TEST BANK - Varcarolis’ Essentials of
Psychiatric Mental Health Nursing: A
Communication Approach to Evidence-
Based Care, 5th Edition by Chyllia D Fosbre
ALL CHAPTERS INCLUDED 1-28| EXPERT
ASSURED QUESTIONS AND ACCURATE
SOLUTIONS
TB
Ac
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Page | 1
, TABLE OF CONTENTS
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Page | 2
, 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 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. ACCURATE SOLUTION: 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
TB
MSC:
NCLEX: Health Promotion and Maintenance
Ac
er
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. ACCURATE
SOLUTION: 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
Page | 3
, 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. ACCURATE
SOLUTION: 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
TB
Ac
4. A client is hospitalized for depression and suicidal ideation after their spouse asks for a divorce. Select
the nurses most caring comment.
er
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?
ACCURATE SOLUTION: 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 are not helpful or therapeutic
interventions.
DIF: Cognitive Level: Application (Applying) REF: 6
TOPIC: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
Page | 4
Psychiatric Mental Health Nursing: A
Communication Approach to Evidence-
Based Care, 5th Edition by Chyllia D Fosbre
ALL CHAPTERS INCLUDED 1-28| EXPERT
ASSURED QUESTIONS AND ACCURATE
SOLUTIONS
TB
Ac
er
Page | 1
, TABLE OF CONTENTS
TB
Ac
er
Page | 2
, 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 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. ACCURATE SOLUTION: 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
TB
MSC:
NCLEX: Health Promotion and Maintenance
Ac
er
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. ACCURATE
SOLUTION: 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
Page | 3
, 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. ACCURATE
SOLUTION: 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
TB
Ac
4. A client is hospitalized for depression and suicidal ideation after their spouse asks for a divorce. Select
the nurses most caring comment.
er
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?
ACCURATE SOLUTION: 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 are not helpful or therapeutic
interventions.
DIF: Cognitive Level: Application (Applying) REF: 6
TOPIC: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
Page | 4
