Varcarolis: Ch 1, 2, 3, 4, 5, 6, 7, 8, 9, 10,
11, 12, 15, 16 (Unit 1), Varcarolis: Ch. 13,
14, 17, 18, 19, 21, 22, 23, 24 (Unit 2)
Questions and Correct Answers
Which outcome, focused on recovery, would be expected in the plan of care for a patient living in the
community with serious and persistent mental illness? Within 3 months, 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. - correct answers:B
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 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?" - correct answers:A
In the shift-change report, an off-going nurse criticizes a patient who wears heavy makeup. Which
comment by the 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
answers:D
,A nurse assesses a newly admitted patient with depression. 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. "I'd like to sit with you a while so you may feel more comfortable talking with me." - correct answers:D
A patient shows the nurse an article from the Internet about a health problem. Which characteristic of
the web site'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." - correct answers:B
A nurse says, "When I was in school I learned to call upset patients by name to get their attention, but I
read a descriptive research study that says that this approach doesn't work. I'm going 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.
b. Staff nurses apply new research findings only with the help from clinical nurse specialists.
c. New research findings should be incorporated into clinical algorithms before using them in practice.
d. The nurse misinterpreted the results of the study. Classic tenets of practice do not change. - correct
answers:A
Two nursing students discuss career plans after graduation. One student wants to enter psychiatric
nursing. The other student asks, "Why would you want to be a psychiatric nurse? All they do is talk. You'll
lose your skills." Select the best response by the student interested in psychiatric nursing.
,a. "Psychiatric nurses practice in safer environments than other specialties. Nurse-to-patient ratios must
be better because of the nature of patients' problems."
b. "Psychiatric nurses use complex communication skills, as well as critical thinking, to solve
multidimensional problems. I'm challenged by those situations."
c. "I think I'll be good in the mental health field. I do not like clinical rotations in school, so I don't want to
continue them after I graduate."
d. "Psychiatric nurses don't have to deal with as much pain and suffering as medical surgical nurses. That
appeals to me." - correct answers:B
Which research evidence would most influence a group of nurses to change their practice?
a. Expert committee report of recommendations for practice
b. Systematic review of randomized controlled trials
c. Nonexperimental descriptive study
d. Critical pathway - correct answers:B
A bill introduced in Congress would reduce funding for the care of people with mental illnesses. A group
of nurses write letters to their elected representatives in opposition to the legislation. Which role have
the nurses fulfilled?
a. Advocacy
b. Attending
c. Recovery
d. Evidence-based practice - correct answers:A
An informal group of patients discuss their perceptions of nursing care. Which comment best indicates a
patient's perception that his or her nurse is caring?
a. "My nurse always asks me which type of juice I want to help me swallow my medication."
b. "My nurse explained my treatment plan to me and asked for my ideas about how to make it better."
c. "My nurse told me that if I take all the medicines the doctor prescribes I will get discharged soon."
, d. "My nurse spends time listening to me talk about my problems. That helps me feel like I'm not alone."
- correct answers:D
A patient who immigrated to the United States from Honduras was diagnosed with schizophrenia. The
patient took an antipsychotic medication for 3 weeks but showed no improvement. Which resource
should the treatment team consult for information on more effective medications for this patient?
a. Clinical algorithm
b. Clinical pathway
c. Clinical practice guideline
d. International Statistical Classification of Diseases and Related Health Problems (ICD) - correct
answers:A
Which historical nursing leader helped focus practice to recognize the importance of science in
psychiatric nursing?
a. Abraham Maslow
b. Hildegard Peplau
c. Kris Martinsen
d. Harriet Bailey - correct answers:B
A nurse consistently strives to demonstrate caring behaviors during interactions with patients. Which
reaction by a patient indicates this nurse is effective? A patient reports feeling:
a. distrustful l of others.
b. connected with others.
c. uneasy about the future.
d. discouraged with efforts to improve. - correct answers:B
An experienced nurse says to a new graduate, "When you've practiced as long as I have, you'll instantly
know how to take care of psychotic patients." What is the new graduate's best analysis of this comment?
Select all that apply.
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