TEST BANK VARCAROLIS ESSENTIALS OF PSYCHIATRIC
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MENTAL HEALTH NURSING 5TH EDITION FOSBRE TEST B
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ANK CHAPTER 1 - 28 UPDATED 2023
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TesttBank:tEssentialstoftPsychiatrictMentaltHealthtNursingt(5thtEditiontbytVarcarolis)t2
Chaptert01:tPracticingtthetSciencetandtthetArttoftPsychiatrictNursingtMULTIPLEtCHOICE
1. Whichtoutcome,tfocusedtontrecovery,twouldtbetexpectedtintthetplantoftcaretfortatpatienttlivi
ngtintthetcommunitytandtdiagnosedtwithtserioustandtpersistenttmentaltillness?tWithint3tmont
hs,tthetpatienttwill:
a. denytsuicidaltideation.
b. reporttatsensetoftwell-being.
c. taketmedicationstastprescribed.
d. attendtclinictappointmentstonttime.t
ANS:tB
Recoverytemphasizestmanagingtsymptoms,treducingtpsychosocialtdisability,tandtimprovingtr
oletperformance.
Thetgoaltoftrecoverytisttotempowertthetindividualtwithtmentaltillnessttotachievetatsensetoftme
aningtandtsatisfactiontintlifetandttotfunctiontattthethighesttpossibletleveltoftwellness.tThetincorr
ecttoptionstfocustontthetclassictmedicaltmodeltrathertthantrecovery.
DIF:tCognitivetLevel:tApplicationt(Applying)tREF:t2t
TOP:tNursingtProcess:tOutcomestIdentificationtMSC
:tNCLEX:tHealthtPromotiontandtMaintenance
2. Intthetshift-changetreport,tantoff-
goingtnursetcriticizestatpatienttwhotwearstheavytmakeup.tWhichtcommenttbytthetnurs
etwhotreceivestthetreporttbesttdemonstratestadvocacy?
a. Thististatpsychiatricthospital.tCrazinesstistwhattwetaretalltabout.
b. Letstalltshowtacceptancetoftthistpatienttbytwearingtlotstoftmakeupttoo.
,c. Yourtcommentstaretinconsideratetandtinappropriate.tKeeptthetreporttobjective.
d. Ourtpatientstneedtourthelpttotlearntbehaviorstthattwillthelptthemtgettalongtintsociety.tAN
S:tD
Acceptingtpatientstneedstfortself-
expressiontandtseekingttotteachtskillstthattwilltcontributettottheirtwell-
beingtdemonstratetrespecttandtaretimportanttpartstoftadvocacy.tTheton-
tcomingtnursetneedsttottaketactionttotensuretthattotherstaretnottprejudicedtagainsttthetpatien
t.tHumortcantbetappropriatetwithintthetprivacytoftatshifttreporttbuttnottattthetexpensetoftrespect
tfortpatients.tJudgingtthetoff-goingtnursetintatcriticaltwaytwilltcreatetconflict.
Nursestmusttshowtcompassiontforteachtother.
DIF:tCognitivetLevel:tApplicationt(Applying)tREF:t8
TOP:tNursingtProcess:tImplementationtMSC:tNCLEX:tSafe,tEffectivetCaretEnvironment
3. At nurset assessest at newlyt admittedt patientt diagnosedt witht majort depressivet disorder.tW
hichstatementtistantexampletoftattending?
a. Wetallthavetstresstintlife.tBeingtintatpsychiatricthospitaltisnttthetendtoftthetworld.
b. Telltmetwhytyoutfelttyouthadttotbethospitalizedttotreceivettreatmenttfortyourtdepression.
c. Youtwilltfeeltbettertaftertwetgettsometantidepressanttmedicationtstartedtfortyou.
d. Idtlikettotsittwithtyoutatwhiletsotyoutmaytfeeltmoretcomfortablettalkingtwithtme.tAN
S:tD
Attendingtistattechniquetthattdemonstratestthetnursestcommitmentttotthetrelationshiptandtre
ducestfeelingstoftisolation.tThisttechniquetshowstrespecttfortthetpatienttandtdemonstratestc
aring.tGeneralizations,tprobing,tandtfalsetreassurancestaretnon-therapeutic.
DIF:tCognitivetLevel:tApplicationt(Applying)tREF:t8
TOP:tNursingtProcess:tImplementationtMSC:tNCLEX:tPsychosocialtIntegrity
4. Atpatienttisthospitalizedtfortdepressiontandtsuicidaltideationtafterttheirtspousetaskstfortatdi
vorce.tSelectthetnursestmosttcaringtcomment.
a. Letstdiscusstsometmeanstoftcopingtothertthantsuicidetwhentyouthavetthesetfeelings.
b. Itunderstandtwhytyouretsotdepressed.tWhentItgottdivorced,tItwastdevastatedttoo.
c. Youtshouldtforgettabouttyourtmarriagetandtmovetontwithtyourtlife.
,d. Howtdidtyoutgettsotdepressedtthatthospitalizationtwastnecessary?
TesttBank:tEssentialstoftPsychiatrictMentaltHealthtNursingt(5thtEditiontbytVarcarolis)t3tANS:t
A
Thetnursestcommunicationtshouldtevidencetcaringtandtatcommitmentttotworktwithtthetpati
ent.tThistcommitmenttletstthetpatienttknowtthetnursetwillthelp.tProbingtandtadvicetaretnotthel
pfultorttherapeutictinterventions.
DIF:tCognitivetLevel:tApplicationt(Applying)tREF:t6
TOP:tNursingtProcess:tImplementationtMSC:tNCLEX:tPsychosocialtIntegrity
5. AtpatienttshowstthetnursetantarticletfromtthetInternettabouttathealthtproblem.tWhichtch
aracteristictoftthetwebtsitestaddresstmosttalertstthetnursetthattthetsitetmaythavetbiasedtandtp
rejudicedinformation?
a. Addresstendstint.org.
b. Addresstendstint.com.
c. Addresstendstint.gov.
d. Addresstendstint.net.t
ANS:tB
Financialtinfluencestontatsitetaretatcluetthattthetinformationtmaytbetbiased.t.comtattthetendtoftt
hetaddresstindicatestthattthetsitetistatcommercialtone.t.govtindicatestthattthetsitetistmaintain
edtbytatgovernmenttentity.
.orgtindicatestthattthetsitetistnonproprietary;tthetsitetmaytortmaytnotthavetreliabletinformatio
n,tbuttittdoestnottprofittfromtitstactivities.t.nettcanthavetmultipletmeanings.
DIF:tCognitivetLevel:tComprehensiont(Understanding)tREF:t5
TOP:tNursingtProcess:tEvaluationtMSC:tNCLEX:tHealthtPromotiontandtMaintenance
6. Atnursetsays,tWhentItwastintschool,tItlearnedttotcalltupsettpatientstbytnamettotgetttheirtatte
ntion;thowever,tItreadtatdescriptivetresearchtstudytthattsaystthattthistapproachtdoestnottwork.tI
tplanttotstoptcallingtpatientstbytname.tWhichtstatementtistthetbesttappraisaltoftthistnursestco
mment?
a. Onetdescriptivetresearchtstudytrarelytprovidestenoughtevidencettotchangetpractice.
b. Stafftnursestapplytnewtresearchtfindingstonlytwithtthethelptfromtclinicaltnursetspecialists.
, c. Newtresearchtfindingstshouldtbetincorporatedtintotclinicaltalgorithmstbeforetusingtthemtin
tpractice.
d. Thetnursetmisinterpretedtthetresultstoftthetstudy.tClassicttenetstoftpracticetdotnottchange.tA
NS:tA
Descriptivetresearchtfindingstprovidetevidencetfortpracticetbuttmusttbetviewedtintrelationttot
othertstudiestbeforetpracticetchanges.tOnetstudytistnottenough.tDescriptivetstudiestaretlowto
ntthethierarchytoftevidence.
Clinicaltalgorithmstusetflowtchartsttotmanagetproblemstandtdotnottspecifytonetresponsettotatcl
inicaltproblem.
Classicttenetstoftpracticetshouldtchangetastresearchtfindingstprovidetevidencetfortchange.DIF:tCo
gnitivetLevel:tAnalysist(Analyzing)tREF:t3
TOP:tNursingtProcess:tEvaluationtMSC:tNCLEX:tHealthtPromotiontandtMaintenance
7. Twonursingtstudentst discusst careertplanst aftertgraduation.t Onetstudentt wantst totentertps
ychiatrictnursing.
Thetothertstudenttasks,tWhytwouldtyoutwantttotbetatpsychiatrictnurse?tAllttheytdotisttalk.tYo
utwilltlosetyourtskills.tSelecttthetbesttresponsetbytthetstudenttinterestedtintpsychiatrictnursi
ng.
a. Psychiatrict nursest practicet int safert environmentst thant othert specialties.t Nurse-to-
tpatienttratiostmusttbetbettertbecausetoftthetnaturetoftpatientstproblems.
b. Psychiatrict nursest uset complext communicationt skills,t ast wellt ast criticalt thinking,t totso
lvetmultidimensionaltproblems.tImtchallengedtbytthosetsituations.
c. ItthinktItwilltbetgoodtintthetmentalthealthtfield.tItdotnottliketclinicaltrotationstintschool,tsotIt
dotnottwantttotcontinuetthemtaftertItgraduate.
d. Psychiatrict nursest dot nott havet tot dealt witht ast mucht paint andt sufferingt ast medicaltsu
rgicaltnurses.tThattappealsttotme.
ANS:tB
Thetpracticetoftpsychiatrictnursingtrequirestatdifferenttsettoftskillstthantmedicaltsurgicaltnur
sing,talthoughtsubstantialtoverlaptdoestexist.tPsychiatrictnursestmusttbetablettothelptpatient
stwithtmedicaltandtmentalthealthtproblems,treflectingtthetholistictperspectivetthesetnursestm
ustthave.tNurse-
patienttratiostandtworkloadstintpsychiatrictsettingsthavetincreased,tsimilarttotothertspecialt
ies.tPsychiatrictnursingtinvolvestclinicaltpractice,
t t t t t t
MENTAL HEALTH NURSING 5TH EDITION FOSBRE TEST B
t t t t t t t
ANK CHAPTER 1 - 28 UPDATED 2023
t t t t t t
TesttBank:tEssentialstoftPsychiatrictMentaltHealthtNursingt(5thtEditiontbytVarcarolis)t2
Chaptert01:tPracticingtthetSciencetandtthetArttoftPsychiatrictNursingtMULTIPLEtCHOICE
1. Whichtoutcome,tfocusedtontrecovery,twouldtbetexpectedtintthetplantoftcaretfortatpatienttlivi
ngtintthetcommunitytandtdiagnosedtwithtserioustandtpersistenttmentaltillness?tWithint3tmont
hs,tthetpatienttwill:
a. denytsuicidaltideation.
b. reporttatsensetoftwell-being.
c. taketmedicationstastprescribed.
d. attendtclinictappointmentstonttime.t
ANS:tB
Recoverytemphasizestmanagingtsymptoms,treducingtpsychosocialtdisability,tandtimprovingtr
oletperformance.
Thetgoaltoftrecoverytisttotempowertthetindividualtwithtmentaltillnessttotachievetatsensetoftme
aningtandtsatisfactiontintlifetandttotfunctiontattthethighesttpossibletleveltoftwellness.tThetincorr
ecttoptionstfocustontthetclassictmedicaltmodeltrathertthantrecovery.
DIF:tCognitivetLevel:tApplicationt(Applying)tREF:t2t
TOP:tNursingtProcess:tOutcomestIdentificationtMSC
:tNCLEX:tHealthtPromotiontandtMaintenance
2. Intthetshift-changetreport,tantoff-
goingtnursetcriticizestatpatienttwhotwearstheavytmakeup.tWhichtcommenttbytthetnurs
etwhotreceivestthetreporttbesttdemonstratestadvocacy?
a. Thististatpsychiatricthospital.tCrazinesstistwhattwetaretalltabout.
b. Letstalltshowtacceptancetoftthistpatienttbytwearingtlotstoftmakeupttoo.
,c. Yourtcommentstaretinconsideratetandtinappropriate.tKeeptthetreporttobjective.
d. Ourtpatientstneedtourthelpttotlearntbehaviorstthattwillthelptthemtgettalongtintsociety.tAN
S:tD
Acceptingtpatientstneedstfortself-
expressiontandtseekingttotteachtskillstthattwilltcontributettottheirtwell-
beingtdemonstratetrespecttandtaretimportanttpartstoftadvocacy.tTheton-
tcomingtnursetneedsttottaketactionttotensuretthattotherstaretnottprejudicedtagainsttthetpatien
t.tHumortcantbetappropriatetwithintthetprivacytoftatshifttreporttbuttnottattthetexpensetoftrespect
tfortpatients.tJudgingtthetoff-goingtnursetintatcriticaltwaytwilltcreatetconflict.
Nursestmusttshowtcompassiontforteachtother.
DIF:tCognitivetLevel:tApplicationt(Applying)tREF:t8
TOP:tNursingtProcess:tImplementationtMSC:tNCLEX:tSafe,tEffectivetCaretEnvironment
3. At nurset assessest at newlyt admittedt patientt diagnosedt witht majort depressivet disorder.tW
hichstatementtistantexampletoftattending?
a. Wetallthavetstresstintlife.tBeingtintatpsychiatricthospitaltisnttthetendtoftthetworld.
b. Telltmetwhytyoutfelttyouthadttotbethospitalizedttotreceivettreatmenttfortyourtdepression.
c. Youtwilltfeeltbettertaftertwetgettsometantidepressanttmedicationtstartedtfortyou.
d. Idtlikettotsittwithtyoutatwhiletsotyoutmaytfeeltmoretcomfortablettalkingtwithtme.tAN
S:tD
Attendingtistattechniquetthattdemonstratestthetnursestcommitmentttotthetrelationshiptandtre
ducestfeelingstoftisolation.tThisttechniquetshowstrespecttfortthetpatienttandtdemonstratestc
aring.tGeneralizations,tprobing,tandtfalsetreassurancestaretnon-therapeutic.
DIF:tCognitivetLevel:tApplicationt(Applying)tREF:t8
TOP:tNursingtProcess:tImplementationtMSC:tNCLEX:tPsychosocialtIntegrity
4. Atpatienttisthospitalizedtfortdepressiontandtsuicidaltideationtafterttheirtspousetaskstfortatdi
vorce.tSelectthetnursestmosttcaringtcomment.
a. Letstdiscusstsometmeanstoftcopingtothertthantsuicidetwhentyouthavetthesetfeelings.
b. Itunderstandtwhytyouretsotdepressed.tWhentItgottdivorced,tItwastdevastatedttoo.
c. Youtshouldtforgettabouttyourtmarriagetandtmovetontwithtyourtlife.
,d. Howtdidtyoutgettsotdepressedtthatthospitalizationtwastnecessary?
TesttBank:tEssentialstoftPsychiatrictMentaltHealthtNursingt(5thtEditiontbytVarcarolis)t3tANS:t
A
Thetnursestcommunicationtshouldtevidencetcaringtandtatcommitmentttotworktwithtthetpati
ent.tThistcommitmenttletstthetpatienttknowtthetnursetwillthelp.tProbingtandtadvicetaretnotthel
pfultorttherapeutictinterventions.
DIF:tCognitivetLevel:tApplicationt(Applying)tREF:t6
TOP:tNursingtProcess:tImplementationtMSC:tNCLEX:tPsychosocialtIntegrity
5. AtpatienttshowstthetnursetantarticletfromtthetInternettabouttathealthtproblem.tWhichtch
aracteristictoftthetwebtsitestaddresstmosttalertstthetnursetthattthetsitetmaythavetbiasedtandtp
rejudicedinformation?
a. Addresstendstint.org.
b. Addresstendstint.com.
c. Addresstendstint.gov.
d. Addresstendstint.net.t
ANS:tB
Financialtinfluencestontatsitetaretatcluetthattthetinformationtmaytbetbiased.t.comtattthetendtoftt
hetaddresstindicatestthattthetsitetistatcommercialtone.t.govtindicatestthattthetsitetistmaintain
edtbytatgovernmenttentity.
.orgtindicatestthattthetsitetistnonproprietary;tthetsitetmaytortmaytnotthavetreliabletinformatio
n,tbuttittdoestnottprofittfromtitstactivities.t.nettcanthavetmultipletmeanings.
DIF:tCognitivetLevel:tComprehensiont(Understanding)tREF:t5
TOP:tNursingtProcess:tEvaluationtMSC:tNCLEX:tHealthtPromotiontandtMaintenance
6. Atnursetsays,tWhentItwastintschool,tItlearnedttotcalltupsettpatientstbytnamettotgetttheirtatte
ntion;thowever,tItreadtatdescriptivetresearchtstudytthattsaystthattthistapproachtdoestnottwork.tI
tplanttotstoptcallingtpatientstbytname.tWhichtstatementtistthetbesttappraisaltoftthistnursestco
mment?
a. Onetdescriptivetresearchtstudytrarelytprovidestenoughtevidencettotchangetpractice.
b. Stafftnursestapplytnewtresearchtfindingstonlytwithtthethelptfromtclinicaltnursetspecialists.
, c. Newtresearchtfindingstshouldtbetincorporatedtintotclinicaltalgorithmstbeforetusingtthemtin
tpractice.
d. Thetnursetmisinterpretedtthetresultstoftthetstudy.tClassicttenetstoftpracticetdotnottchange.tA
NS:tA
Descriptivetresearchtfindingstprovidetevidencetfortpracticetbuttmusttbetviewedtintrelationttot
othertstudiestbeforetpracticetchanges.tOnetstudytistnottenough.tDescriptivetstudiestaretlowto
ntthethierarchytoftevidence.
Clinicaltalgorithmstusetflowtchartsttotmanagetproblemstandtdotnottspecifytonetresponsettotatcl
inicaltproblem.
Classicttenetstoftpracticetshouldtchangetastresearchtfindingstprovidetevidencetfortchange.DIF:tCo
gnitivetLevel:tAnalysist(Analyzing)tREF:t3
TOP:tNursingtProcess:tEvaluationtMSC:tNCLEX:tHealthtPromotiontandtMaintenance
7. Twonursingtstudentst discusst careertplanst aftertgraduation.t Onetstudentt wantst totentertps
ychiatrictnursing.
Thetothertstudenttasks,tWhytwouldtyoutwantttotbetatpsychiatrictnurse?tAllttheytdotisttalk.tYo
utwilltlosetyourtskills.tSelecttthetbesttresponsetbytthetstudenttinterestedtintpsychiatrictnursi
ng.
a. Psychiatrict nursest practicet int safert environmentst thant othert specialties.t Nurse-to-
tpatienttratiostmusttbetbettertbecausetoftthetnaturetoftpatientstproblems.
b. Psychiatrict nursest uset complext communicationt skills,t ast wellt ast criticalt thinking,t totso
lvetmultidimensionaltproblems.tImtchallengedtbytthosetsituations.
c. ItthinktItwilltbetgoodtintthetmentalthealthtfield.tItdotnottliketclinicaltrotationstintschool,tsotIt
dotnottwantttotcontinuetthemtaftertItgraduate.
d. Psychiatrict nursest dot nott havet tot dealt witht ast mucht paint andt sufferingt ast medicaltsu
rgicaltnurses.tThattappealsttotme.
ANS:tB
Thetpracticetoftpsychiatrictnursingtrequirestatdifferenttsettoftskillstthantmedicaltsurgicaltnur
sing,talthoughtsubstantialtoverlaptdoestexist.tPsychiatrictnursestmusttbetablettothelptpatient
stwithtmedicaltandtmentalthealthtproblems,treflectingtthetholistictperspectivetthesetnursestm
ustthave.tNurse-
patienttratiostandtworkloadstintpsychiatrictsettingsthavetincreased,tsimilarttotothertspecialt
ies.tPsychiatrictnursingtinvolvestclinicaltpractice,
