VARCAROLIS’ ESSENTIALS OF PSYCHIATRIC MENTAL
HEALTH NURSING: A COMMUNICATION APPROACH TO
EVIDENCE-BASED CARE
TESTBANK 5TH EDITION BY FOSBRE /LATEST 100%
APPROVED VERSION /ALL CHAPTERS 1-28
, CHAPTER 1:
SCIENCE AND THE THERAPEUTIC USE OF SELF IN PSYCHIATRIC
MENTAL HEALTH NURSING
MULTIPLE CHOICE
QN 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 demonstrate what behavior?
aa Denying suicidal ideation
bb. Reporting a sense of well-being (ANS)
cc. Taking medications as prescribed
dd. Attending clinic appointments on time
bb Correct Answer
FEEDBACK
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) TOP: Nursing Process:
Outcomes Identification MSC: NCLEX:
Health Promotion and Maintenance
QN 2. A patient is hospitalized for depression and suicidal ideation after their spouse
asks for a divorce. Select the nurse’s most caring comment.
ee. “Let’s discuss healthy means of coping when you have suicidal feelings.”
(ANS)
ff. “I understand why you’re so depressed. When I got divorced, I was
devastated too.”
gg. “You should forget about your marriage and move on with your life.”
hh .“How did you get so depressed that hospitalization was necessary?”
, ee Correct Answer
FEEDBACK
The nurse’s communication should evidence caring and a commitment to work with the
patient. This commitment lets the patient know the nurse will help. Probing and advice
are not helpful for therapeutic interventions.
DIF: Cognitive Level: Application (Applying)
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
QN 3. In the shift-change report, an off-going nurse criticizes a patient who wears
extremely heavy makeup. Which comment by the nurse who receives the report
best demonstrates advocacy?
ii. “This is a psychiatric hospital, so we expect our patients to behave
bizarrely.”
jj. “Let’s all show acceptance of this patient by wearing lots of makeup too.”
kk. “Your comments are inconsiderate and inappropriate. Keep the report
objective.”
ll. “Our patients need our help to learn behaviors that will help them get along
in society.” (ANS)
ll Correct Answer
FEEDBACK
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)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care
Environment
QN 4. A nurse assesses a newly admitted patient diagnosed with major depressive
disorder. Which statement is an example of “attending”?
, mm. “We all have stress in life. Being in a psychiatric hospital is not the end of the
world.”
nn. “Tell me why you felt you had to be hospitalized to receive treatment for your
depression.”
pp. “You will feel better after we get some antidepressant medication started for
you.”
qq. “I’d like to sit with you for a while, so you may feel more comfortable talking
with me.” (ANS)
qq Correct Answer
FEEDBACK
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
demonstrates caring. Generalizations, probing, and false reassurances are nontherapeutic.
DIF: Cognitive Level: Application (Applying)
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
QN 5. A patient shows the nurse an article from the Internet about a health problem.
Which characteristic of the website’s address most alerts the nurse that the site may
have biased and prejudiced information?
rr. Address ends in “.org.”
ss. Address ends in “.com.” (ANS)
tt. Address ends in “.gov.”
uu. Address ends in “.net.”
ss Correct Answer
FEEDBACK
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 the site
is maintained by a government entity. “.org” indicates that the site is nonproprietary; the
site may or may not have reliable information, but it does not profit from its activities.
“.net” can have multiple meanings.
DIF: Cognitive Level: Comprehension (Understanding) TOP: Nursing Process:
HEALTH NURSING: A COMMUNICATION APPROACH TO
EVIDENCE-BASED CARE
TESTBANK 5TH EDITION BY FOSBRE /LATEST 100%
APPROVED VERSION /ALL CHAPTERS 1-28
, CHAPTER 1:
SCIENCE AND THE THERAPEUTIC USE OF SELF IN PSYCHIATRIC
MENTAL HEALTH NURSING
MULTIPLE CHOICE
QN 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 demonstrate what behavior?
aa Denying suicidal ideation
bb. Reporting a sense of well-being (ANS)
cc. Taking medications as prescribed
dd. Attending clinic appointments on time
bb Correct Answer
FEEDBACK
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) TOP: Nursing Process:
Outcomes Identification MSC: NCLEX:
Health Promotion and Maintenance
QN 2. A patient is hospitalized for depression and suicidal ideation after their spouse
asks for a divorce. Select the nurse’s most caring comment.
ee. “Let’s discuss healthy means of coping when you have suicidal feelings.”
(ANS)
ff. “I understand why you’re so depressed. When I got divorced, I was
devastated too.”
gg. “You should forget about your marriage and move on with your life.”
hh .“How did you get so depressed that hospitalization was necessary?”
, ee Correct Answer
FEEDBACK
The nurse’s communication should evidence caring and a commitment to work with the
patient. This commitment lets the patient know the nurse will help. Probing and advice
are not helpful for therapeutic interventions.
DIF: Cognitive Level: Application (Applying)
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
QN 3. In the shift-change report, an off-going nurse criticizes a patient who wears
extremely heavy makeup. Which comment by the nurse who receives the report
best demonstrates advocacy?
ii. “This is a psychiatric hospital, so we expect our patients to behave
bizarrely.”
jj. “Let’s all show acceptance of this patient by wearing lots of makeup too.”
kk. “Your comments are inconsiderate and inappropriate. Keep the report
objective.”
ll. “Our patients need our help to learn behaviors that will help them get along
in society.” (ANS)
ll Correct Answer
FEEDBACK
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)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care
Environment
QN 4. A nurse assesses a newly admitted patient diagnosed with major depressive
disorder. Which statement is an example of “attending”?
, mm. “We all have stress in life. Being in a psychiatric hospital is not the end of the
world.”
nn. “Tell me why you felt you had to be hospitalized to receive treatment for your
depression.”
pp. “You will feel better after we get some antidepressant medication started for
you.”
qq. “I’d like to sit with you for a while, so you may feel more comfortable talking
with me.” (ANS)
qq Correct Answer
FEEDBACK
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
demonstrates caring. Generalizations, probing, and false reassurances are nontherapeutic.
DIF: Cognitive Level: Application (Applying)
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
QN 5. A patient shows the nurse an article from the Internet about a health problem.
Which characteristic of the website’s address most alerts the nurse that the site may
have biased and prejudiced information?
rr. Address ends in “.org.”
ss. Address ends in “.com.” (ANS)
tt. Address ends in “.gov.”
uu. Address ends in “.net.”
ss Correct Answer
FEEDBACK
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 the site
is maintained by a government entity. “.org” indicates that the site is nonproprietary; the
site may or may not have reliable information, but it does not profit from its activities.
“.net” can have multiple meanings.
DIF: Cognitive Level: Comprehension (Understanding) TOP: Nursing Process:
