Test Bank for Varcarolis’ Essentials of Psychiatric Mental Health Nursing 3rd Edition (2017) – Complete Chapter Guide

Test Bank for Varcarolis’ Essentials of Psychiatric-Mental Health
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Nursing 3rd Edition (2017) – Complete NCLEX Questions &
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Answers with Rationales
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, Essentials of Psychiatric Mental Health Nursing (3rd Edition by Varcarolis) 2
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Chapta 01: Practicing the Science and the Art of Psychiatric Nursing MULTIPLE CHOICE
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1. Which outcome, focused on recovery, would be expected in the plan of care for a
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patientliving in the community and diagnosed with serious and persistent mental illness?
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Within 3 months, the patient will: a. denies suicidal ideation.
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b. report a sense of well-being. b b b b




c. take medications asprescribed.
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d. attendclinicappointments ontime. b b b b




b ANS: B b




Recoveryemphasizes managing symptoms,reducing psychosocialdisability,and improving role
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performance.
b




The goal of recovery is to empower the individual with mental illness to achieve a sense of
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meaning and satisfaction in life and to function at the highest possible level of wellness. The
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incorrect 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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b TOP: Nursing Process: Outcomes Identification MSC:
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NCLEX: Health Promotion and Maintenance
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2. In the shift-change report, an off-going nurse criticizes a patient who wears heavy makeup.
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Which comment by the nurse who receives the report best demonstrates advocacy?
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a. This is a psychiatric hospital. Craziness is what we are all about.
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b. Lets all show acceptance of this patient by wearing lots of makeup too.
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c. Yourcomments are inconsiderate and inappropriate. Keep thereport objective.
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d. Our patients need our help to learn behaviors that will help them get along in society.
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b ANS: D b




Accepting patients needs for self-expression and seeking to teach skills that will contribute to their
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well-being demonstrate respect and are important parts of advocacy. The oncoming nurse needs to
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take action to ensure that othas are not prejudiced against the patient. Humor can be appropriate
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within the privacy of a shift report but not at the expense of respect for patients.
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Judgingthe off-going nurse in a critical way will create conflict.
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, Nurses must show compassion for each other. DIF:b b b b b b b




Cognitive Level: Application (Applying)REF: 8
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TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment 3. A nurse
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assesses a newly admitted patient diagnosed with major depressive disorder. Which statement is
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an example of attending?
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a. We all have stress in life. Being in a psychiatric hospital isnt the end of the world.
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b. Tell me why you felt you had to be hospitalized to receive treatment for your depression.
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c. You will feel betta after we get some antidepressant medication started for you.
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d. Id like to sit with you a while so you may feel more comfortable talking with me. ANS:
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b D

Attending is a technique that demonstrates the nurses commitment to the relationship and
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reduces feelings of isolation. This technique shows respect for the patient and demonstrates caring.
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Generalizations, probing, and false reassurances are non-therapeutic.
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DIF: Cognitive Level: Application (Applying)REF: 8
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TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity 4. A patient is hospitalized
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for depression and suicidal ideation after their spouse asks for a divorce. Select the nurses most caring
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comment.
b




a. Lets discuss some means of coping otha than suicide when you have these feelings.
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b. I understand why you’re so depressed. When I got divorced, I was devastated too.
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c. You should forget about your marriage and move on with your life.
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d. How did you get so depressed that hospitalization was necessary?
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Test Bank: Essentials of Psychiatric Mental Health Nursing (3rd Edition by Varcarolis) 3 ANS: A
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Thenurses communication should evidence caring and a commitment towork with thepatient. This
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commitment lets the patient know the nurse will help. Probing and advice are not helpful or
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therapeutic interventions.
b b




DIF: Cognitive Level: Application (Applying)REF: 6
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, TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity 5. A patient shows
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the nurse an article from the Internet about a health problem. Which characteristic of the web
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sites address most alerts the nurse that the site may have biased and prejudiced information?
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a. Address ends in .org. b b b




b. Address ends in .com. b b b




c. Address ends in .gov. b b b




d. Addressendsin .net. b b b




b ANS: B b




Financial influences on a site are a clue that the information may be biased. .com at the end of the
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address indicates that the site is a commercial one. .gov indicates that the site is maintainedby a
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government entity.
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.org indicates that the site is nonproprietary; the site may or may not have reliable information, but
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bit does not profit from its activities. .net can have multiple meanings.
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DIF:Cognitive Level: Comprehension (Understanding) REF: 5
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TOP: Nursing Process: Evaluation MSC: NCLEX: Health Promotion and Maintenance 6. A nurse
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says, When I was in school, I learned to call upset patients by name to get their attention;
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however, I read a descriptive research study that says that this approach does not work. I plan to
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stop calling patients by name. Which statement is the best appraisal of this nurses comment?
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a. One descriptive research study rarely provides enough evidenceto change practice.
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b. Staff nurses apply new research findings only with the help from clinical nurse specialists.
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c. New research findings should be incorporated into clinical algorithms before using them in
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practice.
b




d. The nurse misintapreted the results of the study. Classic tenets of practice do not change.
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b ANS: A b




Descriptive research findings provide evidence for practice but must be viewed in relation to
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otha studies before practice changes. One study is not enough. Descriptive studies are low on the
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hiaarchy of evidence.
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Clinical algorithms use flow charts to manage problems and do not specify one response to a clinical
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problem.
b




Classictenets of practice should change as research findings provide evidence for change.
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