Varcarolis’ Foundations of Psychiatric-
d d d
Mental Health Nursing: A Clinical Approach, 10th Ed
d d d d d d d
ition Test Bank – Complete Chapter Q&A, NCLEX®-
d d d d d d d
Style Practice + Rationales (Margaret Jordan Halter)
d d d d d d
, Varcarolis’ Foundations of Psychiatric- d d d
Mental Health Nursing: A Clinical Approach, 10th Edition Test d d d d d d d d d
Bank – Complete Chapter Q&A, NCLEX®- d d d d d
Style Practice + Rationales (Margaret Jordan Halter) d d d d d d
Chapter 01: Mental Health and Mental Illness
d d d d d d d
Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical App
d d d d d d d d d d
roach, 8th Edition
d d d
MULTIPLE CHOICE d d
1.A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced practice
d d d d d d d d d d d d d d d d
nurse to perform which additional intervention? a. Conduct mental health assessments.
d d d d d d d d d d d
b.Prescribe psychotropic medication. d d d
c.Establish therapeutic relationships. d d d
d.Individualize nursing care plans. d d d d
ANS: B d d
In most states, prescriptive privileges are granted to master‘s-
d d d d d d d d
prepared nurse practitioners and clinical nurse specialists who have taken special courses on prescri
d d d d d d d d d d d d d
bing medication. The nurse prepared at the basic level is permitted to perform mental health assessm
d d d d d d d d d d d d d d d
ents, establish relationships, and provide individualized care planning.
d d d d d d d d
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-
d d d d d d d d d
23 TOP: Nursing Process: Implementation
d d d d d
MSC: Client Needs: Safe, Effective Care Environment
d d d d d d d
2.A nursing student expresses concerns that mental health nurses ―lose all their clinical nursing skills.‖
d d d d d d d d d d d d d d d
Select the best response by the mental health nurse.
d d d d d d d d d
a.―Psychiatric nurses practice in safer environments than other specialties. Nurse-to-patient d d d d d d d d d d
ratios must be better because of the nature of the patients‘ problems.‖d d d d d d d d d d d d
b.―Psychiatric nurses use complex communication skills as well as critical thinking to solve d d d d d d d d d d d d d
multidimensional problems. I am challenged by those situations.‖ d d d d d d d d
c.―That‘s a misconception. Psychiatric nurses frequently use high technology monitoring
d d d d d d d d d d
equipment and manage complex intravenous therapies.‖ d d d d d d
d.―Psychiatric nurses do not have to deal with as much pain and suffering as medical– d d d d d d d d d d d d d d d
surgical nurses do. That appeals to me.‖ d d d d d d d
ANS: B d d
The practice of psychiatric nursing requires a different set of skills than medical–
d d d d d d d d d d d d
surgical nursing, though there is substantial overlap. Psychiatric nurses must be able to help patient
d d d d d d d d d d d d d d
s with medical as well as mental health problems, reflecting the holistic perspective these nurses mu
d d d d d d d d d d d d d d d
st have. Nurse–
d d
patient ratios and workloads in psychiatric settings have increased, just like other specialties. Psyc
d d d d d d d d d d d d d
hiatric nursing involves clinical practice, not justd d d d d d d
documentation. Psychosocial pain and suffering are as real as physical pain and suffering. d d d d d d d d d d d d d
1
,Test Bank Varcarolis' Foundations of Psychiatric-Mental
d d d d d d
Health Nursing A Clinical 9th Edition by Margaret Jordan
d d d d d d d d d
Halter |Test Bank|Chapter 1-36 UPDATED 2022
d d d d d d
PTS: 1 d d DIF: Cognitive Level: Apply (Application) d d d d d
REF: Pages 1-2, 21
d d d TOP: Nursing Process: Implementation
d d d d d
MSC: Client Needs: Safe, Effective Care Environment
d d d d d d d
2
, Varcarolis’ Foundations of Psychiatric- d d d
Mental Health Nursing: A Clinical Approach, 10th Edition Test d d d d d d d d d
Bank – Complete Chapter Q&A, NCLEX®- d d d d d
Style Practice + Rationales (Margaret Jordan Halter) d d d d d d
3.When a new bill introduced in Congress reduces funding for care of persons diagnosed with mental ill
d d d d d d d d d d d d d d d d
ness, a group of nurses write letters to their elected representatives in opposition to the legislation.
d d d d d d d d d d d d d d d d
Which role have the nurses fulfilled? d d d d d d
a.Recovery d
b.Attending d
c.Advocacy d
d.Evidence-based practice d d
ANS: C d d
An advocate defends or asserts another‘s cause, particularly when the other person lacks the ability to
d d d d d d d d d d d d d d d
do that for self. Examples of individual advocacy include helping patients
d d d d d d d d d d d d
understand their rights or make decisions. On a community scale, advocacy includes political activitd d d d d d d d d d d d d
y, public speaking, and publication in the interest of improving the human condition. Since funding i
d d d d d d d d d d d d d d d
s necessary to deliver quality programming for persons with mental illness, the letter-
d d d d d d d d d d d d
writing campaign advocates for that cause on behalf of patients who are unable to articulate their own
d d d d d d d d d d d d d d d d d
needs. d
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-
d d d d d d d d d
26 TOP: Nursing Process: Evaluation
d d d d d
MSC: Client Needs: Safe, Effective Care Environment
d d d d d d d
4.d A family has a long history of conflicted relationships among the members. Which family
d d d d d d d d d d d d d d
member‘s comment best reflects a mentally healthy perspective? d d d d d d d d
a.―I‘ve made mistakes but everyone else in this family has also.‖ d d d d d d d d d d d
b.―I remember joy and mutual respect from our early years together.‖
d d d d d d d d d d d
c.―I will make some changes in my behavior for the good of the family.‖ d.―It‘s best f
d d d d d d d d d d d d d d d d
or me to move away from my family. Things will never change.‖
d d d d d d d d d d d d
ANS: C d d
The correct response demonstrates the best evidence of a healthy recognition of the
d d d d d d d d d d d d d
importance of relationships. Mental health includes rational thinking, communication skills, learnin d d d d d d d d d d
g, emotional growth, resilience, and self-
d d d d d
esteem. Recalling joy from earlier in life may be healthy, but the correct response shows a higher leve
d d d d d d d d d d d d d d d d d
l of mental health. The other incorrect responses show blaming and avoidance.
d d d d d d d d d d d d
PTS: 1 DIF: Cognitive Level: Analyze (Analysis)
d d d d d d d
REF: Pages 1-2, 3, 32 (Figure 1-1) d d d d d d d
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
d d d d d d d d d
5.d Which assessment finding most clearly indicates that a patient may be experiencing a mental
d d d d d d d d d d d d d d
illness? The patient d d d
a.reports occasional sleeplessness and anxiety. d d d d d
b.reports a consistently sad, discouraged, and hopeless mood. d d d d d d d d
c.is able to describe the difference between ―as if‖ and ―for real.‖
d d d d d d d d d d d d
3
d d d
Mental Health Nursing: A Clinical Approach, 10th Ed
d d d d d d d
ition Test Bank – Complete Chapter Q&A, NCLEX®-
d d d d d d d
Style Practice + Rationales (Margaret Jordan Halter)
d d d d d d
, Varcarolis’ Foundations of Psychiatric- d d d
Mental Health Nursing: A Clinical Approach, 10th Edition Test d d d d d d d d d
Bank – Complete Chapter Q&A, NCLEX®- d d d d d
Style Practice + Rationales (Margaret Jordan Halter) d d d d d d
Chapter 01: Mental Health and Mental Illness
d d d d d d d
Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical App
d d d d d d d d d d
roach, 8th Edition
d d d
MULTIPLE CHOICE d d
1.A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced practice
d d d d d d d d d d d d d d d d
nurse to perform which additional intervention? a. Conduct mental health assessments.
d d d d d d d d d d d
b.Prescribe psychotropic medication. d d d
c.Establish therapeutic relationships. d d d
d.Individualize nursing care plans. d d d d
ANS: B d d
In most states, prescriptive privileges are granted to master‘s-
d d d d d d d d
prepared nurse practitioners and clinical nurse specialists who have taken special courses on prescri
d d d d d d d d d d d d d
bing medication. The nurse prepared at the basic level is permitted to perform mental health assessm
d d d d d d d d d d d d d d d
ents, establish relationships, and provide individualized care planning.
d d d d d d d d
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-
d d d d d d d d d
23 TOP: Nursing Process: Implementation
d d d d d
MSC: Client Needs: Safe, Effective Care Environment
d d d d d d d
2.A nursing student expresses concerns that mental health nurses ―lose all their clinical nursing skills.‖
d d d d d d d d d d d d d d d
Select the best response by the mental health nurse.
d d d d d d d d d
a.―Psychiatric nurses practice in safer environments than other specialties. Nurse-to-patient d d d d d d d d d d
ratios must be better because of the nature of the patients‘ problems.‖d d d d d d d d d d d d
b.―Psychiatric nurses use complex communication skills as well as critical thinking to solve d d d d d d d d d d d d d
multidimensional problems. I am challenged by those situations.‖ d d d d d d d d
c.―That‘s a misconception. Psychiatric nurses frequently use high technology monitoring
d d d d d d d d d d
equipment and manage complex intravenous therapies.‖ d d d d d d
d.―Psychiatric nurses do not have to deal with as much pain and suffering as medical– d d d d d d d d d d d d d d d
surgical nurses do. That appeals to me.‖ d d d d d d d
ANS: B d d
The practice of psychiatric nursing requires a different set of skills than medical–
d d d d d d d d d d d d
surgical nursing, though there is substantial overlap. Psychiatric nurses must be able to help patient
d d d d d d d d d d d d d d
s with medical as well as mental health problems, reflecting the holistic perspective these nurses mu
d d d d d d d d d d d d d d d
st have. Nurse–
d d
patient ratios and workloads in psychiatric settings have increased, just like other specialties. Psyc
d d d d d d d d d d d d d
hiatric nursing involves clinical practice, not justd d d d d d d
documentation. Psychosocial pain and suffering are as real as physical pain and suffering. d d d d d d d d d d d d d
1
,Test Bank Varcarolis' Foundations of Psychiatric-Mental
d d d d d d
Health Nursing A Clinical 9th Edition by Margaret Jordan
d d d d d d d d d
Halter |Test Bank|Chapter 1-36 UPDATED 2022
d d d d d d
PTS: 1 d d DIF: Cognitive Level: Apply (Application) d d d d d
REF: Pages 1-2, 21
d d d TOP: Nursing Process: Implementation
d d d d d
MSC: Client Needs: Safe, Effective Care Environment
d d d d d d d
2
, Varcarolis’ Foundations of Psychiatric- d d d
Mental Health Nursing: A Clinical Approach, 10th Edition Test d d d d d d d d d
Bank – Complete Chapter Q&A, NCLEX®- d d d d d
Style Practice + Rationales (Margaret Jordan Halter) d d d d d d
3.When a new bill introduced in Congress reduces funding for care of persons diagnosed with mental ill
d d d d d d d d d d d d d d d d
ness, a group of nurses write letters to their elected representatives in opposition to the legislation.
d d d d d d d d d d d d d d d d
Which role have the nurses fulfilled? d d d d d d
a.Recovery d
b.Attending d
c.Advocacy d
d.Evidence-based practice d d
ANS: C d d
An advocate defends or asserts another‘s cause, particularly when the other person lacks the ability to
d d d d d d d d d d d d d d d
do that for self. Examples of individual advocacy include helping patients
d d d d d d d d d d d d
understand their rights or make decisions. On a community scale, advocacy includes political activitd d d d d d d d d d d d d
y, public speaking, and publication in the interest of improving the human condition. Since funding i
d d d d d d d d d d d d d d d
s necessary to deliver quality programming for persons with mental illness, the letter-
d d d d d d d d d d d d
writing campaign advocates for that cause on behalf of patients who are unable to articulate their own
d d d d d d d d d d d d d d d d d
needs. d
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-
d d d d d d d d d
26 TOP: Nursing Process: Evaluation
d d d d d
MSC: Client Needs: Safe, Effective Care Environment
d d d d d d d
4.d A family has a long history of conflicted relationships among the members. Which family
d d d d d d d d d d d d d d
member‘s comment best reflects a mentally healthy perspective? d d d d d d d d
a.―I‘ve made mistakes but everyone else in this family has also.‖ d d d d d d d d d d d
b.―I remember joy and mutual respect from our early years together.‖
d d d d d d d d d d d
c.―I will make some changes in my behavior for the good of the family.‖ d.―It‘s best f
d d d d d d d d d d d d d d d d
or me to move away from my family. Things will never change.‖
d d d d d d d d d d d d
ANS: C d d
The correct response demonstrates the best evidence of a healthy recognition of the
d d d d d d d d d d d d d
importance of relationships. Mental health includes rational thinking, communication skills, learnin d d d d d d d d d d
g, emotional growth, resilience, and self-
d d d d d
esteem. Recalling joy from earlier in life may be healthy, but the correct response shows a higher leve
d d d d d d d d d d d d d d d d d
l of mental health. The other incorrect responses show blaming and avoidance.
d d d d d d d d d d d d
PTS: 1 DIF: Cognitive Level: Analyze (Analysis)
d d d d d d d
REF: Pages 1-2, 3, 32 (Figure 1-1) d d d d d d d
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
d d d d d d d d d
5.d Which assessment finding most clearly indicates that a patient may be experiencing a mental
d d d d d d d d d d d d d d
illness? The patient d d d
a.reports occasional sleeplessness and anxiety. d d d d d
b.reports a consistently sad, discouraged, and hopeless mood. d d d d d d d d
c.is able to describe the difference between ―as if‖ and ―for real.‖
d d d d d d d d d d d d
3
