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Varcarolis’ Essentials of Psychiatric Mental Health Nursing 5th Edition Fosbre Test Bank
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community mental health (nur 409.1)
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stuvia/en-us/doc/4010682/varcarolis-essentials-of-
psychiatric-mental-health-nursing-5th-edition-fosbre-test-bank-all-chapters-
explored
Test Bank for Varcarolis’ Essentials of Psychiatric Mental
Health Nursing 5th Edition Fosbre
stuvia/en-us/doc/4010682/varcarolis-essentials-of-
psychiatric-mental-health-nursing-5th-edition-fosbre-test-bank-all-chapters-
explored
Chapter 01: Science and the Therapeutic Use of Self in Psychiatric Mental Health Nursing
Varcarolis
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.”
stuvia/en-us/doc/4010682/varcarolis-essentials-of-
psychiatric-mental-health-nursing-5th-edition-fosbre-test-bank-all-chapters-
explored
a. One descriptive research study rarely provides enough evidence to change practice.
b. Staff nurses apply new research findings only with the help from clinical nurse
specialists.
c. New research findings should be incorporated into clinical algorithms before using
them in practice.
d. The nurse misinterpreted the results of the study. Classic tenets of practice do not
change.
ANS: A
Descriptive research findings provide evidence for practice but must be viewed in relation to other
studies before practice changes. One study is not enough. Descriptive studies are low on the hierarchy
of evidence. Clinical algorithms use flowcharts to manage problems and do not specify one response to
a clinical problem. Classic tenets of practice should change as research findings provide evidence for
change.
DIF: Cognitive Level: Analysis (Analyzing) TOP: Nursing Process: Evaluation
MSC: NCLEX: Health Promotion and Maintenance
7. Two nursing students discuss career plans after graduation. One student wants to enter psychiatric
nursing. The other student asks, “Why would you want to be a psychiatric nurse? All they do is talk.
You will lose your skills.” Select the best response by the student interested in psychiatric nursing.
a. “Psychiatric nurses’ practice in safer environments than other specialties and
nurse-to-patient ratios are better because of the nature of patients’ problems.”
b. “Psychiatric nurses use complex communication skills, as well as critical thinking,
to solve multidimensional problems. I’m challenged by those situations.”
c. “I think I will be good in the mental health field. I do not like clinical rotations in
school, so I do not want to continue them after I graduate.”
d. “Psychiatric nurses do not have to deal with as much pain and suffering as
medical-surgical nurses. That appeals to me.”
ANS: B
The practice of psychiatric nursing requires a different set of skills than medical-surgical nursing,
although substantial overlap does exist. Psychiatric nurses must be able to help patients with medical
and mental health problems, reflecting the holistic perspective these nurses must have. Nurse–patient
ratios and workloads in psychiatric settings have increased, similar to other specialties. Psychiatric
nursing involves clinical practice, not simply documentation. Psychosocial pain is real and can cause
as much suffering as physical pain.
DIF: Cognitive Level: Application (Applying)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
8. Which research evidence would most influence a group of nurses to change their practice?
a. Expert committee report of recommendations for practice
b. Systematic review of randomized controlled trials
c. Nonexperimental descriptive study
d. Critical pathway
ANS: B
stuvia/en-us/doc/4010682/varcarolis-essentials-of-
psychiatric-mental-health-nursing-5th-edition-fosbre-test-bank-all-chapters-
explored
Research findings are graded using a hierarchy of evidence. A systematic review of randomized
controlled trials is level A and provides the strongest evidence for changing practice. Expert committee
recommendations and descriptive studies lend less powerful and influential evidence. A critical
pathway is not evidence; it incorporates research findings after they have been analyzed.
DIF: Cognitive Level: Comprehension (Understanding) TOP: Nursing Process: Planning
MSC: NCLEX: Safe, Effective Care Environment
9. A bill introduced in Congress would reduce funding for the care of people diagnosed with mental
illnesses. A group of nurses write letters to their elected representatives in opposition to the legislation.
Which role have the nurses fulfilled?
a. Advocacy
b. Attending
c. Recovery
d. Evidence-based practice
ANS: A
An advocate defends or asserts another’s cause, particularly when the other person lacks the ability to
do that for him or herself. Examples of individual advocacy include helping patients understand their
rights or make decisions. On a community scale, advocacy includes political activity, public speaking,
and publication in the interest of improving the individuals with mental illness; the letter-writing
campaign advocates for that cause on behalf of patients who are unable to articulate their own needs.
DIF: Cognitive Level: Comprehension (Understanding)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
10. An informal group of patients discuss their perceptions of nursing care. Which comment best indicates
a patient’s perception that his or her nurse is caring?
a. “My nurse always asks me which type of juice I want to help me swallow my
medication.”
b. “My nurse explained my treatment plan to me and asked for my ideas about how to
make it better.”
c. “My nurse told me that if I take all the medicines the doctor prescribes, I will get
discharged soon.”
d. “My nurse spends time listening to me talk about my problems. That helps me feel
like I’m not alone.”
ANS: D
Caring evidences empathic understanding as well as competency. It helps change pain and suffering
into a shared experience, creating a human connection that alleviates feelings of isolation. The
incorrect options give examples of statements that demonstrate advocacy or giving advice.
DIF: Cognitive Level: Application (Applying) TOP: Nursing Process: Evaluation
MSC: NCLEX: Psychosocial Integrity
11. A patient who immigrated to the United States from Honduras was diagnosed with schizophrenia. The
patient took an antipsychotic medication for 3 weeks but showed no improvement. Which resource
should the treatment team consult for information on more effective medications for this patient?
a. Clinical algorithm
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Varcarolis’ Essentials of Psychiatric Mental Health Nursing 5th Edition Fosbre Test Bank
Course: community mental health (nur 409.1)
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Test Bank for Varcarolis’ Essentials of Psychiatric Mental
Health Nursing 5th Edition Fosbre
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Students also viewed
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