Test Bank For
Varcarolis Essentials Of Psychiatric
Mental Health Nursing, 5th Edition
By Fosbre |Chapters 1-28 |100% Verified Answers
,table of contents
chapter 01: practicing the science and the art of psychiatric nursing ...4
chapter 02: mental health and mental illness ................................... 16
chapter 03: theories and therapies ................................................... 29
chapter 04: biological basis for understanding psychopharmacology 50
chapter 05: settings for psychiatric care ........................................... 69
chapter 06: legal and ethical basis for practice ................................. 87
chapter 07: nursing process and qsen: the foundation for safe and
effective care ................................................................................. 108
chapter 08: communication skills: medium for all nursing practice .. 128
chapter 09: therapeutic relationships and the clinical interview ...... 144
chapter 10: trauma and stress-related disorders ............................. 166
chapter 11: anxiety, anxiety disorders, and obsessive-compulsive
disorders ........................................................................................ 181
chapter 12: somatic system disorders and dissociative disorders ..... 209
chapter 13: personality disorders ................................................... 231
chapter 14: eating disorders ........................................................... 252
chapter 15: mood disorders: depression ......................................... 271
chapter 16: bipolar spectrum disorders........................................... 295
chapter 17: schizophrenia spectrum disorders and other psychotic
disorders ........................................................................................ 319
chapter 18: neurocognitive disorders.............................................. 348
chapter 19: substance-related and addictive disorders.................... 369
chapter 20: crisis and mass disaster ................................................ 398
chapter 21: child, partner, and elder violence ................................. 418
,chapter 22: sexual violence ............................................................ 437
chapter 23: suicidal thoughts and behavior .................................... 454
chapter 24: anger, aggression, and violence ................................... 477
chapter 25: care for the dying and those who grieve ....................... 500
chapter 26: children and adolescents .............................................. 521
chapter 27: adults .......................................................................... 539
chapter 28: older adults ................................................................. 561
,chapter 01: practicing the science and the art of psychiatric nursing
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:
a. deny suicidal ideation.
b. report a sense of well-being.
c. take medications as prescribed.
d. attend 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) ref: 2 top: nursing process:
outcomes identification msc:
nclex: health promotion and maintenance
2. in the shift-change report, an off-going nurse criticizes a patient
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 patient by wearing lots of
makeup too.
c. your comments are inconsiderate and inappropriate. keep the
report objective.
d. our patients need our help to learn behaviors that will help them
get along in society.
ans: d
accepting patients 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 thepatient.
humor can be appropriate within the privacy of a shift report but not
at the expense of respect for patients. 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
top: nursing process: implementation msc: nclex: safe, effective care
environment
3. a nurse assesses a newly admitted patient 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.
ans: d
attending is a technique that demonstrates the nurses commitment to
the relationship and reduces feelings of isolation. this technique
shows respect for the patient and demonstrates caring.
generalizations, probing, and false reassurances are non-therapeutic.
dif: cognitive level: application (applying) ref: 8
top: nursing process: implementation msc: nclex: psychosocial
integrity
4. a patient 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?
ans: a
the nurses 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 or therapeutic
interventions.
dif: cognitive level: application (applying) ref: 6
top: nursing process: implementation msc: nclex: psychosocial
integrity
5. a patient 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.
ans: b
financial influences on a site are a clue that the information may be
biased. .com at the end of 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
top: nursing process: evaluation msc: nclex: health promotion and
maintenance
Varcarolis Essentials Of Psychiatric
Mental Health Nursing, 5th Edition
By Fosbre |Chapters 1-28 |100% Verified Answers
,table of contents
chapter 01: practicing the science and the art of psychiatric nursing ...4
chapter 02: mental health and mental illness ................................... 16
chapter 03: theories and therapies ................................................... 29
chapter 04: biological basis for understanding psychopharmacology 50
chapter 05: settings for psychiatric care ........................................... 69
chapter 06: legal and ethical basis for practice ................................. 87
chapter 07: nursing process and qsen: the foundation for safe and
effective care ................................................................................. 108
chapter 08: communication skills: medium for all nursing practice .. 128
chapter 09: therapeutic relationships and the clinical interview ...... 144
chapter 10: trauma and stress-related disorders ............................. 166
chapter 11: anxiety, anxiety disorders, and obsessive-compulsive
disorders ........................................................................................ 181
chapter 12: somatic system disorders and dissociative disorders ..... 209
chapter 13: personality disorders ................................................... 231
chapter 14: eating disorders ........................................................... 252
chapter 15: mood disorders: depression ......................................... 271
chapter 16: bipolar spectrum disorders........................................... 295
chapter 17: schizophrenia spectrum disorders and other psychotic
disorders ........................................................................................ 319
chapter 18: neurocognitive disorders.............................................. 348
chapter 19: substance-related and addictive disorders.................... 369
chapter 20: crisis and mass disaster ................................................ 398
chapter 21: child, partner, and elder violence ................................. 418
,chapter 22: sexual violence ............................................................ 437
chapter 23: suicidal thoughts and behavior .................................... 454
chapter 24: anger, aggression, and violence ................................... 477
chapter 25: care for the dying and those who grieve ....................... 500
chapter 26: children and adolescents .............................................. 521
chapter 27: adults .......................................................................... 539
chapter 28: older adults ................................................................. 561
,chapter 01: practicing the science and the art of psychiatric nursing
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:
a. deny suicidal ideation.
b. report a sense of well-being.
c. take medications as prescribed.
d. attend 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) ref: 2 top: nursing process:
outcomes identification msc:
nclex: health promotion and maintenance
2. in the shift-change report, an off-going nurse criticizes a patient
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 patient by wearing lots of
makeup too.
c. your comments are inconsiderate and inappropriate. keep the
report objective.
d. our patients need our help to learn behaviors that will help them
get along in society.
ans: d
accepting patients 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 thepatient.
humor can be appropriate within the privacy of a shift report but not
at the expense of respect for patients. 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
top: nursing process: implementation msc: nclex: safe, effective care
environment
3. a nurse assesses a newly admitted patient 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.
ans: d
attending is a technique that demonstrates the nurses commitment to
the relationship and reduces feelings of isolation. this technique
shows respect for the patient and demonstrates caring.
generalizations, probing, and false reassurances are non-therapeutic.
dif: cognitive level: application (applying) ref: 8
top: nursing process: implementation msc: nclex: psychosocial
integrity
4. a patient 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?
ans: a
the nurses 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 or therapeutic
interventions.
dif: cognitive level: application (applying) ref: 6
top: nursing process: implementation msc: nclex: psychosocial
integrity
5. a patient 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.
ans: b
financial influences on a site are a clue that the information may be
biased. .com at the end of 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
top: nursing process: evaluation msc: nclex: health promotion and
maintenance
