TEST BANK
Varcarolis' Foundations of Psychiatric-Mental Health Nursing: A Clinical
Approach
MARGARET JORDAN HALTER
9th Edition
,Chapter 01: Mental Health and Mental Illness
Halter: Varcarolis’ Foundations of Psychiatric-Mental Health Nursing: A
Clinical Approach, 9th Edition
MULTIPLE CHOICE
1. The scope of practiced for an advanced nurse practitioner would include which
intervention?
a. Conducting a mental health assessment.
b. Prescribing psychotropic medication.
c. Establishing a therapeutic relationship.
d. Individualizing a nursing care plan.
ANS: B
In most states, prescriptive privileges are granted to master’s-prepared nurse
practitioners and clinical nurse specialists who have taken special courses on
prescribing medication. The nurse prepared at the basic level is permitted to
perform mental health assessments, establish relationships, and provide
individualized care planning.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment
2. A nursing student expresses concerns that mental health nurses “lose all their clinical
nursing
skills.” Select the best response by the mental health nurse.
a. “Psychiatric nurses practice in safer environments than other specialties. Nurse-to-
client ratios must be better because of the nature of the clients’ problems.”
b. “Psychiatric nurses use complex communication skills as well as
critical thinking to solve multidimensional problems. I am challenged
by those situations.”
c. “That’s a misconception. Psychiatric nurses frequently use high technology
monitoring equipment and manage complex intravenous therapies.”
d. “Psychiatric nurses do not have to deal with as much pain and
suffering as medical–surgical nurses do. That appeals to me.”
ANS: B
The practice of psychiatric nursing requires a different set of skills than medical–
surgical nursing, though there is substantial overlap. Psychiatric nurses must be
able to help clients with medical as well as mental health problems, reflecting the
holistic perspective these nurses must have. Nurse–client ratios and workloads in
psychiatric settings have increased, just like other specialties. Psychiatric nursing
involves clinical practice, not just documentation.
Psychosocial pain and suffering are as real as physical pain and suffering.
PTS: 1 DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment
3. When a new bill introduced in Congress reduces funding for care of persons
diagnosed with mental illness, a group of nurses write letters to their elected
representatives in opposition to the legislation. Which role have the nurses
fulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based practice
1|Page
, ANS: C
An advocate defends or asserts another’s cause, particularly when the other
person lacks the ability to do that for self. Examples of individual advocacy
include helping clients understand their rights or make decisions. On a
community scale, advocacy includes political activity, public speaking, and
publication in the interest of improving the human condition. Since funding is
necessary to deliver quality programming for persons with mental illness, the
letter- writing campaign advocates for that cause on behalf of clients who are
unable to articulate their own needs.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Evaluation MSC: Client Needs: Safe, Effective Care Environment
4. A family has a long history of conflicted relationships among the members. Which family
member’s comment best reflects a mentally healthy perspective?
a. “I’ve made mistakes but everyone else in this family has also.”
b. “I remember joy and mutual respect from our early years together.”
c. “I will make some changes in my behavior for the good of the family.”
d. “It’s best for me to move away from my family. Things will never change.”
ANS: C
The correct response demonstrates the best evidence of a healthy recognition of
the importance of relationships. Mental health includes rational thinking,
communication skills, learning, emotional growth, resilience, and self-esteem.
Recalling joy from earlier in life may be healthy, but the correct response shows a
higher level of mental health. The other incorrect responses show blaming and
avoidance.
PTS: 1 DIF: Cognitive Level: Analyze (Analysis)
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
5. Which assessment finding most clearly indicates that a client may be
experiencing a mental illness?
a. reporting occasional sleeplessness and anxiety.
b. reporting a consistently sad, discouraged, and hopeless mood.
c. being able to describe the difference between “as if” and “for real.”
d. experiencing difficulty making a decision about whether to change jobs.
ANS: B
The correct response describes a mood alteration, which reflects mental illness.
The distracters describe behaviors that are mentally healthy or within the usual
scope of human experience.
PTS: 1 DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
6. Which finding best indicates that the goal “Demonstrate mentally healthy
behavior” was achieved for an adult client?
a. being willing to work towards achieving ideals and meeting demands.
b. behaving without considering the consequences of personal actions.
c. aggressively meeting personal needs without considering the rights of others.
d. seeking help from others to avoid assuming responsibility for major
areas of own life.
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, ANS: A
Mental health is a state of well-being in which individuals reach their own
potential, cope with the normal stresses of life, work productively, and contribute
to the community. Mental health provides people with the capacity for rational
thinking, communication skills, learning, emotional growth, resilience, and self-
esteem. The correct response describes an adaptive, healthy behavior. The
distracters describe maladaptive behaviors.
PTS: 1 DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Evaluation MSC: Client Needs: Psychosocial Integrity
7. A nurse encounters an unfamiliar psychiatric disorder on a new client’s admission form.
Which resource should the nurse consult to determine criteria used to establish this
diagnosis?
a. International Statistical Classification of Diseases and Related Health
Problems (ICD-10)
b. The ANA’s Psychiatric-Mental Health Nursing Scope and Standards of Practice
c. Diagnostic and Statistical Manual of Mental Disorders (DSM-V)
d. A behavioral health reference manual
ANS: C
The DSM-V gives the criteria used to diagnose each mental disorder. It is the
official guideline for diagnosing psychiatric disorders. The distracters may not
contain diagnostic criteria for a psychiatric illness.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Assessment MSC: Client Needs: Safe, Effective Care Environment
8. A nurse wants to find a description of diagnostic criteria for anxiety disorders.
Which resource would have the most complete information?
a. Nursing Outcomes Classification (NOC)
b. DSM-V
c. The ANA’s Psychiatric-Mental Health Nursing Scope and Standards of Practice
d. ICD-10
ANS: B
The DSM-V details the diagnostic criteria for psychiatric clinical conditions. It is
the official guideline for diagnosing psychiatric disorders. The other references are
good resources but do not define the diagnostic criteria.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment
9. Which individual behavior demonstrates resilience?
a. Repress stressors associated with a divorce.
b. Continuing to grieve the death of a spouse for 5 years.
c. Continuing to live in a shelter for 2 years after the home is destroyed by fire.
d. Taking a temporary job to maintain financial stability after loss of a
permanent job.
ANS: D
3|Page
Varcarolis' Foundations of Psychiatric-Mental Health Nursing: A Clinical
Approach
MARGARET JORDAN HALTER
9th Edition
,Chapter 01: Mental Health and Mental Illness
Halter: Varcarolis’ Foundations of Psychiatric-Mental Health Nursing: A
Clinical Approach, 9th Edition
MULTIPLE CHOICE
1. The scope of practiced for an advanced nurse practitioner would include which
intervention?
a. Conducting a mental health assessment.
b. Prescribing psychotropic medication.
c. Establishing a therapeutic relationship.
d. Individualizing a nursing care plan.
ANS: B
In most states, prescriptive privileges are granted to master’s-prepared nurse
practitioners and clinical nurse specialists who have taken special courses on
prescribing medication. The nurse prepared at the basic level is permitted to
perform mental health assessments, establish relationships, and provide
individualized care planning.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment
2. A nursing student expresses concerns that mental health nurses “lose all their clinical
nursing
skills.” Select the best response by the mental health nurse.
a. “Psychiatric nurses practice in safer environments than other specialties. Nurse-to-
client ratios must be better because of the nature of the clients’ problems.”
b. “Psychiatric nurses use complex communication skills as well as
critical thinking to solve multidimensional problems. I am challenged
by those situations.”
c. “That’s a misconception. Psychiatric nurses frequently use high technology
monitoring equipment and manage complex intravenous therapies.”
d. “Psychiatric nurses do not have to deal with as much pain and
suffering as medical–surgical nurses do. That appeals to me.”
ANS: B
The practice of psychiatric nursing requires a different set of skills than medical–
surgical nursing, though there is substantial overlap. Psychiatric nurses must be
able to help clients with medical as well as mental health problems, reflecting the
holistic perspective these nurses must have. Nurse–client ratios and workloads in
psychiatric settings have increased, just like other specialties. Psychiatric nursing
involves clinical practice, not just documentation.
Psychosocial pain and suffering are as real as physical pain and suffering.
PTS: 1 DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment
3. When a new bill introduced in Congress reduces funding for care of persons
diagnosed with mental illness, a group of nurses write letters to their elected
representatives in opposition to the legislation. Which role have the nurses
fulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based practice
1|Page
, ANS: C
An advocate defends or asserts another’s cause, particularly when the other
person lacks the ability to do that for self. Examples of individual advocacy
include helping clients understand their rights or make decisions. On a
community scale, advocacy includes political activity, public speaking, and
publication in the interest of improving the human condition. Since funding is
necessary to deliver quality programming for persons with mental illness, the
letter- writing campaign advocates for that cause on behalf of clients who are
unable to articulate their own needs.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Evaluation MSC: Client Needs: Safe, Effective Care Environment
4. A family has a long history of conflicted relationships among the members. Which family
member’s comment best reflects a mentally healthy perspective?
a. “I’ve made mistakes but everyone else in this family has also.”
b. “I remember joy and mutual respect from our early years together.”
c. “I will make some changes in my behavior for the good of the family.”
d. “It’s best for me to move away from my family. Things will never change.”
ANS: C
The correct response demonstrates the best evidence of a healthy recognition of
the importance of relationships. Mental health includes rational thinking,
communication skills, learning, emotional growth, resilience, and self-esteem.
Recalling joy from earlier in life may be healthy, but the correct response shows a
higher level of mental health. The other incorrect responses show blaming and
avoidance.
PTS: 1 DIF: Cognitive Level: Analyze (Analysis)
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
5. Which assessment finding most clearly indicates that a client may be
experiencing a mental illness?
a. reporting occasional sleeplessness and anxiety.
b. reporting a consistently sad, discouraged, and hopeless mood.
c. being able to describe the difference between “as if” and “for real.”
d. experiencing difficulty making a decision about whether to change jobs.
ANS: B
The correct response describes a mood alteration, which reflects mental illness.
The distracters describe behaviors that are mentally healthy or within the usual
scope of human experience.
PTS: 1 DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
6. Which finding best indicates that the goal “Demonstrate mentally healthy
behavior” was achieved for an adult client?
a. being willing to work towards achieving ideals and meeting demands.
b. behaving without considering the consequences of personal actions.
c. aggressively meeting personal needs without considering the rights of others.
d. seeking help from others to avoid assuming responsibility for major
areas of own life.
2|Page
, ANS: A
Mental health is a state of well-being in which individuals reach their own
potential, cope with the normal stresses of life, work productively, and contribute
to the community. Mental health provides people with the capacity for rational
thinking, communication skills, learning, emotional growth, resilience, and self-
esteem. The correct response describes an adaptive, healthy behavior. The
distracters describe maladaptive behaviors.
PTS: 1 DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Evaluation MSC: Client Needs: Psychosocial Integrity
7. A nurse encounters an unfamiliar psychiatric disorder on a new client’s admission form.
Which resource should the nurse consult to determine criteria used to establish this
diagnosis?
a. International Statistical Classification of Diseases and Related Health
Problems (ICD-10)
b. The ANA’s Psychiatric-Mental Health Nursing Scope and Standards of Practice
c. Diagnostic and Statistical Manual of Mental Disorders (DSM-V)
d. A behavioral health reference manual
ANS: C
The DSM-V gives the criteria used to diagnose each mental disorder. It is the
official guideline for diagnosing psychiatric disorders. The distracters may not
contain diagnostic criteria for a psychiatric illness.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Assessment MSC: Client Needs: Safe, Effective Care Environment
8. A nurse wants to find a description of diagnostic criteria for anxiety disorders.
Which resource would have the most complete information?
a. Nursing Outcomes Classification (NOC)
b. DSM-V
c. The ANA’s Psychiatric-Mental Health Nursing Scope and Standards of Practice
d. ICD-10
ANS: B
The DSM-V details the diagnostic criteria for psychiatric clinical conditions. It is
the official guideline for diagnosing psychiatric disorders. The other references are
good resources but do not define the diagnostic criteria.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment
9. Which individual behavior demonstrates resilience?
a. Repress stressors associated with a divorce.
b. Continuing to grieve the death of a spouse for 5 years.
c. Continuing to live in a shelter for 2 years after the home is destroyed by fire.
d. Taking a temporary job to maintain financial stability after loss of a
permanent job.
ANS: D
3|Page
