Test Bank for Varcarolis Essentials of Psychiatric Mental Health Nursing 5th Edition Fosbre-latest version (1 -28 chapters) questions and answers

TEST BANK For Varcarolis Essentials of Psychiatric
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Mental Health Nursing, 5th Edition (Fosbre) Chapters (1 –
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28), Complete with Rationale 2025 Newest Version
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,TABLEOFCONTENTS

,Chapter01:Practicingthe Scienceandthe ArtofPsychiatric Nursing
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MULTIPLECHOICE

1. Which outcome, focused on recovery, would be expected in the plan ofcare for aclient living in
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vthe community and diagnosed with serious and persistent mental illness? Within 3 months,
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vthe client will:
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a. deny suicidal ideation. v v




b. reportasenseof well-being. v v




c. take medications as prescribed.
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d. attendclinic appointments on time. v v v




CORRECT: B
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Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving
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vrole performance.
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The goal of recovery is to empower the individual with mental illness to achieve a sense of
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vmeaning and satisfaction in life and to function at the highest possible level of wellness. The
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vincorrect options focus on the classic medical model rather than recovery.
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DIF: Cognitive Level: Application (Applying) REF: 2
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v TOPIC: Nursing Process: Outcomes Identification
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v MSC:

NCLEX: Health Promotion and Maintenance
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2. In the shift-change report, an off-going nurse criticizes a client who wears heavy
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vmakeup. Which comment by the nurse who receives the report best
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v demonstrates advocacy? v




a. Thisisapsychiatrichospital. Craziness iswhatweareallabout. v v




b. Letsallshowacceptanceof thisclientbywearing lotsof makeuptoo. v v v




c. Yourcommentsare inconsiderateandinappropriate.Keepthe report objective. v v d




d. Ourclientsneedourhelpto learn behaviors thatwillhelpthem getalong in society. v v v v v v




v CORRECT: D v




Accepting clients needs for self-expression and seeking to teach skills that will contributeto
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vtheir well-being demonstrate respect and are important parts of advocacy. The on-
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, comingnurseneeds totake action toensure that others are notprejudiced againsttheclient.
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Humor can be appropriate within the privacy of a shift report but not at the expense of
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respect for clients. Judging the off-going nurse in a critical way will createconflict.
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Nursesmustshowcompassionforeach other. v




DIF:Cognitive Level: Application (Applying) REF:8
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TOPIC:Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
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3. Anurse assesses anewly admitted client diagnosed with major depressive disorder.
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Which statement is an example of attending?
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a. Weallhavestressin life.Beingin apsychiatric hospitalisntthe endof theworld. v v v v v




b. Tellmewhyyoufeltyouhadtobe hospitalized to receive treatmentforyourdepression. v v v v




c. Youwillfeelbetter afterwe getsome antidepressant medication startedforyou. v v v d v




d. Idliketositwithyou awhile soyou mayfeelmore comfortable talkingwithme. v v v v v v




CORRECT: D
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Attending is atechnique that demonstrates the nurses commitment to the relationship and
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reduces feelings of isolation. This technique shows respect for the client and
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demonstrates caring. Generalizations, probing, and false reassurances are non-
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therapeutic.
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DIF:Cognitive Level: Application (Applying) REF:8 v v v v




TOPIC:NursingProcess:Implementation MSC:NCLEX:PsychosocialIntegrity v




4. Aclientis hospitalizedfor depression andsuicidalideation aftertheirspouseasks fora
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divorce. Select the nurses most caring comment.
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a. Letsdiscusssome meansof coping otherthansuicide when youhave thesefeelings. v v v v v v




b. Iunderstandwhyyouresodepressed.When Igot divorced, Iwasdevastated too. v v v v




c. Youshouldforget aboutyour marriageandmove on with yourlife. v v v v v




d. Howdidyouget so depressed thathospitalization wasnecessary? v v v v




TestBank:EssentialsofPsychiatricMentalHealthNursing(5thEditionbyVarcarolis)3
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CORRECT: A
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The nurses communication should evidence caring and a commitment to work with the
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client.Thiscommitmentletstheclientknowthe nurse willhelp. Probingandadvice arenot
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helpful or therapeutic interventions.
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