Test Bank For Essentials of Psychiatric Mental Health Nursing A Communication Approach to Evidence-Based Care Authors Elizabeth Varcarolis Chapter 1-28 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