Test Bank Complete_
Varcarolis’ Essentials Of Psychiatric Mental Health Nursing: A
Communication Approach To Evidence-Based Care 5th Edition, (2022)
By Chyllia D Fosbre
All Chapters 1-28| 5 Units| Latest Version With Well Detailed Answers| Grade A+
From: [Bestmaxsolutions.stuvia
,UNIT I: ESSENTIAL THEORETICAL CONCEPTS FOR PRACTICE ---------------------------------------------- 4
Chapter 01: Science And The Therapeutic Use Of Self In Psychiatric Mental Health Nursing ------------4
Chapter 02: Mental Health And Mental Illness --------------------------------------------------------------------- 14
Chapter 03: Theories And Therapies ---------------------------------------------------------------------------------- 24
Chapter 04: Biological Basis For Understanding Psychopharmacology -------------------------------------- 40
Chapter 05: Settings For Psychiatric Care ---------------------------------------------------------------------------- 55
Chapter 06: Legal And Ethical Basis For Practice ------------------------------------------------------------------- 68
UNIT II: TOOLS FOR PRACTICE OF THE ART ------------------------------------------------------------------ 84
Chapter 07: The Nursing Process In Psychiatric-Mental Health Nursing ------------------------------------- 84
Chapter 08: Communication Skills: Medium For All Nursing Practice -------------------------------------- 100
Chapter 09: Therapeutic Relationships And The Clinical Interview ----------------------------------------- 113
UNIT III: CARING FOR PATIENTS WITH PSYCHOBIOLOGICAL DISORDERS -------------------------- 129
Chapter 10: Trauma And Stress-Related Disorders And Dissociative Disorders ------------------------- 129
Chapter 11: Anxiety, Anxiety Disorders, And Obsessive-Compulsive And Related Disorders -------- 142
Chapter 12: Somatic Symptom Disorders -------------------------------------------------------------------------- 164
Chapter 13: Personality Disorders ----------------------------------------------------------------------------------- 181
Chapter 14: Eating Disorders ------------------------------------------------------------------------------------------ 197
Chapter 15: Mood Disorders: Depression-------------------------------------------------------------------------- 212
Chapter 16: Bipolar Spectrum Disorders --------------------------------------------------------------------------- 231
Chapter 17: Schizophrenia Spectrum Disorders And Other Psychotic Disorders ------------------------ 250
Chapter 18: Neurocognitive Disorders ------------------------------------------------------------------------------ 272
Chapter 19: Substance-Related And Addictive Disorders ------------------------------------------------------ 289
UNIT IV: CARING FOR PATIENTS EXPERIENCING PSYCHIATRIC EMERGENCIES ------------------- 312
Chapter 20: Crisis And Mass Disaster ------------------------------------------------------------------------------- 312
Chapter 21: Child, Partner, And Elder Violence ------------------------------------------------------------------ 327
Chapter 22: Sexual Violence ------------------------------------------------------------------------------------------- 342
Chapter 23: Suicidal Thoughts And Behaviors -------------------------------------------------------------------- 356
Chapter 24: Anger, Aggression, And Violence -------------------------------------------------------------------- 373
Chapter 25: Care For The Dying And Those Who Grieve ------------------------------------------------------- 390
UNIT V: AGE-RELATED MENTAL HEALTH DISORDERS --------------------------------------------------- 406
Chapter 26: Children And Adolescents ----------------------------------------------------------------------------- 406
,Chapter 27: Adults ------------------------------------------------------------------------------------------------------- 420
Chapter 28: Older Adults ----------------------------------------------------------------------------------------------- 438
,UNIT I: ESSENTIAL THEORETICAL CONCEPTS FOR PRACTICE
Chapter 01: Science And The Therapeutic Use Of Self In Psychiatric Mental Health Nursing
Chyllia D Fosbre: Varcarolis’ Essentials of Psychiatric Mental Health Nursing: A Communication Approach to Evidence-Based Care 5th Edition
MULTIPLE CHOICE
1. Which Outcome, Focused On Recovery, Would Be Expected In The Plan Of Care For
A Patient Living In The Community And Diagnosed With Serious And Persistent Mental
Illness? Within 3 Months, The Patient Will Demonstrate What Behavior?
A. Denying Suicidal Ideation
B. Reporting A Sense Of Well-Being
C. Taking Medications As Prescribed
D. Attending Clinic Appointments On Time
ANS: B
Recovery Emphasizes Managing Symptoms, Reducing Psychosocial Disability, And
Improving Role Performance. The Goal Of Recovery Is To Empower The Individual
With Mental Illness To Achieve A Sense Of Meaning And Satisfaction In Life And To
Function At The Highest Possible Level Of Wellness. The Incorrect Options Focus On
The Classic Medical Model Rather Than Recovery.
Dif: Cognitive Level: Application (Applying) Top: Nursing Process: Outcomes
Identification Msc: Nclex: Health Promotion And Maintenance
2. A Patient Is Hospitalized For Depression And Suicidal Ideation After Their Spouse
Asks For A Divorce. Select The Nurse’s Most Caring Comment.
A. “Let’s Discuss Healthy Means Of Coping When You Have Suicidal Feelings.”
B. “I Understand Why You’re So Depressed. When I Got Divorced, I Was Devastated
Too.”
C. “You Should Forget About Your Marriage And Move On With Your Life.”
D. “How Did You Get So Depressed That Hospitalization Was Necessary?”
,ANS: A
The Nurse’s Communication Should Evidence Caring And A Commitment To Work
With The Patient. This Commitment Lets The Patient Know The Nurse Will Help.
Probing And Advice Are Not Helpful For Therapeutic Interventions.
Dif: Cognitive Level: Application (Applying)
Top: Nursing Process: Implementation Msc: Nclex: Psychosocial Integrity
3. In The Shift-Change Report, An Off-Going Nurse Criticizes A Patient Who Wears
Extremely Heavy Makeup. Which Comment By The Nurse Who Receives The Report
Best Demonstrates Advocacy?
A. “This Is A Psychiatric Hospital, So We Expect Our Patients To Behave Bizarrely.”
B. “Let’s All Show Acceptance Of This Patient By Wearing Lots Of Makeup Too.”
C. “Your Comments Are Inconsiderate And Inappropriate. Keep The Report Objective.”
D. “Our Patients Need Our Help To Learn Behaviors That Will Help Them Get Along In
Society.”
ANS: D
Accepting Patients’ Needs For Self-Expression And Seeking To Teach Skills That Will
Contribute To Their Well-Being Demonstrate Respect And Are Important Parts Of
Advocacy. The On-Coming Nurse Needs To Take Action To Ensure That Others Are Not
Prejudiced Against The Patient. Humor Can Be Appropriate Within The Privacy Of A
Shift Report But Not At The Expense Of Respect For Patients. Judging The Off-Going
Nurse In A Critical Way Will Create Conflict. Nurses Must Show Compassion For Each
Other.
Dif: Cognitive Level: Application (Applying)
Top: Nursing Process: Implementation Msc: Nclex: Safe, Effective Care Environment
4. A Nurse Assesses A Newly Admitted Patient Diagnosed With Major Depressive
Disorder. Which Statement Is An Example Of “Attending”?
A. “We All Have Stress In Life. Being In A Psychiatric Hospital Is Not The End Of The
World.”
,B. “Tell Me Why You Felt You Had To Be Hospitalized To Receive Treatment For Your
Depression.”
C. “You Will Feel Better After We Get Some Antidepressant Medication Started For
You.”
D. “I’d Like To Sit With You For A While, So You May Feel More Comfortable Talking
With Me.”
ANS: D
Attending Is A Technique That Demonstrates The Nurse’s Commitment To The
Relationship And Reduces Feelings Of Isolation. This Technique Shows Respect For The
Patient And Demonstrates Caring. Generalizations, Probing, And False Reassurances Are
Nontherapeutic.
Dif: Cognitive Level: Application (Applying)
Top: Nursing Process: Implementation Msc: Nclex: Psychosocial Integrity
5. A Patient Shows The Nurse An Article From The Internet About A Health Problem.
Which Characteristic Of The Website’s Address Most Alerts The Nurse That The Site
May Have Biased And Prejudiced Information?
A. Address Ends In “.Org.”
B. Address Ends In “.Com.”
C. Address Ends In “.Gov.”
D. Address Ends In “.Net.”
ANS: B
Financial Influences On A Site Are A Clue That The Information May Be Biased.
“.Com” At The End Of The Address Indicates That The Site Is A Commercial One.
“.Gov” Indicates That The Site Is Maintained By A Government Entity. “.Org” Indicates
That The Site Is Nonproprietary; The Site May Or May Not Have Reliable Information,
But It Does Not Profit From Its Activities. “.Net” Can Have Multiple Meanings.
Dif: Cognitive Level: Comprehension (Understanding) Top: Nursing Process:
Evaluation Msc: Nclex: Health Promotion And Maintenance
, 6. A Nurse Says, “When I Was In School, I Learned To Call Upset Patients By Name To
Get Their Attention; However, I Read A Descriptive Research Study That Says That This
Approach Does Not Work. I Plan To Stop Calling Patients By Name.” Which Statement
Is The Best Appraisal Of This Nurse’s Comment?
A. One Descriptive Research Study Rarely Provides Enough Evidence To Change
Practice.
B. Staff Nurses Apply New Research Findings Only With The Help From Clinical Nurse
Specialists.
C. New Research Findings Should Be Incorporated Into Clinical Algorithms Before
Using Them In Practice.
D. The Nurse Misinterpreted The Results Of The Study. Classic Tenets Of Practice Do
Not Change.
ANS: A
Descriptive Research Findings Provide Evidence For Practice But Must Be Viewed In
Relation To Other Studies Before Practice Changes. One Study Is Not Enough.
Descriptive Studies Are Low On The Hierarchy Of Evidence. Clinical Algorithms Use
Flowcharts To Manage Problems And Do Not Specify One Response To A Clinical
Problem. Classic Tenets Of Practice Should Change As Research Findings Provide
Evidence For Change.
Dif: Cognitive Level: Analysis (Analyzing) Top: Nursing Process: Evaluation
Msc: Nclex: Health Promotion And Maintenance
7. Two Nursing Students Discuss Career Plans After Graduation. One Student Wants To
Enter Psychiatric Nursing. The Other Student Asks, “Why Would You Want To Be A
Psychiatric Nurse? All They Do Is Talk. You Will Lose Your Skills.” Select The Best
Response By The Student Interested In Psychiatric Nursing.
A. “Psychiatric Nurses’ Practice In Safer Environments Than Other Specialties And
Nurse-To-Patient Ratios Are Better Because Of The Nature Of Patients’ Problems.”
B. “Psychiatric Nurses Use Complex Communication Skills, As Well As Critical
Thinking, To Solve Multidimensional Problems. I’m Challenged By Those Situations.”
Varcarolis’ Essentials Of Psychiatric Mental Health Nursing: A
Communication Approach To Evidence-Based Care 5th Edition, (2022)
By Chyllia D Fosbre
All Chapters 1-28| 5 Units| Latest Version With Well Detailed Answers| Grade A+
From: [Bestmaxsolutions.stuvia
,UNIT I: ESSENTIAL THEORETICAL CONCEPTS FOR PRACTICE ---------------------------------------------- 4
Chapter 01: Science And The Therapeutic Use Of Self In Psychiatric Mental Health Nursing ------------4
Chapter 02: Mental Health And Mental Illness --------------------------------------------------------------------- 14
Chapter 03: Theories And Therapies ---------------------------------------------------------------------------------- 24
Chapter 04: Biological Basis For Understanding Psychopharmacology -------------------------------------- 40
Chapter 05: Settings For Psychiatric Care ---------------------------------------------------------------------------- 55
Chapter 06: Legal And Ethical Basis For Practice ------------------------------------------------------------------- 68
UNIT II: TOOLS FOR PRACTICE OF THE ART ------------------------------------------------------------------ 84
Chapter 07: The Nursing Process In Psychiatric-Mental Health Nursing ------------------------------------- 84
Chapter 08: Communication Skills: Medium For All Nursing Practice -------------------------------------- 100
Chapter 09: Therapeutic Relationships And The Clinical Interview ----------------------------------------- 113
UNIT III: CARING FOR PATIENTS WITH PSYCHOBIOLOGICAL DISORDERS -------------------------- 129
Chapter 10: Trauma And Stress-Related Disorders And Dissociative Disorders ------------------------- 129
Chapter 11: Anxiety, Anxiety Disorders, And Obsessive-Compulsive And Related Disorders -------- 142
Chapter 12: Somatic Symptom Disorders -------------------------------------------------------------------------- 164
Chapter 13: Personality Disorders ----------------------------------------------------------------------------------- 181
Chapter 14: Eating Disorders ------------------------------------------------------------------------------------------ 197
Chapter 15: Mood Disorders: Depression-------------------------------------------------------------------------- 212
Chapter 16: Bipolar Spectrum Disorders --------------------------------------------------------------------------- 231
Chapter 17: Schizophrenia Spectrum Disorders And Other Psychotic Disorders ------------------------ 250
Chapter 18: Neurocognitive Disorders ------------------------------------------------------------------------------ 272
Chapter 19: Substance-Related And Addictive Disorders ------------------------------------------------------ 289
UNIT IV: CARING FOR PATIENTS EXPERIENCING PSYCHIATRIC EMERGENCIES ------------------- 312
Chapter 20: Crisis And Mass Disaster ------------------------------------------------------------------------------- 312
Chapter 21: Child, Partner, And Elder Violence ------------------------------------------------------------------ 327
Chapter 22: Sexual Violence ------------------------------------------------------------------------------------------- 342
Chapter 23: Suicidal Thoughts And Behaviors -------------------------------------------------------------------- 356
Chapter 24: Anger, Aggression, And Violence -------------------------------------------------------------------- 373
Chapter 25: Care For The Dying And Those Who Grieve ------------------------------------------------------- 390
UNIT V: AGE-RELATED MENTAL HEALTH DISORDERS --------------------------------------------------- 406
Chapter 26: Children And Adolescents ----------------------------------------------------------------------------- 406
,Chapter 27: Adults ------------------------------------------------------------------------------------------------------- 420
Chapter 28: Older Adults ----------------------------------------------------------------------------------------------- 438
,UNIT I: ESSENTIAL THEORETICAL CONCEPTS FOR PRACTICE
Chapter 01: Science And The Therapeutic Use Of Self In Psychiatric Mental Health Nursing
Chyllia D Fosbre: Varcarolis’ Essentials of Psychiatric Mental Health Nursing: A Communication Approach to Evidence-Based Care 5th Edition
MULTIPLE CHOICE
1. Which Outcome, Focused On Recovery, Would Be Expected In The Plan Of Care For
A Patient Living In The Community And Diagnosed With Serious And Persistent Mental
Illness? Within 3 Months, The Patient Will Demonstrate What Behavior?
A. Denying Suicidal Ideation
B. Reporting A Sense Of Well-Being
C. Taking Medications As Prescribed
D. Attending Clinic Appointments On Time
ANS: B
Recovery Emphasizes Managing Symptoms, Reducing Psychosocial Disability, And
Improving Role Performance. The Goal Of Recovery Is To Empower The Individual
With Mental Illness To Achieve A Sense Of Meaning And Satisfaction In Life And To
Function At The Highest Possible Level Of Wellness. The Incorrect Options Focus On
The Classic Medical Model Rather Than Recovery.
Dif: Cognitive Level: Application (Applying) Top: Nursing Process: Outcomes
Identification Msc: Nclex: Health Promotion And Maintenance
2. A Patient Is Hospitalized For Depression And Suicidal Ideation After Their Spouse
Asks For A Divorce. Select The Nurse’s Most Caring Comment.
A. “Let’s Discuss Healthy Means Of Coping When You Have Suicidal Feelings.”
B. “I Understand Why You’re So Depressed. When I Got Divorced, I Was Devastated
Too.”
C. “You Should Forget About Your Marriage And Move On With Your Life.”
D. “How Did You Get So Depressed That Hospitalization Was Necessary?”
,ANS: A
The Nurse’s Communication Should Evidence Caring And A Commitment To Work
With The Patient. This Commitment Lets The Patient Know The Nurse Will Help.
Probing And Advice Are Not Helpful For Therapeutic Interventions.
Dif: Cognitive Level: Application (Applying)
Top: Nursing Process: Implementation Msc: Nclex: Psychosocial Integrity
3. In The Shift-Change Report, An Off-Going Nurse Criticizes A Patient Who Wears
Extremely Heavy Makeup. Which Comment By The Nurse Who Receives The Report
Best Demonstrates Advocacy?
A. “This Is A Psychiatric Hospital, So We Expect Our Patients To Behave Bizarrely.”
B. “Let’s All Show Acceptance Of This Patient By Wearing Lots Of Makeup Too.”
C. “Your Comments Are Inconsiderate And Inappropriate. Keep The Report Objective.”
D. “Our Patients Need Our Help To Learn Behaviors That Will Help Them Get Along In
Society.”
ANS: D
Accepting Patients’ Needs For Self-Expression And Seeking To Teach Skills That Will
Contribute To Their Well-Being Demonstrate Respect And Are Important Parts Of
Advocacy. The On-Coming Nurse Needs To Take Action To Ensure That Others Are Not
Prejudiced Against The Patient. Humor Can Be Appropriate Within The Privacy Of A
Shift Report But Not At The Expense Of Respect For Patients. Judging The Off-Going
Nurse In A Critical Way Will Create Conflict. Nurses Must Show Compassion For Each
Other.
Dif: Cognitive Level: Application (Applying)
Top: Nursing Process: Implementation Msc: Nclex: Safe, Effective Care Environment
4. A Nurse Assesses A Newly Admitted Patient Diagnosed With Major Depressive
Disorder. Which Statement Is An Example Of “Attending”?
A. “We All Have Stress In Life. Being In A Psychiatric Hospital Is Not The End Of The
World.”
,B. “Tell Me Why You Felt You Had To Be Hospitalized To Receive Treatment For Your
Depression.”
C. “You Will Feel Better After We Get Some Antidepressant Medication Started For
You.”
D. “I’d Like To Sit With You For A While, So You May Feel More Comfortable Talking
With Me.”
ANS: D
Attending Is A Technique That Demonstrates The Nurse’s Commitment To The
Relationship And Reduces Feelings Of Isolation. This Technique Shows Respect For The
Patient And Demonstrates Caring. Generalizations, Probing, And False Reassurances Are
Nontherapeutic.
Dif: Cognitive Level: Application (Applying)
Top: Nursing Process: Implementation Msc: Nclex: Psychosocial Integrity
5. A Patient Shows The Nurse An Article From The Internet About A Health Problem.
Which Characteristic Of The Website’s Address Most Alerts The Nurse That The Site
May Have Biased And Prejudiced Information?
A. Address Ends In “.Org.”
B. Address Ends In “.Com.”
C. Address Ends In “.Gov.”
D. Address Ends In “.Net.”
ANS: B
Financial Influences On A Site Are A Clue That The Information May Be Biased.
“.Com” At The End Of The Address Indicates That The Site Is A Commercial One.
“.Gov” Indicates That The Site Is Maintained By A Government Entity. “.Org” Indicates
That The Site Is Nonproprietary; The Site May Or May Not Have Reliable Information,
But It Does Not Profit From Its Activities. “.Net” Can Have Multiple Meanings.
Dif: Cognitive Level: Comprehension (Understanding) Top: Nursing Process:
Evaluation Msc: Nclex: Health Promotion And Maintenance
, 6. A Nurse Says, “When I Was In School, I Learned To Call Upset Patients By Name To
Get Their Attention; However, I Read A Descriptive Research Study That Says That This
Approach Does Not Work. I Plan To Stop Calling Patients By Name.” Which Statement
Is The Best Appraisal Of This Nurse’s Comment?
A. One Descriptive Research Study Rarely Provides Enough Evidence To Change
Practice.
B. Staff Nurses Apply New Research Findings Only With The Help From Clinical Nurse
Specialists.
C. New Research Findings Should Be Incorporated Into Clinical Algorithms Before
Using Them In Practice.
D. The Nurse Misinterpreted The Results Of The Study. Classic Tenets Of Practice Do
Not Change.
ANS: A
Descriptive Research Findings Provide Evidence For Practice But Must Be Viewed In
Relation To Other Studies Before Practice Changes. One Study Is Not Enough.
Descriptive Studies Are Low On The Hierarchy Of Evidence. Clinical Algorithms Use
Flowcharts To Manage Problems And Do Not Specify One Response To A Clinical
Problem. Classic Tenets Of Practice Should Change As Research Findings Provide
Evidence For Change.
Dif: Cognitive Level: Analysis (Analyzing) Top: Nursing Process: Evaluation
Msc: Nclex: Health Promotion And Maintenance
7. Two Nursing Students Discuss Career Plans After Graduation. One Student Wants To
Enter Psychiatric Nursing. The Other Student Asks, “Why Would You Want To Be A
Psychiatric Nurse? All They Do Is Talk. You Will Lose Your Skills.” Select The Best
Response By The Student Interested In Psychiatric Nursing.
A. “Psychiatric Nurses’ Practice In Safer Environments Than Other Specialties And
Nurse-To-Patient Ratios Are Better Because Of The Nature Of Patients’ Problems.”
B. “Psychiatric Nurses Use Complex Communication Skills, As Well As Critical
Thinking, To Solve Multidimensional Problems. I’m Challenged By Those Situations.”
