pg. 1 Test Bank FOR Varcarolis Essentials of Psychiatric Mental Health Nursing 5th Edition Fosbre (1 -28 chapters) -latest version 2023/2024
Table of Contents
Chapter 01: Practicing the Science and the Art of Psychiatric Nursing
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Chapter 02: Mental Health and Mental Illness
Chapter 03: Theories and Therapies
Chapter 04: Biological Basis for Understanding Psychopharmacology
Chapter 05: Settings for Psychiatric Care
Chapter 06: Legal and Ethical Basis for Practice
Chapter 07: Nursing Process and QSEN: The Foundation for Safe and Effective Care Chapter 08: Communication Skills: Medium for All Nursing Practice
Chapter 09: Therapeutic Relationships and the Clinical Interview
Chapter 10: Trauma and Stress-Related Disorders
Chapter 11: Anxiety, Anxiety Disorders, and Obsessive-Compulsive Disorders
Chapter 12: Somatic System Disorders and Dissociative Disorders
Chapter 13: Personality Disorders
Chapter 14: Eating Disorders
Chapter 15: Mood Disorders: Depression
Chapter 16: Bipolar Spectrum Disorders
Chapter 17: Schizophrenia Spectrum Disorders and Other Psychotic Disorders
Chapter 18: Neurocognitive Disorders
Chapter 19: Substance-Related and Addictive Disorders
Chapter 20: Crisis and Mass Disaster
Chapter 21: Child, Partner, and Elder Violence
Chapter 22: Sexual Violence
Chapter 23: Suicidal Thoughts and Behavior
Chapter 24: Anger, Aggression, and Violence
Chapter 25: Care for the Dying and Those Who Grieve
Chapter 26: Children and Adolescents
Chapter 27: Adults
Chapter 28: Older Adults 2 / 4
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Chapter 01: Practicing the Science and the Art of Psychiatric Nursing
• MULTIPLE CHOICE
- A patient shows the nurse an article from the Internet about a health problem. Which
characteristic of the web sites address most alerts the nurse that the site may have biased and prejudicedinformation?
- Address ends in .org.
- Address ends in .com.
- Address ends in .gov.
- Address ends in .net.
ANS: B
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 the site is nonproprietary; the site may or may not have reliable information, but it does not profit from its activities. .net can have multiple meanings.
DIF: Cognitive Level: Comprehension (Understanding) REF: 5
TOP: Nursing Process: Evaluation MSC: NCLEX: Health Promotion and Maintenance
- A nurse says, When I was in school, I learned to call upset patients 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 nurses comment?
- One descriptive research study rarely provides enough evidence to change practice.
- Staff nurses apply new research findings only with the help from clinical nurse
specialists.
- New research findings should be incorporated into clinical algorithms before using
them in practice.
- The nurse misinterpreted the results of the study. Classic tenets of practice do not
change. 3 / 4
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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 flow charts 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) REF: 3 TOP: Nursing Process: Evaluation MSC: NCLEX: Health Promotion and Maintenance
- Twonursing 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.
- Psychiatric nurses practice in safer environments than other specialties. Nurse-to-
patient ratios must be better because of the nature of patients problems.
- Psychiatric nurses use complex communication skills, as well as critical thinking, to
solve multidimensional problems. Im challenged by those situations.
- 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.
- 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,
DIF: Cognitive Level: Application (Applying) REF: 3
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
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