e
Chapter 01: Science and the Therapeutic Use of Self in Psychiatric Mental Health Nursing
Varcarolis: Essentials of Psychiatric Mental Health Nursing: A Communication
Approach to Evidence-Based Care, 5e
MULTIPLE CHOICE
1. Which outcome, focused on recovery, would be expected in the plan of care for a patient
living in the community and diagnosed with serious and persistent mental illness? Within 3
months, the patient will demonstrate what behavior?
a. Denying suicidal ideation
b. Reporting a sense of well-being
c. Taking medications as prescribed
d. Attending clinic appointments on time
ANS: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)
TOP: Nursing Process: Outcomes Identification
MSC: NCLEX: Health Promotion and Maintenance
2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for a
divorce. Select the nurse’s most caring comment.
a. “Let’s discuss healthy means of coping when you have suicidal feelings.”
b. “I understand why you’re 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?”
ANS:A
The nurse’s communication should evidence caring and a commitment to work with the
patient. This commitment lets the patient know the nurse will help. Probing and advice are not
helpful for therapeutic interventions.
DIF: Cognitive Level: Application (Applying)
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
3. In the shift-change report, an off-going nurse criticizes a patient who wears extremely heavy
makeup. Which comment by the nurse who receives the report best demonstrates advocacy?
a. “This is a psychiatric hospital, so we expect our patients to behave bizarrely.”
b. “Let’s all show acceptance of this patient by wearing lots of makeup too.”
c. “Your comments are inconsiderate and inappropriate. Keep the report objective.”
WWW.NURSYLAB.COM
, d. “Our patients need our help to learn behaviors that will help them get along in
society.”
ANS:D
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