TEST BANK ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING 5TH EDITION A Communication Approach to Evidence-Based Care Latest Verified Review 2024 Practice Questions and Answers for Exam Preparation, 100% Correct with Explanations, Highly Recommended, Down

Chapter01: Science andtheTherapeutic Use of SelfinPsychiatric Mental Health Nursing
g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




Varcarolis:EssentialsofPsychiatricMentalHealthNursing:ACoabirb.com/test mmunication
g.v g.v g.v g.v g.v g.v g.v g.v g.v




ApproachtoEvidence-BasedCare, 5thEdition
g.v g.v g.v g.v g.v




abirb.com/test
MULTIPLE CHOICE g.v




1. Which outcome, focused on recovery, would be expected in the plan of care for a patient
g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g . v living in g.v g.v




the community and diagnosed with serious and persistent mental illness?abirb.com/test
g.v g.v g.v g.v g.v g.v g.v g.v g.v g . v Within 3 g.v g.v




months, the patient will demonstrate what behavior?
g.v g.v g.v g.v g.v g.v




a. Denying suicidal ideation g.v g.v




b. Reporting a sense ofwell-being abirb.com/test g.v g.v g.v g.v




c. Takingmedicationsasprescribed g.v g.v g.v




d. Attending clinic appointments ontime g.v g.v g.v g.v




ANS:B g.v abirb.com/test

Recoveryemphasizes managingsymptoms, reducingpsychosocialdisability, and improvi ng g.v g.v g.v g.v g.v g.v g.v g.v g . v g.v




role performance. The goal of recovery is to empower the individual with mental illne ssto
g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




achieve a sense of meaning and satisfaction in life and to function at the hig g.v hest g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




possible level of wellness. The incorrect options focus on the classic medical model rather
g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




thaabirb.com/test n recovery. g.v




DIF: Cognitive Level: Application (Applying)
g.v g.v g.v g.v TOP: g.v




Nursing Process: Outcomes Identification g.v g.v g.v




abirb.com/test
MSC:NCLEX: Health Promotion andMaintenance g.v g.v g.v g.v g.v




2. A patient is hospitalized for depression and suicidal ideation after their spou
g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v seasksfora g.v g.v g.v g.v




divorce. Select the nurse’s most caring comment.
g.v g.v g.v g.v g.v g.v
abirb.com/test

a. “Let’sdiscuss healthy means ofcoping when you have suicidal feelings.” g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




b. “I understand why you’re so depressed. When I got divorced, I was devastated
g.v g.v g.v g.v g .v g.v g.v g.v g.v g.v g.v g.v g . v too.”
c. “Youshould forget aboutyour marriageand move onwith your life.”abirb.com/test g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




d. “How did you get so depressed that hospitalization was necessary?” g.v g.v g.v g.v g.v g.v g.v g.v g.v




ANS:A g.v




The nurse’s communicationshould evidence caring and a commitment to work with the
g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




abirb.com/test

, patient. This commitment lets the patient know the nurse will help. Probing and advi
g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v ce g.v




are not helpful for therapeutic interventions.
g.v g.v g.v g.v g.v




abirb.com/test
DIF: Cognitive Level: Application (Applying)
g.v TOP:Nursing g.v g.v g.v g.v g.v




Process: Implementation MSC: NCLEX: Psychosocial Integrity g.v g . v g.v g.v g.v




3. In the shift-change report, an off-going nurse criticizes a patient who wears extremely heavy
g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




makeup. Which comment by the nurse who receives the report best demonstrates
abirb.com/test g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




advocacy? a. “This is a psychiatric hospital, so we expect our patients to behave g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




bizarrely.”
b. “Let’s all show acceptance ofthis patient bywearing lotsof makeup too.”abirb.com/test g.v g.v g.v g.v g.v g.v g .v g.v g .v g.v g.v g .v g.v




c. “Yourcommentsareinconsiderate and inappropriate.Keep thereportobjective. ” g.v g.v g.v g.v g.v g.v g.v g.v g.v




d. “Our patients need our help to learn behaviors that will help themget along in society.” g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g .v g .v g . v g . v




ANS:D g.v




Acceptingpatients’needs for self-expressionand seeking to teachskills that willcontribute to their g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




well-being demonstrate respect and are important parts of advocacy. The on-coming nurse needs g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




to take action to ensure that others are not prejudiced against the patiabirb.com/test ent. Humor can be
g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g .v g.v g.v g.v g.v




appropriate within the privacy of a shift report but not at the expense of respect for
g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




patients. Judging the off-going nurse ina criticalwaywillcreate conflict. Nurses must show
g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




compassion for each other. g.v g.v g.v




abirb.com/test

DIF:CognitiveLevel:Application (Applying)
g.v g.v g.v g.v




TOP:NursingProcess: Implementation g.v MSC:NCLEX:Safe, Effective Care Environment g.v g.v g.v g.v g .v g.v g.v




abirb.com/test
4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder. Wh
g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v ich g.v




statement is an example of “attending”? g.v g.v g.v g.v g.v




a. “Weall have stress in life. Being ina psychiatric hospital is not the end ofthe world.”
g.v g.v g.v g.v g.v g.v g .v g.v g.v g.v g.v g.v g.v g.v g.v g.v g . v




abirb.com/test

b. “Tellme why you felt you had to be hospitalized to receive treatment for your
g.v g.v g.v g.v g .v g.v g.v g.v g.v g.v g.v g.v g.v g.v g . v depression.”

c. “You willfeelbetter after we get some antidepressant medicationstarted for you.abirb.com/test
g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




”
d. “I’d like to sit with you for a while, so you may feelmore comfortable talking with me.”
g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




ANS:D g.v abirb.com/test

, Attending is a technique that demonstrates the nurse’s commitment to therelationship
g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




and reduces feelings of isolation. This technique shows respect for the patient and dem
g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




onstrates caring. Generalizations, probing, and false reassurances are nontherapeutic.
g.v g.v g.v g.v g.v g.v g.v g.v




abirb.com/test

DIF:CognitiveLevel:Application (Applying)
g.v g.v g.v g.v




TOP:NursingProcess: Implementation
g.v MSC:NCLEX:Psychosocial Integrity g.v g.v g.v g.v g.v




5. Apatient shows the nurse an article fromthe Internet about a healthproblem. Wabirb.com/test
g.v g.v g.v g.v g.v g.v g .v g.v g.v g .v g.v g.v g.v g.v




hich characteristic g.v




prejudiced information? of the website’s address
g.v




a. Address ends in “.org.”
g.v g.v g.v g.v




abirb.com/test most alertsthenursethat the
g.v g.v g.v




b. Address ends in “.com.”
g.v g.v g.v g.v g.v g.v




g.v g.v g.v




c. Address ends in “.gov.” site may have bi g.v g.v g.v
g.v g.v g.v




d. Address ends in “.net.” ased and g.v g.v g.v
g.v




Financialinfluenceson g.v g.v




abirb.com/test a site are a clue that the g . v
g.v g.v g.v g.v g.v g.v




ANS: B information maybe g.v g.v




biased. “. com” g.v




at the end ofthe address indicatesthat the site is a commercialone. “.gov” indicates that t he site
g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




is maintained by a government entity. “.org” indicates that the site abirb.com/test
g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




is nonproprietary;the site mayor maynot have reliable information, but it doesnot profit from
g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




its activities. “.
g.v net” can g.v g.v




have
multiple meanings. g.v




abirb.com/test
DIF: Cognitive Level: Comprehension (Understanding)
g.v g.v g.v g.v TOP:NursingProcess:Evaluation g.v g.v g.v g.v




MSC: NCLEX: Health Promotion and Maintenance
g.v g.v g.v g.v g.v




6. Anurse says, “WhenI was inschool, I learned to callupset patientsby name to get
g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




theiabirb.com/test r
attention; however, I read a g.v g.v g.v g.v g.v




descriptive research study that says that this approachdoesnot work. I planto stop g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




calling patients by name.” Whichstatement is the best appraisalofthis nurse’s comment?
g.v g.v g.v g .v g.v g .v g.v g.v g .v g.v g.v g . v g.v




abirb.com/test
a. One descriptive researchstudyrarelyprovides enough evidence to change practice.
g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




b. Staff nurses apply new research findings onlywiththe help fromclinicalnurse
g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




specialists.
c. New research findings should be incorporated intoclinicalalgorithms before using
g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




abirb.com/test theminpractice. g.v g.v g.v




d. The nurse misinterpretedthe resultsofthe study. Classic tenets ofpractice do not
g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




change.
abirb.com/test

ANS:A g.v

, Descriptive research findings provide evidence for practice but must be viewed in g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




relationto other studies before practice changes. One studyisnot enough. Descriptive studies a re
g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




low on the hierarchy of evidence. Clinical algorithms use flowcharts to manage
g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




probleabirb.com/test ms and do not specifyone response to a clinicalproblem. Classic tenets of g . v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




practice should chang e as g.v g.v g.v




research
findings provide evidence for change. g.v g.v g.v g.v




abirb.com/test
DIF: Cognitive Level: Analysis (Analyzing)
g.v g.v g.v g.v TOP: Nursing Process: Evaluation g.v g.v g.v g.v




MSC: NCLEX: Health Promotion and Maintenance g.v g.v g.v g.v g.v




7. Two nursing studentsdiscusscareer plansafter graduation. One student wantstoabirb.com/test enter
g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




psychiatric nursing.Theother student asks, “Whywould youwant to bea psychiatric nurse?
g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




Alltheydo istalk.You will lose your skills.” Selectthe best response by the student
g.v g.v g .v g.v g.v g.v g.v g.v g.v g.v g.v g.v g .v g.v g.v g.v g.v




interested
in psychiatric nursing.
g.v
abirb.com/test g.v




a. “Psychiatric nurses’ practice in safer environments than other specialties and nurse- g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




to-patient ratios are better because of the nature of patients’problems.” g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




b. “Psychiatric nurses use complex communication skills, as well as critical th inking, g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




to solve multidimensional problems. I’m challenged by those situations.”
g.v g.v
abirb.com/test g.v g.v g.v g.v g.v g.v g.v




c. “I think I willbe good inthe mentalhealth field. I do not like clinicalrotations in school, so I
g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g . v g.v g.v g.v




do not want to continue them after I graduate.” g.v g.v g.v g.v g.v g.v g.v g.v




d. “Psychiatric nurses do not have to dealwith as much pain and suffering as g.v g.v g .v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g . v abirb.com/test
medical-surgicalnurses. That appealsto me.” g.v g.v g.v g.v g.v




ANS:B g.v




The practice ofpsychiatric nursing requires a different setofskills than medica abirb.com/test
g.v g.v g.v g.v g.v g.v g.v g .v g.v g.v g.v g.v g.v




l-surgicalnursing, althoughsubstantialoverlap doesexist. Psychiatric nurses must be able g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




to help patients with medical and mental health problems, reflecting the holistic
g.v g . v g.v g.v g.v g.v g.v g.v g.v g.v g.v




perspective these
nurses must have. Nurse–patient ratios and workloads inpsychiatric settings have increased,
g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




similar to other specialties. Psychiatric nursing involves clinical practice, nabirb.com/test ot
g.v g.v g.v g.v g.v g.v g.v g.v g.v g . v g.v




simplydocumentation. Psychosocialpain isrealand can cause as muchsuffering as physical
g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




pain.


DIF:CognitiveLevel:Application (Applying)
g.v
abirb.com/test g.v g.v g.v




TOP:NursingProcess: Implementation MSC:NCLEX:Safe, Effective CareEnvironment
g.v g.v g.v g.v g.v g.v g.v g.v




8. Whichresearchevidence would most influence a groupofnurses to change their practi ce? g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




a. Expert committee reportofrecommendations for practiceabirb.com/test g.v g.v g.v g.v g.v g.v




b. Systematic review ofrandomized controlled trials g.v g.v g.v g.v g.v