Psychiatric Mental Health Nursing 5th
Edition by Fosbre,All Chapters 1 – 28 Full
Complete 2024
,TABLE OF CONTENTS
,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. ANSWER: 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. ANSWER: D
, Accepting patients 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 snurse sneeds sto stake saction sto sensure sthat sothers sare snot sprejudiced sagainst
sthespatient. sHumor scan sbe sappropriate swithin sthe sprivacy sof sa sshift sreport sbut snot
sat sthe sexpense sof srespect sfor spatients. sJudging sthe soff-going snurse sin sa scritical sway
swill screatesconflict.
Nurses smust sshow scompassion sfor seach sother.
DIF: sCognitive sLevel: sApplication s(Applying) sREF: s8
TOP: sNursing sProcess: sImplementation sMSC: sNCLEX: sSafe, sEffective sCare sEnvironment
3. A s nurse s assesses s a s newly s admitted spatient s diagnosed s with smajor s depressive
s disorder.sWhich sstatement sis san sexample sof sattending?
a. We sall shave sstress sin slife. sBeing sin sa spsychiatric shospital sisnt sthe send sof sthe sworld.
b. Tell sme swhy syou sfelt syou shad sto sbe shospitalized sto sreceive streatment sfor syour
sdepression.
c. You swill sfeel sbetter safter swe sget ssome santidepressant smedication sstarted sfor syou.
d. Id slike sto ssit swith syou sa swhile sso syou smay sfeel smore scomfortable stalking
swith sme.sANSWER: sD
Attending sis sa stechnique sthat sdemonstrates sthe snurses scommitment sto sthe
srelationship sandsreduces sfeelings sof sisolation. sThis stechnique sshows srespect sfor sthe
spatient sand sdemonstrates scaring. sGeneralizations, sprobing, sand sfalse sreassurances
sare snon-therapeutic.
DIF: sCognitive sLevel: sApplication s(Applying) sREF: s8
TOP: sNursing sProcess: sImplementation sMSC: sNCLEX: sPsychosocial sIntegrity
4. A spatient sis shospitalized sfor sdepression sand ssuicidal sideation safter stheir sspouse
sasks sfor sasdivorce. sSelect s sthe snurses smost scaring scomment.
a. Lets sdiscuss ssome smeans sof scoping sother sthan ssuicide swhen syou shave sthese sfeelings.
b. I sunderstand swhy syoure sso sdepressed. sWhen sI sgot sdivorced, sI swas sdevastated stoo.
c. You sshould sforget sabout syour smarriage sand smove son swith syour slife.
d. How sdid syou sget sso sdepressed sthat shospitalization swas snecessary?