,Chapter 01: Science and the Therapeutic Use of Self in Psychiatric Mental Health
Nursing
Varcarolis: Essentials of Psychiatric Mental Health Nursing: A Coabirb.com/test
mmunication
Approach to Evidence-Based Care, 4th Edition
abirb.com/test
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?abirb.com/test Within 3
months,
the patient will demonstrate what behavior?
a. Denying suicidal ideation
b. Reporting a sense of well-being abirb.com/test
c. Taking medications as prescribed
d. Attending clinic appointments on time
ANS: B abirb.com/test
Recovery emphasizes managing symptoms, reducing psychosocial disability, and improvi ng
role performance. The goal of recovery is to empower the individual with mental illne ss
to achieve a sense of meaning and satisfaction in life and to function at the hig hest
possible level of wellness. The incorrect options focus on the classic medical model rather
thaabirb.com/test n recovery.
DIF: Cognitive Level: Application (Applying) TOP:
Nursing Process: Outcomes Identification
abirb.com/test
MSC: NCLEX: Health Promotion and Maintenance
2. A patient is hospitalized for depression and suicidal ideation after their spou
se asks for a
divorce. Select the nurse’s most caring comment. abirb.com/test
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.”abirb.com/test
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
abirb.com/test
patient. This commitment lets the patient know the nurse will help. Probing and advi ce
are not helpful for therapeutic interventions.
abirb.com/test
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
abirb.com/test 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.” abirb.com/test
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 patiabirb.com/test
ent. 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.
abirb.com/test
DIF: Cognitive Level: Application (Applying)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
abirb.com/test
4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder. Wh ich
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.”
abirb.com/test
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.
abirb.com/test ”
d. “I’d like to sit with you for a while, so you may feel more comfortable talking with
me.”
D
ANS: abirb.com/test
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 dem
onstrates caring. Generalizations, probing, and false reassurances are nontherapeutic.
abirb.com/test
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. Wabirb.com/test
hich characteristic of the website’s address most alerts the nurse that the site may have bi
ased and
, prejudiced information?
a. Address ends in “.org.”
b. Address ends in “.com.” abirb.com/test
c. Address ends in “.gov.”
d. Address ends in “.net.”
abirb.com/test
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 t he site
is maintained by a government entity. “.org” indicates that the site abirb.com/test is
nonproprietary; the site
may or may not have reliable information, but it does not profit from its activities. “. net”
can have multiple meanings.
abirb.com/test
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
theiabirb.com/test r
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?
abirb.com/test
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
abirb.com/test them in practice.
d. The nurse misinterpreted the results of the study. Classic tenets of practice do not
change.
abirb.com/test
ANS: A
Descriptive research findings provide evidence for practice but must be viewed in
relation to other studies before practice changes. One study is not enough. Descriptive studies
a re low on abirb.com/test the hierarchy of evidence. Clinical algorithms use flowcharts to
manage proble ms and do not specify one response to a clinical problem. Classic tenets of
practice should chang e as research findings provide evidence for change.
abirb.com/test
DIF: Cognitive Level: Analysis (Analyzing) TOP: Nursing Process: Evaluation
MSC: NCLEX: Health Promotion and Maintenance
7. Two nursing students discuss career plans after graduation. One student wants toabirb.com/test
enter psychiatric nursing. The other student asks, “Why would you want to be a
psychiatric nurse?
Nursing
Varcarolis: Essentials of Psychiatric Mental Health Nursing: A Coabirb.com/test
mmunication
Approach to Evidence-Based Care, 4th Edition
abirb.com/test
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?abirb.com/test Within 3
months,
the patient will demonstrate what behavior?
a. Denying suicidal ideation
b. Reporting a sense of well-being abirb.com/test
c. Taking medications as prescribed
d. Attending clinic appointments on time
ANS: B abirb.com/test
Recovery emphasizes managing symptoms, reducing psychosocial disability, and improvi ng
role performance. The goal of recovery is to empower the individual with mental illne ss
to achieve a sense of meaning and satisfaction in life and to function at the hig hest
possible level of wellness. The incorrect options focus on the classic medical model rather
thaabirb.com/test n recovery.
DIF: Cognitive Level: Application (Applying) TOP:
Nursing Process: Outcomes Identification
abirb.com/test
MSC: NCLEX: Health Promotion and Maintenance
2. A patient is hospitalized for depression and suicidal ideation after their spou
se asks for a
divorce. Select the nurse’s most caring comment. abirb.com/test
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.”abirb.com/test
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
abirb.com/test
patient. This commitment lets the patient know the nurse will help. Probing and advi ce
are not helpful for therapeutic interventions.
abirb.com/test
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
abirb.com/test 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.” abirb.com/test
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 patiabirb.com/test
ent. 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.
abirb.com/test
DIF: Cognitive Level: Application (Applying)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
abirb.com/test
4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder. Wh ich
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.”
abirb.com/test
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.
abirb.com/test ”
d. “I’d like to sit with you for a while, so you may feel more comfortable talking with
me.”
D
ANS: abirb.com/test
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 dem
onstrates caring. Generalizations, probing, and false reassurances are nontherapeutic.
abirb.com/test
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. Wabirb.com/test
hich characteristic of the website’s address most alerts the nurse that the site may have bi
ased and
, prejudiced information?
a. Address ends in “.org.”
b. Address ends in “.com.” abirb.com/test
c. Address ends in “.gov.”
d. Address ends in “.net.”
abirb.com/test
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 t he site
is maintained by a government entity. “.org” indicates that the site abirb.com/test is
nonproprietary; the site
may or may not have reliable information, but it does not profit from its activities. “. net”
can have multiple meanings.
abirb.com/test
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
theiabirb.com/test r
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?
abirb.com/test
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
abirb.com/test them in practice.
d. The nurse misinterpreted the results of the study. Classic tenets of practice do not
change.
abirb.com/test
ANS: A
Descriptive research findings provide evidence for practice but must be viewed in
relation to other studies before practice changes. One study is not enough. Descriptive studies
a re low on abirb.com/test the hierarchy of evidence. Clinical algorithms use flowcharts to
manage proble ms and do not specify one response to a clinical problem. Classic tenets of
practice should chang e as research findings provide evidence for change.
abirb.com/test
DIF: Cognitive Level: Analysis (Analyzing) TOP: Nursing Process: Evaluation
MSC: NCLEX: Health Promotion and Maintenance
7. Two nursing students discuss career plans after graduation. One student wants toabirb.com/test
enter psychiatric nursing. The other student asks, “Why would you want to be a
psychiatric nurse?
