Varcarolis : Essentials of Psychiatric Mental Health Approach to Evidence-Based Care, 4th Edition testbank

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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 abirb.com/test abirb.com/test 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 abirb.com/test 2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for a divorce. Select the nurse’s most caring comment. abirb.com/test 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) abirb.com/test 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 WWW.THENURSINGMASTERY.COM WWW.NURSYLAB.COM abirb.com/test abirb.com/test abirb.com/test WWW.THENURSINGMASTERY.COM abirb.com/test abirb.com/test WWW.NURSYLAB.COM 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 prejaubidrbi.cceomd/taegstainst 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) abirb.com/test TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment abirb.com/test 4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder. Which statement is an example of “attending”? a. “We all have stress in life. Being in a psychiatric hospital is not the end of the world.” abirb.com/test 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 ambirebd.ciocma/ttieostn started for you.” d. “I’d like to sit with you for a while, so you may feel more comfortable talking with me.” ANS: D abirb.com/test 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. abirb.com/test DIF: Cognitive Level: Application (Applying) TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity 5. A patient shows the nurse an article from the Internet abouatbiarb.hcoemal/ttehstproblem. Which characteristic of the website’s address most alerts the nurse that the site may have biased and prejudiced information? a. Address ends in “.org.” b. Address ends in “.com.” c. Address ends in “.gov.” d. Address ends in “.net.” ANS: B abirb.com/test abirb.com/test Financial influences on a site are a clue that the information may be biased. “.com” at the end of the address indicates that the site is a commercial one. “.gov” indicates that the site is maintained by a government entity. “.org” indicates that thaebirsbi.cteomis/tenstonproprietary; the site may or may not have reliable information, but it does not profit from its activities. “.net” can have multiple meanings. abirb.com/test DIF: Cognitive Level: Comprehension (Understanding) TOP: Nursing Process: Evaluation MSC: NCLEX: Health Promotion and Maintenance 6. A nurse says, “When I was in school, I learned to call upseatbirpba.ctoimen/tetsst by name to get their attention; however, I read a descriptive research study that says that this approach does not work. I plan to stop calling patients by name.” Which statement is the best appraisal of this nurse’s comment? abirb.com/test WWW [Show More]

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