TEST BANK: ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING (3RD EDITION BY VARCAROLIS) Graded A+
Test Bank: Essentials of Psychiatric Mental Health
... [Show More] Nursing (3rd Edition by Varcarolis) 2Chapter 01: Practicing the Science and the Art of Psychiatric NursingMULTIPLECHOICE1.Which outcome, focused on recovery, would be expected in the plan of care for a patientliving in the community and diagnosed with serious and persistent mental illness? Within 3months, 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.ANS: BRecovery emphasizes managing symptoms, reducing psychosocial disability, and improvingrole performance.The goal of recovery is to empower the individual with mental illness to achieve a sense ofmeaning and satisfaction in life and to function at the highest possible level of wellness. Theincorrect options focus on the classic medical model rather than recovery.DIF: Cognitive Level: Application (Applying) REF: 2TOP: Nursing Process: Outcomes IdentificationMSC: NCLEX: Health Promotion and Maintenance2.In the shift-change report, an off-going nurse criticizes a patient who wears heavymakeup. Which comment by the nurse who receives the report best demonstratesadvocacy?a.This is a psychiatric hospital. Craziness is what we are all about.b.Lets 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 insociety.ANS: DAccepting patients needs for self-expression and seeking to teach skills that will contributeto 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 thepatient. Humor can be appropriate within the privacy of a shift report but not at theexpense of respect for patients. Judging the off-going nurse in a critical way will createconflict.Nurses must show compassion for each other.DIF: Cognitive Level: Application (Applying) REF: 8TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment 3. Anurse assesses a newly admitted patient diagnosed with major depressive disorder. Whichstatement is an example of attending?a.We all have stress in life. Being in a psychiatric hospital isnt the end of the world.b.Tell me why you felt you had to be hospitalized to receive treatment for yourdepression.c.You will feel better after we get some antidepressant medication started for you.d.Id like to sit with you a while so you may feel more comfortable talking with me.ANS: DAttending is a technique that demonstrates the nurses commitment to the relationship andreduces feelings of isolation. This technique shows respect for the patient anddemonstrates caring. Generalizations, probing, and false reassurances are non-therapeutic.DIF: Cognitive Level: Application (Applying) REF: 8TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity 4. A patient ishospitalized for depression and suicidal ideation after their spouse asks for a divorce.Select the nurses most caring comment.a.Lets discuss some means of coping other than suicide when you have these feelings.b.I understand why youre so depressed. When I got divorced, I was devastated too.c.You should forget about your marriage and move on with yourlife.d.How did you get so depressed that hospitalization wasnecessary?
Test Bank: Essentials of Psychiatric Mental Health Nursing (3rd Edition by Varcarolis) 3ANS: A [Show Less]