Test Bank for Varcarolis' Foundations of Psychiatric Mental Health Nursing, 8th Edition

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,Chapter 01: Mental Health and Mental Illness
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Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical Appro
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ach, 8th Edition
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MULTIPLEMCHOICE

1. AMstaffMnurseMcompletesMorientationMtoMaMpsychiatricMunit.MThisMnurseMmayMexpectManMadva
ncedMpracticeMnurseMtoMperformMwhichMadditionalMintervention?Ma.
ConductMmentalMhealthMassessments.
b. PrescribeMpsychotropicMmedication.
c. EstablishMtherapeuticMrelationships.
d. IndividualizeMnursingMcareMplans.
ANS:MB
InMmostMstates,MprescriptiveMprivilegesMareMgrantedMtoMmaster’s-
preparedMnurseMpractitionersMandMclinicalMnurseMspecialistsMwhoMhaveMtakenMspecialMcoursesMo
nMprescribingMmedication.MTheMnurseMpreparedMatMtheMbasicMlevelMisMpermittedMtoMperformMme
ntalMhealthMassessments,MestablishMrelationships,MandMprovideMindividualizedMcareMplanning.

PTS:M1MDIF:MCognitiveMLevel:MUnderstandM(Comprehension)MREF:MPageM1-
23MTOP:MNursingMProcess:MImplementation
MSC:MClientMNeeds:MSafe,MEffectiveMCareMEnvironment

2. AMnursingMstudentMexpressesMconcernsMthatMmentalMhealthMnursesM“loseMallMtheirMclinicalMnur
singMskills.”MSelectMtheMbestMresponseMbyMtheMmentalMhealthMnurse.
a. “PsychiatricMnursesMpracticeMinMsaferMenvironmentsMthanMotherMspecialties.MNurse-to-
patientMratiosMmustMbeMbetterMbecauseMofMtheMnatureMofMtheMpatients’Mproblems.”
b. “PsychiatricMnursesMuseMcomplexMcommunicationMskillsMasMwellMasMcriticalMthinkingMtoMs
olveMmultidimensionalMproblems.MIMamMchallengedMbyMthoseMsituations.”
c. “That’sMaMmisconception.MPsychiatricMnursesMfrequentlyMuseMhighMtechnologyMmonitor
ingMequipmentMandMmanageMcomplexMintravenousMtherapies.”
d. “PsychiatricMnursesMdoMnotMhaveMtoMdealMwithMasMmuchMpainMandMsufferingMasMmedi
cal–MsurgicalMnursesMdo.MThatMappealsMtoMme.”
ANS:MB
TheMpracticeMofMpsychiatricMnursingMrequiresMaMdifferentMsetMofMskillsMthanMmedical–
surgicalMnursing,MthoughMthereMisMsubstantialMoverlap.MPsychiatricMnursesMmustMbeMableMtoM
helpMpatientsMwithMmedicalMasMwellMasMmentalMhealthMproblems,MreflectingMtheMholisticMpers
pectiveMtheseMnursesMmustMhave.MNurse–
patientMratiosMandMworkloadsMinMpsychiatricMsettingsMhaveMincreased,MjustMlikeMotherMspecialt
ies.MPsychiatricMnursingMinvolvesMclinicalMpractice,MnotMjustMdocumentation.MPsychosocialM
painMandMsufferingMareMasMrealMasMphysicalMpainMandMsuffering.
PTS:M1 DIF:MCognitiveMLevel:MApplyM(Application)
REF:MPagesM1-2,M21
TOP:MNursingMProcess:MImplementatio
nMMSC:MClientMNeeds:MSafe,MEffectiveMCareMEnvironment

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, 3. WhenMaMnewMbillMintroducedMinMCongressMreducesMfundingMforMcareMofMpersonsMdiagnosedM
withMmentalMillness,MaMgroupMofMnursesMwriteMlettersMtoMtheirMelectedMrepresentativesMinMopp
ositionMtoMtheMlegislation.MWhichMroleMhaveMtheMnursesMfulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-basedMpractice

ANS:MC
AnMadvocateMdefendsMorMassertsManother’sMcause,MparticularlyMwhenMtheMotherMpersonMlacksM
theMabilityMtoMdoMthatMforMself.MExamplesMofMindividualMadvocacyMincludeMhelpingMpatientsM
understandMtheirMrightsMorMmakeMdecisions.MOnMaMcommunityMscale,MadvocacyMincludesMpolit
icalMactivity,MpublicMspeaking,MandMpublicationMinMtheMinterestMofMimprovingMtheMhumanMcond
ition.
SinceMfundingMisMnecessaryMtoMdeliverMqualityMprogrammingMforMpersonsMwithMmentalMillness,
MtheMletter-
writingMcampaignMadvocatesMforMthatMcauseMonMbehalfMofMpatientsMwhoMareMunableMtoMarticul
ateMtheirMownMneeds.

PTS:M1MDIF:MCognitiveMLevel:MUnderstandM(Comprehension)MREF:MPageM1-
26MTOP:MNursingMProcess:MEvaluation
MSC:MClientMNeeds:MSafe,MEffectiveMCareMEnvironment

4. AMfamilyMhasMaMlongMhistoryMofMconflictedMrelationshipsMamongMtheMmembers.MWhichMfa
milyMmember’sMcommentMbestMreflectsMaMmentallyMhealthyMperspective?
a. “I’veMmadeMmistakesMbutMeveryoneMelseMinMthisMfamilyMhasMalso.”
b. “IMrememberMjoyMandMmutualMrespectMfromMourMearlyMyearsMtogether.”
c. “IMwillMmakeMsomeMchangesMinMmyMbehaviorMforMtheMgoodMofMtheMfamily.”
d. “It’sMbestMforMmeMtoMmoveMawayMfromMmyMfamily.MThingsMwillMneverMchange.”

ANS:MC
TheMcorrectMresponseMdemonstratesMtheMbestMevidenceMofMaMhealthyMrecognitionMofMtheMimpo
rtanceMofMrelationships.MMentalMhealthMincludesMrationalMthinking,McommunicationMskills,Mle
arning,MemotionalMgrowth,Mresilience,MandMself-
esteem.MRecallingMjoyMfromMearlierMinMlifeMmayMbeMhealthy,MbutMtheMcorrectMresponseMshowsM
aMhigherMlevelMofMmentalMhealth.MTheMotherMincorrectMresponsesMshowMblamingMandMavoidanc
e.

PTS:M1 DIF:MCognitiveMLevel:MAnalyzeM(Analysis)
REF:MPagesM1-2,M3,M32M(FigureM1-1)
TOP:M NursingM Process:M AssessmentM MS
C:MClientMNeeds:MPsychosocialMIntegrity

5. WhichMassessmentMfindingMmostMclearlyMindicatesMthatMaMpatientMmayMbeMexperiencingMaMm
entalMillness?MTheMpatient
a. reportsMoccasionalMsleeplessnessMandManxiety.
b. reportsMaMconsistentlyMsad,Mdiscouraged,MandMhopelessMmood.

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, c. isMableMtoMdescribeMtheMdifferenceMbetweenM“asMif”MandM“forMreal.”
d. perceivesMdifficultyMmakingMaMdecisionMaboutMwhetherMtoMchangeMjobs.




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