lOMoAR cPSD| 27438201
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. deny suicidal ideation.
b. report a sense of well-being.
c. take medications as prescribed.
d. attend 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) REF: 2 TOP:
Nursing Process: Outcomes Identification MSC: NCLEX:
Health Promotion and Maintenance
2. 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. Lets 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) REF: 8
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
3. 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 isnt 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.
ANS: D
Attending is a technique that demonstrates the nurses 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.
DIF: Cognitive Level: Application (Applying) REF: 8
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 nurses
most caring comment.
a. Lets discuss some means of coping other than suicide when you have these feelings.
b. I understand why youre 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?
,lOMoAR cPSD| 27438201
, Table of Contents
Table of Contents 1
Chapter 01: Practicing the Science and C
the Art of Psychiatric Nursing Chapter h
02: Mental Health and Mental Illness a
Chapter 03: Theories and Therapies p
Chapter 04: Biological Basis for t
Understanding Psychopharmacology e
Chapter 05: Settings for Psychiatric Care r
Chapter 06: Legal and Ethical Basis for Practice
Chapter 07: Nursing Process and QSEN: The 2
Foundation for Safe and Effective Care Chapter 08: 6
Communication Skills: Medium for All Nursing Practice :
Chapter 09: Therapeutic Relationships
and the Clinical Interview Chapter 10: C
Trauma and Stress-Related Disorders h
Chapter 11: Anxiety, Anxiety Disorders, and i
Obsessive-Compulsive Disorders Chapter 12: Somatic l
System Disorders and Dissociative Disorders d
Chapter r
13: e
Personalit n
y
Disorders a
Chapter n
14: Eating d
Disorders
Chapter A
15: Mood d
Disorders: o
Depressio l
n Chapter e
16: s
Bipolar c
Spectrum e
Disorders n
Chapter 17: Schizophrenia Spectrum Disorders and t
Other Psychotic Disorders Chapter 18: Neurocognitive s
Disorders C
Chapter 19: Substance- h
Related and Addictive a
Disorders Chapter 20: Crisis p
and Mass Disaster t
Chapter 21: Child, e
Partner, and Elder r
Violence Chapter 22:
Sexual Violence 2
Chapter 23: Suicidal 7
Thoughts and :
Behavior Chapter
24: Anger, A
Aggression, and d
Violence u
Chapter 25: Care for the Dying l
and Those Who Grieve t
, s 2 204 2
7 213 3
C 1 221 0
h 2
a 2
p 0
t 2
e 8
r 3
5
2 4
8 3
: 5
1
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l 8
d 6
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r 7
4
A 8
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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. deny suicidal ideation.
b. report a sense of well-being.
c. take medications as prescribed.
d. attend 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) REF: 2 TOP:
Nursing Process: Outcomes Identification MSC: NCLEX:
Health Promotion and Maintenance
2. 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. Lets 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) REF: 8
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
3. 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 isnt 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.
ANS: D
Attending is a technique that demonstrates the nurses 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.
DIF: Cognitive Level: Application (Applying) REF: 8
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 nurses
most caring comment.
a. Lets discuss some means of coping other than suicide when you have these feelings.
b. I understand why youre 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?
,lOMoAR cPSD| 27438201
, Table of Contents
Table of Contents 1
Chapter 01: Practicing the Science and C
the Art of Psychiatric Nursing Chapter h
02: Mental Health and Mental Illness a
Chapter 03: Theories and Therapies p
Chapter 04: Biological Basis for t
Understanding Psychopharmacology e
Chapter 05: Settings for Psychiatric Care r
Chapter 06: Legal and Ethical Basis for Practice
Chapter 07: Nursing Process and QSEN: The 2
Foundation for Safe and Effective Care Chapter 08: 6
Communication Skills: Medium for All Nursing Practice :
Chapter 09: Therapeutic Relationships
and the Clinical Interview Chapter 10: C
Trauma and Stress-Related Disorders h
Chapter 11: Anxiety, Anxiety Disorders, and i
Obsessive-Compulsive Disorders Chapter 12: Somatic l
System Disorders and Dissociative Disorders d
Chapter r
13: e
Personalit n
y
Disorders a
Chapter n
14: Eating d
Disorders
Chapter A
15: Mood d
Disorders: o
Depressio l
n Chapter e
16: s
Bipolar c
Spectrum e
Disorders n
Chapter 17: Schizophrenia Spectrum Disorders and t
Other Psychotic Disorders Chapter 18: Neurocognitive s
Disorders C
Chapter 19: Substance- h
Related and Addictive a
Disorders Chapter 20: Crisis p
and Mass Disaster t
Chapter 21: Child, e
Partner, and Elder r
Violence Chapter 22:
Sexual Violence 2
Chapter 23: Suicidal 7
Thoughts and :
Behavior Chapter
24: Anger, A
Aggression, and d
Violence u
Chapter 25: Care for the Dying l
and Those Who Grieve t
, s 2 204 2
7 213 3
C 1 221 0
h 2
a 2
p 0
t 2
e 8
r 3
5
2 4
8 3
: 5
1
O 5
l 8
d 6
e 7
r 7
4
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d 5
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