Varcarolis Essentials of Psychiatric Mental Health Nursing Third Edition Test Bank
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Which outcome, focused on recovery, would be expected in the plan of care for a patient living
in the community with serious and persistent mental illness? Within 3 months, the patient will:
a. deny suicidal ideation.
b. report a sense of well-being.
c. take medications as prescribed.
d. attend clinic appointments on time.
B
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 some means of coping other than suicide when you have these 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?"
A
In the shift-change report, an off-going nurse criticizes a patient who wears heavy makeup.
Which comment by the nurse who receives the report best demonstrates advocacy?
,a. "This is a psychiatric hospital. Craziness is what we are all about."
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."
D
A nurse assesses a newly admitted patient with depression. Which statement is an example of
"attending"?
a. "We all have stress in life. Being in a psychiatric hospital isn't 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 a while so you may feel more comfortable talking with me."
D
A patient shows the nurse an article from the Internet about a health problem. Which
characteristic of the web site'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."
B
,A nurse says, "When I was in school I learned to call upset patients by name to get their
attention, but I read a descriptive research study that says that this approach doesn't work. I'm
going 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.
A
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'll lose your skills." Select the best response by the student interested in
psychiatric nursing.
a. "Psychiatric nurses practice in safer environments than other specialties. Nurse-to-patient
ratios must be 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'll be good in the mental health field. I do not like clinical rotations in school, so I
don't want to continue them after I graduate."
d. "Psychiatric nurses don't have to deal with as much pain and suffering as medical surgical
nurses. That appeals to me."
B
, 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
B
A bill introduced in Congress would reduce funding for the care of people 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
A
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."
Answers LATEST AND COMPREHENSIVE VERSION WITH VERIFIED ANSWERS
GUARANTEED PASS WITH INSTANT PDF DOWNLOAD
Which outcome, focused on recovery, would be expected in the plan of care for a patient living
in the community with serious and persistent mental illness? Within 3 months, the patient will:
a. deny suicidal ideation.
b. report a sense of well-being.
c. take medications as prescribed.
d. attend clinic appointments on time.
B
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 some means of coping other than suicide when you have these 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?"
A
In the shift-change report, an off-going nurse criticizes a patient who wears heavy makeup.
Which comment by the nurse who receives the report best demonstrates advocacy?
,a. "This is a psychiatric hospital. Craziness is what we are all about."
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."
D
A nurse assesses a newly admitted patient with depression. Which statement is an example of
"attending"?
a. "We all have stress in life. Being in a psychiatric hospital isn't 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 a while so you may feel more comfortable talking with me."
D
A patient shows the nurse an article from the Internet about a health problem. Which
characteristic of the web site'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."
B
,A nurse says, "When I was in school I learned to call upset patients by name to get their
attention, but I read a descriptive research study that says that this approach doesn't work. I'm
going 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.
A
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'll lose your skills." Select the best response by the student interested in
psychiatric nursing.
a. "Psychiatric nurses practice in safer environments than other specialties. Nurse-to-patient
ratios must be 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'll be good in the mental health field. I do not like clinical rotations in school, so I
don't want to continue them after I graduate."
d. "Psychiatric nurses don't have to deal with as much pain and suffering as medical surgical
nurses. That appeals to me."
B
, 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
B
A bill introduced in Congress would reduce funding for the care of people 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
A
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."
