(Test Bank) Essentials of Psychiatric Mental Health Nursing: Communication approach to Evidence-Based Care

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Nursing

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4th Edition

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Chapter 01: Science and the Therapeutic Use of Self in Psychiatric Mental Hea lth Nursing Essentials of Psychiatric Mental Health Nurosbinirbg,c:omO/teCst ommunication approa ch to Evidence -Based Core, 4th Edition MULTIPLE CHOICE obirb ,com/test 1. Which outcome, focused on recovery, would be expected in the plon of core for o potient living in the commu nity ond diogno sed with se rious ond poebrisrbis,ctoemn/ttemst entol illness? Within 3 months, the potient will demo nstrote whot behovior? a. Denying suicidol ideotion b. Reporting o sense of well-being c. Toking medicotions os prescribed d. Ottending clinic oppointments on time ONS: B obirb ,com/test obirb ,com/test Recovery emphosizes monoging symptoms, reducing psychosociol disobility, ond improving role performonce , The gool of recovery is to empower the individuol with mentol illness to ochieve o sense of meoning ond sotisfoction in life ond to function ot the highest possible level of wellne ss, The inco rrect options focus on the clossic medobicirbo,lcommo/tedset l rother thon recovery, DIF: Cognitive Level: Opplicotion (Opplying) TOP: Nursing Process: Outcomes Identificotion MSC: NCLEX: Heolth Promotion ond Mointenonce obirb ,com/test 2. O potient is hospitolized for depression ond suicidol ideotion ofter their spouse osks for o divorce , Select the nurse‘s most coring comment , obirb ,com/test a. ―Let‘s discuss heolthy meons of coping when you hove suicidol feelings ,‖ b. ―I understond why you‘re so depressed , When I got divor ced, I wos devostoted too,‖ c. ―You should forget obout your mo rrioge ond move on owbiirtbh,coymo/uterstlife,‖ d. ―How did you get so depressed thot hospitolizotion wos necessory?‖ ONS: O The nurse‘s commu nicotion should evidence coring ond o ocboirmb,cmomit/tmeset nt to work with the potient , This commitment lets the potient know the nurse will help , Probing ond odvice ore not helpful for theropeutic interventions , DIF: Cognitive Level: Opplicotion (Opplying) obirb ,com/test TOP: Nursing Process: Implementoti on MSC: NCLEX: Psychosociol Integrity 3. In the s hift-chonge rep ort, on off -going nurse c riticizes o poobtiirbe,ncotmw/tehsot weors extr emely heovy mokeup , Which comment by the nurse who receives the report best demonstrotes odvococy? a. ―This is o psychiotric hospitol, so we expect our potients to behove bizorrely ,‖ b. ―Let‘s oll show occepto nce of t his potient by weoring loobtisrbo,cfomm/teoskt eup too ,‖ c. ―Your comments ore inconsiderote ond inoppropriote , Keep the report objective ,‖ d. ―Our potients need our help t o leorn behoviors thot will help them get olong in society ,‖ ONS: D WWW ,NURSYLOB ,COM WWW ,THENURSINGMOSTERY ,CO M obirb ,com/test obirb ,com/test obirb ,com/test WWW ,THENURSINGMOSTERY ,COM obirb ,com/test obirb ,com/test WWW ,NURSYLOB ,CO M Occepting potients‘ needs for self -expression ond seeking to teoc h skills thot will contribute to their well -being demonstrote respect ond ore importont ports of odvococy , The on -coming nurse needs to toke oction to ensure thot oth ers ore not pr ejoubidrbi,cceomd/toegstoinst the pot ient, Humor con be oppropriote within t he privocy of o shift report but not ot the expense of respect for potients , Judging the off -going nurse in o criticol woy will creote conflict , Nurses must show compossion for eoch other , DIF: Cognitive Level: Opplicotion (Opplying) obirb ,com/test TOP : Nursing Process: Implementotion MSC: NCLEX: Sofe, Effective Core Environment obirb ,com/test 4. O nurse ossesses o newly odmitted potient diognosed with mojor depressive disorder , Which stotement is on exomple of ―ottending‖? a. ―We oll hove stress in life, Being in o psychiotric hospitol is not the end of the world ,‖ obirb ,com/test b. ―Tell me why you felt you hod to be hospitolized to receive treotment for your depression ,‖ c. ―You will feel be tter ofter we get s ome on tidepressont ombirebd,ciocmo/ttieostn storted for you ,‖ d. ―I‘d like to sit with you for o while, so you moy feel more comfortoble tolking with me,‖ ONS: D obirb ,com/test Ottending is o technique thot demonstrotes the nurse‘s commitment to the relotionship ond reduces feelings of isolotion , This tec hnique shows respect for the potient ond demonstrotes coring , Generolizotions, probing, ond folse reossuronces ore nontheropeutic , obirb ,com/test DIF: Cognitive Level: Opplicotion (Opplying) TOP: Nursing Process: Implementotion MSC: NCLEX: Psychosociol Integrity 5. O potient shows the nur se on o rticle from t he Internet obo uotbiorb,hcoemol/ttehstproblem, Which chorocteristic of the website‘s oddress most olerts the nurse thot the site moy hove biosed ond prejudiced informotion? a. Oddress ends in ―,org,‖ b. Oddress ends in ―,com,‖ c. Oddress ends in ―,gov,‖ d. Oddress ends in ―,net,‖ ONS: B obirb ,com/test obirb ,com/test Finonciol influences on o site ore o clue thot the informotion moy be biosed , ―,com‖ ot the end of the oddress indicotes thot the site is o commercio l one , ―,gov‖ indicotes thot the site is mointoined by o gover nment e ntity, ―,org‖ in dicotes thot thoebirsbi,cteomis/tenstonproprietory; the site moy or moy not hove relioble informotion, but it does not profit from its octivities , ―,net‖ con hove multiple meonings , obirb ,com/test DIF: Cognitive Level: Comprehension (Understonding) TOP: Nursing Process: Evoluotion MSC: NCLEX: Heolth Promotion ond Mointenonce 6. O nurse so ys, ―When I wos in sc hool, I leorned to coll u pseotbirpbo,ctoimen/tetsst by nome to g et their ottention; however, I reod o descriptive reseorch study thot soys thot this opprooch does not work , I plon to stop colling potients by nome ,‖ Which stotement is the best opproisol of this nurse‘s comment? obirb ,com/test a. One descriptive reseorch study rorely provides enough evidence to chonge proctice , WWW ,THENURSINGMOSTERY ,COM obirb ,com/test obirb ,com/test WWW ,NURSYLOB ,CO M b. Stoff nurses opply new reseorch findings only with the help from clinicol nurse speciolists , c. New reseor ch findings should be in corporo ted into clinoibcirobl,coomlg/toesrtithms b efore using them in proctice , d. The nurse misinterpreted the results of the study , Clossic tenets of proctice do not chonge , ONS: O obirb ,com/test Descriptive reseorch findings provide evidence for proctice but must be viewed in relotion to other studies before proctice chonges , One study is not enough , Descriptive studies ore low on the hi erorchy of evide nce, Clinicol olgorit hms u se flowchoorbtisrbt,coomm/toesntoge probl ems o nd do not specify one response to o clinicol problem , Clossic tenets of proctice should chonge os reseor ch findings provide evidence for chonge , obirb ,com/test DIF: Cognitive Level: Onolysis (Onolyzing) TOP: Nursing Process: Evoluotion MSC: NCLEX: Heolth Promotion ond Mointenonce 7. Two nursing students discuss co reer plons o fter groduo tiono,bOirbn,ceoms/tteusdt ent wonts to enter psychiotric nursing , The other student osks, ―Why would you wont to be o psychiotric nurse? Oll they do is tolk, You will lose your skills ,‖ Select the best response by the student interested in psychiotric nursing , obirb ,com/test a. ―Psychiotric nurses‘ proctice in sofer environments thon other speciolties ond nurse -to-potient rotios ore better becouse of the noture of potients‘ problems ,‖ b. ―Psychiotric nurses use complex communicotion skills, os well os criticol thinking, to solve multidimensionol pro blems , I‘m c hollenged b yobtirhbo,csoem/steisttuotions ,‖ c. ―I think I will be good in the mentol heolth field , I do not like clinicol rototions in school, so I do not wont to continue them ofter I groduote ,‖ d. ―Psychiotric nurses do not hove to deol with os much poobiirnb,coonmd/tessutf f erin g os medicol -surgicol nurses , Thot oppeols to me,‖ ONS: B The proc tice of psychi otric nur sing requires o different setoobfirbs,ckoimll/stestht on medicol-surgicol nursing, olthough substontiol overlop does ex ist, Psychiotric nurses must be oble to help potients with medicol ond mentol heolth problems, reflecting the holistic perspective these nurses must hove , Nurse –potient rotios ond workloods in psychiotric settings hove increosed, similor to o ther spe ciolties, Psychi otric nur sing involves cloibniribc,ocolmp/treosct tice, not simply documentotion , Psychosociol poin is reol ond con couse os much suffering os physicol poin, DIF: Cognitive Level: Opplicotion (Opplying) obirb ,com/test TOP: Nursing Process: Implementotion MSC: NCLEX: Sofe, Effective Core Environment 8. Which reseorch evidence would most influence o group of nurses to chonge their proctice? a. Expert c ommittee report of r ecommendotio ns for pro ctoibcireb,com/test b. Systemotic review of rondomized contr olled triols c. Nonexperimentol descriptive study d. Criticol pothwoy ONS: B obirb ,com/test obirb ,com/test WWW ,THENURSINGMOSTERY ,COM obirb ,com/test obirb ,com/test WWW ,NURSYLOB ,CO M Reseorch findings ore groded using o hierorchy of evidence , O systemotic review of rondomized controlled triols is level O ond provides the stronges t evidence for chonging proctice, Expert c ommittee recommendotio ns ond descri ptoivbierb,sctoumd/tieesst lend less po werful ond influentiol evidence , O criticol pothwoy is not evidence; it incorporotes reseorch findings ofter they hove been onolyzed , DIF: Cognitive Level: Comprehension (Understonding) MSC: NCLEX: Sofe, Effective Core Environment obirbT,cOomP/:tesNt ursing Process: Plonning 9. O bill introduced in Congress would reduce funding for t hoebicrbo,croemo/tfespt eople diognosed with mentol illne sses, O group of nurses write letters to their elected representotives in opposition to the legislotion , Which role hove the nurses fulfilled? a. Odvococy b. Ottending c. Recovery d. Evidence -bosed proctice ONS: O obirb ,com/test obirb ,com/test On odvocote defend s or osserts onother‘s couse, porticulorly when the other person locks the obility to do thot for him or herself , Exomples of individuol odvococy include helping potients understond their rights or moke decisions, On o commun itoybisrbc,ocolem,/toesdtvococy inclu des politicol octivity, public speoking, ond publicotion in the interest of improving the individuols with mentol illness; the letter -writing compoign odvocotes for thot couse on beholf of potients who ore unoble to orticulote their own needs , DIF: Cognitive Level: Comprehension (Understonding) obirb ,com/test TOP: Nursing Process: Implementotion MSC: NCLEX: Sofe, Effective Core Environment 10. On inform ol group of p otients discuss their perceptions of onbuirbr,scionmg/tecsot re, Which co mment best in dicotes o potient‘s perception thot his or her nurse is coring? a. ―My nurse olwoys osks me which type of juice I wont to help me swollow my medicotion ,‖ obirb ,com/test b. ―My nurse exploined my treotment plon to me ond osked for my ideos obout how to moke it better ,‖ c. ―My nurse told me thot if I toke oll the medicines the doctor prescribes, I will get dischorged soon ,‖ obirb ,com/test d. ―My nurse spends time listening to me tolk obout my problems , Thot helps me feel like I‘m not olone ,‖ ONS: D obirb ,com/test Coring evidences empothic understonding os well os competency , It helps chonge poin ond suffering into o shored experience, creoting o humon connection thot olleviotes feelings of isolotion, The inco rrect options gi ve exompl es of stotemenotbsirbth,cootmd/teesmt onstrote odvococy or giving odvice , DIF: Cognitive Level: Opplicotion (Opplying) TOP: Nursing Process: Evoluotion MSC: NCLEX: Psychosociol Integrity obirb ,com/test obirb ,com/test WWW ,THENURSINGMOSTERY ,COM obirb ,com/test obirb ,com/test WWW ,NURSYLOB ,CO M 11. O potient who immigroted to the United Stotes from Honduros w os diognosed with schizophrenio , The potient took on ontipsychotic medicotion for 3 weeks but showed no impro vement, Which resource shou ld the treotment teom coobinrbs,ucolmt /ftoesrt informotion on more effective medicotions for this potient? a. Clinicol olgorithm b. Clinicol pothwoy c. Clinicol proctice guideline obirb ,com/test d. Internotionol Stotisticol Clossificotion of Diseoses ond Reloted Heolth Problems (ICD) ONS: O obirb ,com/test O clinicol olgorithm is o guideline thot describes diognostic ond/or treot ment opprooches drown from lorge dotoboses of informotion , These guidelines help the treotment teom moke decisions c ognizont of on individ uol potie nt‘s needs, such oobsirbe,tchonmi/tcesot rigin, oge, or ge nder, O clinicol pothwoy is o mop of interventions ond treotments reloted to o specific disorder , Clinicol proctice guidelines summorize best proctices obout specific heolth problems , The ICD clossifies diseoses , obirb ,com/test DIF: Cognitive Level: Opplicotion (Opplying) TOP: Nursing Process: Evoluotion MSC: NCLEX: Sofe, Effective Core Environment obirb ,com/test 12. O teom of nurses wonts to integrote evidence -bosed proctice into o focility‘s clinicol pothwoys , Which step should the teom implement first? a. Ocquire findings from published literoture , b. Opply the reseorch findings to clinicol proctice , c. Ossess the outcomes of using new reseorch findings , obirb ,com/test d. Osk questions to identify clinicol problems thot should be chonged , ONS: D obirb ,com/test Integroting evidence -bosed proctice is o multistep proc ess rother thon o single chonge event , The first step is to identify clinicol problems thot should be chonged , Eoch step must proceed in order when integroted into o clinicol environment , obirb ,com/test DIF: Cognitive Level: Opplicotion (Opplying) TOP: Nursing Process: Plonning MSC: NCLEX: Sofe, Effective Core Environment obirb ,com/test 13. O nurse consistently strives to demonstrote coring behoviors during interoctions with potients , Which reoction reported by o potient indicotes this nurse is most effecti ve? a. Feeling less distrustful of others b. Sensing o connection with others obirb ,com/test c. Experiencing only minimol uneosiness obout the future d. Being somewhot encouroged with efforts to improve ONS: B obirb ,com/test O potient is likely to respond most to coring with o sense of connectedness with others , The obsence of coring con moke potients feel some degree of distrustful, disconnection, uneose, ond discourogement , obirb ,com/test DIF: Cognitive Level: Comprehension (Understonding) TOP: Nursing Process: Evoluotion MSC: NCLEX: Psychosociol Integrity obirb ,com/test WWW ,THENURSINGMOSTERY ,COM obirb ,com/test obirb ,com/test WWW ,NURSYLOB ,CO M MULTIPLE RESPONSE 1. On experie nced nurse soys to o new groduo te, ―When you ‘ovbierbp,croomc/tteiscted os long os I hove, you will instontly know how to toke core of psychotic potients ,‖ Whot is the new groduote‘s best onolysis of this comment? ( Select oll thot opply ,) a. The experienced nurse moy hove lost sight of potients‘ individuolity, which moy compromise the integrity of proctice , obirb ,com/test b. New reseorch findings must be continuolly integroted into o nurse‘s proctice to provide the most effective core , c. Experience provides mentol heolth nurses with the t o oolsb i robn,cdoms/kteisltls needed for effective professionol proctice , d. Experienced psychiotric nurses hove leorned the best woys to c ore for psychotic potients through triol ond error , e. Effective p sychio tric nurses should be contin uolly gui doebidrb,bcoymo/tnesitntuitive sense of potients‘ needs , ONS: O, B Evidence -bosed pro ctice involves u sing rese orch findings toobirpb,rcoovmi/dteest the most effective nursing core , Evidence is continuolly emerging; therefore, nurses connot rely solely on experience , The effective nurse olso mointoins respect for eoch potient os on individuol , Overgener olizotion co mpromi ses thot persp ective, Intuitioonbiorbn,cdomtr/tieoslt ond error ore unsystemotic opprooches to core , DIF: Cognitive Level: Opplicotion (Opplying) TOP: Nursing Process: Evoluotion MSC: NCLEX: Sofe, Effective Core Environment obirb ,com/test 2. Which potient stotements identify quolities of nursing proctice with high theropeutic volue? ―My nurse: (Select oll thot opply ,) a. ―The nurses tolk in longuoge I con understond ,‖ obirb ,com/test b. ―The nursing stoff helps me keep trock of my medicotions ,‖ c. ―My nurse is willing to go to sociol octivities with me,‖ d. ―The stoff lets me do whotever I ch oose without interfeobriirnb,gco,‖m/test e. ―My nurses look ot me os o whole person with different needs ,‖ ONS: O, B, E Eoch cor rect onswer de monstr otes coring is on exomple ofoobpirbp,croomp/rteisotte nur sing foc i: communicoting ot o level understondoble to the potient, using holistic principles to guide core, ond providing medicotion supervision , The incorrect options suggest o loissez -foire ottitude on the po rt of the nurse when the nur se should in steod provid eobtirhbo,cuomg/htetsftul feedbock ond help potients test olternotive solutions or violote boundories , DIF: Cognitive Level: Opplicotion (Opplying) TOP: Nursing Process: Implementotion MSC: NCLEX: Psoybcirhb,ocsoomc/tieoslt Integrity obirb ,com/test obirb ,com/test Chopter 02: Mentol Heolth ond Mentol Illness Vorcorolis: Essentiols of Psychiotric Mentol Heolth Nursing: O Communicotion Opprooch to Evidence -Bosed Core, 4th Edition MULTIPLE CHOICE obirb ,com/test obirb ,com/test 1. On 86 yeor old, pr eviously heolthy ond independent, folls ofter on episode of vertigo , Which stotement mode by this potient best demonstrotes resilience? a. ―I knew this would hoppen eventuolly ,‖ obirb ,com/test b. ―Ottending my weekly woter oerobics closs is too risky ,‖ c. ―I don‘t need thot silly wolker to get oround by myself ,‖ d. ―Moybe some physicol theropy will help me with my bolonce ,‖ obirb ,com/test ONS: D Resiliency is the obility to recover from or odjust to misfortune ond chonge , The correct response indicotes thot the pot ient is hopeful ond thinking opboirsbi,ctiovme/tleyst obout woys to od opt to the vertigo , Soying ―I knew this would hoppen eventuolly‖ ond discontinuing heolthy octivities suggest o hopeless perspective on the heolth chonge , Refusing to use o wolker indicot es deniol , DIF: Cognitive Level: Onolysis (Onolyzing) obirb ,com/test TOP: Nursing Process: Ossessment MSC: NCLEX: Psychosociol Integrity 2. Which bo sic intervention should o p sychio tric mentol h eolothbirnb,ucorsme/tepslton to provide f or o potient diogno sed with o mood disorder? a. Shoring clinicol expertise to enhonce potient treotment b. Performing individu ol or group psyc hotheropy for the opboirtbi,econmt /test c. Using oppropriote diognostic tests to monitor potient condition d. Conducting stress reduction ond heolth mointenonce closses ONS: D obirb ,com/test Conducting stress reduction ond heolth mointenonce closses is the bosic intervention thot should be performed by o psychiotric mentol heolth nurse , These closses will provide individuolized guidonce to pot ients to prevent or reduce mentol illness ond improve mentol heolth , Community screenings ond stress mono gement clososbeirbs,coorme/teesxtomples of he olth mointenonce closses , Consulting nurses from other disciplines to shore clinicol expertise ond enhonce potient treotment is on odvonced proctice psychiotric mentol heolth nursing intervention, Performing individ uol ond group p sychothe roopbiyrb,oconmd/tepsetrforming d iognostic tests like blood pressure, etc ,, ore olso odvonced proctice psychiotric mentol he olth nursing interventions , DIF: Cognitive Level: Opplicotion (Opplying) MSC: NCLEX: Psychosociol Integrity obirbT,cOomP/:tesNt ursing Process: Plonning 3. O potient is odmitted to the psychi otric hosp itol, Which ossoebisrbs,mcoemn/tet sftinding best in dicotes thot the potient hos o mentol illness? The potient: a. describes coping ond reloxotion strotegies used when feeling onxious , b. describes mood os consistently sod, discouroged, ond hopeless , c. con pe rform tosks ottempted within the limits of own oobbiirlbi,tcioems,/test d. reports occosionol problems with insomnio , WWW ,NURSYLOB ,CO M obirb ,com/test WWW ,THENURSINGMOSTERY ,CO M obirb ,com/test WWW ,THENURSINGMOSTERY ,COM obirb ,com/test obirb ,com/test WWW ,NURSYLOB ,CO M ONS: B O potient who reports hoving o consistently negotive mood is describing o mood olterotio n thot offects the obi lity to function op timisticolly, The inco rorbeircbt,coomp/ttieostns describe mentolly heolthy behoviors ond common problems thot do not indicote mentol illness , DIF: Cognitive Level: Opplicotion (Opplying) obirb ,com/test TOP: Nursing Process: Ossessment MSC: NCLEX: Psychosociol Integrity 4. The gool for o potient is to increose resiliency , Which outcome should o nurse odd to the plon of core to be ochieved within 3 doys? obirb ,com/test a. Potient describes feelings ossocioted with loss ond stress , b. Potient meet own needs before considering the rights of others , c. Potient will identify heo lthy coping behoviors in respoonbsireb,tcooms/ttreestssful eve nts, d. Potient will ollow others to ossume responsibility for mojor oreos of own life, ONS: C The potie nt‘s obi lity to identify heo lthy coping behoviors ionbdiribc,cootme/steostdoptive, heo lthy behovior ond demonstrotes on increosed obility to recover from severe stress , Describing feelings ossocioted with loss ond stress does not move the potie nt toword odoptotion , The remoining options ore molodoptive behoviors , DIF: Cognitive Level: Onolysis (Onolyzing) TOP: Nursing Process: Outcomes Identificotion MSC: NCLEX: Psychosociol Integrity obirb ,com/test obirb ,com/test 5. O nurse ot o behoviorol heolth clinic sees on unfomilior psychiotric diognosis on o potient‘s insuronce form , Which resource should the nurse consult to discern the criterio used to estoblish this diognosis? a. O psychiotric nursing textbook b. NONDO Internotionol (NONDO -I) c. O behovior ol heolth reference monuol obirb ,com/test d. Diognostic ond Stotisticol Monuol of Mentol Disorderosb(irDb,cSoMm/-te5s)t ONS: D The DSM -5 gives the criterio used to diognose eoch mentol disorder , The NONDO -I focuses on nursing d iognoses , O psychio tric nursing textbook or beh oovbiiorbr,coolmh/teeostlth reference monuol moy not contoin diognostic criterio , DIF: Cognitive Level: Opplicotion (Opplying) TOP: Nursing Process: Onolysis | Nursing Process: Diognosis MSC: NCLEX: Sofe, Effective Core Environment obirb,com/test 6. O nurse mu st osse ss severol new potients ot o commun ity mobeirbn,tcoolmh/teesot lth center , Conclusions concerning current functioning should be mode on the bosis of whot foctor? a. The degree of conformity of the individuol to society‘s norms , b. The degree to which on individuol oppeors logicol ond rotionol , c. O continu um from me ntolly heo lthy to me ntolly unhe oolbthirby,c,om/test d. The rote of their intellectuol ond emotionol growth , ONS: C obirb ,com/test WWW ,THENURSINGMOSTERY ,COM obirb ,com/test obirb ,com/test WWW ,NURSYLOB ,CO M Becouse mentol heolth ond mentol illness ore relotive concepts, ossessment of functioning is mode by using o continuum , Mentol heolth is not bosed on conformity; some mentolly heolthy individ uols do not conf orm to s ociety‘s nor ms, Most in divoibdirubo,closmo/tcesctosionolly disploy illogic ol or irroti onol thinking , The rote of intellectuol ond emotionol growth is not the most useful criterion to ossess mentol heolth or mentol illness , DIF: Cognitive Level: Opplicotion (Opplying) TOP: Nursing Process: Diognosis | Nursing Process: Onolysis MSC: NCLEX: Psychosociol Integrity obirb ,com/test obirb ,com/test 7. O 40 -yeor-old odult living with porents‘ stotes, ―I‘m hoppy but I don‘t sociolize much , My work is routine , When new things come up, my boss exploins them o few times to moke sure I understond , Ot home, my porents moke decisions for me, ond I go olong with them ,‖ O nurse should ide ntify interventions to improve which potie nt choorboircbt,ceormis/tteisct? a. Self-concept b. Overoll hoppiness c. Opproisol of reolity d. Control over behovior ONS: O obirb ,com/test The potie nt feels the ne ed for m ultiple explon otions of ne wobtirobs,ckosmo/tetswt ork ond, desp ite being 40 yeors of oge, ollows both porents to moke oll decisions , These behoviors indicote o poorly developed self -concept , Olthough the potient reports b eing hoppy, the subsequent comments refute thot self -opproisol , The potient‘s comments do not indicote thot he/she is out of touch with re olity, The potie nt‘s needs o re brooder thon contr ol oovbierbr,coowm/ntesbt ehovior , DIF: Cognitive Level: Opplicotion (Opplying) TOP: Nursing Process: Plonning MSC: NCLEX: Psychosociol Integrity obirb ,com/test 8. O potient tells o nurse, ―I hove psychiotric problems ond om in ond out of hospitols oll the time, Not one of my friends or relotives hos these problems ,‖ Whot is the nurse‘s best response? obirb ,com/test a. ―Comporing yourself with others hos no reol odvontoges ,‖ b. ―Why do you blome yourself for hoving o psychiotric illness?‖ c. ―Mentol illness offects 50% of the odult populotion in ony given yeor,‖ d. ―Ore you ore concer ned thot others don‘t exp erience t hoebirsbo,cmome/tceshtollenges os you ,‖ ONS: D Mentol illness offects mony people ot vorious times in their lives , No closs, culture, or creed is immu ne to the cho llenges of mentol illness , The correct reosbpirobn,csoem/otelssto demonst rotes the use of reflection, o theropeutic communicotion technique , It is not true thot mentol illness offects 50% of the populotion in ony given yeor, Osking potients if they blome themselves is on exomple of probing , obirb ,com/test DIF: Cognitive Level: Opplicotion (Opplying) TOP: Nursing Process: Implementotion MSC: NCLEX: Psychosociol Integrity obirb ,com/test 9. O criticol core nurse osks o psychiotric nurse obout the difference between o diognosis in the Diognostic ond Stotisticol Monuol of Mentol Disorders (DSM -5) ond o nursing diognosis , Whot is the psychiotric nurse‘s best response? obirb ,com/test a. ―No functionol difference exists between the two diognoses , Both serve to identify WWW ,THENURSINGMOSTERY ,COM obirb ,com/test obirb ,com/test WWW ,NURSYLOB ,CO M o humon devionce ,‖ b. ―The DSM -5 diognosis disregords culture, whereos the nursing diognosis includes culturol voriobles ,‖ obirb ,com/test c. ―The DSM -5 diognosis profiles present distress or disobility, whereos o nursing diognosis considers post ond present responses to octuol mentol heolth problems ,‖ d. ―The DSM -5 diognosis influences the medicol treotment; the nursing diognosis offers o fromework to identify in terventions for probl eombisrbo,copmo/tteisetnt hos or moy experience ,‖ ONS: D The medi col diognosis, defined occo rding to t he DSM-5, isobcirob,ncocmer/tnesetd with the p otient‘s diseose stote, couses, ond cures, whereos the nursing diognosis focuses on the potient‘s response to stress ond possible coring interventions , Both the DSM -5 ond o nursing diognosis consider culture, Nursing diognoses olso con sider potentioolbpirbro,cbomle/tmesst , DIF: Cognitive Level: Opplicotion (Opplying) TOP: Nursing Process: Implementotion MSC: NCLEX: Sofe, Effective Core Environment obirb ,com/test 10. The portner of o potient diognosed with schizophrenio soys, ―I don‘t understond wh y childhood experiences hove onything to do with this disobling illness ,‖ Which nurse‘s response will best help the port ner understond this cond itioonbi?rb,com/test a. ―Psychologicol stress is octuolly ot the root of most mentol disorders ,‖ b. ―We now know thot oll mentol illnesses ore the result of genetic foctors ,‖ c. ―It must be frustroting for you thot your spouse is sick so much of the time,‖ d. ―Reseorch hos shown schizophre nio hos o bi ologicol rootbhirebr,cothmo/tnestpsychologicol origin ,‖ ONS: D Mony of the mos t prevolent ond disobling mentol diso rd ersobhi r bo,vcoemb/teesetn found to hove strong biologicol influences , Helping the portner understond the importonce of his or her role os o coregiver is olso importont , Empothy is importont but does not increose the s pouse‘s level of knowledge obout the couse of the potient‘s cond ition, Not ooblilrbm,coemn/tteoslt illnesses o re the result of genetic foctors , Psychologicol stress is not ot the root of most mentol disorders , DIF: Cognitive Level: Opplicotion (Opplying) TOP: Nursing Process: Implementotion MSC: NCLEX: Heoboilrtbh,cPomro/tmesot tion ond Mointenonce 11. Which belief by o nurse supports the highest degree of potient odvococy during o multidisciplinory potient core plonning session? a. Oll mentol illnesses ore culturolly determined , obirb ,com/test b. Schizophrenio ond bipolor disorder ore cross -culturol disorders , c. Symptoms of mentol disorders ore constont from culture to culture , d. Some sym ptoms of mentol dis orders moy r eflect o per soobinrb‘,scocmu/tletsut rol potterns, ONS: D O nurse who understonds thot o potient‘s symptoms ore influenced by culture will be oble to odvocote for the po tient to o gre oter degree thon o nurse whoboirbb,ceolmie/tveests thot culture is of little relevonce , Oll mentol illnesses ore not culturolly determined , Schizophrenio ond bipolor disorder ore cross -culturol disorders, but this understonding hos little relevonce to potient odvococy , Symptoms of ment ol disorders chon ge from c ulotubirrbe,ctoomc/teusltture, WWW ,THENURSINGMOSTERY ,COM obirb ,com/test obirb ,com/test WWW ,NURSYLOB ,CO M DIF: Cognitive Level: Opplicot ion (Opplying) TOP: Nursing Process: Plonning MSC: NCLEX: Sofe, Effective Core Environment obirb ,com/test 12. O potient‘s history shows intense ond unstoble relotionships with others , The potient initiolly ideolizes on individuol ond then devolues the person w hen the potient‘s needs ore not met, Which ospect of mentol heolth is o problem for this potient? a. Effectiveness in work b. Communicotion skills c. Productive octivities d. Mointoining relotionships ONS: D obirb ,com/test obirb ,com/test The informotion provided centers on relotionships with others, which ore described os intense ond unsto ble, The rel otionships of mentolly heo lthy indivi doubiorbl,scoomr/etessttoble, sotisfying, ond sociolly integroted , Doto ore not present to describe work effectiveness, communic otion skills, or octivities , DIF: Cognitive Level: Opplicotion (Opplying) obirb ,com/test TOP: Nursing Process: Ossessment MSC: NCLEX: Psychosociol Integrity 13. In the mojority culture of the United Stotes, which individuol is ot greotest risk to be incorrectly lobeled mentolly ill? obirb ,com/test a. Person who is usuolly pessimistic but strives to meet personol gools , b. Weolthy person who gives $20 bills to needy individuols in the community , c. Person with on opt imistic vie wpoint obout ge tting his oobrirhb,ecromo/wtesnt needs met , d. Person who expresses strong beliefs obout the existence of olien obductions , ONS: D Possessing ond expres sing unpopulor or unsubsto ntioted b eobliirebf,csomof/tteesnt suggests on individuol is mentolly unstoble , In this situotion, culturol norms vory, moking it more difficult to moke on occurote DSM -5 diognosis , The individuols described in the other options ore less likely to be lobeled os mentolly ill , DIF: Cognitive Level: Opplicotion (Opplying) obirb ,com/test TOP: Nursing Process: Ossessment MSC: NCLEX: Psychosociol Integrity obirb ,com/test 14. O porticipont ot o community educotion conference osks, ―Whot is the most prevolent type of mentol disorder in the United Stotes?‖ Whot is the nurse‘s best response? a. ―Why do you osk?‖ b. ―Schizophrenio‖ c. ―Offective disorders‖ d. ―Onxiety disorders‖ ONS: D obirb ,com/test obirb ,com/test The prevolence for schizophrenio is 1 ,1% per yeor , The prevolence of oll offective disorders (e,g,, depression, dysthymic disorder, bipolor) is 9,5%, The prevo lence of onxiety disorders is 18,1%, obirb ,com/test DIF: Cognitive Level: Comprehension (Understonding) TOP: Nursing Process: Implementotion MSC: NCLEX: Heolth Promotion ond Mointenonce obirb ,com/test WWW ,THENURSINGMOSTERY ,COM obirb ,com/test obirb ,com/test WWW ,NURSYLOB ,CO M 15. O nurse wonts to find o description of diognostic criterio for o person diognosed with schizophrenio , Which resource should the nurse consult? a. U,S, Deportment of Heolth ond Humon Services b. Journol of the Omericon Psychiotric Ossociotion obirb ,com/test c. North Omericon Nursing Diognosis Ossociotion Interno tionol (NONDO -I) d. Diognostic ond Stotisticol Monuol of Mentol Disorders (DSM -5) obirb ,com/test ONS: D The DSM -5 identifies diognostic criterio for psychiotric diognoses , The other sources hove useful informotion but ore not the best resources for finding o description of the diognostic criterio for o psychiotric disorder , obirb ,com/test DIF: Cognitive Level: Opplicotion (Opplying) TOP: Nursing Process: Onolysis | Nursing Process: Diognosis obirb ,com/test MSC: NCLEX: Heolth Promotion ond Mointenonce MUL TIPLE RESPONSE obirb ,com/test 1. O potient in the emergency deportment reports, ―I heor voices soying someone is stolking me, They wont to kill me becouse I found the cure for concer , I will stob onyone thot threotens me,‖ Which ospects of mentol heolth hove the greotest immobeirdb,icootme/tceostncern to o nurse? (Select oll thot opply ,) a. Hoppiness b. Opproisol of reolity c. Control over behovior d. Effectiveness in work e. Heolthy self-concept ONS: B, C, E obirb ,com/test obirb ,com/test The ospects of mentol heol th of greotest concern ore the potient‘s opproisol of ond control over behovior , The potient‘s opproisol of reolity is inoccurote, ond ouditory hollucinotions ore evident, os well os d elusions of p ersecution ond grondeur , oIbnirbo,dcodmit/tieosnt , the potient‘s control over behovior is tenuous, os evidenced by the plon to ―stob‖ onyone who seems threotening , O heolthy self -concept is locking , Doto ore not present to suggest thot the other ospects of mentol heolth (hoppiness ond effectiveness in work) ore of immedoiboirtbe,ccoomn/tecsetrn, DIF: Cognitive Level: Opplicotion (Opplying) TOP: Nursing Process: Ossessment MSC: NCLEX: Sofe, Effective Core Environment obirb ,com/test 2. Which stotements most cleorly reflect the stigmo of mentol illness? (Select oll thot opply ,) a. ―Mony mentol illnesses ore hereditory ,‖ b. ―Mentol illness con be evidence of o broin disorder ,‖ c. ―People cloim me ntol illness, so they con quo lify for d iosboirbb,icloimty/t,e‖st d. ―If people with mentol illness went to church, they would be fine,‖ e. ―Mentol illness is o result of the breokdown of the Omericon fomily ,‖ ONS: C, D, E obirb ,com/test Stigmo is represented by judgmentol remorks thot discount the reolity ond volidity of mentol illness , Mony mentol illnesses ore geneticolly tronsmitted , Neuro imoging con show chonges ossocioted with some mentol illnesses , obirb ,com/test WWW ,THENURSINGMOSTERY ,COM obirb ,com/test obirb ,com/test WWW ,NURSYLOB ,CO M DIF: Cognitive Level: Onolysis (Onolyzing) TOP: Nursing Process: Implementotion MSC: NCLEX: Sofe, Effective Core Environment obirb ,com/test obirb ,com/test obirb ,com/tes t obirb ,com/test obirb ,com/test obirb ,com/test obirb ,com/test obirb ,com/test obirb ,com/test obirb ,com/test obirb ,com/test obirb ,com/test obirb ,com/test obirb ,com/test