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
48 48
,Chapter4801:48Practicing48the48Science48and48the48Art48of48Psychiatric48Nursing48MU
LTIPLE48CHOICE
1. Which48outcome,48focused48on48recovery,48would48be48expected48in48the48plan48of48car
e48for48a48patient48living48in48the48community48and48diagnosed48with48serious48and48persi
stent48mental48illness?48Within48348months,48the48patient48will:48a.48deny48suicidal48ideat
ion.
b. report48a48sense48of48well-being.
c. take48medications48as48prescribed.
d. attend48clinic48appointments48on48t
ime.48ANSWER:48B
Recovery48emphasizes48managing48symptoms,48reducing48psychosocial48disability,48and48i
mproving48role48performance.
The48goal48of48recovery48is48to48empower48the48individual48with48mental48illness48to48ac
hieve48a48sense48of48meaning48and48satisfaction48in48life48and48to48function48at48the48highe
st48possible48level48of48wellness.48The48incorrect48options48focus48on48the48classic48medic
al48model48rather48than48recovery.
DIF:48Cognitive48Level:48Application48(Applying)48
REF:48248TOP:48Nursing48Process:48Outcomes48Ide
ntification48MSC:48NCLEX:48Health48Promotion48a
nd48Maintenance
2. In48the48shift-change48report,48an48off-
going48nurse48criticizes48a48patient48who48wears48heavy48makeup.48Which48comm
ent48by48the48nurse48who48receives48the48report48best48demonstrates48advocacy?
a. This48is48a48psychiatric48hospital.48Craziness48is48what48we48are48all48about.
b. Lets48all48show48acceptance48of48this48patient48by48wearing48lots48of48makeup48too.
c. Your48comments48are48inconsiderate48and48inappropriate.48Keep48the48report48objective.
d. Our48patients48need48our48help48to48learn48behaviors48that48will48help48them48get48a
long48in48society.48ANSWER:48D
Accepting48patients48needs48for48self-
expression48and48seeking48to48teach48skills48that48will48contribute48to48their48well-
being48demonstrate48respect48and48are48important48parts48of48advocacy.48The48on-
, coming48nurse48needs48to48take48action48to48ensure48that48others48are48not48prejudiced48a
gainst48the48patient.48Humor48can48be48appropriate48within48the48privacy48of48a48shift48
report48but48not48at48the48expense48of48respect48for48patients.48Judging48the48off-
going48nurse48in48a48critical48way48will48create48conflict.
Nurses48must48show48compassion48for48each48other.
DIF:48Cognitive48Level:48Application48(Applying)48REF:488
TOP:48Nursing48Process:48Implementation48MSC:48NCLEX:48Safe,48Effective48Care48Environmen
t
3. A48nurse48assesses48a48newly48admitted48patient48diagnosed48with48major48depressi
ve48disorder.48Whichstatement48is48an48example48of48attending?
a. We48all48have48stress48in48life.48Being48in48a48psychiatric48hospital48isnt48the48end48of48the48w
orld.
b. Tell48me48why48you48felt48you48had48to48be48hospitalized48to48receive48treatment48for48your48
depression.
c. You48will48feel48better48after48we48get48some48antidepressant48medication48started48for48you.
d. Id48like48to48sit48with48you48a48while48so48you48may48feel48more48comfortable48
talking48with48me.48ANSWER:48D
Attending48is48a48technique48that48demonstrates48the48nurses48commitment48to48the48relat
ionship48and48reduces48feelings48of48isolation.48This48technique48shows48respect48for48t
he48patient48and48demonstrates48caring.48Generalizations,48probing,48and48false48reassura
nces48are48non-therapeutic.
DIF:48Cognitive48Level:48Application48(Applying)48REF:488
TOP:48Nursing48Process:48Implementation48MSC:48NCLEX:48Psychosocial48Integrity
4. A48patient48is48hospitalized48for48depression48and48suicidal48ideation48after48their48spo
use48asks48for48a48divorce.48Selectthe48nurses48most48caring48comment.
a. Lets48discuss48some48means48of48coping48other48than48suicide48when48you48have48these48feel
ings.
b. I48understand48why48youre48so48depressed.48When48I48got48divorced,48I48was48devastated48to
o.
c. You48should48forget48about48your48marriage48and48move48on48with48your48life.
d. How48did48you48get48so48depressed48that48hospitalization48was48necessary?
Test48Bank:48Essentials48of48Psychiatric48Mental48Health48Nursing48(5th48Edition48by48Varcaroli
s)48348ANSWER:48A
Health Nursing 5th Edition Fosbre
All Chapters 1 - 28 + NCLEX Case Studies with Answers
Full Complete 2024
,TABLE OF CONTENTS
48 48
,Chapter4801:48Practicing48the48Science48and48the48Art48of48Psychiatric48Nursing48MU
LTIPLE48CHOICE
1. Which48outcome,48focused48on48recovery,48would48be48expected48in48the48plan48of48car
e48for48a48patient48living48in48the48community48and48diagnosed48with48serious48and48persi
stent48mental48illness?48Within48348months,48the48patient48will:48a.48deny48suicidal48ideat
ion.
b. report48a48sense48of48well-being.
c. take48medications48as48prescribed.
d. attend48clinic48appointments48on48t
ime.48ANSWER:48B
Recovery48emphasizes48managing48symptoms,48reducing48psychosocial48disability,48and48i
mproving48role48performance.
The48goal48of48recovery48is48to48empower48the48individual48with48mental48illness48to48ac
hieve48a48sense48of48meaning48and48satisfaction48in48life48and48to48function48at48the48highe
st48possible48level48of48wellness.48The48incorrect48options48focus48on48the48classic48medic
al48model48rather48than48recovery.
DIF:48Cognitive48Level:48Application48(Applying)48
REF:48248TOP:48Nursing48Process:48Outcomes48Ide
ntification48MSC:48NCLEX:48Health48Promotion48a
nd48Maintenance
2. In48the48shift-change48report,48an48off-
going48nurse48criticizes48a48patient48who48wears48heavy48makeup.48Which48comm
ent48by48the48nurse48who48receives48the48report48best48demonstrates48advocacy?
a. This48is48a48psychiatric48hospital.48Craziness48is48what48we48are48all48about.
b. Lets48all48show48acceptance48of48this48patient48by48wearing48lots48of48makeup48too.
c. Your48comments48are48inconsiderate48and48inappropriate.48Keep48the48report48objective.
d. Our48patients48need48our48help48to48learn48behaviors48that48will48help48them48get48a
long48in48society.48ANSWER:48D
Accepting48patients48needs48for48self-
expression48and48seeking48to48teach48skills48that48will48contribute48to48their48well-
being48demonstrate48respect48and48are48important48parts48of48advocacy.48The48on-
, coming48nurse48needs48to48take48action48to48ensure48that48others48are48not48prejudiced48a
gainst48the48patient.48Humor48can48be48appropriate48within48the48privacy48of48a48shift48
report48but48not48at48the48expense48of48respect48for48patients.48Judging48the48off-
going48nurse48in48a48critical48way48will48create48conflict.
Nurses48must48show48compassion48for48each48other.
DIF:48Cognitive48Level:48Application48(Applying)48REF:488
TOP:48Nursing48Process:48Implementation48MSC:48NCLEX:48Safe,48Effective48Care48Environmen
t
3. A48nurse48assesses48a48newly48admitted48patient48diagnosed48with48major48depressi
ve48disorder.48Whichstatement48is48an48example48of48attending?
a. We48all48have48stress48in48life.48Being48in48a48psychiatric48hospital48isnt48the48end48of48the48w
orld.
b. Tell48me48why48you48felt48you48had48to48be48hospitalized48to48receive48treatment48for48your48
depression.
c. You48will48feel48better48after48we48get48some48antidepressant48medication48started48for48you.
d. Id48like48to48sit48with48you48a48while48so48you48may48feel48more48comfortable48
talking48with48me.48ANSWER:48D
Attending48is48a48technique48that48demonstrates48the48nurses48commitment48to48the48relat
ionship48and48reduces48feelings48of48isolation.48This48technique48shows48respect48for48t
he48patient48and48demonstrates48caring.48Generalizations,48probing,48and48false48reassura
nces48are48non-therapeutic.
DIF:48Cognitive48Level:48Application48(Applying)48REF:488
TOP:48Nursing48Process:48Implementation48MSC:48NCLEX:48Psychosocial48Integrity
4. A48patient48is48hospitalized48for48depression48and48suicidal48ideation48after48their48spo
use48asks48for48a48divorce.48Selectthe48nurses48most48caring48comment.
a. Lets48discuss48some48means48of48coping48other48than48suicide48when48you48have48these48feel
ings.
b. I48understand48why48youre48so48depressed.48When48I48got48divorced,48I48was48devastated48to
o.
c. You48should48forget48about48your48marriage48and48move48on48with48your48life.
d. How48did48you48get48so48depressed48that48hospitalization48was48necessary?
Test48Bank:48Essentials48of48Psychiatric48Mental48Health48Nursing48(5th48Edition48by48Varcaroli
s)48348ANSWER:48A
