Test Bank for Varcarolis Essentials of Psychiatric Mental
Health Nursing 5th Edition Fosbre
All Chapters 1 - 28 + NCLEX Case Studies with Answers
Full Complete 2024
,TABLE OF CONTENTS
28 28
,Chapter2801:28Practicing28the28Science28and28the28Art28of28Psychiatric28Nursing28MU
LTIPLE28CHOICE
1. Which28outcome,28focused28on28recovery,28would28be28expected28in28the28plan28of28car
e28for28a28patient28living28in28the28community28and28diagnosed28with28serious28and28persi
stent28mental28illness?28Within28328months,28the28patient28will:28a.28deny28suicidal28ideat
ion.
b. report28a28sense28of28well-being.
c. take28medications28as28prescribed.
d. attend28clinic28appointments28on28t
ime.28ANSWER:28B
Recovery28emphasizes28managing28symptoms,28reducing28psychosocial28disability,28and28i
mproving28role28performance.
The28goal28of28recovery28is28to28empower28the28individual28with28mental28illness28to28ac
hieve28a28sense28of28meaning28and28satisfaction28in28life28and28to28function28at28the28highe
st28possible28level28of28wellness.28The28incorrect28options28focus28on28the28classic28medic
al28model28rather28than28recovery.
DIF:28Cognitive28Level:28Application28(Applying)28
REF:28228TOP:28Nursing28Process:28Outcomes28Ide
ntification28MSC:28NCLEX:28Health28Promotion28a
nd28Maintenance
2. In28the28shift-change28report,28an28off-
going28nurse28criticizes28a28patient28who28wears28heavy28makeup.28Which28comm
ent28by28the28nurse28who28receives28the28report28best28demonstrates28advocacy?
a. This28is28a28psychiatric28hospital.28Craziness28is28what28we28are28all28about.
b. Lets28all28show28acceptance28of28this28patient28by28wearing28lots28of28makeup28too.
c. Your28comments28are28inconsiderate28and28inappropriate.28Keep28the28report28objective.
d. Our28patients28need28our28help28to28learn28behaviors28that28will28help28them28get28a
long28in28society.28ANSWER:28D
Accepting28patients28needs28for28self-
expression28and28seeking28to28teach28skills28that28will28contribute28to28their28well-
being28demonstrate28respect28and28are28important28parts28of28advocacy.28The28on-
, coming28nurse28needs28to28take28action28to28ensure28that28others28are28not28prejudiced28a
gainst28the28patient.28Humor28can28be28appropriate28within28the28privacy28of28a28shift28
report28but28not28at28the28expense28of28respect28for28patients.28Judging28the28off-
going28nurse28in28a28critical28way28will28create28conflict.
Nurses28must28show28compassion28for28each28other.
DIF:28Cognitive28Level:28Application28(Applying)28REF:288
TOP:28Nursing28Process:28Implementation28MSC:28NCLEX:28Safe,28Effective28Care28Environmen
t
3. A28nurse28assesses28a28newly28admitted28patient28diagnosed28with28major28depressi
ve28disorder.28Whichstatement28is28an28example28of28attending?
a. We28all28have28stress28in28life.28Being28in28a28psychiatric28hospital28isnt28the28end28of28the28w
orld.
b. Tell28me28why28you28felt28you28had28to28be28hospitalized28to28receive28treatment28for28your28
depression.
c. You28will28feel28better28after28we28get28some28antidepressant28medication28started28for28you.
d. Id28like28to28sit28with28you28a28while28so28you28may28feel28more28comfortable28
talking28with28me.28ANSWER:28D
Attending28is28a28technique28that28demonstrates28the28nurses28commitment28to28the28relat
ionship28and28reduces28feelings28of28isolation.28This28technique28shows28respect28for28t
he28patient28and28demonstrates28caring.28Generalizations,28probing,28and28false28reassura
nces28are28non-therapeutic.
DIF:28Cognitive28Level:28Application28(Applying)28REF:288
TOP:28Nursing28Process:28Implementation28MSC:28NCLEX:28Psychosocial28Integrity
4. A28patient28is28hospitalized28for28depression28and28suicidal28ideation28after28their28spo
use28asks28for28a28divorce.28Selectthe28nurses28most28caring28comment.
a. Lets28discuss28some28means28of28coping28other28than28suicide28when28you28have28these28feel
ings.
b. I28understand28why28youre28so28depressed.28When28I28got28divorced,28I28was28devastated28to
o.
c. You28should28forget28about28your28marriage28and28move28on28with28your28life.
d. How28did28you28get28so28depressed28that28hospitalization28was28necessary?
Test28Bank:28Essentials28of28Psychiatric28Mental28Health28Nursing28(5th28Edition28by28Varcaroli
s)28328ANSWER:28A
Health Nursing 5th Edition Fosbre
All Chapters 1 - 28 + NCLEX Case Studies with Answers
Full Complete 2024
,TABLE OF CONTENTS
28 28
,Chapter2801:28Practicing28the28Science28and28the28Art28of28Psychiatric28Nursing28MU
LTIPLE28CHOICE
1. Which28outcome,28focused28on28recovery,28would28be28expected28in28the28plan28of28car
e28for28a28patient28living28in28the28community28and28diagnosed28with28serious28and28persi
stent28mental28illness?28Within28328months,28the28patient28will:28a.28deny28suicidal28ideat
ion.
b. report28a28sense28of28well-being.
c. take28medications28as28prescribed.
d. attend28clinic28appointments28on28t
ime.28ANSWER:28B
Recovery28emphasizes28managing28symptoms,28reducing28psychosocial28disability,28and28i
mproving28role28performance.
The28goal28of28recovery28is28to28empower28the28individual28with28mental28illness28to28ac
hieve28a28sense28of28meaning28and28satisfaction28in28life28and28to28function28at28the28highe
st28possible28level28of28wellness.28The28incorrect28options28focus28on28the28classic28medic
al28model28rather28than28recovery.
DIF:28Cognitive28Level:28Application28(Applying)28
REF:28228TOP:28Nursing28Process:28Outcomes28Ide
ntification28MSC:28NCLEX:28Health28Promotion28a
nd28Maintenance
2. In28the28shift-change28report,28an28off-
going28nurse28criticizes28a28patient28who28wears28heavy28makeup.28Which28comm
ent28by28the28nurse28who28receives28the28report28best28demonstrates28advocacy?
a. This28is28a28psychiatric28hospital.28Craziness28is28what28we28are28all28about.
b. Lets28all28show28acceptance28of28this28patient28by28wearing28lots28of28makeup28too.
c. Your28comments28are28inconsiderate28and28inappropriate.28Keep28the28report28objective.
d. Our28patients28need28our28help28to28learn28behaviors28that28will28help28them28get28a
long28in28society.28ANSWER:28D
Accepting28patients28needs28for28self-
expression28and28seeking28to28teach28skills28that28will28contribute28to28their28well-
being28demonstrate28respect28and28are28important28parts28of28advocacy.28The28on-
, coming28nurse28needs28to28take28action28to28ensure28that28others28are28not28prejudiced28a
gainst28the28patient.28Humor28can28be28appropriate28within28the28privacy28of28a28shift28
report28but28not28at28the28expense28of28respect28for28patients.28Judging28the28off-
going28nurse28in28a28critical28way28will28create28conflict.
Nurses28must28show28compassion28for28each28other.
DIF:28Cognitive28Level:28Application28(Applying)28REF:288
TOP:28Nursing28Process:28Implementation28MSC:28NCLEX:28Safe,28Effective28Care28Environmen
t
3. A28nurse28assesses28a28newly28admitted28patient28diagnosed28with28major28depressi
ve28disorder.28Whichstatement28is28an28example28of28attending?
a. We28all28have28stress28in28life.28Being28in28a28psychiatric28hospital28isnt28the28end28of28the28w
orld.
b. Tell28me28why28you28felt28you28had28to28be28hospitalized28to28receive28treatment28for28your28
depression.
c. You28will28feel28better28after28we28get28some28antidepressant28medication28started28for28you.
d. Id28like28to28sit28with28you28a28while28so28you28may28feel28more28comfortable28
talking28with28me.28ANSWER:28D
Attending28is28a28technique28that28demonstrates28the28nurses28commitment28to28the28relat
ionship28and28reduces28feelings28of28isolation.28This28technique28shows28respect28for28t
he28patient28and28demonstrates28caring.28Generalizations,28probing,28and28false28reassura
nces28are28non-therapeutic.
DIF:28Cognitive28Level:28Application28(Applying)28REF:288
TOP:28Nursing28Process:28Implementation28MSC:28NCLEX:28Psychosocial28Integrity
4. A28patient28is28hospitalized28for28depression28and28suicidal28ideation28after28their28spo
use28asks28for28a28divorce.28Selectthe28nurses28most28caring28comment.
a. Lets28discuss28some28means28of28coping28other28than28suicide28when28you28have28these28feel
ings.
b. I28understand28why28youre28so28depressed.28When28I28got28divorced,28I28was28devastated28to
o.
c. You28should28forget28about28your28marriage28and28move28on28with28your28life.
d. How28did28you28get28so28depressed28that28hospitalization28was28necessary?
Test28Bank:28Essentials28of28Psychiatric28Mental28Health28Nursing28(5th28Edition28by28Varcaroli
s)28328ANSWER:28A
