eyTestyBankyChaptery1y-y28yUpdatedy2023
TestyBank:yEssentialsyofyPsychiatricyMentalyHealthyNursingy(5thy EditionybyyVarcarolis)y2
Chaptery01:yPracticingytheyScienceyandytheyArtyofyPsychiatricyNursingyMULTIPLEyC
HOICE
1. Whichyoutcome,yfocusedyonyrecovery,ywouldybeyexpectedyinytheyplanyofycareyforyaypatienty
livingyinytheycommunityyandydiagnosedywithyseriousyandypersistentymentalyillness?yWithiny3y
months,ytheypatientywill:ya.ydenyysuicidalyideation.
b. reportyaysenseyofywell-being.
c. takeymedicationsyasyprescribed.
d. attendyclinicyappointmentsyonytime.
ANS:yB
y
Recoveryyemphasizesymanagingysymptoms,yreducingypsychosocialydisability,yandyimproving
yroleyperformance.
Theygoalyofyrecoveryyisytoyempowerytheyindividualywithymentalyillnessytoyachieveyaysenseyofy
meaningyandysatisfactionyinylifeyandytoyfunctionyatytheyhighestypossibleylevelyofywellness.yThey
incorrectyoptionsyfocusyonytheyclassicymedicalymodelyratherythanyrecovery.
DIF:yCognitiveyLevel:yApplicationy(Applying)yREF:y2y
TOP:yNursingyProcess:yOutcomesyIdentificationyMS
C:yNCLEX:yHealthyPromotionyandyMaintenance
2. Inytheyshift-changeyreport,yanyoff-
goingynurseycriticizesyaypatientywhoywearsyheavyymakeup.yWhichycommentybyytheyn
urseywhoyreceivesytheyreportybestydemonstratesyadvocacy?
a. Thisyisyaypsychiatricyhospital.yCrazinessyisywhatyweyareyallyabout.
b. Letsyallyshowyacceptanceyofythisypatientybyywearingylotsyofymakeupytoo.
c. Yourycommentsyareyinconsiderateyandyinappropriate.yKeepytheyreportyobjective.
d. Ourypatientsyneedyouryhelpytoylearnybehaviorsythatywillyhelpythemygetyalongyinysociety.y
ANS:yD
Acceptingypatientsyneedsyforyself-
expressionyandyseekingytoyteachyskillsythatywillycontributeytoytheirywell-
,beingydemonstrateyrespectyandyareyimportantypartsyofyadvocacy.yTheyon-
,comingynurseyneedsytoytakeyactionytoyensureythatyothersyareynotyprejudicedyagainstytheyp
atient.yHumorycanybeyappropriateywithinytheyprivacyyofyayshiftyreportybutynotyatytheyexp
enseyofyrespectyforypatients.yJudgingytheyoff-
goingynurseyinyaycriticalywayywillycreateyconflict.
Nursesymustyshowycompassionyforyeachyother.
DIF:yCognitiveyLevel:yApplicationy(Applying)yREF:y8
TOP:yNursingyProcess:yImplementationyMSC:yNCLEX:ySafe,yEffectiveyCareyEnvironment
3. Aynurseyassessesyaynewlyyadmittedypatientydiagnosedywithymajorydepressiveydisorder.y
Whichstatementyisyanyexampleyofyattending?
a. Weyallyhaveystressyinylife.yBeingyinyaypsychiatricyhospitalyisntytheyendyofytheyworld.
b. Tellymeywhyyyouyfeltyyouyhadytoybeyhospitalizedytoyreceiveytreatmentyforyyourydepression.
c. Youywillyfeelybetteryafteryweygetysomeyantidepressantymedicationystartedyforyyou.
d. Idylikeytoysitywithyyouyaywhileysoyyouymayyfeelymoreycomfortableytalkingywithyme.y
ANS:yD
Attendingyisyaytechniqueythatydemonstratesytheynursesycommitmentytoytheyrelationshipyandy
reducesyfeelingsyofyisolation.yThisytechniqueyshowsyrespectyforytheypatientyandydemonstrat
esycaring.yGeneralizations,yprobing,yandyfalseyreassurancesyareynon-therapeutic.
DIF:yCognitiveyLevel:yApplicationy(Applying)yREF:y8
TOP:yNursingyProcess:yImplementationyMSC:yNCLEX:yPsychosocialyIntegrity
4. Aypatientyisyhospitalizedyforydepressionyandysuicidalyideationyafterytheiryspouseyasksyforyay
divorce.ySelecttheynursesymostycaringycomment.
a. Letsydiscussysomeymeansyofycopingyotherythanysuicideywhenyyouyhaveytheseyfeelings.
b. Iyunderstandywhyyyoureysoydepressed.yWhenyIygotydivorced,yIywasydevastatedytoo.
c. Youyshouldyforgetyaboutyyourymarriageyandymoveyonywithyyourylife.
d. Howydidyyouygetysoydepressedythatyhospitalizationywasynecessary?
TestyBank:yEssentialsyofyPsychiatricyMentalyHealthyNursingy(5thyEditionybyyVarcarolis)y3y
ANS:yA
Theynursesycommunicationyshouldyevidenceycaringyandyaycommitmentytoyworkywithytheypat
ient.yThisycommitmentyletsytheypatientyknowytheynurseywillyhelp.yProbingyandyadviceyareynoty
helpfulyorytherapeuticyinterventions.
, DIF:yCognitiveyLevel:yApplicationy(Applying)yREF:y6
TOP:yNursingyProcess:yImplementationyMSC:yNCLEX:yPsychosocialyIntegrity
5. AypatientyshowsytheynurseyanyarticleyfromytheyInternetyaboutyayhealthyproblem.yWhichy
characteristicyofytheywebysitesyaddressymostyalertsytheynurseythatytheysiteymayyhaveybiasedy
andyprejudicedinformation?
a. Addressyendsyiny.org.
b. Addressyendsyiny.com.
c. Addressyendsyiny.gov.
d. Addressyendsyiny.net.
ANS:yB
Financialyinfluencesyonyaysiteyareyayclueythatytheyinformationymayybeybiased.y.comyatytheyendy
ofytheyaddressyindicatesythatytheysiteyisyaycommercialyone.y.govyindicatesythatytheysiteyisymai
ntainedybyyaygovernmentyentity.
.orgyindicatesythatytheysiteyisynonproprietary;ytheysiteymayyorymayynotyhaveyreliableyinfo
rmation,ybutyitydoesynotyprofityfromyitsyactivities.y.netycanyhaveymultipleymeanings.
DIF:yCognitiveyLevel:yComprehensiony(Understanding)yREF:y5
TOP:yNursingyProcess:yEvaluationyMSC:yNCLEX:yHealthyPromotionyandyMaintenance
6. Aynurseysays,yWhenyIywasyinyschool,yIylearnedytoycallyupsetypatientsybyynameytoygetytheiry
attention;yhowever,yIyreadyaydescriptiveyresearchystudyythatysaysythatythisyapproachydoesynoty
work.yIyplanytoystopycallingypatientsybyyname.yWhichystatementyisytheybestyappraisalyofythisy
nursesycomment?
a. Oneydescriptiveyresearchystudyyrarelyyprovidesyenoughyevidenceytoychangeypractice.
b. Staffynursesyapplyynewyresearchyfindingsyonlyywithytheyhelpyfromyclinicalynursey
specialists.
c. Newyresearchyfindingsyshouldybeyincorporatedyintoyclinicalyalgorithmsybeforeyusingythemy
inypractice.
d. Theynurseymisinterpretedytheyresultsyofytheystudy.yClassicytenetsyofypracticeydoynoty
change.
ANS:yA