TEST BANK
Essentials of Psychiatric
Mental Health Nursing 4th Edition
By Varcarolis
,Chapter01: Scienceand theTherapeuticUse of Self in PsychiatricMentalHealthNursing
Varcarolis:
Essentials
ofPsychiatric
MentalHealthN ur asbi inr bg. c:omA/t eCs t ommunication
Approach to
Evidence-Based Care, 4th Edition
abirb.com/test
MULTIPLE CHOICE
1. Which outcome, focused on recovery, would be expected in the plan of care for aliving
patient
in
thecommunity anddiagnosed
withseriousandp aebr i sr bi s. ctoemn/tt em
s t entalillness? Within3 months, the
patient will demonstrate what behavior?
a. Denying suicidalideation
b. Reportinga senseof well- being abirb.com/test
c. Taking medicationsas prescribed
d. Attendingclinic appointmentson time
ANS: B
abirb.com/test
Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving role
performance. The goal of recovery is to empower the individual with mental illness to aachieve
sense
of meaningand satisfactionin life and to functionat thehighestpossiblelevelof wellness.
The incorrect
optionsfocuson theclassicmeda bi ci r ba.lc omm o/t edset l ratherthanrecovery.
DIF: CognitiveLevel:Application(Applying)
TOP: Nursing Process:OutcomesIdentification
abirb.com/test
MSC: NCLEX: HealthPromotionand Maintenance
2. A patientis hospitalizedfor depressionand suicidalideationaftertheirspouseasks for a
divorce. Select the nurse‘s
mostcaring comment. abirb.com/test
a. ―Let‘sdiscusshealthymeansof copingwhenyou havesuicidalfeelings.‖
b. ―I understandwhyyou‘reso depressed.WhenI gotdivorced,I wasdevastatedtoo.‖
c. ―You should forget about your marriage and move on awbiirtbh.coymo/uterstlif e.‖
d. ―How did you getso depressedthathospitalizationwasnecessary? ‖
ANS: A
Thenurse‘scommunication caringandaacboi r m
shouldevidence b . c o m /t es t
m i t m e nttoworkwiththepatient.This
commitmentletsthepatientknow thenursewill help.Probing and advicearenot helpful for
therapeutic interventions.
abirb.com/test
DIF: CognitiveLevel:Application(Applying)
TOP: Nursing Process:Implementation MSC: NCLEX: PsychosocialIntegrity
3. In theshift-changereport,anoff-goingnursecriticizesa paabti ir be.nc ot mw/ t ehsot wearsextremely heavy
makeup.
Which commentby thenursewho receivesthereportbestdemonstratesadvocacy?
a. ―This is a psychiatrichospital,so weexpectour patientsto behavebizarrely.‖
b. ―Let‘sallshowacceptanceofthispatient l aobti sr b o.c fomm/teaskt euptoo.‖
bywearing
c. ―Your commentsareinconsiderateand inappropriate.Keepthereportobjective. ‖
d. ―Our patientsneedour helpto learnbehaviorsthatwill helpthemgetalongin
society.‖
WWW.NURSYLAB.COM
WWW.THENURSINGMASTERY.COM
abirb.com/test
, abirb.com/test
ANS: D
abirb.com/test
WWW.NURSYLAB.COM
WWW.THENURSINGMASTERY.COM
abirb.com/test
, Acceptingpatients‘needsfor self-expressionand seekingto teachskills thatwill contributeto their
well- being demonstrate respect and are important parts of advocacy. The -coming
on nurseneedsto
takeactiontoensurethatothersarenotprejaubidr bi .cc oemd/taegs tai nst thepatient.Humorcan be appropriate
within the privacy of a shift report but not at the expense of respect for patients. Judging -going
the off
nurse in a critical way will create conflict. Nurses must show compassion for each other.
abirb.com/test
DIF: CognitiveLevel:Application(Applying)
TOP: Nursing Process:Implementation MSC: NCLEX: Safe,EffectiveCare Environment
abirb.com/test
4. A nurseassessesa newlyadmittedpatientdiagnosedwith majordepressivedisorder.Which
statement is an example ―attending
of ‖?
a. ―We all havestressin life.Beingin a psychiatrichospitalis not theendof theworld.‖
abirb.com/test
b. ―Tell mewhyyou feltyou hadto behospitalizedto receivetreatmentfor your
‖
depression.
c. ―You willfeelbetter afterwegetsomeantidepressantamb i rebd. ciocma/tt ieo foryou.‖
s tn started
d. ―I‘d like to sit with you for a while,so you mayfeelmorecomfortabletalkingwith
me.‖
ANS: D abirb.com/test
Attending is a technique that demonstrates the nurse‘s commitment to the relationship and reduces
feelingsof isolation.This techniqueshowsrespectfor thepatientand demonstrates caring.
Generalizations, probing, and false reassurances are nontherapeutic.
abirb.com/test
DIF: CognitiveLevel:Application(Applying)
TOP: Nursing Process:Implementation MSC: NCLEX: PsychosocialIntegrity
5. A patientshowsthenursean articlefromtheInternetabouatbiarb .hc oemal/ttehst pro blem. Whichcharacteristic
of thewebsite‘saddressmostalertsthenursethatthesitemay havebiasedand prejudiced
information?
a. Addressendsin ―.org.‖ abirb.com/test
b. Addressendsin ―.com.‖
c. Addressendsin ―.gov.‖
d. Addressendsin ―.net.‖
abirb.com/test
ANS: B
Financial influenceson a sitearea cluethattheinformationmaybebiased.―.com‖ at theend of the
address indicates that the site is a commercial ―.gov‖
one. indicates that the site is
abirb.com/test
maintainedby a governmententity.―.org‖ indicatesthatthesiteis nonproprietary;thesite
mayor maynot havereliableinformation,butit doesnot profitfrom its activities.―.net‖ can have
multiple meanings.
abirb.com/test
DIF: Cognitive Level: Comprehension (Understanding) TOP: Nursing Process:Evaluation
MSC: NCLEX: Health Promotion and Maintenance
6. A nursesays,―WhenI wasin school,I learnedtocallupsea tb i rpba.ctoi men/tetsst bynametogettheir
attention;however,I reada descriptiveresearchstudythatsaysthatthis approachdoesnot work.
I plan to stop callingpatients byname.‖ Which statementis theabirb.com/test
bestappraisal ofthis nurse‘s
WWW.NURSYLAB.COM
WWW.THENURSINGMASTERY.COM
abirb.com/tes
Essentials of Psychiatric
Mental Health Nursing 4th Edition
By Varcarolis
,Chapter01: Scienceand theTherapeuticUse of Self in PsychiatricMentalHealthNursing
Varcarolis:
Essentials
ofPsychiatric
MentalHealthN ur asbi inr bg. c:omA/t eCs t ommunication
Approach to
Evidence-Based Care, 4th Edition
abirb.com/test
MULTIPLE CHOICE
1. Which outcome, focused on recovery, would be expected in the plan of care for aliving
patient
in
thecommunity anddiagnosed
withseriousandp aebr i sr bi s. ctoemn/tt em
s t entalillness? Within3 months, the
patient will demonstrate what behavior?
a. Denying suicidalideation
b. Reportinga senseof well- being abirb.com/test
c. Taking medicationsas prescribed
d. Attendingclinic appointmentson time
ANS: B
abirb.com/test
Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving role
performance. The goal of recovery is to empower the individual with mental illness to aachieve
sense
of meaningand satisfactionin life and to functionat thehighestpossiblelevelof wellness.
The incorrect
optionsfocuson theclassicmeda bi ci r ba.lc omm o/t edset l ratherthanrecovery.
DIF: CognitiveLevel:Application(Applying)
TOP: Nursing Process:OutcomesIdentification
abirb.com/test
MSC: NCLEX: HealthPromotionand Maintenance
2. A patientis hospitalizedfor depressionand suicidalideationaftertheirspouseasks for a
divorce. Select the nurse‘s
mostcaring comment. abirb.com/test
a. ―Let‘sdiscusshealthymeansof copingwhenyou havesuicidalfeelings.‖
b. ―I understandwhyyou‘reso depressed.WhenI gotdivorced,I wasdevastatedtoo.‖
c. ―You should forget about your marriage and move on awbiirtbh.coymo/uterstlif e.‖
d. ―How did you getso depressedthathospitalizationwasnecessary? ‖
ANS: A
Thenurse‘scommunication caringandaacboi r m
shouldevidence b . c o m /t es t
m i t m e nttoworkwiththepatient.This
commitmentletsthepatientknow thenursewill help.Probing and advicearenot helpful for
therapeutic interventions.
abirb.com/test
DIF: CognitiveLevel:Application(Applying)
TOP: Nursing Process:Implementation MSC: NCLEX: PsychosocialIntegrity
3. In theshift-changereport,anoff-goingnursecriticizesa paabti ir be.nc ot mw/ t ehsot wearsextremely heavy
makeup.
Which commentby thenursewho receivesthereportbestdemonstratesadvocacy?
a. ―This is a psychiatrichospital,so weexpectour patientsto behavebizarrely.‖
b. ―Let‘sallshowacceptanceofthispatient l aobti sr b o.c fomm/teaskt euptoo.‖
bywearing
c. ―Your commentsareinconsiderateand inappropriate.Keepthereportobjective. ‖
d. ―Our patientsneedour helpto learnbehaviorsthatwill helpthemgetalongin
society.‖
WWW.NURSYLAB.COM
WWW.THENURSINGMASTERY.COM
abirb.com/test
, abirb.com/test
ANS: D
abirb.com/test
WWW.NURSYLAB.COM
WWW.THENURSINGMASTERY.COM
abirb.com/test
, Acceptingpatients‘needsfor self-expressionand seekingto teachskills thatwill contributeto their
well- being demonstrate respect and are important parts of advocacy. The -coming
on nurseneedsto
takeactiontoensurethatothersarenotprejaubidr bi .cc oemd/taegs tai nst thepatient.Humorcan be appropriate
within the privacy of a shift report but not at the expense of respect for patients. Judging -going
the off
nurse in a critical way will create conflict. Nurses must show compassion for each other.
abirb.com/test
DIF: CognitiveLevel:Application(Applying)
TOP: Nursing Process:Implementation MSC: NCLEX: Safe,EffectiveCare Environment
abirb.com/test
4. A nurseassessesa newlyadmittedpatientdiagnosedwith majordepressivedisorder.Which
statement is an example ―attending
of ‖?
a. ―We all havestressin life.Beingin a psychiatrichospitalis not theendof theworld.‖
abirb.com/test
b. ―Tell mewhyyou feltyou hadto behospitalizedto receivetreatmentfor your
‖
depression.
c. ―You willfeelbetter afterwegetsomeantidepressantamb i rebd. ciocma/tt ieo foryou.‖
s tn started
d. ―I‘d like to sit with you for a while,so you mayfeelmorecomfortabletalkingwith
me.‖
ANS: D abirb.com/test
Attending is a technique that demonstrates the nurse‘s commitment to the relationship and reduces
feelingsof isolation.This techniqueshowsrespectfor thepatientand demonstrates caring.
Generalizations, probing, and false reassurances are nontherapeutic.
abirb.com/test
DIF: CognitiveLevel:Application(Applying)
TOP: Nursing Process:Implementation MSC: NCLEX: PsychosocialIntegrity
5. A patientshowsthenursean articlefromtheInternetabouatbiarb .hc oemal/ttehst pro blem. Whichcharacteristic
of thewebsite‘saddressmostalertsthenursethatthesitemay havebiasedand prejudiced
information?
a. Addressendsin ―.org.‖ abirb.com/test
b. Addressendsin ―.com.‖
c. Addressendsin ―.gov.‖
d. Addressendsin ―.net.‖
abirb.com/test
ANS: B
Financial influenceson a sitearea cluethattheinformationmaybebiased.―.com‖ at theend of the
address indicates that the site is a commercial ―.gov‖
one. indicates that the site is
abirb.com/test
maintainedby a governmententity.―.org‖ indicatesthatthesiteis nonproprietary;thesite
mayor maynot havereliableinformation,butit doesnot profitfrom its activities.―.net‖ can have
multiple meanings.
abirb.com/test
DIF: Cognitive Level: Comprehension (Understanding) TOP: Nursing Process:Evaluation
MSC: NCLEX: Health Promotion and Maintenance
6. A nursesays,―WhenI wasin school,I learnedtocallupsea tb i rpba.ctoi men/tetsst bynametogettheir
attention;however,I reada descriptiveresearchstudythatsaysthatthis approachdoesnot work.
I plan to stop callingpatients byname.‖ Which statementis theabirb.com/test
bestappraisal ofthis nurse‘s
WWW.NURSYLAB.COM
WWW.THENURSINGMASTERY.COM
abirb.com/tes
