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Full Test Bank For Varcarolis' Essentials of Psychiatric Mental Health Nursing, 5th Edition By Chyllia D Fosbre|9780323810319| All Chapters 1-28|newest version 100% verified

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TABLE OF CONTENTS
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,
,Chapter 01: Practicing the Science and the Art of Psychiatric Nursing
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MULTIPLECHOICE qu




1. Which outcome, focused on recovery, would be expected in the plan of care for a patient living
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in the community and diagnosed with serious and persistent mental illness? Within 3 months, the
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patient will:
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a. deny suicidal ideation.
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b. report a sense of well-being. qu qu qu qu




c. take medications as prescribed. qu qu qu




d. attend clinic appointments on qu qu qu




time.ANSWER: B
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Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving role
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performance.
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The goal of recovery is to empower the individual with mental illness to achieve a sense of meaning
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and satisfaction in life and to function at the highest possible level of wellness. The incorrect options
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focus on the classic medical model rather than recovery.
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DIF: Cognitive Level: Application (Applying) REF: 2TOP:
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qu Nursing Process: Outcomes Identification MSC: NCLEX:
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Health Promotion and Maintenance
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2. In the shift-change report, an off-going nurse criticizes a patient who wears heavymakeup.
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Which comment by the nurse who receives the report best demonstrates advocacy?
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a. This is a psychiatric hospital. Craziness is what we are all about.
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b. Lets all show acceptance of this patient by wearing lots of makeup too.
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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.ANSWER:
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qu D

Accepting patients needs for self-expression and seeking to teach skills that will contributeto their well-
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being demonstrate respect and are important parts of advocacy. The on-
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, coming nurse needs to take action to ensure that others are not prejudiced against thepatient. Humor
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can be appropriate within the privacy of a shift report but not at the expense of respect for
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patients. Judging the off-going nurse in a critical way will createconflict.
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Nurses must show compassion for each other.
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DIF: Cognitive Level: Application (Applying) REF: 8
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TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
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3. A nurse assesses a newly admitted patient diagnosed with major depressive disorder.Which
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qu statement is an example of attending? qu qu qu qu qu




a. We all have stress in life. Being in a psychiatric hospital isnt the end of the world.
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b. Tell me why you felt you had to be hospitalized to receive treatment for your depression.
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c. You will feel better after we get some antidepressant medication started for you.
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d. Id like to sit with you a while so you may feel more comfortable talking with
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me.ANSWER: D
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Attending is a technique that demonstrates the nurses commitment to the relationship andreduces
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feelings of isolation. This technique shows respect for the patient and demonstrates caring.
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Generalizations, probing, and false reassurances are non-therapeutic.
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DIF: Cognitive Level: Application (Applying) REF: 8
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TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
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4. A patient is hospitalized for depression and suicidal ideation after their spouse asks for adivorce.
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Select the nurses most caring comment.
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a. Lets discuss some means of coping other than suicide when you have these feelings.
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b. I understand why youre so depressed. When I got divorced, I was devastated too.
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c. You should forget about your marriage and move on with your life.
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d. How did you get so depressed that hospitalization was necessary?
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Test Bank: Essentials of Psychiatric Mental Health Nursing (5th Edition by Varcarolis) 3ANSWER: A
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The nurses communication should evidence caring and a commitment to work with the patient. This
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commitment lets the patient know the nurse will help. Probing and advice arenot helpful or therapeutic
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interventions.
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