Exam (elaborations)
MENTAL HEALTH(VARCAROLIS) EXAM 1 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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Mental Health
MENTAL HEALTH(VARCAROLIS) EXAM 1 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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MENTAL HEALTH(VARCAROLIS) EXAM
1 QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
1.FWhichFoutcome,FfocusedFonFrecovery,FwouldFbeFexpectedFinFtheFplanFofFcareFforFaFpatientFlivingFinFtheFc
ommunityFandFdiagnosedFwithFseriousFandFpersistentFmentalFillness?FWithinF3Fmonths,FtheFpatientFwill:
a.FdenyFsuicidalFideation.
b.FreportFaFsenseFofFwell-being.
c.FtakeFmedicationsFasFprescribed.
d.FattendFclinicFappointmentsFonFtime.F-FANSWERFReportFaFsenseFofFwell-being
2.FAFpatientFisFhospitalizedFforFdepressionFandFsuicidalFideationFafterFtheirFspouseFasksFforFaFdivorce.FSelect
FtheFnurse'sFmostFcaringFcomment.
a.F"Let'sFdiscussFsomeFmeansFofFcopingFotherFthanFsuicideFwhenFyouFhaveFtheseFfeelings."
b.F"IFunderstandFwhyFyou'reFsoFdepressed.FWhenFIFgotFdivorced,FIFwasFdevastatedFtoo."
c.F"YouFshouldFforgetFaboutFyourFmarriageFandFmoveFonFwithFyourFlife."
d.F"HowFdidFyouFgetFsoFdepressedFthatFhospitalizationFwasFnecessary?"F-FANSWERFANS:FA
TheFnurse'sFcommunicationFshouldFevidenceFcaringFandFaFcommitmentFtoFworkFwithFtheFpatient.FThisFcom
mitmentFletsFtheFpatientFknowFtheFnurseFwillFhelp.FProbingFandFadviceFareFnotFhelpfulForFtherapeuticFinter
ventions.
3.FInFtheFshift-changeFreport,FanFoff-
goingFnurseFcriticizesFaFpatientFwhoFwearsFheavyFmakeup.FWhichFcommentFbyFtheFnurseFwhoFreceivesFtheF
reportFbestFdemonstratesFadvocacy?
a.F"ThisFisFaFpsychiatricFhospital.FCrazinessFisFwhatFweFareFallFabout."
b.F"Let'sFallFshowFacceptanceFofFthisFpatientFbyFwearingFlotsFofFmakeupFtoo."
c.F"YourFcommentsFareFinconsiderateFandFinappropriate.FKeepFtheFreportFobjective."
d.F"OurFpatientsFneedFourFhelpFtoFlearnFbehaviorsFthatFwillFhelpFthemFgetFalongFinFsociety."F-
FANSWERFANS:FD
AcceptingFpatients'FneedsFforFself-expressionFandFseekingFtoFteachFskillsFthatFwillFcontributeFtoFtheirFwell-
beingFdemonstrateFrespectFandFareFimportantFpartsFofFadvocacy.FTheFon-
comingFnurseFneedsFtoFtakeFactionFtoFensureFthatFothersFareFnotFprejudicedFagainstFtheFpatient.FHumorFca
,nFbeFappropriateFwithinFtheFprivacyFofFaFshiftFreportFbutFnotFatFtheFexpenseFofFrespectFforFpatients.FJudgin
gFtheFoff-goingFnurseFinFaFcriticalFwayFwillFcreateFconflict.FNursesFmustFshowFcompassionFforFeachFother.
4.FAFnurseFassessesFaFnewlyFadmittedFpatientFdiagnosedFwithFmajorFdepressiveFdisorder.FWhichFstatement
FisFanFexampleFofF"attending"?
a.F"WeFallFhaveFstressFinFlife.FBeingFinFaFpsychiatricFhospitalFisn'tFtheFendFofFtheFworld."
b.F"TellFmeFwhyFyouFfeltFyouFhadFtoFbeFhospitalizedFtoFreceiveFtreatmentFforFyourFdepression."
c.F"YouFwillFfeelFbetterFafterFweFgetFsomeFantidepressantFmedicationFstartedFforFyou."
d.F"I'dFlikeFtoFsitFwithFyouFaFwhileFsoFyouFmayFfeelFmoreFcomfortableFtalkingFwithFme."F-FANSWERFANS:FD
AttendingFisFaFtechniqueFthatFdemonstratesFtheFnurse'sFcommitmentFtoFtheFrelationshipFandFreducesFfeeli
ngsFofFisolation.FThisFtechniqueFshowsFrespectFforFtheFpatientFandFdemonstratesFcaring.FGeneralizations,Fp
robing,FandFfalseFreassurancesFareFnon-therapeutic.
5.FAFpatientFshowsFtheFnurseFanFarticleFfromFtheFInternetFaboutFaFhealthFproblem.FWhichFcharacteristicFofF
theFwebFsite'sFaddressFmostFalertsFtheFnurseFthatFtheFsiteFmayFhaveFbiasedFandFprejudicedFinformation?
a.FAddressFendsFinF".org."
b.FAddressFendsFinF".com."
c.FAddressFendsFinF".gov."
d.FAddressFendsFinF".net."F-FANSWERFANS:FB
FinancialFinfluencesFonFaFsiteFareFaFclueFthatFtheFinformationFmayFbeFbiased.F".com"FatFtheFendFofFtheFaddr
essFindicatesFthatFtheFsiteFisFaFcommercialFone.F".gov"FindicatesFthatFtheFsiteFisFmaintainedFbyFaFgovernme
ntFentity.F".org"FindicatesFthatFtheFsiteFisFnonproprietary;FtheFsiteFmayForFmayFnotFhaveFreliableFinformatio
n,FbutFitFdoesFnotFprofitFfromFitsFactivities.F".net"FcanFhaveFmultipleFmeanings.
6.FAFnurseFsays,F"WhenFIFwasFinFschool,FIFlearnedFtoFcallFupsetFpatientsFbyFnameFtoFgetFtheirFattention;Fhow
ever,FIFreadFaFdescriptiveFresearchFstudyFthatFsaysFthatFthisFapproachFdoesFnotFwork.FIFplanFtoFstopFcallingFp
atientsFbyFname."FWhichFstatementFisFtheFbestFappraisalFofFthisFnurse'sFcomment?
a.FOneFdescriptiveFresearchFstudyFrarelyFprovidesFenoughFevidenceFtoFchangeFpractice.
b.FStaffFnursesFapplyFnewFresearchFfindingsFonlyFwithFtheFhelpFfromFclinicalFnurseFspecialists.
c.FNewFresearchFfindingsFshouldFbeFincorporatedFintoFclinicalFalgorithmsFbeforeFusingFthemFinFpractice.
d.FTheFnurseFmisinterpretedFtheFresultsFofFtheFstudy.FClassicFtenetsFofFpracticeFdoFnotFchange.F-
FANSWERFANS:FA
,DescriptiveFresearchFfindingsFprovideFevidenceFforFpracticeFbutFmustFbeFviewedFinFrelationFtoFotherFstudie
sFbeforeFpracticeFchanges.FOneFstudyFisFnotFenough.FDescriptiveFstudiesFareFlowFonFtheFhierarchyFofFevide
nce.FClinicalFalgorithmsFuseFflowFchartsFtoFmanageFproblemsFandFdoFnotFspecifyFoneFresponseFtoFaFclinicalF
problem.FClassicFtenetsFofFpracticeFshouldFchangeFasFresearchFfindingsFprovideFevidenceFforFchange.
7.FTwoFnursingFstudentsFdiscussFcareerFplansFafterFgraduation.FOneFstudentFwantsFtoFenterFpsychiatricFnur
sing.FTheFotherFstudentFasks,F"WhyFwouldFyouFwantFtoFbeFaFpsychiatricFnurse?FAllFtheyFdoFisFtalk.FYouFwillFl
oseFyourFskills."FSelectFtheFbestFresponseFbyFtheFstudentFinterestedFinFpsychiatricFnursing.
a.F"PsychiatricFnursesFpracticeFinFsaferFenvironmentsFthanFotherFspecialties.FNurse-to-
patientFratiosFmustFbeFbetterFbecauseFofFtheFnatureFofFpatients'Fproblems."
b.F"PsychiatricFnursesFuseFcomplexFcommunicationFskills,FasFwellFasFcriticalFthinking,FtoFsolveFmultidimensi
onalFproblems.FI'mFchallengedFbyFthoseFsituations."
c.F"IFthinkFIFwillFbeFgoodFinFtheFmentalFhealthFfield.FIFdoFnotFlikeFclinicalFrotationsFinFschool,FsoFIFdoFnotFwant
FtoFcontinueFthemFafterFIFgraduate."
d.F"PsychiatricFnursesFdoFnotFhaveFtoFdealFwithFasFmuchFpainFandFsufferingFasFmedicalFsurgicalFnurses.FThat
FappealsFtoFme."F-FANSWERFANS:FB
TheFpracticeFofFpsychiatricFnursingFrequiresFaFdifferentFsetFofFskillsFthanFmedicalFsurgicalFnursing,FalthoughF
substantialFoverlapFdoesFexist.FPsychiatricFnursesFmustFbeFableFtoFhelpFpatientsFwithFmedicalFandFmentalFh
ealthFproblems,FreflectingFtheFholisticFperspectiveFtheseFnursesFmustFhave.FNurse-
patientFratiosFandFworkloadsFinFpsychiatricFsettingsFhaveFincreased,FsimilarFtoFotherFspecialties.FPsychiatric
FnursingFinvolvesFclinicalFpractice,FnotFsimplyFdocumentation.FPsychosocialFpainFisFrealFandFcanFcauseFasFm
uchFsufferingFasFphysicalFpain.
8.FWhichFresearchFevidenceFwouldFmostFinfluenceFaFgroupFofFnursesFtoFchangeFtheirFpractice?
a.FExpertFcommitteeFreportFofFrecommendationsFforFpractice
b.FSystematicFreviewFofFrandomizedFcontrolledFtrials
c.FNonexperimentalFdescriptiveFstudy
d.FCriticalFpathwayF-FANSWERFANS:FB
ResearchFfindingsFareFgradedFusingFaFhierarchyFofFevidence.FAFsystematicFreviewFofFrandomizedFcontrolled
FtrialsFisFLevelFAFandFprovidesFtheFstrongestFevidenceFforFchangingFpractice.FExpertFcommitteeFrecommend
ationsFandFdescriptiveFstudiesFlendFlessFpowerfulFandFinfluentialFevidence.FAFcriticalFpathwayFisFnotFeviden
ce;FitFincorporatesFresearchFfindingsFafterFtheyFhaveFbeenFanalyzed.
, 9.FAFbillFintroducedFinFCongressFwouldFreduceFfundingFforFtheFcareFofFpeopleFdiagnosedFwithFmentalFillnes
ses.FAFgroupFofFnursesFwriteFlettersFtoFtheirFelectedFrepresentativesFinFoppositionFtoFtheFlegislation.FWhich
FroleFhaveFtheFnursesFfulfilled?
a.FAdvocacy
b.FAttending
c.FRecovery
d.FEvidence-basedFpracticeF-FANSWERFANS:FA
AnFadvocateFdefendsForFassertsFanother'sFcause,FparticularlyFwhenFtheFotherFpersonFlacksFtheFabilityFtoFdo
FthatFforFhimselfForFherself.FExamplesFofFindividualFadvocacyFincludeFhelpingFpatientsFunderstandFtheirFrigh
tsForFmakeFdecisions.FOnFaFcommunityFscale,FadvocacyFincludesFpoliticalFactivity,FpublicFspeaking,FandFpubl
icationFinFtheFinterestFofFimprovingFtheFindividualsFwithFmentalFillness;FtheFletter-
writingFcampaignFadvocatesFforFthatFcauseFonFbehalfFofFpatientsFwhoFareFunableFtoFarticulateFtheirFownFn
eeds.
10.FAnFinformalFgroupFofFpatientsFdiscussFtheirFperceptionsFofFnursingFcare.FWhichFcommentFbestFindicate
sFaFpatient'sFperceptionFthatFhisForFherFnurseFisFcaring?
a.F"MyFnurseFalwaysFasksFmeFwhichFtypeFofFjuiceFIFwantFtoFhelpFmeFswallowFmyFmedication."
b.F"MyFnurseFexplainedFmyFtreatmentFplanFtoFmeFandFaskedFforFmyFideasFaboutFhowFtoFmakeFitFbetter."
c.F"MyFnurseFtoldFmeFthatFifFIFtakeFallFtheFmedicinesFtheFdoctorFprescribesFIFwillFgetFdischargedFsoon."
d.F"MyFnurseFspendsFtimeFlisteningFtoFmeFtalkFaboutFmyFproblems.FThatFhelpsFmeFfeelFlikeFI'mFnotFalone."F-
FANSWERFANS:FD
CaringFevidencesFempathicFunderstanding,FasFwellFasFcompetency.FItFhelpsFchangeFpainFandFsufferingFintoF
aFsharedFexperience,FcreatingFaFhumanFconnectionFthatFalleviatesFfeelingsFofFisolation.FTheFincorrectFoptio
nsFgiveFexamplesFofFstatementsFthatFdemonstrateFadvocacyForFgivingFadvice.
11.FAFpatientFwhoFimmigratedFtoFtheFUnitedFStatesFfromFHondurasFwasFdiagnosedFwithFschizophrenia.FThe
FpatientFtookFanFantipsychoticFmedicationFforF3FweeksFbutFshowedFnoFimprovement.FWhichFresourceFshou
ldFtheFtreatmentFteamFconsultFforFinformationFonFmoreFeffectiveFmedicationsFforFthisFpatient?
a.FClinicalFalgorithm
b.FClinicalFpathway
c.FClinicalFpracticeFguideline
d.FInternationalFStatisticalFClassificationFofFDiseasesFandFRelatedFHealthFProblemsF(ICD)F-FANSWERFANS:FA
AFclinicalFalgorithmFisFaFguidelineFthatFdescribesFdiagnosticFand/orFtreatmentFapproachesFdrawnFfromFlarg
eFdatabasesFofFinformation.FTheseFguidelinesFhelpFtheFtreatmentFteamFmakeFdecisionsFcognizantFofFanFind