TEST BANK
Varcarolis’ Essentials of Psychiatric Mental Health Nursing - Elsevier eBook on VitalSource
(Retail Access Card): A Communication Approach to Evidence-Based Care 5th Edition
BY
Chyllia D Fosbre
, TABLE OF CONTENT
Chapter 01: Science and the Therapeutic Use of Self in Psychiatric Mental Health Nursing .................................. 3
Chapter 02: Mental Health and Mental Illness ......................................................................................................... 9
Chapter 03: Theories and Therapies ....................................................................................................................... 16
Chapter 04: Biological Basis for Understanding Psychopharmacology Varcarolis: Essentials of Psychiatric ……
Chapter 05: Settings for Psychiatric Care............................................................................................................... 36
Chapter 06: Legal and Ethical Basis for Practice ................................................................................................... 44
Chapter 07: The Nursing Process in Psychiatric-Mental Health Nursing Varcarolis: Essentials of Psychiatric 54
Chapter 08: Communication Skills: Medium for All Nursing Practice Varcarolis: Essentials of Psychiatric 64
Chapter 09: Therapeutic Relationships and the Clinical Interview ........................................................................ 72
Chapter 10: Trauma and Stress-Related Disorders and Dissociative Disorders Varcarolis: Essentials of ............. 83
Chapter 11: Anxiety, Anxiety Disorders, and Obsessive-Compulsive and Related Disorders .............................. 91
Chapter 12: Somatic Symptom Disorders ............................................................................................................ 105
Chapter 13: Personality Disorders ........................................................................................................................ 116
Chapter 14: Eating Disorders ............................................................................................................................... 127
Chapter 15: Mood Disorders: Depression ............................................................................................................ 137
Chapter 16: Bipolar Spectrum Disorders.............................................................................................................. 149
Chapter 17: Schizophrenia Spectrum Disorders and Other Psychotic Disorders Varcarolis: Essentials of ......... 161
Chapter 18: Neurocognitive Disorders ................................................................................................................. 175
Chapter 19: Substance-Related and Addictive Disorders ..................................................................................... 186
Chapter 20: Crisis and Mass Disaster ................................................................................................................... 201
Chapter 21: Child, Partner, and Elder Violence ................................................................................................... 211
Chapter 22: Sexual Violence ................................................................................................................................ 221
Chapter 23: Suicidal Thoughts and Behaviors ..................................................................................................... 230
Chapter 24: Anger, Aggression, and Violence ..................................................................................................... 241
Chapter 25: Care for the Dying and Those Who Grieve ...................................................................................... 252
Chapter 26: Children and Adolescents ................................................................................................................. 263
Chapter 27: Adults................................................................................................................................................ 273
Chapter 28: Older Adults...................................................................................................................................... 285
,Chapter 01: Science and the Therapeutic Use of Self in Psychiatric Mental Health
Nursing
Varcarolis: Essentials of Psychiatric Mental Health Nursing: A Communication
Approach to Evidence-Based Care, 5e
MULTIPLE CHOICE
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 3
months, the patient will demonstrate what behavior?
a. Denying suicidal ideation
b. Reporting a sense of well-being
c. Taking medications as prescribed
d. Attending clinic appointments on time
ANS: B
Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving
role 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. The incorrect options focus on the classic medical model rather than recovery.
DIF: Cognitive Level: Application (Applying)
TOP: Nursing Process: Outcomes Identification
MSC: NCLEX: Health Promotion and Maintenance
2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for a
divorce. Select the nurse’s most caring comment.
a. “Let’s discuss healthy means of coping when you have suicidal feelings.”
b. “I understand why you’re so depressed. When I got divorced, I was devastated
too.”
c. “You should forget about your marriage and move on with your life.”
d. “How did you get so depressed that hospitalization was necessary?”
ANS: A
The nurse’s communication should evidence caring and a commitment to work with the
patient. This commitment lets the patient know the nurse will help. Probing and advice are not
helpful for therapeutic interventions.
DIF: Cognitive Level: Application (Applying)
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
3. In the shift-change report, an off-going nurse criticizes a patient who wears extremely heavy
makeup. Which comment by the nurse who receives the report best demonstrates advocacy?
a. “This is a psychiatric hospital, so we expect our patients to behave bizarrely.”
b. “Let’s all show acceptance of this patient by wearing lots of makeup too.”
c. “Your comments are inconsiderate and inappropriate. Keep the report objective.”
d. “Our patients need our help to learn behaviors that will help them get along in
society.”
ANS: D
, Accepting patients’ needs for self-expression and seeking to teach skills that will contribute to
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)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
4. 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 is not the end of the
world.”
b. “Tell me why you felt you had to be hospitalized to receive treatment for your
depression.”
c. “You will feel better after we get some antidepressant medication started for you.”
d. “I’d like to sit with you for a while, so you may feel more comfortable talking with
me.”
ANS: D
Attending is a technique that demonstrates the nurse’s 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 nontherapeutic.
DIF: Cognitive Level: Application (Applying)
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
5. A patient shows the nurse an article from the Internet about a health problem. Which
characteristic of the website’s address most alerts the nurse that the site may have biased and
prejudiced information?
a. Address ends in “.org.”
b. Address ends in “.com.”
c. Address ends in “.gov.”
d. Address ends in “.net.”
ANS: B
Financial influences on a site are a clue that the information may be biased. “.com” at the end
of the address indicates that the site is a commercial one. “.gov” indicates that the site is
maintained by a government entity. “.org” indicates that the site is nonproprietary; the site
may or may not have reliable information, but it does not profit from its activities. “.net” can
have multiple meanings.
DIF: Cognitive Level: Comprehension (Understanding) TOP: Nursing Process: Evaluation
MSC: NCLEX: Health Promotion and Maintenance
6. A nurse says, “When I was in school, I learned to call upset patients by name to get their
attention; however, I read a descriptive research study that says that this approach does not
work. I plan to stop calling patients by name.” Which statement is the best appraisal of this
nurse’s comment?
a. One descriptive research study rarely provides enough evidence to change practice.
Varcarolis’ Essentials of Psychiatric Mental Health Nursing - Elsevier eBook on VitalSource
(Retail Access Card): A Communication Approach to Evidence-Based Care 5th Edition
BY
Chyllia D Fosbre
, TABLE OF CONTENT
Chapter 01: Science and the Therapeutic Use of Self in Psychiatric Mental Health Nursing .................................. 3
Chapter 02: Mental Health and Mental Illness ......................................................................................................... 9
Chapter 03: Theories and Therapies ....................................................................................................................... 16
Chapter 04: Biological Basis for Understanding Psychopharmacology Varcarolis: Essentials of Psychiatric ……
Chapter 05: Settings for Psychiatric Care............................................................................................................... 36
Chapter 06: Legal and Ethical Basis for Practice ................................................................................................... 44
Chapter 07: The Nursing Process in Psychiatric-Mental Health Nursing Varcarolis: Essentials of Psychiatric 54
Chapter 08: Communication Skills: Medium for All Nursing Practice Varcarolis: Essentials of Psychiatric 64
Chapter 09: Therapeutic Relationships and the Clinical Interview ........................................................................ 72
Chapter 10: Trauma and Stress-Related Disorders and Dissociative Disorders Varcarolis: Essentials of ............. 83
Chapter 11: Anxiety, Anxiety Disorders, and Obsessive-Compulsive and Related Disorders .............................. 91
Chapter 12: Somatic Symptom Disorders ............................................................................................................ 105
Chapter 13: Personality Disorders ........................................................................................................................ 116
Chapter 14: Eating Disorders ............................................................................................................................... 127
Chapter 15: Mood Disorders: Depression ............................................................................................................ 137
Chapter 16: Bipolar Spectrum Disorders.............................................................................................................. 149
Chapter 17: Schizophrenia Spectrum Disorders and Other Psychotic Disorders Varcarolis: Essentials of ......... 161
Chapter 18: Neurocognitive Disorders ................................................................................................................. 175
Chapter 19: Substance-Related and Addictive Disorders ..................................................................................... 186
Chapter 20: Crisis and Mass Disaster ................................................................................................................... 201
Chapter 21: Child, Partner, and Elder Violence ................................................................................................... 211
Chapter 22: Sexual Violence ................................................................................................................................ 221
Chapter 23: Suicidal Thoughts and Behaviors ..................................................................................................... 230
Chapter 24: Anger, Aggression, and Violence ..................................................................................................... 241
Chapter 25: Care for the Dying and Those Who Grieve ...................................................................................... 252
Chapter 26: Children and Adolescents ................................................................................................................. 263
Chapter 27: Adults................................................................................................................................................ 273
Chapter 28: Older Adults...................................................................................................................................... 285
,Chapter 01: Science and the Therapeutic Use of Self in Psychiatric Mental Health
Nursing
Varcarolis: Essentials of Psychiatric Mental Health Nursing: A Communication
Approach to Evidence-Based Care, 5e
MULTIPLE CHOICE
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 3
months, the patient will demonstrate what behavior?
a. Denying suicidal ideation
b. Reporting a sense of well-being
c. Taking medications as prescribed
d. Attending clinic appointments on time
ANS: B
Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving
role 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. The incorrect options focus on the classic medical model rather than recovery.
DIF: Cognitive Level: Application (Applying)
TOP: Nursing Process: Outcomes Identification
MSC: NCLEX: Health Promotion and Maintenance
2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for a
divorce. Select the nurse’s most caring comment.
a. “Let’s discuss healthy means of coping when you have suicidal feelings.”
b. “I understand why you’re so depressed. When I got divorced, I was devastated
too.”
c. “You should forget about your marriage and move on with your life.”
d. “How did you get so depressed that hospitalization was necessary?”
ANS: A
The nurse’s communication should evidence caring and a commitment to work with the
patient. This commitment lets the patient know the nurse will help. Probing and advice are not
helpful for therapeutic interventions.
DIF: Cognitive Level: Application (Applying)
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
3. In the shift-change report, an off-going nurse criticizes a patient who wears extremely heavy
makeup. Which comment by the nurse who receives the report best demonstrates advocacy?
a. “This is a psychiatric hospital, so we expect our patients to behave bizarrely.”
b. “Let’s all show acceptance of this patient by wearing lots of makeup too.”
c. “Your comments are inconsiderate and inappropriate. Keep the report objective.”
d. “Our patients need our help to learn behaviors that will help them get along in
society.”
ANS: D
, Accepting patients’ needs for self-expression and seeking to teach skills that will contribute to
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)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
4. 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 is not the end of the
world.”
b. “Tell me why you felt you had to be hospitalized to receive treatment for your
depression.”
c. “You will feel better after we get some antidepressant medication started for you.”
d. “I’d like to sit with you for a while, so you may feel more comfortable talking with
me.”
ANS: D
Attending is a technique that demonstrates the nurse’s 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 nontherapeutic.
DIF: Cognitive Level: Application (Applying)
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
5. A patient shows the nurse an article from the Internet about a health problem. Which
characteristic of the website’s address most alerts the nurse that the site may have biased and
prejudiced information?
a. Address ends in “.org.”
b. Address ends in “.com.”
c. Address ends in “.gov.”
d. Address ends in “.net.”
ANS: B
Financial influences on a site are a clue that the information may be biased. “.com” at the end
of the address indicates that the site is a commercial one. “.gov” indicates that the site is
maintained by a government entity. “.org” indicates that the site is nonproprietary; the site
may or may not have reliable information, but it does not profit from its activities. “.net” can
have multiple meanings.
DIF: Cognitive Level: Comprehension (Understanding) TOP: Nursing Process: Evaluation
MSC: NCLEX: Health Promotion and Maintenance
6. A nurse says, “When I was in school, I learned to call upset patients by name to get their
attention; however, I read a descriptive research study that says that this approach does not
work. I plan to stop calling patients by name.” Which statement is the best appraisal of this
nurse’s comment?
a. One descriptive research study rarely provides enough evidence to change practice.
