-1-
TEST BANK
Varcarolis’ Essentials of Psychiatric Mental Health
Nursing: A Communication Approach to Evidence-
Based Care 5th Edition by Chyllia D Fosbre
A COMPLETE GUIDE FROM CHAPTER 1-28 WITH CORRECT ANSWERS || 100% ACCURATE
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, -2-
TABLE OF CONTENTS
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, -3-
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 contribute to 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 the client. 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 create conflict. 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
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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.
DIF: Cognitive Level: Application (Applying) REF: 6
TOPIC: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
5. A client shows the nurse an article from the Internet about a health problem. Which characteristic of the
web sites address most alerts the nurse that the site may have biased and prejudiced information?
a. Address ends in .org.
b. Address ends in .com.
c. Address ends in .gov.
d. Address ends in .net.
CORRECT: B
Financial influences on a site are a clue that the information may be biased. .com at the endof the address
indicates that the site is a commercial one. .gov indicates that the site is maintained by a government
entity.
.org indicates that the site is nonproprietary; the site may or may not have reliable information, but it does
not profit from its activities. .net can have multiple meanings.
DIF: Cognitive Level: Comprehension (Understanding) REF: 5
TOPIC: Nursing Process: Evaluation MSC: NCLEX: Health Promotion and Maintenance
6. A nurse says, When I was in school, I learned to call upset clients by name to get their attention;
however, I read a descriptive research study that says that this approach does not work. I plan to stop
calling clients by name. Which statement is the best appraisal of this nurses comment?
a. One descriptive research study rarely provides enough evidence to change practice.
b. Staff nurses apply new research findings only with the help from clinical nurse specialists.
c. New research findings should be incorporated into clinical algorithms before using themin
practice.
d. The nurse misinterpreted the results of the study. Classic tenets of practice do not change.
CORRECT: A
Descriptive research findings provide evidence for practice but must be viewed in relationto other studies
before practice changes. One study is not enough. Descriptive studies are low on the hierarchy of
evidence. Clinical algorithms use flow charts to manage problems and do not specify one response toa
clinical problem. Classic tenets of practice should change as research findings provide evidence for
change.DIF: Cognitive Level: Analysis (Analyzing) REF: 3
TOPIC: Nursing Process: Evaluation MSC: NCLEX: Health Promotion and Maintenance
7. Two nursing students discuss career plans after graduation. One student wants to enter psychiatric
nursing. The other student asks, why would you want to be a psychiatric nurse? All they do is talk. You
will lose your skills. Select the best response by the student interested in psychiatric nursing.
-4-|Page
TEST BANK
Varcarolis’ Essentials of Psychiatric Mental Health
Nursing: A Communication Approach to Evidence-
Based Care 5th Edition by Chyllia D Fosbre
A COMPLETE GUIDE FROM CHAPTER 1-28 WITH CORRECT ANSWERS || 100% ACCURATE
-1-|Page
, -2-
TABLE OF CONTENTS
-2-|Page
, -3-
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 contribute to 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 the client. 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 create conflict. 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
-3-|Page
, -4-
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.
DIF: Cognitive Level: Application (Applying) REF: 6
TOPIC: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
5. A client shows the nurse an article from the Internet about a health problem. Which characteristic of the
web sites address most alerts the nurse that the site may have biased and prejudiced information?
a. Address ends in .org.
b. Address ends in .com.
c. Address ends in .gov.
d. Address ends in .net.
CORRECT: B
Financial influences on a site are a clue that the information may be biased. .com at the endof the address
indicates that the site is a commercial one. .gov indicates that the site is maintained by a government
entity.
.org indicates that the site is nonproprietary; the site may or may not have reliable information, but it does
not profit from its activities. .net can have multiple meanings.
DIF: Cognitive Level: Comprehension (Understanding) REF: 5
TOPIC: Nursing Process: Evaluation MSC: NCLEX: Health Promotion and Maintenance
6. A nurse says, When I was in school, I learned to call upset clients by name to get their attention;
however, I read a descriptive research study that says that this approach does not work. I plan to stop
calling clients by name. Which statement is the best appraisal of this nurses comment?
a. One descriptive research study rarely provides enough evidence to change practice.
b. Staff nurses apply new research findings only with the help from clinical nurse specialists.
c. New research findings should be incorporated into clinical algorithms before using themin
practice.
d. The nurse misinterpreted the results of the study. Classic tenets of practice do not change.
CORRECT: A
Descriptive research findings provide evidence for practice but must be viewed in relationto other studies
before practice changes. One study is not enough. Descriptive studies are low on the hierarchy of
evidence. Clinical algorithms use flow charts to manage problems and do not specify one response toa
clinical problem. Classic tenets of practice should change as research findings provide evidence for
change.DIF: Cognitive Level: Analysis (Analyzing) REF: 3
TOPIC: Nursing Process: Evaluation MSC: NCLEX: Health Promotion and Maintenance
7. Two nursing students discuss career plans after graduation. One student wants to enter psychiatric
nursing. The other student asks, why would you want to be a psychiatric nurse? All they do is talk. You
will lose your skills. Select the best response by the student interested in psychiatric nursing.
-4-|Page
