f
Essentials of Psych
f f
iatric MentalHealt
f f
h Nursing 4th Editi
f f f
on
By Var f
carolis
,Chapter 01: Science and the Therapeutic Use of Self in Psychiatric Mental HealthNursing
f f f f f f f f f f f f f
Varcarolis: Essentials of Psychiatric Mental Health Nurasbiinrbg.c:omA/teC
f f f f f
st ommunication Approach
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f
f f
to Evidence-Based Care, 4th Edition
f f f f
abirb.com/test
MULTIPLEfCHOICE
1. Whichfoutcome,ffocusedfonfrecovery,fwouldfbefexpectedfinfthefplanfoffcarefforfafpatientfliving
infthefcommunityfandfdiagnosedfwithfseriousfandfpeabrisrbis.ctoemn/ttem
f stf entalfillness?fWithinf3fmonths,ft
hefpatientfwillfdemonstratefwhatfbehavior?
a. Denyingfsuicidalfideation
b. Reportingfafsensefoffwell-being abirb.com/test
c. Takingfmedicationsfasfprescribed
d. Attendingfclinicfappointmentsfonftime
ANS:f B abirb.com/test
Recoveryfemphasizesfmanagingfsymptoms,freducingfpsychosocialfdisability,fandfimprovingfrol
efperformance.fThefgoalfoffrecoveryfisftofempowerfthefindividualfwithfmentalfillnessftofachievefaf
sensefoffmeaningfandfsatisfactionfinflifefandftoffunctionfatfthefhighestfpossibleflevelfoffwellness.fT
hefincorrectfoptionsffocusfonfthefclassicfmedabicirba.lcom
mo/tedse
tflfratherfthanfrecovery.
DIF:
CognitivefLevel:fApplicationf(Applying)f
TOP:fNursingfProcess:fOutcomesfIdentification
abirb.com/test
MSC:f NCLEX:fHealthfPromotionfandfMaintenance
2. Afpatientfisfhospitalizedfforfdepressionfandfsuicidalfideationfafterftheirfspousefasksfforfafdiv
orce.fSelectfthefnurse‘sfmostfcaringfcomment. abirb.com/test
a. ―Let‘sfdiscussfhealthyfmeansfoffcopingfwhenfyoufhavefsuicidalffeelings.‖
b. ―Ifunderstandfwhyfyou‘refsofdepressed.fWhenfIfgotfdivorced,fIfwasfdevastatedfto
o.‖
c. ―Youfshouldfforgetfaboutfyourfmarriagefandfmovefonfawbiirtbh.coymo/u
terstlife.‖
d. ―Howfdidfyoufgetfsofdepressedfthatfhospitalizationfwasfnecessary?‖
ANS:f A
Thefnurse‘sfcommunicationfshouldfevidencefcaringfandfafacboirm
b.cm
om
it/tm
ese
tfntftofworkfwithfthefpatient.fT
hisfcommitmentfletsfthefpatientfknowfthefnursefwillfhelp.fProbingfandfadvicefarefnotfhelpfulfforfth
erapeuticfinterventions.
abirb.com/test
DIF: CognitivefLevel:fApplicationf(Applying)
TOP:f NursingfProcess:fImplementation MSC:f NCLEX:fPsychosocialfIntegrity
3. Infthefshift-changefreport,fanfoff-
goingfnursefcriticizesfafpaabtiirbe.ncotmw/tehsotff wearsfextremelyfheavyfmakeup.fWhichfcommentfbyfthefnur
sefwhofreceivesfthefreportfbestfdemonstratesfadvocacy?
a. ―Thisfisfafpsychiatricfhospital,fsofwefexpectfourfpatientsftofbehavefbizarrely.‖
b. ―Let‘sfallfshowfacceptancefoffthisfpatientfbyfwearingflaobtisrbo .cfom
m/teasktfeupftoo.‖
c. ―Yourfcommentsfarefinconsideratefandfinappropriate.fKeepfthefreportfobjective.‖
d. ―Ourfpatientsfneedfourfhelpftoflearnfbehaviorsfthatfwillfhelpfthemfgetfalongfinfsoc
iety.‖
abirb.com/test
ANS:f D
abirb.com/test
WWW.NURSYLAB.COM
WWW.THENURSINGMASTERY.COM
abirb.com/test
, Acceptingfpatients‘fneedsfforfself-
expressionfandfseekingftofteachfskillsfthatfwillfcontributeftoftheirfwell-
beingfdemonstratefrespectfandfarefimportantfpartsfoffadvocacy.fThefon-
comingfnursefneedsftoftakefactionftofensurefthatfothersfarefnotfprejaubidrbi.ccoemd/taegstainstfthefpatient.fHum
orfcanfbefappropriatefwithinfthefprivacyfoffafshiftfreportfbutfnotfatfthefexpensefoffrespectfforfpatien
ts.fJudgingfthefoff-
goingfnursefinfafcriticalfwayfwillfcreatefconflict.fNursesfmustfshowfcompassionfforfeachfother.
abirb.com/test
DIF: CognitivefLevel:fApplicationf(Applying)
TOP:f NursingfProcess:fImplementation MSC:f NCLEX:fSafe,fEffectivefCarefEnvironment
abirb.com/test
4. Afnursefassessesfafnewlyfadmittedfpatientfdiagnosedfwithfmajorfdepressivefdisorder.fWhichfstat
ementfisfanfexamplefoff―attending‖?
a. ―Wefallfhavefstressfinflife.fBeingfinfafpsychiatricfhospitalfisfnotfthefendfoffthefwor
ld.‖ abirb.com/test
b. ―Tellfmefwhyfyouffeltf youfhadftofbefhospitalizedftofreceiveftreatmentfforfyourfdep
ression.‖
c. ―Youfwillffeelfbetterfafterfwefgetfsomefantidepressantfam ed.ciocma/tteiostnfstartedfforfyou.‖
birb
d. ―I‘dflikeftofsitfwithfyoufforfafwhile,fsofyoufmayffeelfmorefcomfortableftalkingfwith
me.‖
ANS:f D abirb.com/test
Attendingfisfaftechniquefthatfdemonstratesfthefnurse‘sfcommitmentftofthefrelationshipfandfred
ucesffeelingsfoffisolation.fThisftechniquefshowsfrespectfforfthefpatientfandfdemonstratesfcaring
.fGeneralizations,fprobing,fandffalsefreassurancesfarefnontherapeutic.
abirb.com/test
DIF: CognitivefLevel:fApplicationf(Applying)
TOP:f NursingfProcess:fImplementation MSC:f NCLEX:fPsychosocialfIntegrity
5. AfpatientfshowsfthefnursefanfarticleffromfthefInternetfabouatbiarb.hcoemal/ttehst problem.fWhichfcharacteris
ticfoffthefwebsite‘sfaddressfmostfalertsfthefnursefthatfthefsitefmayfhavefbiasedfandfprejudicedfinfo
rmation?
a. Addressfendsfinf―.org.‖ abirb.com/test
b. Addressfendsfinf―.com.‖
c. Addressfendsfinf―.gov.‖
d. Addressfendsfinf―.net.‖
abirb.com/test
ANS:f B
Financialfinfluencesfonfafsitefarefafcluefthatfthefinformationfmayfbefbiased.f―.com‖fatfthefendfoffth
efaddressfindicatesfthatfthefsitefisfafcommercialfone.f―.gov‖findicates fthatfthefsitefis
abirb.com/test
maintainedfbyfafgovernmentfentity.f―.org‖findicatesfthatfthefsitefisfnonproprietary;fthefsite
mayforfmayfnotfhavefreliablefinformation,fbutfitfdoesfnotfprofitffromfitsfactivities.f―.net‖fcanfhav
efmultiplefmeanings.
abirb.com/test
DIF: CognitivefLevel:fComprehensionf(Understanding)
TOP:f NursingfProcess:fEvaluationfMSC:f NCLEX:fHealthfPromotionfandfMaintenance
6. Afnursefsays,f―WhenfIfwasfinfschool,fIflearnedftofcallfupseatbirpba.ctoim
en/tetsstfbyfnameftofgetftheirfattenti
on;fhowever,fIfreadfafdescriptivefresearchfstudyfthatfsaysfthatfthisfapproachfdoesfnotfwork.fIfpla
nftofstopfcallingfpatientsfbyfname.‖fWhichfstatementfisfthefbestfappraisalfoffthisfnurse‘sfcomme
nt? abirb.com/test
a. Onefdescriptivefresearchfstudyfrarelyfprovidesfenoughfevidenceftofchangefpractice.
abirb.com/test
WWW.NURSYLAB.COM
WWW.THENURSINGMASTERY.COMf
abirb.com/tes
, b. Stafffnursesfapplyfnewfresearchffindingsfonlyfwithfthefhelpffromfclinicalfnursefspe
cialists.
c. Newfresearchffindingsfshouldfbefincorporatedfintofclinaibcirabl.caom
lg/toesrtithmsfbeforefusingfth
emfinfpractice.
d. Thefnursefmisinterpretedfthefresultsfoffthefstudy.fClassicftenetsfoffpracticefdofnotfcha
nge.
abirb.com/test
ANS:f A
Descriptivefresearchffindingsfprovidefevidencefforfpracticefbutfmustfbefviewedfinfrelationftofothe
rfstudiesfbeforefpracticefchanges.fOnefstudyfisfnotfenough.fDescriptivefstudiesfareflowfonfthefhiera
abirb.com/test
rchyfoffevidence.fClinicalfalgorithmsfusefflowcharts to managefproblemsfandfdofnot
specifyfonefresponseftofafclinicalfproblem.fClassicftenetsfoffpracticefshouldfchangefasfres
earchffindingsfprovidefevidencefforfchange.
abirb.com/test
DIF: CognitivefLevel:fAnalysisf(Analyzing)
TOP:f NursingfProcess:fEvaluationfMSC:f NCLEX:fHealthfPromotionfandfMaintenance
7. Twofnursingfstudentsfdiscussfcareerfplansfafterfgraduationa.birb
On.ceoms/tteusdtfentfwantsftofenterfpsychiatr
icfnursing.fThefotherfstudentfasks,f―Whyfwouldfyoufwantftofbefafpsychiatricfnurse?fAllftheyfdofisf
talk.fYoufwillflosefyourfskills.‖fSelectfthefbestfresponsefbyfthefstudentfinterestedfinfpsychiatricfn
ursing. abirb.com/test
a. ―Psychiatricfnurses‘fpracticefinfsaferfenvironmentsfthanfotherfspecialtiesfandfnu
rse-to-patientfratiosfarefbetterfbecausefoffthefnaturefoffpatients‘fproblems.‖
b. ―Psychiatricfnursesfusefcomplexfcommunicationfskills,fasfwellfasfcriticalfthinking,ftof
solvefmultidimensionalfproblems.fI‘mfchallengedfbyabtirhb.c osom/
e steisttuations.‖
c. ―IfthinkfIfwillfbefgoodfinfthefmentalfhealthffield.fIfdofnotflikefclinicalfrotationsfinfscho
ol,fsofIfdofnotfwantftofcontinuefthemfafterfIfgraduate.‖
d. ―Psychiatricfnursesfdofnotfhaveftofdealfwithfasfmuchfpaabiirnb.caonmd/tessutfferingfasfme
dical-surgicalfnurses.fThatfappealsftofme.‖
ANS:f B
Thefpracticefoffpsychiatricfnursingfrequiresfafdifferentfsetaobfirbs.ckoimll/stesthtfanfmedical-
surgicalfnursing,falthoughfsubstantialfoverlapfdoesfexist.fPsychiatricfnursesfmustfbefableftofhel
pfpatientsfwithfmedicalfandfmentalfhealthfproblems,freflectingfthefholisticfperspectivefthesefnur
sesfmustfhave.fNurse–
patientfratiosfandfworkloadsfinfpsychiatricfsettingsfhavefincreased,fsimilarftofotherfspecialties.fP
sychiatricfnursingfinvolvesfclaibniribc.acolmp/treasctftice,fnotfsimplyfdocumentation.fPsychosocialfpainfisfrea
lfandfcanfcausefasfmuchfsufferingfasfphysicalfpain.
DIF: CognitivefLevel:fApplicationf(Applying) abirb.com/test
TOP:f NursingfProcess:fImplementation MSC:f NCLEX:fSafe,fEffectivefCarefEnvironment
8. Whichfresearchfevidencefwouldfmostfinfluencefafgroupfoffnursesftofchangeftheirfpractice?
a. Expertfcommitteefreportfoffrecommendationsfforfpractaibcireb.com/test
b. Systematicfreviewfoffrandomizedfcontrolledftrials
c. Nonexperimentalfdescriptivefstudy
d. Criticalfpathway
abirb.com/test
ANS:f B
abirb.com/test
abirb.com/test
WWW.NURSYLAB.COM
WWW.THENURSINGMASTERY.COMf
abirb.com/tes