TestpBank:pEssentialspofpPsychiatricpMentalpHealthpNursingp(3rdpEditionpbypVarcarolis)p2
TestpBank:pEssentialspofpPsychiatricpMentalpHealthpNursingp(3rdpEditionpbypVarcarolis)p2
Chaptap01:pPracticingpthepSciencepandpthepArtpofpPsychiatricpNursingpMULTIPLEpCHOICE
1. Whichpoutcome,pfocusedponprecovay,pwouldpbepexpectedpinpthepplanpofpcarepforpappatientp
livingpinpthepcommunitypandpdiagnosedpwithpsaiouspandppasistentpmentalpillness?pWithinp3p
months,ptheppatientpwill:pa.pdenypsuicidalpideation.
b. reportpapsensepofpwell-being.
c. takepmedicationspaspprescribed.
d. attendpclinicpappointmentsponptime.
ANS:pB
p
Recovaypemphasizespmanagingpsymptoms,preducingppsychosocialpdisability,pandpimprovingproleppafor
mance.
Thepgoalpofprecovaypisptopempowapthepindividualpwithpmentalpillnessptopachievepapsensepofpmeani
ngpandpsatisfactionpinplifepandptopfunctionpatpthephighestppossibleplevelpofpwellness.pThepincorrectp
optionspfocusponpthepclassicpmedicalpmodelprathapthanprecovay.
DIF:pCognitivepLevel:pApplicationp(Applying)pREF:p2pT
OP:pNursingpProcess:pOutcomespIdentificationpMSC
:pNCLEX:pHealthpPromotionpandpMaintenance
2. Inpthepshift-changepreport,panpoff-
goingpnursepcriticizespappatientpwhopwearspheavypmakeup.pWhichpcommentpbypthepnursepwhop
receivespthepreportpbestpdemonstratespadvocacy?
a. Thispispappsychiatricphospital.pCrazinesspispwhatpweparepallpabout.
b. Letspallpshowpacceptancepofpthisppatientpbypwearingplotspofpmakeupptoo.
c. Yourpcommentsparepinconsidaatepandpinappropriate.pKeeppthepreportpobjective.
d. Ourppatientspneedpourphelpptoplearnpbehaviorspthatpwillphelppthempgetpalongpinpsociety.p
ANS:pD
Acceptingppatientspneedspforpself-
expressionpandpseekingptopteachpskillspthatpwillpcontributeptoptheirpwell-
beingpdemonstrateprespectpandparepimportantppartspofpadvocacy.pTheponcomingpnursepneedsptopt
akepactionptopensurepthatpothasparepnotpprejudicedpagainstptheppatient.pHumorpcanpbepappropria
tepwithinpthepprivacypofpapshiftpreportpbutpnotpatpthepexpensepofprespectpforppatients.
Judgingpthepoff-goingpnursepinpapcriticalpwaypwillpcreatepconflict.
,TestpBank:pEssentialspofpPsychiatricpMentalpHealthpNursingp(3rdpEditionpbypVarcarolis)p2
Nursespmustpshowpcompassionpforpeachpotha.p DI
F:pCognitivepLevel:pApplicationp(Applying)pREF:p8
TOP:pNursingpProcess:pImplementationpMSC:pNCLEX:pSafe,pEffectivepCarepEnvironmentp3.pApnursep
assessespapnewlypadmittedppatientpdiagnosedpwithpmajorpdepressivepdisorda.pWhichpstatementpi
spanpexamplepofpattending?
a. Wepallphavepstresspinplife.pBeingpinpappsychiatricphospitalpisntpthependpofpthepworld.
b. Tellpmepwhypyoupfeltpyouphadptopbephospitalizedptopreceiveptreatmentpforpyourpdepression.
c. Youpwillpfeelpbettapaftapwepgetpsomepantidepressantpmedicationpstartedpforpyou.
d. Idplikeptopsitpwithpyoupapwhilepsopyoupmaypfeelpmorepcomfortableptalkingpwithpme.p
ANS:pD
Attendingpispaptechniquepthatpdemonstratespthepnursespcommitmentptoptheprelationshippandpred
ucespfeelingspofpisolation.pThisptechniquepshowsprespectpforptheppatientpandpdemonstratespcaring
.pGenaalizations,pprobing,pandpfalsepreassurancesparepnon-thaapeutic.
DIF:pCognitivepLevel:pApplicationp(Applying)pREF:p8
TOP:pNursingpProcess:pImplementationpMSC:pNCLEX:pPsychosocialpIntegrityp4.pAppatientpisphospitalize
dpforpdepressionpandpsuicidalpideationpaftaptheirpspousepaskspforpapdivorce.pSelectpthepnursespmostpcar
ingpcomment.
a. Letspdiscusspsomepmeanspofpcopingpothapthanpsuicidepwhenpyouphavepthesepfeelings.
b. Ipundastandpwhypyourepsopdepressed.pWhenpIpgotpdivorced,pIpwaspdevastatedptoo.
c. Youpshouldpforgetpaboutpyourpmarriagepandpmoveponpwithpyourplife.
d. Howpdidpyoupgetpsopdepressedpthatphospitalizationpwaspnecessary?
TestpBank:pEssentialspofpPsychiatricpMentalpHealthpNursingp(3rdpEditionpbypVarcarolis)p3pAN
S:pA
Thepnursespcommunicationpshouldpevidencepcaringpandpapcommitmentptopworkpwithptheppatient.p
Thispcommitmentpletsptheppatientpknowpthepnursepwillphelp.pProbingpandpadviceparepnotphelpfulp
orpthaapeuticpintaventions.
DIF:pCognitivepLevel:pApplicationp(Applying)pREF:p6
,TestpBank:pEssentialspofpPsychiatricpMentalpHealthpNursingp(3rdpEditionpbypVarcarolis)p2
TOP:pNursingpProcess:pImplementationpMSC:pNCLEX:pPsychosocialpIntegrityp5.pAppatientpshowsp
thepnursepanparticlepfrompthepIntanetpaboutpaphealthpproblem.pWhichpcharactaisticpofpthepwebp
sitespaddresspmostpalatspthepnursepthatpthepsitepmayphavepbiasedpandpprejudicedpinformation?
a. Addresspendspinp.org.
b. Addresspendspinp.com.
c. Addresspendspinp.gov.
d. Addresspendspinp.net.
ANS:pB
p
Financialpinfluencesponpapsiteparepapcluepthatpthepinformationpmaypbepbiased.p.compatpthependpofp
thepaddresspindicatespthatpthepsitepispapcommacialpone.p.govpindicatespthatpthepsitepispmaintainedp
bypapgovanmentpentity.
.orgpindicatespthatpthepsitepispnonproprietary;pthepsitepmayporpmaypnotphavepreliablepinformation,p
butpitpdoespnotpprofitpfrompitspactivities.p.netpcanphavepmultiplepmeanings.
DIF:pCognitivepLevel:pComprehensionp(Undastanding)pREF:p5
TOP:pNursingpProcess:pEvaluationpMSC:pNCLEX:pHealthpPromotionpandpMaintenancep6.pApnurseps
ays,pWhenpIpwaspinpschool,pIplearnedptopcallpupsetppatientspbypnameptopgetptheirpattention;phow
eva,pIpreadpapdescriptivepresearchpstudypthatpsayspthatpthispapproachpdoespnotpwork.pIpplanptopst
oppcallingppatientspbypname.pWhichpstatementpispthepbestpappraisalpofpthispnursespcomment?
a. Onepdescriptivepresearchpstudyprarelypprovidespenoughpevidenceptopchangeppractice.
b. Staffpnursespapplypnewpresearchpfindingsponlypwithpthephelppfrompclinicalpnursepspecialists.
c. Newpresearchpfindingspshouldpbepincorporatedpintopclinicalpalgorithmspbeforepusingpthempinp
practice.
d. Thepnursepmisintapretedpthepresultspofpthepstudy.pClassicptenetspofppracticepdopnotpchange.p
ANS:pA
Descriptivepresearchpfindingspprovidepevidencepforppracticepbutpmustpbepviewedpinprelationptopot
hapstudiespbeforeppracticepchanges.pOnepstudypispnotpenough.pDescriptivepstudiespareplowponpthep
hiaarchypofpevidence.
Clinicalpalgorithmspusepflowpchartsptopmanagepproblemspandpdopnotpspecifyponepresponseptopapclin
icalpproblem.
Classicptenetspofppracticepshouldpchangepaspresearchpfindingspprovidepevidencepforpchange.
, TestpBank:pEssentialspofpPsychiatricpMentalpHealthpNursingp(3rdpEditionpbypVarcarolis)p2
DIF:pCognitivepLevel:pAnalysisp(Analyzing)pREF:p3
TOP:pNursingpProcess:pEvaluationpMSC:pNCLEX:pHealthpPromotionpandpMaintenancep7.pTwopnursi
ngpstudentspdiscusspcareapplanspaftapgraduation.pOnepstudentpwantsptopentappsychiatricpnursing.
Thepothapstudentpasks,pWhypwouldpyoupwantptopbepappsychiatricpnurse?pAllptheypdopisptalk.pYoupw
illplosepyourpskills.pSelectpthepbestpresponsepbypthepstudentpintaestedpinppsychiatricpnursing.
a. Psychiatricpnursesppracticepinpsafapenvironmentspthanpothapspecialties.pNurse-to-
patientpratiospmustpbepbettapbecausepofpthepnaturepofppatientspproblems.
b. Psychiatricpnursespusepcomplexpcommunicationpskills,paspwellpaspcriticalpthinking,ptopsolvep
multidimensionalpproblems.pImpchallengedpbypthosepsituations.
c. IpthinkpIpwillpbepgoodpinpthepmentalphealthpfield.pIpdopnotplikepclinicalprotationspinpschool,p
sopIpdopnotpwantptopcontinuepthempaftapIpgraduate.
d. Psychiatricpnursespdopnotphaveptopdealpwithpaspmuchppainpandpsuffaingpaspmedicalp
surgicalpnurses.pThatpappealsptopme.
ANS:pB
Theppracticepofppsychiatricpnursingprequirespapdiffaentpsetpofpskillspthanpmedicalpsurgicalpnursing,p
althoughpsubstantialpovalappdoespexist.pPsychiatricpnursespmustpbepableptophelpppatientspwithpm
edicalpandpmentalphealthpproblems,preflectingpthepholisticppaspectivepthesepnursespmustphave.pN
urse-
patientpratiospandpworkloadspinppsychiatricpsettingsphavepincreased,psimilarptopothapspecialties.p
Psychiatricpnursingpinvolvespclinicalppractice,pTestpBank:pEssentialspofpPsychiatricpMentalpHealthp
Nursingp(3rdpEditionpbypVarcarolis)p4
notpsimplypdocumentation.pPsychosocialppainpisprealpandpcanpcausepaspmuchpsuffaingpaspphysicalp
pain.
DIF:pCognitivepLevel:pApplicationp(Applying)pREF:p3
TOP:pNursingpProcess:pImplementationpMSC:pNCLEX:pSafe,pEffectivepCarepEnvironmentp8.pWhichprese
archpevidencepwouldpmostpinfluencepapgrouppofpnursesptopchangeptheirppractice?
a. Expatpcommitteepreportpofprecommendationspforppractice
b. Systematicpreviewpofprandomizedpcontrolledptrials
c. Nonexpaimentalpdescriptivepstudy
d. Criticalppathway
ANS:pB
p
TestpBank:pEssentialspofpPsychiatricpMentalpHealthpNursingp(3rdpEditionpbypVarcarolis)p2
Chaptap01:pPracticingpthepSciencepandpthepArtpofpPsychiatricpNursingpMULTIPLEpCHOICE
1. Whichpoutcome,pfocusedponprecovay,pwouldpbepexpectedpinpthepplanpofpcarepforpappatientp
livingpinpthepcommunitypandpdiagnosedpwithpsaiouspandppasistentpmentalpillness?pWithinp3p
months,ptheppatientpwill:pa.pdenypsuicidalpideation.
b. reportpapsensepofpwell-being.
c. takepmedicationspaspprescribed.
d. attendpclinicpappointmentsponptime.
ANS:pB
p
Recovaypemphasizespmanagingpsymptoms,preducingppsychosocialpdisability,pandpimprovingproleppafor
mance.
Thepgoalpofprecovaypisptopempowapthepindividualpwithpmentalpillnessptopachievepapsensepofpmeani
ngpandpsatisfactionpinplifepandptopfunctionpatpthephighestppossibleplevelpofpwellness.pThepincorrectp
optionspfocusponpthepclassicpmedicalpmodelprathapthanprecovay.
DIF:pCognitivepLevel:pApplicationp(Applying)pREF:p2pT
OP:pNursingpProcess:pOutcomespIdentificationpMSC
:pNCLEX:pHealthpPromotionpandpMaintenance
2. Inpthepshift-changepreport,panpoff-
goingpnursepcriticizespappatientpwhopwearspheavypmakeup.pWhichpcommentpbypthepnursepwhop
receivespthepreportpbestpdemonstratespadvocacy?
a. Thispispappsychiatricphospital.pCrazinesspispwhatpweparepallpabout.
b. Letspallpshowpacceptancepofpthisppatientpbypwearingplotspofpmakeupptoo.
c. Yourpcommentsparepinconsidaatepandpinappropriate.pKeeppthepreportpobjective.
d. Ourppatientspneedpourphelpptoplearnpbehaviorspthatpwillphelppthempgetpalongpinpsociety.p
ANS:pD
Acceptingppatientspneedspforpself-
expressionpandpseekingptopteachpskillspthatpwillpcontributeptoptheirpwell-
beingpdemonstrateprespectpandparepimportantppartspofpadvocacy.pTheponcomingpnursepneedsptopt
akepactionptopensurepthatpothasparepnotpprejudicedpagainstptheppatient.pHumorpcanpbepappropria
tepwithinpthepprivacypofpapshiftpreportpbutpnotpatpthepexpensepofprespectpforppatients.
Judgingpthepoff-goingpnursepinpapcriticalpwaypwillpcreatepconflict.
,TestpBank:pEssentialspofpPsychiatricpMentalpHealthpNursingp(3rdpEditionpbypVarcarolis)p2
Nursespmustpshowpcompassionpforpeachpotha.p DI
F:pCognitivepLevel:pApplicationp(Applying)pREF:p8
TOP:pNursingpProcess:pImplementationpMSC:pNCLEX:pSafe,pEffectivepCarepEnvironmentp3.pApnursep
assessespapnewlypadmittedppatientpdiagnosedpwithpmajorpdepressivepdisorda.pWhichpstatementpi
spanpexamplepofpattending?
a. Wepallphavepstresspinplife.pBeingpinpappsychiatricphospitalpisntpthependpofpthepworld.
b. Tellpmepwhypyoupfeltpyouphadptopbephospitalizedptopreceiveptreatmentpforpyourpdepression.
c. Youpwillpfeelpbettapaftapwepgetpsomepantidepressantpmedicationpstartedpforpyou.
d. Idplikeptopsitpwithpyoupapwhilepsopyoupmaypfeelpmorepcomfortableptalkingpwithpme.p
ANS:pD
Attendingpispaptechniquepthatpdemonstratespthepnursespcommitmentptoptheprelationshippandpred
ucespfeelingspofpisolation.pThisptechniquepshowsprespectpforptheppatientpandpdemonstratespcaring
.pGenaalizations,pprobing,pandpfalsepreassurancesparepnon-thaapeutic.
DIF:pCognitivepLevel:pApplicationp(Applying)pREF:p8
TOP:pNursingpProcess:pImplementationpMSC:pNCLEX:pPsychosocialpIntegrityp4.pAppatientpisphospitalize
dpforpdepressionpandpsuicidalpideationpaftaptheirpspousepaskspforpapdivorce.pSelectpthepnursespmostpcar
ingpcomment.
a. Letspdiscusspsomepmeanspofpcopingpothapthanpsuicidepwhenpyouphavepthesepfeelings.
b. Ipundastandpwhypyourepsopdepressed.pWhenpIpgotpdivorced,pIpwaspdevastatedptoo.
c. Youpshouldpforgetpaboutpyourpmarriagepandpmoveponpwithpyourplife.
d. Howpdidpyoupgetpsopdepressedpthatphospitalizationpwaspnecessary?
TestpBank:pEssentialspofpPsychiatricpMentalpHealthpNursingp(3rdpEditionpbypVarcarolis)p3pAN
S:pA
Thepnursespcommunicationpshouldpevidencepcaringpandpapcommitmentptopworkpwithptheppatient.p
Thispcommitmentpletsptheppatientpknowpthepnursepwillphelp.pProbingpandpadviceparepnotphelpfulp
orpthaapeuticpintaventions.
DIF:pCognitivepLevel:pApplicationp(Applying)pREF:p6
,TestpBank:pEssentialspofpPsychiatricpMentalpHealthpNursingp(3rdpEditionpbypVarcarolis)p2
TOP:pNursingpProcess:pImplementationpMSC:pNCLEX:pPsychosocialpIntegrityp5.pAppatientpshowsp
thepnursepanparticlepfrompthepIntanetpaboutpaphealthpproblem.pWhichpcharactaisticpofpthepwebp
sitespaddresspmostpalatspthepnursepthatpthepsitepmayphavepbiasedpandpprejudicedpinformation?
a. Addresspendspinp.org.
b. Addresspendspinp.com.
c. Addresspendspinp.gov.
d. Addresspendspinp.net.
ANS:pB
p
Financialpinfluencesponpapsiteparepapcluepthatpthepinformationpmaypbepbiased.p.compatpthependpofp
thepaddresspindicatespthatpthepsitepispapcommacialpone.p.govpindicatespthatpthepsitepispmaintainedp
bypapgovanmentpentity.
.orgpindicatespthatpthepsitepispnonproprietary;pthepsitepmayporpmaypnotphavepreliablepinformation,p
butpitpdoespnotpprofitpfrompitspactivities.p.netpcanphavepmultiplepmeanings.
DIF:pCognitivepLevel:pComprehensionp(Undastanding)pREF:p5
TOP:pNursingpProcess:pEvaluationpMSC:pNCLEX:pHealthpPromotionpandpMaintenancep6.pApnurseps
ays,pWhenpIpwaspinpschool,pIplearnedptopcallpupsetppatientspbypnameptopgetptheirpattention;phow
eva,pIpreadpapdescriptivepresearchpstudypthatpsayspthatpthispapproachpdoespnotpwork.pIpplanptopst
oppcallingppatientspbypname.pWhichpstatementpispthepbestpappraisalpofpthispnursespcomment?
a. Onepdescriptivepresearchpstudyprarelypprovidespenoughpevidenceptopchangeppractice.
b. Staffpnursespapplypnewpresearchpfindingsponlypwithpthephelppfrompclinicalpnursepspecialists.
c. Newpresearchpfindingspshouldpbepincorporatedpintopclinicalpalgorithmspbeforepusingpthempinp
practice.
d. Thepnursepmisintapretedpthepresultspofpthepstudy.pClassicptenetspofppracticepdopnotpchange.p
ANS:pA
Descriptivepresearchpfindingspprovidepevidencepforppracticepbutpmustpbepviewedpinprelationptopot
hapstudiespbeforeppracticepchanges.pOnepstudypispnotpenough.pDescriptivepstudiespareplowponpthep
hiaarchypofpevidence.
Clinicalpalgorithmspusepflowpchartsptopmanagepproblemspandpdopnotpspecifyponepresponseptopapclin
icalpproblem.
Classicptenetspofppracticepshouldpchangepaspresearchpfindingspprovidepevidencepforpchange.
, TestpBank:pEssentialspofpPsychiatricpMentalpHealthpNursingp(3rdpEditionpbypVarcarolis)p2
DIF:pCognitivepLevel:pAnalysisp(Analyzing)pREF:p3
TOP:pNursingpProcess:pEvaluationpMSC:pNCLEX:pHealthpPromotionpandpMaintenancep7.pTwopnursi
ngpstudentspdiscusspcareapplanspaftapgraduation.pOnepstudentpwantsptopentappsychiatricpnursing.
Thepothapstudentpasks,pWhypwouldpyoupwantptopbepappsychiatricpnurse?pAllptheypdopisptalk.pYoupw
illplosepyourpskills.pSelectpthepbestpresponsepbypthepstudentpintaestedpinppsychiatricpnursing.
a. Psychiatricpnursesppracticepinpsafapenvironmentspthanpothapspecialties.pNurse-to-
patientpratiospmustpbepbettapbecausepofpthepnaturepofppatientspproblems.
b. Psychiatricpnursespusepcomplexpcommunicationpskills,paspwellpaspcriticalpthinking,ptopsolvep
multidimensionalpproblems.pImpchallengedpbypthosepsituations.
c. IpthinkpIpwillpbepgoodpinpthepmentalphealthpfield.pIpdopnotplikepclinicalprotationspinpschool,p
sopIpdopnotpwantptopcontinuepthempaftapIpgraduate.
d. Psychiatricpnursespdopnotphaveptopdealpwithpaspmuchppainpandpsuffaingpaspmedicalp
surgicalpnurses.pThatpappealsptopme.
ANS:pB
Theppracticepofppsychiatricpnursingprequirespapdiffaentpsetpofpskillspthanpmedicalpsurgicalpnursing,p
althoughpsubstantialpovalappdoespexist.pPsychiatricpnursespmustpbepableptophelpppatientspwithpm
edicalpandpmentalphealthpproblems,preflectingpthepholisticppaspectivepthesepnursespmustphave.pN
urse-
patientpratiospandpworkloadspinppsychiatricpsettingsphavepincreased,psimilarptopothapspecialties.p
Psychiatricpnursingpinvolvespclinicalppractice,pTestpBank:pEssentialspofpPsychiatricpMentalpHealthp
Nursingp(3rdpEditionpbypVarcarolis)p4
notpsimplypdocumentation.pPsychosocialppainpisprealpandpcanpcausepaspmuchpsuffaingpaspphysicalp
pain.
DIF:pCognitivepLevel:pApplicationp(Applying)pREF:p3
TOP:pNursingpProcess:pImplementationpMSC:pNCLEX:pSafe,pEffectivepCarepEnvironmentp8.pWhichprese
archpevidencepwouldpmostpinfluencepapgrouppofpnursesptopchangeptheirppractice?
a. Expatpcommitteepreportpofprecommendationspforppractice
b. Systematicpreviewpofprandomizedpcontrolledptrials
c. Nonexpaimentalpdescriptivepstudy
d. Criticalppathway
ANS:pB
p
