Chapter 1: Practicing the Science and Art of Psychiatric Nursing Test Bank MULTIPLE CHOICE 1. Which outcome, focused on recovery, would be expected in the plan of care for a patient living in the community with serious and persistent mental illness? Within 3 months, the patient will: a. deny suicidal ideation. b. report a sense of well-being. c. take medications as prescribed. d. attend 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 REF: Pages: 2-3 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 some means of coping other than suicide when you have these 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 or therapeutic interventions. DIF: Cognitive Level: Application REF: Pages: 6-8 TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity 3. In the shift-change report, an off-going nurse criticizes a patient who wears heavy makeup. Which comment by the nurse who receives the report best
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