TEST BANK-ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING 3RD
EDITION BY ELIZABETH M: VARCAROLIS|ALL CHAPTERS FULLY COVERED
,Chapter 01: Practicing the Science and the Art of Psychiatric Nursing
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:
a. denies suicidal ideation.
b. report a sense of well-being.
c. take medications as prescribed.
d. attend clinic appointments on time.
CORRECT ANSWER: 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.
2. In the shift-change report, an off-going professional nurse criticizes a patient who
wears heavy makeup. Which comment by the professional nurse who receives the report
best demonstrates advocacy?
a. This is a psychiatric hospital. Craziness is what we are all about.
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.
,CORRECT ANSWER: D
Accepting patients’ needs for self-expression and seeking to teach skills that will contribute to
their well-being demonstrate respect and are critical parts of advocacy. The on- coming
professional 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 professional nurse in a critical way will create
conflict.
Professional nurses must show compassion for each other.
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment 3. A
professional 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 isn’t 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. Id like to sit with you a while so you may feel more comfortable talking with me.
CORRECT ANSWER: D
Attending is a technique that demonstrates the professional 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 non-therapeutic.
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity 4. A patient is
hospitalized for depression and suicidal ideation after their spouse asks for a divorce.
Select the professional nurses most caring comment.
a. Lets discuss some means of coping other than suicide when you have these 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?
Test Bank: Essentials of Psychiatric Mental Health Nursing (3rd Edition by Varcarolis) 3
, CORRECT ANSWER: A
The professional nurse’s communication should evidence caring and a commitment to work with
the patient. This commitment lets the patient know the professional nurse will help. Probing and
advice are not helpful or therapeutic interventions.
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity 5. A patient
shows the professional nurse an article from the Internet about a health problem. Which
characteristic of the web sites address most alerts the professional 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.
CORRT ANSWER: 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.
TOP: Nursing Process: Evaluation MSC: NCLEX: Health Promotion and Maintenance 6. A
professional 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 ofthis
professional nurses comment?
a. One descriptive research study rarely provides enough evidence to change practice.
b. Staff professional nurses apply new research findings only with the help from
clinical professional nurse specialists.
c. New research findings should be incorporated into clinical algorithms before using them in
practice.
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