Test Bank Varcarolis' Foundations of Psychiatric-Mental Health
Nursing A Clinical 9th Edition by Margaret Jordan Halter
All Chapter 1-36
,Chapter401:4Mental4Health4and4Mental4Illness
MULTIPLE4CHOICE
1. A4staff4nurse4completes4orientation4to4a4psychiatric4unit.4This4nurse4may4expect4an4advanced
4 practice4nurse4to4perform4which4additional4intervention?
a. Conduct4mental4health4assessments.
b. Prescribe4psychotropic4medication.
c. Establish4therapeutic4relationships.
d. Individualize4nursing4care4plans.
ANS:4B
In4most4states,4prescriptive4privileges4are4granted4to4master‘s-
prepared4nurse4practitioners4and4clinical4 nurse4specialists4who4have4taken4special4courses4on4prescribin
g4medication.4The4nurse4prepared4at4the4 basic4level4is4permitted4to4perform4mental4health4assessments,4
establish4relationships,4and4provide4 individualized4care4planning.
PTS:414DIF:4Cognitive4Level:4Understand4(Comprehension)4REF:4Page41-
234TOP:4Nursing4 Process:4Implementation
MSC:4Client4Needs:4Safe,4Effective4Care4Environment
2. A4nursing4student4expresses4concerns4that4mental4health4nurses4―lose4all4their4clinical4nursing
4 skills.‖4Select4the4best4response4by4the4mental4health4nurse.
a. ―Psychiatric4nurses4practice4in4safer4environments4than4other4specialties.4Nurse-to-patient
ratios4must4be4better4because4of4the4nature4of4the4patients‘4problems.‖
b. ―Psychiatric4nurses4use4complex4communication4skills4as4well4as4critical4thinking4to4solv
e4 multidimensional4problems.4I4am4challenged4by4those4situations.‖
c. ―That‘s4a4misconception.4Psychiatric4nurses4frequently4use4high4technology4monitoring
4 equipment4and4manage4complex4intravenous4therapies.‖
d. ―Psychiatric4nurses4do4not4have4to4deal4with4as4much4pain4and4suffering4as4medical–
4 surgical4nurses4do.4That4appeals4to4me.‖
ANS:4B
The4practice4of4psychiatric4nursing4requires4a4different4set4of4skills4than4medical–
surgical4nursing,4 though4there4is4substantial4overlap.4Psychiatric4nurses4must4be4able4to4help4pati
ents4with4medical4 as4well4as4mental4health4problems,4reflecting4the4holistic4perspective4these4nur
ses4must4have.
Nurse–
patient4ratios4and4workloads4in4psychiatric4settings4have4increased,4just4like4other44 specialties.4Psy
chiatric4nursing4involves4clinical4practice,4not4just4documentation.4Psychosocial4pain4 and4sufferin
g4are4as4real4as4physical4pain4and4suffering.
, PTS:41 DIF:4Cognitive4Level:4Apply4(Application)
REF:4Pages41-2,421
TOP:4Nursing4Process:4Implementation
4 MSC:4Client4Needs:4Safe,4Effective4Care4Environment
3. When4 a4 new4 bill4 introduced4 in4 Congress4 reduces4 funding4 for4 care4 of4 persons4 diagnosed4 with
4 mental4illness,4a4group4of4nurses4write4letters4to4their4elected4representatives4in4opposition4to4th
e4 legislation.4Which4role4have4the4nurses4fulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based4practice
ANS:4C
An4advocate4defends4or4asserts4another‘s4cause,4particularly4when4the4other4person4lacks4the4abilit
y4 to4do4that4for4self.4Examples4of4individual4advocacy4include4helping4patients4understand4their44 ri
ghts4or4make4decisions.4On4a4community4scale,4advocacy4includes4political4activity,4public4 speaking
,4and4publication4in4the4interest4of4improving4the4human4condition.
Since4funding4is4necessary4to4deliver4quality4programming4for4persons4with4mental4illness,4the4 lett
er-
writing4campaign4advocates4for4that4cause4on4behalf4of4patients4who4are4unable4to4articulate4 their4
own4needs.
PTS:414DIF:4Cognitive4Level:4Understand4(Comprehension)4REF:4Page41-
264TOP:4Nursing4 Process:4Evaluation
MSC:4Client4Needs:4Safe,4Effective4Care4Environment
4. A4family4has4a4long4history4of4conflicted4relationships4among4the4members.4Which4family
member‘s4comment4best4reflects4a4mentally4healthy4perspective?
a. ―I‘ve4made4mistakes4but4everyone4else4in4this4family4has4also.‖
b. ―I4remember4joy4and4mutual4respect4from4our4early4years4together.‖
c. ―I4will4make4some4changes4in4my4behavior4for4the4good4of4the4family.‖
d. ―It‘s4best4for4me4to4move4away4from4my4family.4Things4will4never4change.‖
ANS:4C
The4correct4response4demonstrates4the4best4evidence4of4a4healthy4recognition4of4the4importance4of
4 relationships.4Mental4health4includes4rational4thinking,4communication4skills,4learning,4emotional
4 growth,4resilience,4and4self-
esteem.4Recalling4joy4from4earlier4in4life4may4be4healthy,4but4the4correct4 response4shows4a4higher4l
evel4of4mental4health.4The4other4incorrect4responses4show4blaming4and4 avoidance.
PTS:41 DIF:4Cognitive4Level:4Analyze4(Analysis)
REF:4Pages41-2,43,4324(Figure41-1) TOP:4Nursing4Process:4Assessment4MSC:
3
, Client4Needs:4Psychosocial4Integrity
5. Which4assessment4finding4most4clearly4indicates4that4a4patient4may4be4experiencing4a4mental
4 illness?4The4patient
a. reports4occasional4sleeplessness4and4anxiety.
b. reports4a4consistently4sad,4discouraged,4and4hopeless4mood.
c. is4able4to4describe4the4difference4between4―as4if‖4and4―for4real.‖
d. perceives4difficulty4making4a4decision4about4whether4to4change4jobs.
ANS:4B
The4correct4response4describes4a4mood4alteration,4which4reflects4mental4illness.4The4distracters4 des
cribe4behaviors4that4are4mentally4healthy4or4within4the4usual4scope4of4human4experience.
PTS:41 DIF:4Cognitive4Level:4Apply4(Application)
REF:4Pages41-24to44
TOP:4Nursing4Process:4Assessment
4 MSC:4Client4Needs:4Psychosocial4Integrity
6. Which4finding4best4indicates4that4the4goal4“Demonstrate4mentally4healthy4behavior‖4was
4 achieved4for4an4adult4patient?4The4patient
a. sees4self4as4capable4of4achieving4ideals4and4meeting4demands.
b. behaves4without4considering4the4consequences4of4personal4actions.
c. aggressively4meets4own4needs4without4considering4the4rights4of4others.
d. seeks4help4from4others4when4assuming4responsibility4for4major4areas4of4own4life.
ANS:4A
The4correct4response4describes4an4adaptive,4healthy4behavior.4The4distracters4describe4maladaptive4
behaviors.
PTS:41 DIF:4Cognitive4Level:4Apply4(Application)
REF:4Pages41-24to44
TOP:4Nursing4Process:4Evaluation
4 MSC:4Client4Needs:4Psychosocial4Integrity
7. A4nurse4encounters4an4unfamiliar4psychiatric4disorder4on4a4new4patient‘s4admission4form.4Which
4 resource4should4the4nurse4consult4to4determine4criteria4used4to4establish4this4diagnosis?4a.4 Inter
national4Statistical4Classification4of4Diseases4and4Related4Health4Problems4(ICD-
10)
b. The4ANA‟s4Psychiatric-Mental4Health4Nursing4Scope4and4Standards4of4Practice
c. Diagnostic4and4Statistical4Manual4of4Mental4Disorders4(DSM-V)
d. A4behavioral4health4reference4manual
ANS:4C
4
Nursing A Clinical 9th Edition by Margaret Jordan Halter
All Chapter 1-36
,Chapter401:4Mental4Health4and4Mental4Illness
MULTIPLE4CHOICE
1. A4staff4nurse4completes4orientation4to4a4psychiatric4unit.4This4nurse4may4expect4an4advanced
4 practice4nurse4to4perform4which4additional4intervention?
a. Conduct4mental4health4assessments.
b. Prescribe4psychotropic4medication.
c. Establish4therapeutic4relationships.
d. Individualize4nursing4care4plans.
ANS:4B
In4most4states,4prescriptive4privileges4are4granted4to4master‘s-
prepared4nurse4practitioners4and4clinical4 nurse4specialists4who4have4taken4special4courses4on4prescribin
g4medication.4The4nurse4prepared4at4the4 basic4level4is4permitted4to4perform4mental4health4assessments,4
establish4relationships,4and4provide4 individualized4care4planning.
PTS:414DIF:4Cognitive4Level:4Understand4(Comprehension)4REF:4Page41-
234TOP:4Nursing4 Process:4Implementation
MSC:4Client4Needs:4Safe,4Effective4Care4Environment
2. A4nursing4student4expresses4concerns4that4mental4health4nurses4―lose4all4their4clinical4nursing
4 skills.‖4Select4the4best4response4by4the4mental4health4nurse.
a. ―Psychiatric4nurses4practice4in4safer4environments4than4other4specialties.4Nurse-to-patient
ratios4must4be4better4because4of4the4nature4of4the4patients‘4problems.‖
b. ―Psychiatric4nurses4use4complex4communication4skills4as4well4as4critical4thinking4to4solv
e4 multidimensional4problems.4I4am4challenged4by4those4situations.‖
c. ―That‘s4a4misconception.4Psychiatric4nurses4frequently4use4high4technology4monitoring
4 equipment4and4manage4complex4intravenous4therapies.‖
d. ―Psychiatric4nurses4do4not4have4to4deal4with4as4much4pain4and4suffering4as4medical–
4 surgical4nurses4do.4That4appeals4to4me.‖
ANS:4B
The4practice4of4psychiatric4nursing4requires4a4different4set4of4skills4than4medical–
surgical4nursing,4 though4there4is4substantial4overlap.4Psychiatric4nurses4must4be4able4to4help4pati
ents4with4medical4 as4well4as4mental4health4problems,4reflecting4the4holistic4perspective4these4nur
ses4must4have.
Nurse–
patient4ratios4and4workloads4in4psychiatric4settings4have4increased,4just4like4other44 specialties.4Psy
chiatric4nursing4involves4clinical4practice,4not4just4documentation.4Psychosocial4pain4 and4sufferin
g4are4as4real4as4physical4pain4and4suffering.
, PTS:41 DIF:4Cognitive4Level:4Apply4(Application)
REF:4Pages41-2,421
TOP:4Nursing4Process:4Implementation
4 MSC:4Client4Needs:4Safe,4Effective4Care4Environment
3. When4 a4 new4 bill4 introduced4 in4 Congress4 reduces4 funding4 for4 care4 of4 persons4 diagnosed4 with
4 mental4illness,4a4group4of4nurses4write4letters4to4their4elected4representatives4in4opposition4to4th
e4 legislation.4Which4role4have4the4nurses4fulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based4practice
ANS:4C
An4advocate4defends4or4asserts4another‘s4cause,4particularly4when4the4other4person4lacks4the4abilit
y4 to4do4that4for4self.4Examples4of4individual4advocacy4include4helping4patients4understand4their44 ri
ghts4or4make4decisions.4On4a4community4scale,4advocacy4includes4political4activity,4public4 speaking
,4and4publication4in4the4interest4of4improving4the4human4condition.
Since4funding4is4necessary4to4deliver4quality4programming4for4persons4with4mental4illness,4the4 lett
er-
writing4campaign4advocates4for4that4cause4on4behalf4of4patients4who4are4unable4to4articulate4 their4
own4needs.
PTS:414DIF:4Cognitive4Level:4Understand4(Comprehension)4REF:4Page41-
264TOP:4Nursing4 Process:4Evaluation
MSC:4Client4Needs:4Safe,4Effective4Care4Environment
4. A4family4has4a4long4history4of4conflicted4relationships4among4the4members.4Which4family
member‘s4comment4best4reflects4a4mentally4healthy4perspective?
a. ―I‘ve4made4mistakes4but4everyone4else4in4this4family4has4also.‖
b. ―I4remember4joy4and4mutual4respect4from4our4early4years4together.‖
c. ―I4will4make4some4changes4in4my4behavior4for4the4good4of4the4family.‖
d. ―It‘s4best4for4me4to4move4away4from4my4family.4Things4will4never4change.‖
ANS:4C
The4correct4response4demonstrates4the4best4evidence4of4a4healthy4recognition4of4the4importance4of
4 relationships.4Mental4health4includes4rational4thinking,4communication4skills,4learning,4emotional
4 growth,4resilience,4and4self-
esteem.4Recalling4joy4from4earlier4in4life4may4be4healthy,4but4the4correct4 response4shows4a4higher4l
evel4of4mental4health.4The4other4incorrect4responses4show4blaming4and4 avoidance.
PTS:41 DIF:4Cognitive4Level:4Analyze4(Analysis)
REF:4Pages41-2,43,4324(Figure41-1) TOP:4Nursing4Process:4Assessment4MSC:
3
, Client4Needs:4Psychosocial4Integrity
5. Which4assessment4finding4most4clearly4indicates4that4a4patient4may4be4experiencing4a4mental
4 illness?4The4patient
a. reports4occasional4sleeplessness4and4anxiety.
b. reports4a4consistently4sad,4discouraged,4and4hopeless4mood.
c. is4able4to4describe4the4difference4between4―as4if‖4and4―for4real.‖
d. perceives4difficulty4making4a4decision4about4whether4to4change4jobs.
ANS:4B
The4correct4response4describes4a4mood4alteration,4which4reflects4mental4illness.4The4distracters4 des
cribe4behaviors4that4are4mentally4healthy4or4within4the4usual4scope4of4human4experience.
PTS:41 DIF:4Cognitive4Level:4Apply4(Application)
REF:4Pages41-24to44
TOP:4Nursing4Process:4Assessment
4 MSC:4Client4Needs:4Psychosocial4Integrity
6. Which4finding4best4indicates4that4the4goal4“Demonstrate4mentally4healthy4behavior‖4was
4 achieved4for4an4adult4patient?4The4patient
a. sees4self4as4capable4of4achieving4ideals4and4meeting4demands.
b. behaves4without4considering4the4consequences4of4personal4actions.
c. aggressively4meets4own4needs4without4considering4the4rights4of4others.
d. seeks4help4from4others4when4assuming4responsibility4for4major4areas4of4own4life.
ANS:4A
The4correct4response4describes4an4adaptive,4healthy4behavior.4The4distracters4describe4maladaptive4
behaviors.
PTS:41 DIF:4Cognitive4Level:4Apply4(Application)
REF:4Pages41-24to44
TOP:4Nursing4Process:4Evaluation
4 MSC:4Client4Needs:4Psychosocial4Integrity
7. A4nurse4encounters4an4unfamiliar4psychiatric4disorder4on4a4new4patient‘s4admission4form.4Which
4 resource4should4the4nurse4consult4to4determine4criteria4used4to4establish4this4diagnosis?4a.4 Inter
national4Statistical4Classification4of4Diseases4and4Related4Health4Problems4(ICD-
10)
b. The4ANA‟s4Psychiatric-Mental4Health4Nursing4Scope4and4Standards4of4Practice
c. Diagnostic4and4Statistical4Manual4of4Mental4Disorders4(DSM-V)
d. A4behavioral4health4reference4manual
ANS:4C
4
