,
,Chapter 01: Mental Health and Mental Illness
#d #d #d #d #d #d
Halter: Varcarolis’ Foundations of Psychiatric-
#d #d #d #d
Mental Health Nursing: A Clinical Approach, 10th Edition
#d #d #d #d #d #d #d
MULTIPLE CHOICE #d
1. The scope of practiced for an advanced nurse practitioner would include which intervention?
#d #d #d #d #d #d #d #d #d #d #d #d
a. Conducting a mental health assessment. #d #d #d #d
b. Prescribing psychotropic medication. #d #d
c. Establishing a therapeutic relationship. #d #d #d
d. Individualizing a nursing care plan. #d #d #d #d
CORRECT ANS: #d # d B
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
#d #d #d #d #d #d #d #d #d #d #d #d #d
prescribing medication. The nurse prepared at the basic level is permitted to perform mental
#d #d #d #d #d #d #d #d #d #d #d #d #d
health assessments, establish relationships, and provide individualized care planning.
#d #d #d #d #d #d #d #d #d
PTS: # d # d 1 DIF: Cognitive Level: Understand (Comprehension) #d #d #d
TOP: # d Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment
#d #d # d #d #d #d #d #d
2. A nursing student expresses concerns that mental health nurses “lose all their clinical nursi
#d #d #d #d #d #d #d #d #d #d #d #d #d
ng skills.” Select the best response by the mental health nurse.
#d #d #d #d #d #d #d #d #d #d
a. “Psychiatric nurses practice in safer environments than other specialties. Nurse-
#d #d #d #d #d #d #d #d #d
to- client ratios must be better because of the nature of the clients’ problems.”
#d #d #d #d #d #d #d #d #d #d #d #d #d
b. “Psychiatric nurses use complex communication skills as well as critical thinkin
#d #d #d #d #d #d #d #d #d #d
g to solve multidimensional problems. I am challenged by those situations.”
#d #d #d #d #d #d #d #d #d #d
c. “That’s a misconception. Psychiatric nurses frequently use high technolog
#d #d #d #d #d #d #d #d
y monitoring equipment and manage complex intravenous therapies.”
#d #d #d #d #d #d #d
d. “Psychiatric nurses do not have to deal with as much pain and suffering
#d #d #d #d #d #d #d #d #d #d #d #d #d
as medical–surgical nurses do. That appeals to me.”
#d #d #d #d #d #d #d
CORRECT ANS: #d # d B
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
#d #d #d #d #d #d #d #d #d #d #d #d #d
clients with medical as well as mental health problems, reflecting the holistic perspective th
#d #d #d #d #d #d #d #d #d #d #d #d #d #d
ese nurses must have. Nurse–
#d #d #d #d
client ratios and workloads in psychiatric settings have increased, just like other specialties.
#d #d #d #d #d #d #d #d #d #d #d #d #
Psychiatric nursing involves clinical practice, not just documentation.
d #d #d #d #d #d #d #d
Psychosocial pain and suffering are as real as physical pain and suffering.
#d #d #d #d #d #d #d #d #d #d #d
PTS: # d # d 1 DIF: Cognitive Level: Apply (Application) #d #d #d
TOP: # d Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment
#d #d # d #d #d #d #d #d
3. When a new bill introduced in Congress reduces funding for care of persons diagnosed w
#d #d #d #d #d #d #d #d #d #d #d #d #d #d
ith mental illness, a group of nurses write letters to their elected representatives in opposit
#d #d #d #d #d #d #d #d #d #d #d #d #d #d
ion to the legislation. Which role have the nurses fulfilled?
#d #d #d #d #d #d #d #d #d
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based practice #d
CORRECT ANS: #d # d C
, An advocate defends or asserts another’s cause, particularly when the other person lacks th
#d #d #d #d #d #d #d #d #d #d #d #d #d
e ability to do that for self. Examples of individual advocacy include helping clients unders
#d #d #d #d #d #d #d #d #d #d #d #d #d #d
tand their rights or make decisions. On a community scale, advocacy includes political acti
#d #d #d #d #d #d #d #d #d #d #d #d #d
vity, public speaking, and publication in the interest of improving the human condition. Sin
#d #d #d #d #d #d #d #d #d #d #d #d #d
ce funding is necessary to deliver quality programming for persons with mental illness, the l
#d #d #d #d #d #d #d #d #d #d #d #d #d #d
etter-
#dwriting campaign advocates for that cause on behalf of clients who are unable to articulate
#d #d #d #d #d #d #d #d #d #d #d #d #d #d #
dtheir own needs. #d #d
,Chapter 01: Mental Health and Mental Illness
#d #d #d #d #d #d
Halter: Varcarolis’ Foundations of Psychiatric-
#d #d #d #d
Mental Health Nursing: A Clinical Approach, 10th Edition
#d #d #d #d #d #d #d
MULTIPLE CHOICE #d
1. The scope of practiced for an advanced nurse practitioner would include which intervention?
#d #d #d #d #d #d #d #d #d #d #d #d
a. Conducting a mental health assessment. #d #d #d #d
b. Prescribing psychotropic medication. #d #d
c. Establishing a therapeutic relationship. #d #d #d
d. Individualizing a nursing care plan. #d #d #d #d
CORRECT ANS: #d # d B
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
#d #d #d #d #d #d #d #d #d #d #d #d #d
prescribing medication. The nurse prepared at the basic level is permitted to perform mental
#d #d #d #d #d #d #d #d #d #d #d #d #d
health assessments, establish relationships, and provide individualized care planning.
#d #d #d #d #d #d #d #d #d
PTS: # d # d 1 DIF: Cognitive Level: Understand (Comprehension) #d #d #d
TOP: # d Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment
#d #d # d #d #d #d #d #d
2. A nursing student expresses concerns that mental health nurses “lose all their clinical nursi
#d #d #d #d #d #d #d #d #d #d #d #d #d
ng skills.” Select the best response by the mental health nurse.
#d #d #d #d #d #d #d #d #d #d
a. “Psychiatric nurses practice in safer environments than other specialties. Nurse-
#d #d #d #d #d #d #d #d #d
to- client ratios must be better because of the nature of the clients’ problems.”
#d #d #d #d #d #d #d #d #d #d #d #d #d
b. “Psychiatric nurses use complex communication skills as well as critical thinkin
#d #d #d #d #d #d #d #d #d #d
g to solve multidimensional problems. I am challenged by those situations.”
#d #d #d #d #d #d #d #d #d #d
c. “That’s a misconception. Psychiatric nurses frequently use high technolog
#d #d #d #d #d #d #d #d
y monitoring equipment and manage complex intravenous therapies.”
#d #d #d #d #d #d #d
d. “Psychiatric nurses do not have to deal with as much pain and suffering
#d #d #d #d #d #d #d #d #d #d #d #d #d
as medical–surgical nurses do. That appeals to me.”
#d #d #d #d #d #d #d
CORRECT ANS: #d # d B
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
#d #d #d #d #d #d #d #d #d #d #d #d #d
clients with medical as well as mental health problems, reflecting the holistic perspective th
#d #d #d #d #d #d #d #d #d #d #d #d #d #d
ese nurses must have. Nurse–
#d #d #d #d
client ratios and workloads in psychiatric settings have increased, just like other specialties.
#d #d #d #d #d #d #d #d #d #d #d #d #
Psychiatric nursing involves clinical practice, not just documentation.
d #d #d #d #d #d #d #d
Psychosocial pain and suffering are as real as physical pain and suffering.
#d #d #d #d #d #d #d #d #d #d #d
PTS: # d # d 1 DIF: Cognitive Level: Apply (Application) #d #d #d
TOP: # d Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment
#d #d # d #d #d #d #d #d
3. When a new bill introduced in Congress reduces funding for care of persons diagnosed w
#d #d #d #d #d #d #d #d #d #d #d #d #d #d
ith mental illness, a group of nurses write letters to their elected representatives in opposit
#d #d #d #d #d #d #d #d #d #d #d #d #d #d
ion to the legislation. Which role have the nurses fulfilled?
#d #d #d #d #d #d #d #d #d
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based practice #d
CORRECT ANS: #d # d C
, An advocate defends or asserts another’s cause, particularly when the other person lacks th
#d #d #d #d #d #d #d #d #d #d #d #d #d
e ability to do that for self. Examples of individual advocacy include helping clients unders
#d #d #d #d #d #d #d #d #d #d #d #d #d #d
tand their rights or make decisions. On a community scale, advocacy includes political acti
#d #d #d #d #d #d #d #d #d #d #d #d #d
vity, public speaking, and publication in the interest of improving the human condition. Sin
#d #d #d #d #d #d #d #d #d #d #d #d #d
ce funding is necessary to deliver quality programming for persons with mental illness, the l
#d #d #d #d #d #d #d #d #d #d #d #d #d #d
etter-
#dwriting campaign advocates for that cause on behalf of clients who are unable to articulate
#d #d #d #d #d #d #d #d #d #d #d #d #d #d #
dtheir own needs. #d #d
