,Essentials of Psychiatric Mental Health Nursing (3rd Edition by Barcaroles) 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
patient living in the community and diagnosed with serious and persistent mental
illness? Within 3 months, the patient will: a. denies 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. Let’s 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 contribute to
their well-being demonstrate respect and are important parts of advocacy. The oncoming nurse
needs to take action to ensure that others are not prejudiced against the patient. 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 create conflict.
,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 isn’t 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 betta after we get some antidepressant medication started for you.
d. I’d 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 nurse’s 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
nurse’s most caring comment.
a. Let’s discuss some means of coping other than suicide when you have these feelings.
b. I understand why you’re 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?
Test Bank: Essentials of Psychiatric Mental Health Nursing (3rd Edition by Barcaroles) 3
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. .go 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 6. A nurse
says, when I was in school, I learned to call upset patients by name to get their attention;
however, I read a descriptive research study that says that this approach does not work. I plan
to stop calling patients by name. Which statement is the best appraisal of this nurse’s
comment?
a. One descriptive research study rarely provides enough evidence to change practice.
b. Staff nurses apply new research findings only with the help from clinical nurse specialists.
c. New research findings should be incorporated into clinical algorithms before using them in
practice.
d. The nurse misinterpreted the results of the study. Classic tenets of practice do not
change. ANS: A
Descriptive research findings provide evidence for practice but must be viewed in relation to
other studies before practice changes. One study is not enough. Descriptive studies are low
on the hierarchy of evidence.
Clinical algorithms use flow charts to manage problems and do not specify one response to a
clinical problem.
Classic tenets of practice should change as research findings provide evidence for change.
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. denies 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. Let’s 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 contribute to
their well-being demonstrate respect and are important parts of advocacy. The oncoming nurse
needs to take action to ensure that others are not prejudiced against the patient. 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 create conflict.
,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 isn’t 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 betta after we get some antidepressant medication started for you.
d. I’d 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 nurse’s 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
nurse’s most caring comment.
a. Let’s discuss some means of coping other than suicide when you have these feelings.
b. I understand why you’re 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?
Test Bank: Essentials of Psychiatric Mental Health Nursing (3rd Edition by Barcaroles) 3
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. .go 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 6. A nurse
says, when I was in school, I learned to call upset patients by name to get their attention;
however, I read a descriptive research study that says that this approach does not work. I plan
to stop calling patients by name. Which statement is the best appraisal of this nurse’s
comment?
a. One descriptive research study rarely provides enough evidence to change practice.
b. Staff nurses apply new research findings only with the help from clinical nurse specialists.
c. New research findings should be incorporated into clinical algorithms before using them in
practice.
d. The nurse misinterpreted the results of the study. Classic tenets of practice do not
change. ANS: A
Descriptive research findings provide evidence for practice but must be viewed in relation to
other studies before practice changes. One study is not enough. Descriptive studies are low
on the hierarchy of evidence.
Clinical algorithms use flow charts to manage problems and do not specify one response to a
clinical problem.
Classic tenets of practice should change as research findings provide evidence for change.
