HEALTH NURSING 28CHAPTERS (3RD EDITION BY
VARCAROLIS) 1 QUESTIONS AND ANSWERS
2023/2024 GRADED A+
Test Bank: Essentials of Psychiatric Mental Health Nursing (3rd Edition by
Varcarolis) 2
Chapter 01: Practicing the Science and the Art of Psychiatric Nursing
MULTIPLECHOICE
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 3months, 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 improvingrole 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. Theincorrect options focus on the classic medical
model rather than recovery.
DIF: Cognitive Level: Application
(Applying) REF: 2TOP: Nursing Process:
Outcomes Identification MSC: NCLEX:
Health Promotion and Maintenance
2. In the shift-change report, an off-going nurse criticizes a patient who
wears heavymakeup. Which comment by the nurse who receives the
,TEST BANK: ESSENTIALS OF PSYCHIATRIC MENTAL
HEALTH NURSING 28CHAPTERS (3RD EDITION BY
VARCAROLIS) 1 QUESTIONS AND ANSWERS
2023/2024 GRADED A+
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 inconsiderate and inappropriate. Keep the report
objective.
,TEST BANK: ESSENTIALS OF PSYCHIATRIC MENTAL
HEALTH NURSING 28CHAPTERS (3RD EDITION BY
VARCAROLIS) 1 QUESTIONS AND ANSWERS
2023/2024 GRADED A+
d. Our patients need our help to learn behaviors that will help them get
along insociety.ANS: D
Accepting patients needs for self-expression and seeking to teach skills that
will contributeto their well-being demonstrate respect and are important
parts of advocacy. The on- coming nurse needs to take action to ensure that
others 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.
Nurses must show compassion for each other.
DIF: Cognitive Level: Application (Applying) REF: 8
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care
Environment 3. A nurse assesses a newly admitted patient diagnosed with
major depressive disorder. 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
yourdepression.
c. You will feel better after 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
, TEST BANK: ESSENTIALS OF PSYCHIATRIC MENTAL
HEALTH NURSING 28CHAPTERS (3RD EDITION BY
VARCAROLIS) 1 QUESTIONS AND ANSWERS
2023/2024 GRADED A+
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. Generalizations, probing, and false
reassurances are non-therapeutic.
DIF: Cognitive Level: Application (Applying) REF: 8
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity 4. A
patient ishospitalized for depression and suicidal ideation after their spouse
asks for a divorce.
Select the nurses most caring comment.
a. Lets discuss some means of coping other than suicide when you have these
feelings.
b. I understand why youre so depressed. When I got divorced, I was devastated
too.
c. You should forget about your marriage and move on with yourlife.
d. How did you get so depressed that hospitalization wasnecessary?