Varcarolis Foundations of Psychiatric–g Mental Health Nursing 2025 – Exam Guide & Case Studies

Foundations of Psychiatric Mental Health Nursing: A Clinical Ap
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proach, 8th Edition Varcarolis’ COMPLETE TEST BANK
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,Foundations of Psychiatric Mental Health Nursing: A Clinical Ap
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proach, 8th Edition Varcarolis’ COMPLETE TEST BANK
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Chapterk01:kMentalkHealthkandkMentalkIllness

Halter:kVarcarolis’kFoundationskofkPsychiatrickMentalkHealthkNursing:kAkClinicalkApp
roach,k8thkEdition


MULTIPLEkCHOICE

1. Akstaffknursekcompleteskorientationktokakpsychiatrickunit.kThisknursekmaykexpectkankadvanc
edkpracticeknursektokperformkwhichkadditionalkintervention?ka.
Conductkmentalkhealthkassessments.
b. Prescribekpsychotropickmedication.
c. Establishktherapeutickrelationships.
d. Individualizeknursingkcarekplans.
ANS:kB
Inkmostkstates,kprescriptivekprivilegeskarekgrantedktokmaster’s-
preparedknursekpractitionerskandkclinicalknursekspecialistskwhokhavektakenkspecialkcourseskonkpr
escribingkmedication.kTheknursekpreparedkatkthekbasicklevelkiskpermittedktokperformkmentalkheal
thkassessments,kestablishkrelationships,kandkprovidekindividualizedkcarekplanning.

PTS:k1kDIF:kCognitivekLevel:kUnderstandk(Comprehension)kREF:kPagek1-
23kTOP:kNursingkProcess:kImplementation
MSC:kClientkNeeds:kSafe,kEffectivekCarekEnvironment

2. Aknursingkstudentkexpresseskconcernskthatkmentalkhealthknursesk“losekallktheirkclinicalknursin
gkskills.”kSelectkthekbestkresponsekbykthekmentalkhealthknurse.
a. “Psychiatricknurseskpracticekinksaferkenvironmentskthankotherkspecialties.kNurse-to-
patientkratioskmustkbekbetterkbecausekofktheknaturekofkthekpatients’kproblems.”
b. “Psychiatricknurseskusekcomplexkcommunicationkskillskaskwellkaskcriticalkthinkingktoksolv
ekmultidimensionalkproblems.kIkamkchallengedkbykthoseksituations.”
c. “That’skakmisconception.kPsychiatricknurseskfrequentlykusekhighktechnologykmonitorin
gkequipmentkandkmanagekcomplexkintravenousktherapies.”
d. “Psychiatricknurseskdoknotkhavektokdealkwithkaskmuchkpainkandksufferingkaskmedical
–ksurgicalknurseskdo.kThatkappealsktokme.”
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,Foundations of Psychiatric Mental Health Nursing: A Clinical Ap
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proach, 8th Edition Varcarolis’ COMPLETE TEST BANK
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ANS:kB
Thekpracticekofkpsychiatricknursingkrequireskakdifferentksetkofkskillskthankmedical–
surgicalknursing,kthoughktherekisksubstantialkoverlap.kPsychiatricknurseskmustkbekablektokhelp
kpatientskwithkmedicalkaskwellkaskmentalkhealthkproblems,kreflectingkthekholistickperspectivekt

heseknurseskmustkhave.kNurse–
patientkratioskandkworkloadskinkpsychiatricksettingskhavekincreased,kjustklikekotherkspecialties.
kPsychiatricknursingkinvolveskclinicalkpractice,knotkjustkdocumentation.kPsychosocialkpainkan

dksufferingkarekaskrealkaskphysicalkpainkandksuffering.

PTS:k1 DIF:kCognitivekLevel:kApplyk(Application)
REF:kPagesk1-2,k21
TOP:kNursingkProcess:kImplementatio
nkMSC:kClientkNeeds:kSafe,kEffectivekCarekEnvironment




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, Foundations of Psychiatric Mental Health Nursing: A Clinical Ap
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proach, 8th Edition Varcarolis’ COMPLETE TEST BANK
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3. WhenkaknewkbillkintroducedkinkCongresskreduceskfundingkforkcarekofkpersonskdiagnosedkwi
thkmentalkillness,kakgroupkofknurseskwriteklettersktoktheirkelectedkrepresentativeskinkoppositio
nktoktheklegislation.kWhichkrolekhavektheknurseskfulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-basedkpractice

ANS:kC
Ankadvocatekdefendskorkassertskanother’skcause,kparticularlykwhenkthekotherkpersonklackskthe
kabilityktokdokthatkforkself.kExampleskofkindividualkadvocacykincludekhelpingkpatientskunderst

andktheirkrightskorkmakekdecisions.kOnkakcommunitykscale,kadvocacykincludeskpoliticalkactivit
y,kpublickspeaking,kandkpublicationkinkthekinterestkofkimprovingkthekhumankcondition.
Sincekfundingkisknecessaryktokdeliverkqualitykprogrammingkforkpersonskwithkmentalkillness,kth
ekletter-
writingkcampaignkadvocateskforkthatkcausekonkbehalfkofkpatientskwhokarekunablektokarticulatek
theirkownkneeds.

PTS:k1kDIF:kCognitivekLevel:kUnderstandk(Comprehension)kREF:kPagek1-
26kTOP:kNursingkProcess:kEvaluation
MSC:kClientkNeeds:kSafe,kEffectivekCarekEnvironment

4. Akfamilykhaskaklongkhistorykofkconflictedkrelationshipskamongkthekmembers.kWhichkfamil
ykmember’skcommentkbestkreflectskakmentallykhealthykperspective?
a. “I’vekmadekmistakeskbutkeveryonekelsekinkthiskfamilykhaskalso.”
b. “Ikrememberkjoykandkmutualkrespectkfromkourkearlykyearsktogether.”
c. “Ikwillkmakeksomekchangeskinkmykbehaviorkforkthekgoodkofkthekfamily.”
d. “It’skbestkforkmektokmovekawaykfromkmykfamily.kThingskwillkneverkchange.”

ANS:kC
Thekcorrectkresponsekdemonstrateskthekbestkevidencekofkakhealthykrecognitionkofkthekimporta
ncekofkrelationships.kMentalkhealthkincludeskrationalkthinking,kcommunicationkskills,klearnin
g,kemotionalkgrowth,kresilience,kandkself-
esteem.kRecallingkjoykfromkearlierkinklifekmaykbekhealthy,kbutkthekcorrectkresponsekshowskakhi
gherklevelkofkmentalkhealth.kThekotherkincorrectkresponseskshowkblamingkandkavoidance.

PTS:k1 DIF:kCognitivekLevel:kAnalyzek(Analysis)
REF:kPagesk1-2,k3,k32k(Figurek1-1)
TOP:k Nursingk Process:k Assessmentk MSC:
kClientkNeeds:kPsychosocialkIntegrity



5. Whichkassessmentkfindingkmostkclearlykindicateskthatkakpatientkmaykbekexperiencingkakment
alkillness?kThekpatient
a. reportskoccasionalksleeplessnesskandkanxiety.
b. reportskakconsistentlyksad,kdiscouraged,kandkhopelesskmood.
c. iskablektokdescribekthekdifferencekbetweenk“askif”kandk“forkreal.”
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