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TestjBank:jEssentialsjofjPsychiatricjMentaljHealthjNursingj(3rdjEditionjbyjVarcarolis)j2
Chapterj01:jPracticingjthejSciencejandjthejArtjofjPsychiatricjNursingjMULTIPLEjCHOICE
1. Whichjoutcome,jfocusedjonjrecovery,jwouldjbejexpectedjinjthejplanjofjcarejforjajpatientjlivi
ngjinjthejcommunityjandjdiagnosedjwithjseriousjandjpersistentjmentaljillness?jWithinj3jmonth
s,jthejpatientjwill:ja.jdenyjsuicidaljideation.
b. reportjajsensejofjwell-being.
c. takejmedicationsjasjprescribed.
d. attendjclinicjappointmentsjonjtime.
ANS:jB
Recoveryjemphasizesjmanagingjsymptoms,jreducingjpsychosocialjdisability,jandjimprovingjro
lejperformance.
Thejgoaljofjrecoveryjisjtojempowerjthejindividualjwithjmentaljillnessjtojachievejajsensejofjmea
ningjandjsatisfactionjinjlifejandjtojfunctionjatjthejhighestjpossiblejleveljofjwellness.jThejincorrec
tjoptionsjfocusjonjthejclassicjmedicaljmodeljratherjthanjrecovery.
DIF:jCognitivejLevel:jApplicationj(Applying)jREF:j2jT
OP:jNursingjProcess:jOutcomesjIdentificationjMSC:jN
CLEX:jHealthjPromotionjandjMaintenance
2. Injthejshift-changejreport,janjoff-
goingjnursejcriticizesjajpatientjwhojwearsjheavyjmakeup.jWhichjcommentjbyjthejnurse
jwhojreceivesjthejreportjbestjdemonstratesjadvocacy?
a. Thisjisjajpsychiatricjhospital.jCrazinessjisjwhatjwejarejalljabout.
b. Letsjalljshowjacceptancejofjthisjpatientjbyjwearingjlotsjofjmakeupjtoo.
c. Yourjcommentsjarejinconsideratejandjinappropriate.jKeepjthejreportjobjective.
Test Bank: Essentials of Psychiatric Mental Health Nur
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d. Ourjpatientsjneedjourjhelpjtojlearnjbehaviorsjthatjwilljhelpjthemjgetjalongjinsociety.jAN
S:jD
Acceptingjpatientsjneedsjforjself-
expressionjandjseekingjtojteachjskillsjthatjwilljcontributejtojtheirjwell-
beingjdemonstratejrespectjandjarejimportantjpartsjofjadvocacy.jThejon-
jcomingjnursejneedsjtojtakejactionjtojensurejthatjothersjarejnotjprejudicedjagainstjthejpatient.j
Humorjcanjbejappropriatejwithinjthejprivacyjofjajshiftjreportjbutjnotjatjthejexpensejofjrespectj
forjpatients.jJudgingjthejoff-goingjnursejinjajcriticaljwayjwilljcreatejconflict.
Nursesjmustjshowjcompassionjforjeachjother.
DIF:jCognitivejLevel:jApplicationj(Applying)jREF:j8
TOP:jNursingjProcess:jImplementationjMSC:jNCLEX:jSafe,jEffectivejCarejEnvironmentj3.jAjnur
sejassessesjajnewlyjadmittedjpatientjdiagnosedjwithjmajorjdepressivejdisorder.jWhichjstatem
entjisjanjexamplejofjattending?
a. Wejalljhavejstressjinjlife.jBeingjinjajpsychiatricjhospitaljisntjthejendjofjthejworld.
b. Telljmejwhyjyoujfeltjyoujhadjtojbejhospitalizedjtojreceivejtreatmentjforjyourdepression.
c. Youjwilljfeeljbetterjafterjwejgetjsomejantidepressantjmedicationjstartedjforjyou.
d. Idjlikejtojsitjwithjyoujajwhilejsojyoujmayjfeeljmorejcomfortablejtalkingjwithjme.
ANS:jD
Attendingjisjajtechniquejthatjdemonstratesjthejnursesjcommitmentjtojthejrelationshipjandjred
ucesjfeelingsjofjisolation.jThisjtechniquejshowsjrespectjforjthejpatientjandjdemonstratesjcarin
g.jGeneralizations,jprobing,jandjfalsejreassurancesjarejnon-therapeutic.
DIF:jCognitivejLevel:jApplicationj(Applying)jREF:j8
TOP:jNursingjProcess:jImplementationjMSC:jNCLEX:jPsychosocialjIntegrityj4.jAjpatientjisjhosp
italizedjforjdepressionjandjsuicidaljideationjafterjtheirjspousejasksjforjajdivorce.
Selectjthejnursesjmostjcaringjcomment.
a. Letsjdiscussjsomejmeansjofjcopingjotherjthanjsuicidejwhenjyoujhavejthesejfeelings.
b. Ijunderstandjwhyjyourejsojdepressed.jWhenjIjgotjdivorced,jIjwasjdevastatedjtoo.
Test Bank: Essentials of Psychiatric Mental Health Nur
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c. Youjshouldjforgetjaboutjyourjmarriagejandjmovejonjwithjyourlife.
d. Howjdidjyoujgetjsojdepressedjthatjhospitalizationjwasnecessary?
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