Test Bank Essentials of Psychiatric Mental Health Nursing 28CHAPTERS (3rd Edition by Varcarolis) 1 Graded A+

Test Bank: Essentials of Psychiatric Mental He
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alth Nursing 27CHAPTERS (3rd Edition byVarc
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arolis) 1 Graded A+
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,Test Bank: Essentials of Psychiatric Mental Health Nur
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Test Bank: Essentials of Psychiatric Mental Health Nursing (3rd Edition by Varcarolis) 2
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Chapter 01: Practicing the Science and the Art of Psychiatric Nursing MULTIPLECHOIC
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E

1. Which outcome, focused on recovery, would be expected in the plan of care for a patient li
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ving in the community and diagnosed with serious and persistent mental illness? Within 3m
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onths, the patient will: a. deny suicidal ideation.
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b. report a sense of well-being. u u u u




c. take medications as prescribed.
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d. attend clinic appointments on time. u u u u




ANS: B u




Recovery emphasizes managing symptoms, reducing psychosocial disability, and improvingr
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ole performance.
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The goal of recovery is to empower the individual with mental illness to achieve a sense of
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meaning and satisfaction in life and to function at the highest possible level of wellness. Thei
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ncorrect options focus on the classic medical model rather than recovery.
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DIF: Cognitive Level: Application (Applying) REF: 2T
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OP: Nursing Process: Outcomes Identification MSC:
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NCLEX: Health Promotion and Maintenance
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2. In the shift-change report, an off-
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going nurse criticizes a patient who wears heavymakeup. Which comment by the nur
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se who receives the report best demonstrates advocacy?
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a. This is a psychiatric hospital. Craziness is what we are all about.
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b. Lets all show acceptance of this patient by wearing lots of makeup too.
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c. Your comments are inconsiderate and inappropriate. Keep the report objective.
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Test Bank: Essentials of Psychiatric Mental Health Nur
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sing 28CHAPTERS (3rd Edition by Varcarolis) 1Graded A
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,Test Bank: Essentials of Psychiatric Mental Health Nur
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sing 28CHAPTERS (3rd Edition by Varcarolis) 1Graded A
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d. Our patients need our help to learn behaviors that will help them get along insociety.A
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NS: D u




Accepting patients needs for self- u u u u


expression and seeking to teach skills that will contributeto their well-
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being demonstrate respect and are important parts of advocacy. The on-
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coming nurse needs to take action to ensure that others are not prejudiced against the patie
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nt. Humor can be appropriate within the privacy of a shift report but not at the expense of re
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spect for patients. Judging the off-going nurse in a critical way will create conflict.
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Nurses must show compassion for each other.
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DIF: Cognitive Level: Application (Applying) REF: 8
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TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment 3. A n
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urse assesses a newly admitted patient diagnosed with major depressive disorder. Which st
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atement is an example of attending? u u u u u




a. We all have stress in life. Being in a psychiatric hospital isnt the end of the world.
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b. Tell me why you felt you had to be hospitalized to receive treatment for yourdepression.
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c. You will feel better after we get some antidepressant medication started for you.
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d. Id like to sit with you a while so you may feel more comfortable talking with me.
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ANS: D u




Attending is a technique that demonstrates the nurses commitment to the relationship and r
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educes feelings of isolation. This technique shows respect for the patient and demonstrates
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caring. Generalizations, probing, and false reassurances are non-therapeutic.
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DIF: Cognitive Level: Application (Applying) REF: 8
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TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity 4. A patient ishos
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pitalized for depression and suicidal ideation after their spouse asks for a divorce.
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Select the nurses most caring comment.
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a. Lets discuss some means of coping other than suicide when you have these feelings.
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b. I understand why youre so depressed. When I got divorced, I was devastated too.
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Test Bank: Essentials of Psychiatric Mental Health Nur
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sing 28CHAPTERS (3rd Edition by Varcarolis) 1Graded A
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, Test Bank: Essentials of Psychiatric Mental Health Nur
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sing 28CHAPTERS (3rd Edition by Varcarolis) 1Graded A
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c. You should forget about your marriage and move on with yourlife.
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d. How did you get so depressed that hospitalization wasnecessary?
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Test Bank: Essentials of Psychiatric Mental Health Nur
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sing 28CHAPTERS (3rd Edition by Varcarolis) 1Graded A
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