Chapter 1: Practicing the Science and Art of Psychiatric Nursing Test Bank
MULTIPLE CHOICE
1. Which outcome, focused on recovery, would be expected in
... [Show More] 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.
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 REF: Pages: 2-3
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 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?‖
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 or therapeutic interventions.
DIF: Cognitive Level: Application REF: Pages: 6-8
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
3. 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 bestdemonstrates 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.‖
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 REF: Page: 8
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
4. 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.‖
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 REF: Page: 8
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
5. A patient shows the nurse an article from the Internet about a health [Show Less]