Varcarolis: Essentials of Psychiatric Mental Health Nursing: A Communication Approach to Evidence-Based Care, 4th Edition

,Chapter 01: Science and the Therapeutic Use of Self in Psychiatric Mental
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Health Nursing
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Varcarolis: Essentials of Psychiatric Mental Health Nurasbiinr bg. c:omA/ t e Cs t ommunication
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Approach to Evidence-Based Care, 4th Edition
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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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patient living in the community and diagnosed with serious and p
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aebrisr bi s. ctoemn/ tt e m
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ental illness? Within 3 months, the patient will demonstrate what behavior?
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a. Denying suicidal ideation s s s s



b. Reporting a sense of well- abirb.com/test
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being
c. Taking medications as s s s s



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d. Attending clinic appointments abirb.com/test
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on time s s ss




ANS: B
Recovery emphasizes managing symptoms, reducing psychosocial disability, and
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improving role performance. The goal of recovery is to empower the
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individual with mental illness to achieve a sense of meaning and satisfaction
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in life and to function at the highest possible level of wellness. The incorrect
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options focus on the classic
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meda bici r ba.lc ommo/ t edset l rather than recovery.
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DIF: Cognitive Level: Application s s s s



(Applying) TOP:
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Outcomes Identification MSC: NCLEX:
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Health Promotion and Maintenance
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2. A patient is hospitalized for depression and suicidal ideation after their spouse asks
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for a
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divorce. Select the nurse‘s most abirb.com/test
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caring comment.
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a. ―Let‘s discuss healthy means of coping when you have suicidal feelings.‖ ss s s s s s s s s s s s s s s s s s s



b. ―I understand why you‘re so depressed. When I got divorced,
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I was devastated too.‖
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c. ―You should forget about your marriage and move on awbiirtbh.coymo/ uterst life.‖
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d. ―How did you get so depressed that hospitalization was necessary?‖ s s s s s s s s s s s s s s s s s s




ANS: A
The nurse‘s communication should evidence caring and aacboir mb .c mo mit/t me set nt to work with the
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patient. This commitment lets the patient know the nurse will help. Probing
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and advice are not helpful for therapeutic interventions.
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DIF: Cognitive Level: Application ss ss



(Applying)
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TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity ss s s s s ss ss




3. In the shift-change report, an off-going nurse criticizes a paabti ir be.nc otmw/ t ehsot wears extremely
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heavy makeup. Which comment by the nurse who receives the report best
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demonstrates advocacy?
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a. ―This is a psychiatric hospital, so we expect our patients to behave bizarrely.‖
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,b. ―Let‘s all show acceptance of this patient by wearing laobtisrbo.cfomm/ t easkt eup too.‖
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c. ―Your comments are inconsiderate and inappropriate. Keep the report objective.‖
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d. ―Our patients need our help to learn behaviors that will help
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ss them get along in society.‖
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ANS:
D

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URSYL
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A
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B.COM
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