Essentials of Psychiatric Mental Health Nursing 4th Edition Varcarolis Test Bank
Test Bank for Essentials of Psychiatric Mental Health Nursing A Communication Approach to Evidence-Based Care 4th Edition by Elizabeth Varcarolis, Chyllia D Fosbre, ISBN: 9780323661584, ISBN: 9780323749633, ISBN: 9780323625111, ISBN: 9780323661584, ISBN: 9780323794503
Table of Contents
Unit I. Essential Theoretical Concepts for Practice
1. Science and the Therapeutic Use of Self in Psychiatric-Mental Health Nursing
2. Mental Health and Mental Illness
3. Theories and Therapies
4. Biological Basis for Understanding Psychopharmacology
5. Settings for Psychiatric Care
6. Legal and Ethical Basis for Practice
Unit II. Tools for Practice of the Art
7. The Nursing Process in Psychiatric-Mental Health Nursing
8. Communication Skills: Medium for All Nursing Practice
9. Therapeutic Relationships and the Clinical Interview
Unit III. Caring for Patients With Psychobiological Disorders
10. Trauma and Stress-Related Disorders and Dissociative Disorders
11. Anxiety, Anxiety Disorders, and Obsessive-Compulsive and Related Disorders
12. Somatic Symptom Disorders
13. Personality Disorders
14. Eating Disorders
15. Mood Disorders: Depression
16. Bipolar Spectrum Disorders
17. Schizophrenia Spectrum Disorders and Other Psychotic Disorders
18. Neurocognitive Disorders
19. Substance-Related and Addictive Disorders
Unit IV. Caring for Patients Experiencing Psychiatric Emergencies
20. Crisis and Mass Disaster
21. Child, Partner, and Elder Violence
22. Sexual Violence
23. Suicidal Thoughts and Behaviors
24. Anger, Aggression, and Violence
25. Care for the Dying and Those Who Grieve
26. Children and Adolescents
27. Adults
28. Older Adults
Chapter 01: Science and the Therapeutic Use of Self in Psychiatric Mental Health Nursing
Varcarolis: Essentials of Psychiatric Mental Health Nursing: A Communication Approach to Evidence-Based Care, 4th Edition
MULTIPLE CHOICE
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 persistent mental 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
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 (Applying)
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 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 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 for therapeutic interventions.
DIF: Cognitive Level: Application (Applying)
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
3. In the shift-change report, an off-going nurse criticizes a patient who 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 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 (Applying)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
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