questions about whether creators should be compensated for their work. From a legal standpoint, the question of
how to protect the intellectual property rights of open-source developers without stifling collaboration is a difficult
one.Similarly, the sharing economy, typified by platforms like Uber and Airbnb, raises ethical issues about labor
rights and the fair treatment of workers. Legal questions include how to classify workers (as independent contractors
or employees) and how to ensure that they are provided with benefits and protections.### 15. **Ethical and Legal
Issues in Education**Education plays a critical role in shaping society, and ethical and legal issues related to
education are vast. From issues of school discipline to access to education, these concerns affect students, teachers,
and educational institutions.#### 15.1 **Discipline and School Safety**In many schools, the balance between
ensuring a safe learning environment and upholding students' rights is
Test Bank For
Varcarolis Essentials of Psychiatric Mental Health Nursing 5th Edition Fosbre Questions & Answers with
rationales
Chapter 1-28
Chapter 01: Science and the Therapeutic Use of Self in Psychiatric Mental Health Nursing
Varcarolis: Essentials of Psychiatric Mental Health Nursing: A Communication Approach to
Evidence-Based Care, 5e
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
questions about whether creators should be compensated for their work. From a legal standpoint, the question of how t
protect the intellectual property rights of open-source developers without stifling collaboration is a difficult one.Simila
the sharing economy, typified by platforms like Uber and Airbnb, raises ethical issues about labor rights and the fair
treatment of workers. Legal questions include how to classify workers (as independent contractors or employees) and h
to ensure that they are provided with benefits and protections.### 15. **Ethical and Legal Issues in Education**Educa
plays a critical role in shaping society, and ethical and legal issues related to education are vast. From issues of school
discipline to access to education, these concerns affect students, teachers, and educational institutions.#### 15.1
**Discipline and School Safety**In many schools, the balance between ensuring a safe learning environment and
upholding students' rights is
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.
questions about whether creators should be compensated for their work. From a legal standpoint, the question of how t
protect the intellectual property rights of open-source developers without stifling collaboration is a difficult one.Simila
the sharing economy, typified by platforms like Uber and Airbnb, raises ethical issues about labor rights and the fair
treatment of workers. Legal questions include how to classify workers (as independent contractors or employees) and h
to ensure that they are provided with benefits and protections.### 15. **Ethical and Legal Issues in Education**Educa
plays a critical role in shaping society, and ethical and legal issues related to education are vast. From issues of school
discipline to access to education, these concerns affect students, teachers, and educational institutions.#### 15.1
**Discipline and School Safety**In many schools, the balance between ensuring a safe learning environment and
upholding students' rights is
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.‖
c. ―I think I will be good in the mental health field. I do not like clinical rotations in
school, so I do not want to continue them after I graduate.‖
d. ―Psychiatric nurses do not have to deal with as much pain and suffering as
medical-surgical nurses. That appeals to me.‖
ANS: B
The practice of psychiatric nursing requires a different set of skills than medical-surgical nursing,
although substantial overlap does exist. Psychiatric nurses must be able to help patients with
medical and mental health problems, reflecting the holistic perspective these nurses must have.
Nurse–patient ratios and workloads in psychiatric settings have increased, similar to other
specialties. Psychiatric nursing involves clinical practice, not simply documentation. Psychosocial
pain is real and can cause as much suffering as physical pain.
DIF: Cognitive Level: Application (Applying)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
8. Which research evidence would most influence a group of nurses to change their practice?
a. Expert committee report of recommendations for practice
, b. Systematic review of randomized controlled trials
c. Nonexperimental descriptive study
d. Critical pathway
ANS: B
Research findings are graded using a hierarchy of evidence. A systematic review of randomized
controlled trials is level A and provides the strongest evidence for changing practice. Expert
committee recommendations and descriptive studies lend less powerful and influential evidence. A
critical pathway is not evidence; it incorporates research findings after they have been analyzed.
DIF: Cognitive Level: Comprehension (Understanding) TOP: Nursing Process: Planning
MSC: NCLEX: Safe, Effective Care Environment
questions about whether creators should be compensated for their work. From a legal standpoint, the question of how t
protect the intellectual property rights of open-source developers without stifling collaboration is a difficult one.Simila
the sharing economy, typified by platforms like Uber and Airbnb, raises ethical issues about labor rights and the fair
treatment of workers. Legal questions include how to classify workers (as independent contractors or employees) and h
to ensure that they are provided with benefits and protections.### 15. **Ethical and Legal Issues in Education**Educa
plays a critical role in shaping society, and ethical and legal issues related to education are vast. From issues of school
discipline to access to education, these concerns affect students, teachers, and educational institutions.#### 15.1
**Discipline and School Safety**In many schools, the balance between ensuring a safe learning environment and
upholding students' rights is
9. A bill introduced in Congress would reduce funding for the care of people diagnosed with mental
illnesses. A group of nurses write letters to their elected representatives in opposition to the
legislation. Which role have the nurses fulfilled?
a. Advocacy
b. Attending
c. Recovery
d. Evidence-based practice
ANS: A
An advocate defends or asserts another‘s cause, particularly when the other person lacks the ability
to do that for him or herself. Examples of individual advocacy include helping patients understand
their rights or make decisions. On a community scale, advocacy includes political activity, public
speaking, and publication in the interest of improving the individuals with mental illness; the letter-
writing campaign advocates for that cause on behalf of patients who are unable to articulate their
own needs.
DIF: Cognitive Level: Comprehension (Understanding)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
10. An informal group of patients discuss their perceptions of nursing care. Which comment best
indicates a patient‘s perception that his or her nurse is caring?
a. ―My nurse always asks me which type of juice I want to help me swallow my
medication.‖
b. ―My nurse explained my treatment plan to me and asked for my ideas about how to make
it better.‖
c. ―My nurse told me that if I take all the medicines the doctor prescribes, I will get
discharged soon.‖
d. ―My nurse spends time listening to me talk about my problems. That helps me feel like
I‘m not alone.‖
ANS: D
Caring evidences empathic understanding as well as competency. It helps change pain and
suffering into a shared experience, creating a human connection that alleviates feelings of
isolation. The incorrect options give examples of statements that demonstrate advocacy or
giving advice.
DIF: Cognitive Level: Application (Applying) TOP: Nursing Process: Evaluation
how to protect the intellectual property rights of open-source developers without stifling collaboration is a difficult
one.Similarly, the sharing economy, typified by platforms like Uber and Airbnb, raises ethical issues about labor
rights and the fair treatment of workers. Legal questions include how to classify workers (as independent contractors
or employees) and how to ensure that they are provided with benefits and protections.### 15. **Ethical and Legal
Issues in Education**Education plays a critical role in shaping society, and ethical and legal issues related to
education are vast. From issues of school discipline to access to education, these concerns affect students, teachers,
and educational institutions.#### 15.1 **Discipline and School Safety**In many schools, the balance between
ensuring a safe learning environment and upholding students' rights is
Test Bank For
Varcarolis Essentials of Psychiatric Mental Health Nursing 5th Edition Fosbre Questions & Answers with
rationales
Chapter 1-28
Chapter 01: Science and the Therapeutic Use of Self in Psychiatric Mental Health Nursing
Varcarolis: Essentials of Psychiatric Mental Health Nursing: A Communication Approach to
Evidence-Based Care, 5e
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
questions about whether creators should be compensated for their work. From a legal standpoint, the question of how t
protect the intellectual property rights of open-source developers without stifling collaboration is a difficult one.Simila
the sharing economy, typified by platforms like Uber and Airbnb, raises ethical issues about labor rights and the fair
treatment of workers. Legal questions include how to classify workers (as independent contractors or employees) and h
to ensure that they are provided with benefits and protections.### 15. **Ethical and Legal Issues in Education**Educa
plays a critical role in shaping society, and ethical and legal issues related to education are vast. From issues of school
discipline to access to education, these concerns affect students, teachers, and educational institutions.#### 15.1
**Discipline and School Safety**In many schools, the balance between ensuring a safe learning environment and
upholding students' rights is
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.
questions about whether creators should be compensated for their work. From a legal standpoint, the question of how t
protect the intellectual property rights of open-source developers without stifling collaboration is a difficult one.Simila
the sharing economy, typified by platforms like Uber and Airbnb, raises ethical issues about labor rights and the fair
treatment of workers. Legal questions include how to classify workers (as independent contractors or employees) and h
to ensure that they are provided with benefits and protections.### 15. **Ethical and Legal Issues in Education**Educa
plays a critical role in shaping society, and ethical and legal issues related to education are vast. From issues of school
discipline to access to education, these concerns affect students, teachers, and educational institutions.#### 15.1
**Discipline and School Safety**In many schools, the balance between ensuring a safe learning environment and
upholding students' rights is
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.‖
c. ―I think I will be good in the mental health field. I do not like clinical rotations in
school, so I do not want to continue them after I graduate.‖
d. ―Psychiatric nurses do not have to deal with as much pain and suffering as
medical-surgical nurses. That appeals to me.‖
ANS: B
The practice of psychiatric nursing requires a different set of skills than medical-surgical nursing,
although substantial overlap does exist. Psychiatric nurses must be able to help patients with
medical and mental health problems, reflecting the holistic perspective these nurses must have.
Nurse–patient ratios and workloads in psychiatric settings have increased, similar to other
specialties. Psychiatric nursing involves clinical practice, not simply documentation. Psychosocial
pain is real and can cause as much suffering as physical pain.
DIF: Cognitive Level: Application (Applying)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
8. Which research evidence would most influence a group of nurses to change their practice?
a. Expert committee report of recommendations for practice
, b. Systematic review of randomized controlled trials
c. Nonexperimental descriptive study
d. Critical pathway
ANS: B
Research findings are graded using a hierarchy of evidence. A systematic review of randomized
controlled trials is level A and provides the strongest evidence for changing practice. Expert
committee recommendations and descriptive studies lend less powerful and influential evidence. A
critical pathway is not evidence; it incorporates research findings after they have been analyzed.
DIF: Cognitive Level: Comprehension (Understanding) TOP: Nursing Process: Planning
MSC: NCLEX: Safe, Effective Care Environment
questions about whether creators should be compensated for their work. From a legal standpoint, the question of how t
protect the intellectual property rights of open-source developers without stifling collaboration is a difficult one.Simila
the sharing economy, typified by platforms like Uber and Airbnb, raises ethical issues about labor rights and the fair
treatment of workers. Legal questions include how to classify workers (as independent contractors or employees) and h
to ensure that they are provided with benefits and protections.### 15. **Ethical and Legal Issues in Education**Educa
plays a critical role in shaping society, and ethical and legal issues related to education are vast. From issues of school
discipline to access to education, these concerns affect students, teachers, and educational institutions.#### 15.1
**Discipline and School Safety**In many schools, the balance between ensuring a safe learning environment and
upholding students' rights is
9. A bill introduced in Congress would reduce funding for the care of people diagnosed with mental
illnesses. A group of nurses write letters to their elected representatives in opposition to the
legislation. Which role have the nurses fulfilled?
a. Advocacy
b. Attending
c. Recovery
d. Evidence-based practice
ANS: A
An advocate defends or asserts another‘s cause, particularly when the other person lacks the ability
to do that for him or herself. Examples of individual advocacy include helping patients understand
their rights or make decisions. On a community scale, advocacy includes political activity, public
speaking, and publication in the interest of improving the individuals with mental illness; the letter-
writing campaign advocates for that cause on behalf of patients who are unable to articulate their
own needs.
DIF: Cognitive Level: Comprehension (Understanding)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
10. An informal group of patients discuss their perceptions of nursing care. Which comment best
indicates a patient‘s perception that his or her nurse is caring?
a. ―My nurse always asks me which type of juice I want to help me swallow my
medication.‖
b. ―My nurse explained my treatment plan to me and asked for my ideas about how to make
it better.‖
c. ―My nurse told me that if I take all the medicines the doctor prescribes, I will get
discharged soon.‖
d. ―My nurse spends time listening to me talk about my problems. That helps me feel like
I‘m not alone.‖
ANS: D
Caring evidences empathic understanding as well as competency. It helps change pain and
suffering into a shared experience, creating a human connection that alleviates feelings of
isolation. The incorrect options give examples of statements that demonstrate advocacy or
giving advice.
DIF: Cognitive Level: Application (Applying) TOP: Nursing Process: Evaluation
