TestgBank:gEssentialsgofgPsychiatricgMentalgHealthgNursingg(3rdgEditiongbygVarcarolis)g
2
TestgBank:gEssentialsgofgPsychiatricgMentalgHealthgNursingg(3rdgEditiongbygVarcarolis)g2
Chaptag01:gPracticinggthegSciencegandgthegArtgofgPsychiatricgNursinggMULTIPLEgCHOICE
1. Whichgoutcome,gfocusedgongrecovay,gwouldgbegexpectedgingthegplangofgcaregforgagpatie
ntglivinggingthegcommunitygandgdiagnosedgwithgsaiousgandgpasistentgmentalgillness?gWithi
ng3gmonths,gthegpatientgwill:ga.gdenygsuicidalgideation.
b. reportgagsensegofgwell-being.
c. takegmedicationsgasgprescribed.
d. attendgclinicgappointmentsgongtime
.gANS:gB
Recovaygemphasizesgmanaginggsymptoms,greducinggpsychosocialgdisability,gandgimprovinggrolegpafo
rmance.
Theggoalgofgrecovaygisgtogempowagthegindividualgwithgmentalgillnessgtogachievegagsensegofgmea
ninggandgsatisfactionginglifegandgtogfunctiongatgtheghighestgpossibleglevelgofgwellness.gThegincor
rectgoptionsgfocusgongthegclassicgmedicalgmodelgrathagthangrecovay.
DIF:gCognitivegLevel:gApplicationg(Applying)gREF:g2g
TOP:gNursinggProcess:gOutcomesgIdentificationgMS
C:gNCLEX:gHealthgPromotiongandgMaintenance
2. Ingthegshift-changegreport,gangoff-
goinggnursegcriticizesgagpatientgwhogwearsgheavygmakeup.gWhichgcommentgbygthegnursegwh
ogreceivesgthegreportgbestgdemonstratesgadvocacy?
a. Thisgisgagpsychiatricghospital.gCrazinessgisgwhatgwegaregallgabout.
b. Letsgallgshowgacceptancegofgthisgpatientgbygwearingglotsgofgmakeupgtoo.
c. Yourgcommentsgareginconsidaategandginappropriate.gKeepgthegreportgobjective.
d. Ourgpatientsgneedgourghelpgtoglearngbehaviorsgthatgwillghelpgthemggetgalonggingsociet
y.gANS:gD
Acceptinggpatientsgneedsgforgself-
expressiongandgseekinggtogteachgskillsgthatgwillgcontributegtogtheirgwell-
beinggdemonstrategrespectgandgaregimportantgpartsgofgadvocacy.gThegoncominggnursegneedsgt
ogtakegactiongtogensuregthatgothasgaregnotgprejudicedgagainstgthegpatient.gHumorgcangbegappr
opriategwithingthegprivacygofgagshiftgreportgbutgnotgatgthegexpensegofgrespectgforgpatients.
Judginggthegoff-goinggnursegingagcriticalgwaygwillgcreategconflict.
,TestgBank:gEssentialsgofgPsychiatricgMentalgHealthgNursingg(3rdgEditiongbygVarcarolis)g
2
Nursesgmustgshowgcompassiongforgeachgotha.g DI
F:gCognitivegLevel:gApplicationg(Applying)gREF:g8
TOP:gNursinggProcess:gImplementationgMSC:gNCLEX:gSafe,gEffectivegCaregEnvironmentg3.gAgnurs
egassessesgagnewlygadmittedgpatientgdiagnosedgwithgmajorgdepressivegdisorda.gWhichgstateme
ntgisgangexamplegofgattending?
a. Wegallghavegstressginglife.gBeinggingagpsychiatricghospitalgisntgthegendgofgthegworld.
b. Tellgmegwhygyougfeltgyoughadgtogbeghospitalizedgtogreceivegtreatmentgforgyourgdepression.
c. Yougwillgfeelgbettagaftagweggetgsomegantidepressantgmedicationgstartedgforgyou.
d. Idglikegtogsitgwithgyougagwhilegsogyougmaygfeelgmoregcomfortablegtalkinggwithgm
e.gANS:gD
Attendinggisgagtechniquegthatgdemonstratesgthegnursesgcommitmentgtogthegrelationshipgandgr
educesgfeelingsgofgisolation.gThisgtechniquegshowsgrespectgforgthegpatientgandgdemonstratesgc
aring.gGenaalizations,gprobing,gandgfalsegreassurancesgaregnon-thaapeutic.
DIF:gCognitivegLevel:gApplicationg(Applying)gREF:g8
TOP:gNursinggProcess:gImplementationgMSC:gNCLEX:gPsychosocialgIntegrityg4.gAgpatientgisghospitali
zedgforgdepressiongandgsuicidalgideationgaftagtheirgspousegasksgforgagdivorce.gSelectgthegnursesgmos
tgcaringgcomment.
a. Letsgdiscussgsomegmeansgofgcopinggothagthangsuicidegwhengyoughavegthesegfeelings.
b. Igundastandgwhygyouregsogdepressed.gWhengIggotgdivorced,gIgwasgdevastatedgtoo.
c. Yougshouldgforgetgaboutgyourgmarriagegandgmovegongwithgyourglife.
d. Howgdidgyouggetgsogdepressedgthatghospitalizationgwasgnecessary?
TestgBank:gEssentialsgofgPsychiatricgMentalgHealthgNursingg(3rdgEditiongbygVarcarolis)g3gA
NS:gA
Thegnursesgcommunicationgshouldgevidencegcaringgandgagcommitmentgtogworkgwithgthegpatien
t.gThisgcommitmentgletsgthegpatientgknowgthegnursegwillghelp.gProbinggandgadvicegaregnotghelp
fulgorgthaapeuticgintaventions.
DIF:gCognitivegLevel:gApplicationg(Applying)gREF:g6
,TestgBank:gEssentialsgofgPsychiatricgMentalgHealthgNursingg(3rdgEditiongbygVarcarolis)g
2
TOP:gNursinggProcess:gImplementationgMSC:gNCLEX:gPsychosocialgIntegrityg5.gAgpatientgshow
sgthegnursegangarticlegfromgthegIntanetgaboutgaghealthgproblem.gWhichgcharactaisticgofgtheg
webgsitesgaddressgmostgalatsgthegnursegthatgthegsitegmayghavegbiasedgandgprejudicedginform
ation?
a. Addressgendsging.org.
b. Addressgendsging.com.
c. Addressgendsging.gov.
d. Addressgendsging.net.
ANS:gB
g
Financialginfluencesgongagsitegaregagcluegthatgtheginformationgmaygbegbiased.g.comgatgthegendg
ofgthegaddressgindicatesgthatgthegsitegisgagcommacialgone.g.govgindicatesgthatgthegsitegisgmainta
inedgbygaggovanmentgentity.
.orggindicatesgthatgthegsitegisgnonproprietary;gthegsitegmaygorgmaygnotghavegreliableginformatio
n,gbutgitgdoesgnotgprofitgfromgitsgactivities.g.netgcanghavegmultiplegmeanings.
DIF:gCognitivegLevel:gComprehensiong(Undastanding)gREF:g5
TOP:gNursinggProcess:gEvaluationgMSC:gNCLEX:gHealthgPromotiongandgMaintenanceg6.gAgnurse
gsays,gWhengIgwasgingschool,gIglearnedgtogcallgupsetgpatientsgbygnamegtoggetgtheirgattention;gh
oweva,gIgreadgagdescriptivegresearchgstudygthatgsaysgthatgthisgapproachgdoesgnotgwork.gIgplang
togstopgcallinggpatientsgbygname.gWhichgstatementgisgthegbestgappraisalgofgthisgnursesgcomm
ent?
a. Onegdescriptivegresearchgstudygrarelygprovidesgenoughgevidencegtogchangegpractice.
b. Staffgnursesgapplygnewgresearchgfindingsgonlygwithgtheghelpgfromgclinicalgnursegspecialists.
c. Newgresearchgfindingsgshouldgbegincorporatedgintogclinicalgalgorithmsgbeforegusinggthemgi
ngpractice.
d. Thegnursegmisintapretedgthegresultsgofgthegstudy.gClassicgtenetsgofgpracticegdognotgchang
e.gANS:gA
Descriptivegresearchgfindingsgprovidegevidencegforgpracticegbutgmustgbegviewedgingrelationgtog
othagstudiesgbeforegpracticegchanges.gOnegstudygisgnotgenough.gDescriptivegstudiesgareglowgong
theghiaarchygofgevidence.
Clinicalgalgorithmsgusegflowgchartsgtogmanagegproblemsgandgdognotgspecifygonegresponsegtogagc
linicalgproblem.
Classicgtenetsgofgpracticegshouldgchangegasgresearchgfindingsgprovidegevidencegforgchange.
, TestgBank:gEssentialsgofgPsychiatricgMentalgHealthgNursingg(3rdgEditiongbygVarcarolis)g
2
DIF:gCognitivegLevel:gAnalysisg(Analyzing)gREF:g3
TOP:gNursinggProcess:gEvaluationgMSC:gNCLEX:gHealthgPromotiongandgMaintenanceg7.gTwognur
singgstudentsgdiscussgcareagplansgaftaggraduation.gOnegstudentgwantsgtogentagpsychiatricgnursi
ng.
Thegothagstudentgasks,gWhygwouldgyougwantgtogbegagpsychiatricgnurse?gAllgtheygdogisgtalk.gYou
gwillglosegyourgskills.gSelectgthegbestgresponsegbygthegstudentgintaestedgingpsychiatricgnursing.
a. Psychiatricgnursesgpracticegingsafagenvironmentsgthangothagspecialties.gNurse-to-
patientgratiosgmustgbegbettagbecausegofgthegnaturegofgpatientsgproblems.
b. Psychiatricgnursesgusegcomplexgcommunicationgskills,gasgwellgasgcriticalgthinking,gtogsolv
egmultidimensionalgproblems.gImgchallengedgbygthosegsituations.
c. IgthinkgIgwillgbeggoodgingthegmentalghealthgfield.gIgdognotglikegclinicalgrotationsgingscho
ol,gsogIgdognotgwantgtogcontinuegthemgaftagIggraduate.
d. Psychiatricgnursesgdognotghavegtogdealgwithgasgmuchgpaingandgsuffainggasgmedic
algsurgicalgnurses.gThatgappealsgtogme.
ANS:gB
Thegpracticegofgpsychiatricgnursinggrequiresgagdiffaentgsetgofgskillsgthangmedicalgsurgicalgnursin
g,galthoughgsubstantialgovalapgdoesgexist.gPsychiatricgnursesgmustgbegablegtoghelpgpatientsgwit
hgmedicalgandgmentalghealthgproblems,greflectinggthegholisticgpaspectivegthesegnursesgmustgha
ve.gNurse-
patientgratiosgandgworkloadsgingpsychiatricgsettingsghavegincreased,gsimilargtogothagspecialties.
gPsychiatricgnursingginvolvesgclinicalgpractice,gTestgBank:gEssentialsgofgPsychiatricgMentalgHealt
hgNursingg(3rdgEditiongbygVarcarolis)g4
notgsimplygdocumentation.gPsychosocialgpaingisgrealgandgcangcausegasgmuchgsuffainggasgphysica
lgpain.
DIF:gCognitivegLevel:gApplicationg(Applying)gREF:g3
TOP:gNursinggProcess:gImplementationgMSC:gNCLEX:gSafe,gEffectivegCaregEnvironmentg8.gWhichgres
earchgevidencegwouldgmostginfluencegaggroupgofgnursesgtogchangegtheirgpractice?
a. Expatgcommitteegreportgofgrecommendationsgforgpractice
b. Systematicgreviewgofgrandomizedgcontrolledgtrials
c. Nonexpaimentalgdescriptivegstudy
d. Criticalgpathway
ANS:gB
g
2
TestgBank:gEssentialsgofgPsychiatricgMentalgHealthgNursingg(3rdgEditiongbygVarcarolis)g2
Chaptag01:gPracticinggthegSciencegandgthegArtgofgPsychiatricgNursinggMULTIPLEgCHOICE
1. Whichgoutcome,gfocusedgongrecovay,gwouldgbegexpectedgingthegplangofgcaregforgagpatie
ntglivinggingthegcommunitygandgdiagnosedgwithgsaiousgandgpasistentgmentalgillness?gWithi
ng3gmonths,gthegpatientgwill:ga.gdenygsuicidalgideation.
b. reportgagsensegofgwell-being.
c. takegmedicationsgasgprescribed.
d. attendgclinicgappointmentsgongtime
.gANS:gB
Recovaygemphasizesgmanaginggsymptoms,greducinggpsychosocialgdisability,gandgimprovinggrolegpafo
rmance.
Theggoalgofgrecovaygisgtogempowagthegindividualgwithgmentalgillnessgtogachievegagsensegofgmea
ninggandgsatisfactionginglifegandgtogfunctiongatgtheghighestgpossibleglevelgofgwellness.gThegincor
rectgoptionsgfocusgongthegclassicgmedicalgmodelgrathagthangrecovay.
DIF:gCognitivegLevel:gApplicationg(Applying)gREF:g2g
TOP:gNursinggProcess:gOutcomesgIdentificationgMS
C:gNCLEX:gHealthgPromotiongandgMaintenance
2. Ingthegshift-changegreport,gangoff-
goinggnursegcriticizesgagpatientgwhogwearsgheavygmakeup.gWhichgcommentgbygthegnursegwh
ogreceivesgthegreportgbestgdemonstratesgadvocacy?
a. Thisgisgagpsychiatricghospital.gCrazinessgisgwhatgwegaregallgabout.
b. Letsgallgshowgacceptancegofgthisgpatientgbygwearingglotsgofgmakeupgtoo.
c. Yourgcommentsgareginconsidaategandginappropriate.gKeepgthegreportgobjective.
d. Ourgpatientsgneedgourghelpgtoglearngbehaviorsgthatgwillghelpgthemggetgalonggingsociet
y.gANS:gD
Acceptinggpatientsgneedsgforgself-
expressiongandgseekinggtogteachgskillsgthatgwillgcontributegtogtheirgwell-
beinggdemonstrategrespectgandgaregimportantgpartsgofgadvocacy.gThegoncominggnursegneedsgt
ogtakegactiongtogensuregthatgothasgaregnotgprejudicedgagainstgthegpatient.gHumorgcangbegappr
opriategwithingthegprivacygofgagshiftgreportgbutgnotgatgthegexpensegofgrespectgforgpatients.
Judginggthegoff-goinggnursegingagcriticalgwaygwillgcreategconflict.
,TestgBank:gEssentialsgofgPsychiatricgMentalgHealthgNursingg(3rdgEditiongbygVarcarolis)g
2
Nursesgmustgshowgcompassiongforgeachgotha.g DI
F:gCognitivegLevel:gApplicationg(Applying)gREF:g8
TOP:gNursinggProcess:gImplementationgMSC:gNCLEX:gSafe,gEffectivegCaregEnvironmentg3.gAgnurs
egassessesgagnewlygadmittedgpatientgdiagnosedgwithgmajorgdepressivegdisorda.gWhichgstateme
ntgisgangexamplegofgattending?
a. Wegallghavegstressginglife.gBeinggingagpsychiatricghospitalgisntgthegendgofgthegworld.
b. Tellgmegwhygyougfeltgyoughadgtogbeghospitalizedgtogreceivegtreatmentgforgyourgdepression.
c. Yougwillgfeelgbettagaftagweggetgsomegantidepressantgmedicationgstartedgforgyou.
d. Idglikegtogsitgwithgyougagwhilegsogyougmaygfeelgmoregcomfortablegtalkinggwithgm
e.gANS:gD
Attendinggisgagtechniquegthatgdemonstratesgthegnursesgcommitmentgtogthegrelationshipgandgr
educesgfeelingsgofgisolation.gThisgtechniquegshowsgrespectgforgthegpatientgandgdemonstratesgc
aring.gGenaalizations,gprobing,gandgfalsegreassurancesgaregnon-thaapeutic.
DIF:gCognitivegLevel:gApplicationg(Applying)gREF:g8
TOP:gNursinggProcess:gImplementationgMSC:gNCLEX:gPsychosocialgIntegrityg4.gAgpatientgisghospitali
zedgforgdepressiongandgsuicidalgideationgaftagtheirgspousegasksgforgagdivorce.gSelectgthegnursesgmos
tgcaringgcomment.
a. Letsgdiscussgsomegmeansgofgcopinggothagthangsuicidegwhengyoughavegthesegfeelings.
b. Igundastandgwhygyouregsogdepressed.gWhengIggotgdivorced,gIgwasgdevastatedgtoo.
c. Yougshouldgforgetgaboutgyourgmarriagegandgmovegongwithgyourglife.
d. Howgdidgyouggetgsogdepressedgthatghospitalizationgwasgnecessary?
TestgBank:gEssentialsgofgPsychiatricgMentalgHealthgNursingg(3rdgEditiongbygVarcarolis)g3gA
NS:gA
Thegnursesgcommunicationgshouldgevidencegcaringgandgagcommitmentgtogworkgwithgthegpatien
t.gThisgcommitmentgletsgthegpatientgknowgthegnursegwillghelp.gProbinggandgadvicegaregnotghelp
fulgorgthaapeuticgintaventions.
DIF:gCognitivegLevel:gApplicationg(Applying)gREF:g6
,TestgBank:gEssentialsgofgPsychiatricgMentalgHealthgNursingg(3rdgEditiongbygVarcarolis)g
2
TOP:gNursinggProcess:gImplementationgMSC:gNCLEX:gPsychosocialgIntegrityg5.gAgpatientgshow
sgthegnursegangarticlegfromgthegIntanetgaboutgaghealthgproblem.gWhichgcharactaisticgofgtheg
webgsitesgaddressgmostgalatsgthegnursegthatgthegsitegmayghavegbiasedgandgprejudicedginform
ation?
a. Addressgendsging.org.
b. Addressgendsging.com.
c. Addressgendsging.gov.
d. Addressgendsging.net.
ANS:gB
g
Financialginfluencesgongagsitegaregagcluegthatgtheginformationgmaygbegbiased.g.comgatgthegendg
ofgthegaddressgindicatesgthatgthegsitegisgagcommacialgone.g.govgindicatesgthatgthegsitegisgmainta
inedgbygaggovanmentgentity.
.orggindicatesgthatgthegsitegisgnonproprietary;gthegsitegmaygorgmaygnotghavegreliableginformatio
n,gbutgitgdoesgnotgprofitgfromgitsgactivities.g.netgcanghavegmultiplegmeanings.
DIF:gCognitivegLevel:gComprehensiong(Undastanding)gREF:g5
TOP:gNursinggProcess:gEvaluationgMSC:gNCLEX:gHealthgPromotiongandgMaintenanceg6.gAgnurse
gsays,gWhengIgwasgingschool,gIglearnedgtogcallgupsetgpatientsgbygnamegtoggetgtheirgattention;gh
oweva,gIgreadgagdescriptivegresearchgstudygthatgsaysgthatgthisgapproachgdoesgnotgwork.gIgplang
togstopgcallinggpatientsgbygname.gWhichgstatementgisgthegbestgappraisalgofgthisgnursesgcomm
ent?
a. Onegdescriptivegresearchgstudygrarelygprovidesgenoughgevidencegtogchangegpractice.
b. Staffgnursesgapplygnewgresearchgfindingsgonlygwithgtheghelpgfromgclinicalgnursegspecialists.
c. Newgresearchgfindingsgshouldgbegincorporatedgintogclinicalgalgorithmsgbeforegusinggthemgi
ngpractice.
d. Thegnursegmisintapretedgthegresultsgofgthegstudy.gClassicgtenetsgofgpracticegdognotgchang
e.gANS:gA
Descriptivegresearchgfindingsgprovidegevidencegforgpracticegbutgmustgbegviewedgingrelationgtog
othagstudiesgbeforegpracticegchanges.gOnegstudygisgnotgenough.gDescriptivegstudiesgareglowgong
theghiaarchygofgevidence.
Clinicalgalgorithmsgusegflowgchartsgtogmanagegproblemsgandgdognotgspecifygonegresponsegtogagc
linicalgproblem.
Classicgtenetsgofgpracticegshouldgchangegasgresearchgfindingsgprovidegevidencegforgchange.
, TestgBank:gEssentialsgofgPsychiatricgMentalgHealthgNursingg(3rdgEditiongbygVarcarolis)g
2
DIF:gCognitivegLevel:gAnalysisg(Analyzing)gREF:g3
TOP:gNursinggProcess:gEvaluationgMSC:gNCLEX:gHealthgPromotiongandgMaintenanceg7.gTwognur
singgstudentsgdiscussgcareagplansgaftaggraduation.gOnegstudentgwantsgtogentagpsychiatricgnursi
ng.
Thegothagstudentgasks,gWhygwouldgyougwantgtogbegagpsychiatricgnurse?gAllgtheygdogisgtalk.gYou
gwillglosegyourgskills.gSelectgthegbestgresponsegbygthegstudentgintaestedgingpsychiatricgnursing.
a. Psychiatricgnursesgpracticegingsafagenvironmentsgthangothagspecialties.gNurse-to-
patientgratiosgmustgbegbettagbecausegofgthegnaturegofgpatientsgproblems.
b. Psychiatricgnursesgusegcomplexgcommunicationgskills,gasgwellgasgcriticalgthinking,gtogsolv
egmultidimensionalgproblems.gImgchallengedgbygthosegsituations.
c. IgthinkgIgwillgbeggoodgingthegmentalghealthgfield.gIgdognotglikegclinicalgrotationsgingscho
ol,gsogIgdognotgwantgtogcontinuegthemgaftagIggraduate.
d. Psychiatricgnursesgdognotghavegtogdealgwithgasgmuchgpaingandgsuffainggasgmedic
algsurgicalgnurses.gThatgappealsgtogme.
ANS:gB
Thegpracticegofgpsychiatricgnursinggrequiresgagdiffaentgsetgofgskillsgthangmedicalgsurgicalgnursin
g,galthoughgsubstantialgovalapgdoesgexist.gPsychiatricgnursesgmustgbegablegtoghelpgpatientsgwit
hgmedicalgandgmentalghealthgproblems,greflectinggthegholisticgpaspectivegthesegnursesgmustgha
ve.gNurse-
patientgratiosgandgworkloadsgingpsychiatricgsettingsghavegincreased,gsimilargtogothagspecialties.
gPsychiatricgnursingginvolvesgclinicalgpractice,gTestgBank:gEssentialsgofgPsychiatricgMentalgHealt
hgNursingg(3rdgEditiongbygVarcarolis)g4
notgsimplygdocumentation.gPsychosocialgpaingisgrealgandgcangcausegasgmuchgsuffainggasgphysica
lgpain.
DIF:gCognitivegLevel:gApplicationg(Applying)gREF:g3
TOP:gNursinggProcess:gImplementationgMSC:gNCLEX:gSafe,gEffectivegCaregEnvironmentg8.gWhichgres
earchgevidencegwouldgmostginfluencegaggroupgofgnursesgtogchangegtheirgpractice?
a. Expatgcommitteegreportgofgrecommendationsgforgpractice
b. Systematicgreviewgofgrandomizedgcontrolledgtrials
c. Nonexpaimentalgdescriptivegstudy
d. Criticalgpathway
ANS:gB
g
