d
Essentials of Psych
d d
iatric MentalHealt
d d
h Nursing 4th Editi
d d d
on
By Var d
carolis
,Chapter 01: Science and the Therapeutic Use of Self in Psychiatric Mental HealthNursin
d d d d d d d d d d d d d
g
Varcarolis: Essentials of Psychiatric Mental Health Nurasbiinrbg.c:omA/teC
d d d d d
st ommunication Approac
d
d
d
h to Evidence-Based Care, 4th Edition
d d d d d
abirb.com/test
MULTIPLEdCHOICE
1. Whichdoutcome,dfocuseddondrecovery,dwoulddbedexpecteddindthedplandofdcaredfordadpatientdlivi
ngdindthedcommunitydandddiagnoseddwithdseriousdanddpeabrisrbis.ctoemn/ttem
stdentaldillness?dWithind3dmon
ths,dthedpatientdwillddemonstratedwhatdbehavior?
a. Denyingdsuicidaldideation
b. Reportingdadsensedofdwell-being abirb.com/test
c. Takingdmedicationsdasdprescribed
d. Attendingdclinicdappointmentsdondtime
ANS:d B abirb.com/test
Recoverydemphasizesdmanagingdsymptoms,dreducingdpsychosocialddisability,danddimprovingdr
oledperformance.dThedgoaldofdrecoverydisdtodempowerdthedindividualdwithdmentaldillnessdtodachie
vedadsensedofdmeaningdanddsatisfactiondindlifedanddtodfunctiondatdthedhighestdpossibledleveldofdwell
ness.dThedincorrectdoptionsdfocusdondthedclassicdmedabicirba.lcom
mo/tedse
tdldratherdthandrecovery.
DIF:
CognitivedLevel:dApplicationd(Applying)d
TOP:dNursingdProcess:dOutcomesdIdentification
abirb.com/test
MSC:d NCLEX:dHealthdPromotiondanddMaintenance
2. Adpatientdisdhospitalizeddforddepressiondanddsuicidaldideationdafterdtheirdspousedasksdfordadd
ivorce.dSelectdthednurse‘sdmostdcaringdcomment. abirb.com/test
a. ―Let‘sddiscussdhealthydmeansdofdcopingdwhendyoudhavedsuicidaldfeelings.‖
b. ―Idunderstanddwhydyou‘redsoddepressed.dWhendIdgotddivorced,dIdwasddevastateddt
oo.‖
c. ―Youdshoulddforgetdaboutdyourdmarriagedanddmovedondawbiirtbh.coymo/u
terstlife.‖
d. ―Howddidd youdgetdsoddepresseddthatdhospitalizationdwasdnecessary?‖
ANS:d A
Thednurse‘sdcommunicationdshoulddevidencedcaringdanddadacboirm
b.cm
omit/tm
ese
tdntdtodworkdwithdthedpatient.
dThisdcommitmentdletsdthedpatientdknowdthednursedwilldhelp.dProbingdanddadvicedarednotdhelpfuldf
ordtherapeuticdinterventions.
abirb.com/test
DIF: CognitivedLevel:dApplicationd(Applying)
TOP:d NursingdProcess:dImplementation MSC:d NCLEX:dPsychosocialdIntegrity
3. Indthedshift-changedreport,dandoff-
goingdnursedcriticizesdadpaabtiirbe.ncotmw/tehsotddwearsdextremelydheavydmakeup.dWhichdcommentdbydthed
nursedwhodreceivesdthedreportdbestddemonstratesdadvocacy?
a. ―Thisdisdadpsychiatricdhospital,dsodwedexpectdourdpatientsdtodbehavedbizarrely.‖
b. ―Let‘sdalldshowdacceptancedofdthisdpatientdbydwearingdlaobtisrbo .cfom
m/teasktdeupdtoo.‖
c. ―Yourdcommentsdaredinconsideratedanddinappropriate.dKeepdthedreportdobjective.‖
d. ―Ourdpatientsdneeddourdhelpdtodlearndbehaviorsdthatdwilldhelpdthemdgetdalongdinds
ociety.‖
abirb.com/test
ANS:d D
abirb.com/test
WWW.NURSYLAB.COM
WWW.THENURSINGMASTERY.COM
abirb.com/test
, Acceptingdpatients‘dneedsdfordself-
expressiondanddseekingdtodteachdskillsdthatdwilldcontributedtodtheirdwell-
beingddemonstratedrespectdanddaredimportantdpartsdofdadvocacy.dThedon-
comingdnursedneedsdtodtakedactiondtodensuredthatdothersdarednotdprejaubidrbi.ccoemd/taegstainstdthedpatient.dH
umordcandbedappropriatedwithindthedprivacydofdadshiftdreportdbutdnotdatdthedexpensedofdrespectdfor
dpatients.dJudgingdthedoff-
goingdnursedindadcriticaldwaydwilldcreatedconflict.dNursesdmustdshowdcompassiondfordeachdother.
abirb.com/test
DIF: CognitivedLevel:dApplicationd(Applying)
TOP:d NursingdProcess:dImplementation MSC:d NCLEX:dSafe,dEffectivedCaredEnvironment
abirb.com/test
4. Adnursedassessesdadnewlydadmitteddpatientddiagnoseddwithdmajorddepressiveddisorder.dWhichds
tatementdisdandexampledofd―attending‖?
a. ―Wedalldhavedstressdindlife.dBeingdindadpsychiatricdhospitaldisdnotdthedenddofdthed
world.‖ abirb.com/test
b. ―Telldmedwhydyoudfeltd youdhaddtodbedhospitalizeddtodreceivedtreatmentdford yourd
depression.‖
c. ―Youdwilldfeeldbetterdafterdwedgetdsomedantidepressantdambie
rbd
.ciocm
a/ttieostndstarteddfordyou.‖
d. ―I‘ddlikedtodsitdwithdyoudfordadwhile,dsodyoudmaydfeeldmoredcomfortabledtalkingdwith
me.‖
ANS:d D abirb.com/test
Attendingdisdadtechniquedthatddemonstratesdthednurse‘sdcommitmentdtodthedrelationshipdanddr
educesdfeelingsdofdisolation.dThisdtechniquedshowsdrespectdfordthedpatientdandddemonstratesdca
ring.dGeneralizations,dprobing,danddfalsedreassurancesdarednontherapeutic.
abirb.com/test
DIF: CognitivedLevel:dApplicationd(Applying)
TOP:d NursingdProcess:dImplementation MSC:d NCLEX:dPsychosocialdIntegrity
5. AdpatientdshowsdthednursedandarticledfromdthedInternetdabouatbiarb.hcoemal/ttehst problem.dWhichdcharacte
risticdofdthedwebsite‘sdaddressdmostdalertsdthednursedthatdthedsitedmaydhavedbiaseddanddprejudice
ddinformation?
a. Addressdendsdind―.org.‖ abirb.com/test
b. Addressdendsdind―.com.‖
c. Addressdendsdind―.gov.‖
d. Addressdendsdind―.net.‖
abirb.com/test
ANS:d B
Financialdinfluencesdondadsitedaredadcluedthatdthedinformationdmaydbedbiased.d―.com‖datdthedenddo
fdthedaddressdindicatesdthatdthedsitedisdadcommercialdone.d―.gov‖ dindicatesdthatdthedsitedis
abirb.com/test
maintaineddbydadgovernmentdentity.d―.org‖dindicatesdthatdthedsitedisdnonproprietary;dthedsite
maydordmaydnotdhavedreliabledinformation,dbutditddoesdnotdprofitdfromditsdactivities.d―.net‖dcandh
avedmultipledmeanings.
abirb.com/test
DIF: CognitivedLevel:dComprehensiond(Understanding)
TOP:d NursingdProcess:dEvaluationdMSC:d NCLEX:dHealthdPromotiondanddMaintenance
6. Adnursedsays,d―WhendIdwasdindschool,dIdlearneddtodcalldupseatbirpba.ctoim
en/tetsstdbydnamedtodgetdtheirdatte
ntion;dhowever,dIdreaddaddescriptivedresearchdstudydthatdsaysdthatdthisdapproachddoesdnotdwork
.dIdplandtodstopdcallingdpatientsdbydname.‖dWhichdstatementdisdthedbestdappraisaldofdthisdnurse‘
sdcomment? abirb.com/test
a. Oneddescriptivedresearchdstudydrarelydprovidesdenoughdevidencedtodchangedpractice.
abirb.com/test
WWW.NURSYLAB.COM
WWW.THENURSINGMASTERY.COMd
abirb.com/tes
, b. Staffdnursesdapplydnewdresearchdfindingsdonlydwithdthedhelpdfromdclinicaldnurseds
pecialists.
c. Newdresearchdfindingsdshoulddbedincorporateddintodclinaibcirabl.caom
lg/toesrtithmsdbeforedusingdt
hemdindpractice.
d. Thednursedmisinterpreteddthedresultsdofdthedstudy.dClassicdtenetsdofdpracticeddodnotdc
hange.
abirb.com/test
ANS:d A
Descriptivedresearchdfindingsdprovidedevidencedfordpracticedbutdmustdbedvieweddindrelationdtodot
herdstudiesdbeforedpracticedchanges.dOnedstudydisdnotdenough.dDescriptivedstudiesdaredlowdondthed
abirb.com/test
hierarchydofdevidence.dClinicaldalgorithmsdusedflowcharts to managedproblemsdandddodnot
specifydonedresponsedtodadclinicaldproblem.dClassicdtenetsdofdpracticedshoulddchangedasdr
esearchdfindingsdprovidedevidencedfordchange.
abirb.com/test
DIF: CognitivedLevel:dAnalysisd(Analyzing)
TOP:d NursingdProcess:dEvaluationdMSC:d NCLEX:dHealthdPromotiondanddMaintenance
7. Twodnursingdstudentsddiscussdcareerdplansdafterdgraduationa.birb
On.ceoms/tteusdtdentdwantsdtodenterdpsychi
atricdnursing.dThedotherdstudentdasks,d―Whydwoulddyoudwantdtodbedadpsychiatricdnurse?dAlldthey
ddodisdtalk.dYoudwilldlosedyourdskills.‖dSelectdthedbestdresponsedbydthedstudentdinteresteddindpsyc
hiatricdnursing. abirb.com/test
a. ―Psychiatricdnurses‘dpracticedindsaferdenvironmentsdthandotherdspecialtiesdandd
nurse-to-patientdratiosdaredbetterdbecausedofdthednaturedofdpatients‘dproblems.‖
b. ―Psychiatricdnursesdusedcomplexdcommunicationdskills,dasdwelldasdcriticaldthinking,dt
odsolvedmultidimensionaldproblems.dI‘mdchallengeddbyabtirhb.cosom/
e steisttuations.‖
c. ―IdthinkdIdwilldbedgooddindthedmentaldhealthdfield.dIddodnotdlikedclinicaldrotationsdinds
chool,dsodIddodnotdwantdtodcontinuedthemdafterdIdgraduate.‖
d. ―Psychiatricdnursesddodnotdhavedtoddealdwithdasdmuchdpaabiirnb.caonmd/tessutfferingdasd
medical-surgicaldnurses.dThatdappealsdtodme.‖
ANS:d B
Thedpracticedofdpsychiatricdnursingdrequiresdaddifferentdsetaobfirbs.ckoimll/stesthtdandmedical-
surgicaldnursing,dalthoughdsubstantialdoverlapddoesdexist.dPsychiatricdnursesdmustdbedabledtodh
elpdpatientsdwithdmedicaldanddmentaldhealthdproblems,dreflectingdthedholisticdperspectivedthese
dnursesdmustdhave.dNurse–
patientdratiosdanddworkloadsdindpsychiatricdsettingsdhavedincreased,dsimilardtodotherdspecialties.
abirb.com/test
dPsychiatricdnursingdinvolvesdclinical pracdtice,dnotdsimplyddocumentation.dPsychosocialdpaindi
sdrealdanddcandcausedasdmuchdsufferingdasdphysicaldpain.
DIF: CognitivedLevel:dApplicationd(Applying) abirb.com/test
TOP:d NursingdProcess:dImplementation MSC:d NCLEX:dSafe,dEffectivedCaredEnvironment
8. Whichdresearchdevidencedwoulddmostdinfluencedadgroupdofdnursesdtodchangedtheirdpractice?
a. Expertdcommitteedreportdofdrecommendationsdfordpractaibcireb.com/test
b. Systematicdreviewdofdrandomizeddcontrolleddtrials
c. Nonexperimentalddescriptivedstudy
d. Criticaldpathway
abirb.com/test
ANS:d B
abirb.com/test
abirb.com/test
WWW.NURSYLAB.COM
WWW.THENURSINGMASTERY.COMd
abirb.com/tes