TEST BANK Varcarolis’ Essentials of
Psychiatric Mental Health Nursing: A
Communication Approach to
Evidence-Based Care 5th Edition By
Chyllia D Fosbre |chapter 1-28
**Question 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
demonstrate what behavior?
A. Denying suicidal ideation
B. Reporting a sense of well-being
C. Taking medications as prescribed
,D. Attending clinic appointments on time
**Correct Answer: B**
**Rationale:** 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 .
---
**Question 2**
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 healthy means of coping when you have suicidal 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?"
**Correct Answer: A**
**Rationale:** The nurse's 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
for therapeutic interventions .
---
**Question 3**
, In the shift-change report, an off-going nurse criticizes a patient who wears extremely heavy makeup.
Which comment by the nurse who receives the report best demonstrates advocacy?
A. "This is a psychiatric hospital, so we expect our patients to behave bizarrely."
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."
**Correct Answer: D**
**Rationale:** 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
nurse needs to take action to ensure that others are not prejudiced against the patient .
---
**Question 4**
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 is not 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. "I'd like to sit with you for a while, so you may feel more comfortable talking with me."
**Correct Answer: D**
**Rationale:** 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 nontherapeutic .
Psychiatric Mental Health Nursing: A
Communication Approach to
Evidence-Based Care 5th Edition By
Chyllia D Fosbre |chapter 1-28
**Question 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
demonstrate what behavior?
A. Denying suicidal ideation
B. Reporting a sense of well-being
C. Taking medications as prescribed
,D. Attending clinic appointments on time
**Correct Answer: B**
**Rationale:** 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 .
---
**Question 2**
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 healthy means of coping when you have suicidal 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?"
**Correct Answer: A**
**Rationale:** The nurse's 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
for therapeutic interventions .
---
**Question 3**
, In the shift-change report, an off-going nurse criticizes a patient who wears extremely heavy makeup.
Which comment by the nurse who receives the report best demonstrates advocacy?
A. "This is a psychiatric hospital, so we expect our patients to behave bizarrely."
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."
**Correct Answer: D**
**Rationale:** 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
nurse needs to take action to ensure that others are not prejudiced against the patient .
---
**Question 4**
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 is not 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. "I'd like to sit with you for a while, so you may feel more comfortable talking with me."
**Correct Answer: D**
**Rationale:** 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 nontherapeutic .
