Essentials of Psychiatric Mental Health Nursing 4th Edition Varcarolis Nursing Test Bank.Chapter 01: Science and the Therapeutic Use of Self in
... [Show More] Psychiatric Mental Health Nursing
Varcarolis: Essentials of Psychiatric Mental Health Nurasbinirbg.c:omA/teCst ommunication Approach to Evidence-Based Care, 4th Edition
MULTIPLE CHOICE
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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 paebrisrbis.ctoemn/ttemst ental 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
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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 medabicirba.lcommo/tedset l rather than recovery.
DIF: Cognitive Level: Application (Applying) TOP: Nursing Process: Outcomes Identification MSC: NCLEX: Health Promotion and Maintenance
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2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for a
divorce. Select the nurse’s most caring comment.
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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 awbiirtbh.coymo/uterstlife.”
d. “How did you get so depressed that hospitalization was necessary?”
ANS: A
The nurse’s communication should evidence caring and a acboirmb.cmomit/tmeset nt 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)
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TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
3. In the shift-change report, an off-going nurse criticizes a paabtiirbe.ncotmw/tehsot 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 laobtisrbo.cfomm/teaskt eup 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 [Show Less]