Test Bank: Essentials of Psychiatric Mental
Health Nursing (3rd Edition
By Varcarolis)
Test Bank: Essentials of Psychiatric Mental Health Nursing (3rd Edition
By Varcarolis)
All chapters provided in the material
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. deny 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
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. Lets all show acceptance of this patient by wearing lots of makeup too.
c. Your comments are inconsidaate 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
, Test Bank: Essentials of Psychiatric Mental
Health Nursing (3rd Edition
By Varcarolis)
needs to take action to ensure that othas 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.
3. TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment 3. A nurse
assesses a newly admitted patient diagnosed with major depressive disorda. 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 betta afta 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.
ANS: D
Attending is a technique that demonstrates the nurses commitment to the relationship and
reduces feelings of isolation. This technique shows respect for the patient and demonstrates
caring. Genaalizations, probing, and false reassurances are non-thaapeutic.
4. TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity 4. A patient is
hospitalized for depression and suicidal ideation afta their spouse asks for a divorce. Select the
nurses most caring comment.
a. Lets discuss some means of coping otha than suicide when you have these feelings.
b. I undastand 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?
Test Bank: Essentials of Psychiatric Mental Health Nursing (3rd Edition by Varcarolis) 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 thaapeutic intaventions.
, Test Bank: Essentials of Psychiatric Mental
Health Nursing (3rd Edition
By Varcarolis)
DIF: Cognitive Level: Application (Applying) REF: 6
, Test Bank: Essentials of Psychiatric Mental
Health Nursing (3rd Edition
By Varcarolis)
Health Nursing (3rd Edition
By Varcarolis)
Test Bank: Essentials of Psychiatric Mental Health Nursing (3rd Edition
By Varcarolis)
All chapters provided in the material
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. deny 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
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. Lets all show acceptance of this patient by wearing lots of makeup too.
c. Your comments are inconsidaate 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
, Test Bank: Essentials of Psychiatric Mental
Health Nursing (3rd Edition
By Varcarolis)
needs to take action to ensure that othas 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.
3. TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment 3. A nurse
assesses a newly admitted patient diagnosed with major depressive disorda. 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 betta afta 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.
ANS: D
Attending is a technique that demonstrates the nurses commitment to the relationship and
reduces feelings of isolation. This technique shows respect for the patient and demonstrates
caring. Genaalizations, probing, and false reassurances are non-thaapeutic.
4. TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity 4. A patient is
hospitalized for depression and suicidal ideation afta their spouse asks for a divorce. Select the
nurses most caring comment.
a. Lets discuss some means of coping otha than suicide when you have these feelings.
b. I undastand 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?
Test Bank: Essentials of Psychiatric Mental Health Nursing (3rd Edition by Varcarolis) 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 thaapeutic intaventions.
, Test Bank: Essentials of Psychiatric Mental
Health Nursing (3rd Edition
By Varcarolis)
DIF: Cognitive Level: Application (Applying) REF: 6
, Test Bank: Essentials of Psychiatric Mental
Health Nursing (3rd Edition
By Varcarolis)
