Test Bank for Varcarolis' Foundations
̦̣ of Psychiatric-Mental Health
Nursing:
̦̣ A Clinical Approach 10th Edition by Margaret Jordan Halter
,Chapter 01: Mental Health and Mental Illness
MULTIPLE CHOICE
1.A staff nurse
̦̣ completes orientation to a psychiatric unit.
̦̣ This nurse
̦̣ may expect an advanced
practice nurse ̦̣ to perform which additional intervention?
a.Conducț̣ mental health assessments.
b.Prescribe psychotropic medication.
c.Establish therapeutic ̦̣ relationships.
d.Individualize
̦̣ nursing
̦̣ care plans.
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)
REF: Page 1-23 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 imoments than other specialties.Nurse-to-patient ̦̣ ratios
must ̦̣ be better becau se
̦̣ of the natu re
̦̣ of the patients’
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 ̦̣ frequ ently
̦̣ u se
̦̣ high technology monitoring
equipmenț̣ and manage complex intravenouș̣ therapies.=
d.<Psychiatric nurses ̦̣ do not have to deal with as much ̦̣ pain and suffering
̦̣ as medical–
surgical
̦̣ nu rses
̦̣ do. That appeals to me.=
ANS: B
The practice of psychiatric nursing ̦̣ requires
̦̣ a different set of skills than medical–surgical ̦̣
nursing,
̦̣ thou gh
̦̣ there is su bstantial
̦̣ overlap. Psychiatric nurses
̦̣ must
̦̣ be able to help patients
with medical as well as mental health problems, reflecting the holistic perspective these
nurses ̦̣ must
̦̣ have. Nurse–patient
̦̣ ratios and workloads in psychiatric settings have increased,
just
̦̣ like other specialties. Psychiatric nursing ̦̣ involves clinical practice, not just ̦̣
documentation.
̦̣ Psychosocial pain and su ffering
̦̣ are as real as physical pain and suffering.
̦̣
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Pages 1-2, 21 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 group̦̣ 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
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 patients
understand
̦̣ their rights or make decisions. On a commu nity̦̣ scale, advocacy includes ̦̣ political
activity, public
̦̣ speaking, and pu blication
̦̣ in the interest of improving the hu man
̦̣ condition.
Since funding
̦̣ is necessary to deliver qu ality
̦̣ programming for persons with mental illness, the
letter-writing campaign advocates for that cause ̦̣ on behalf of patients who are u nable
̦̣ to
articulate
̦̣ their own needs.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: Page 1-26 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 buț̣ everyone else in this family has also.=
b.<I remember joy and mutu ̦̣ al
̦̣ respect from our̦̣ 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. Men mes rational thinking, communication
̦̣ skills, learning,
emotional growth, resilience, and self-esteem. Recalling joy from earlier in life may be
healthy, buț̣ 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)
REF: Pages 1-2, 3, 32 (Figure
̦̣ 1-1) TOP: Nursing
̦̣ Process: Assessment
MSC: Client Needs: Psychosocial Integrity
5.Which assessment finding most clearly indicates that a patient may be experiencing a mental
illness? The patient
a.reports occasional sleeplessness and anxiety.
b.reports a consistently sad, discouraged,
̦̣ and hopeless mood.
c.is able to describe the difference between <as if= and <for real.=
d.perceives difficulty
̦̣ making a decision abouț̣ 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 usu
̦̣ al
̦̣ scope of human
̦̣ experience.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Pages 1-2 to 4 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 adulț̣ patient? The patient
a.sees self as capable of achieving ideals and meeting demands.
b.behaves withouț̣ considering the consequences
̦̣ of personal actions.
c.aggressively meets own needs withouț̣ considering the rights of others.
d.seeks help from others when assuming̦̣ responsibility for major areas of own life.
ANS: A
The correct response describes an adaptive, healthy behavior. The distracters describe
maladaptive behaviors.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Pages 1-2 to 4 TOP: Nursing
̦̣ Process: Evaluation
̦̣
MSC: Client Needs: Psychosocial Integrity
7.A nurse
̦̣ encounters
̦̣ an unfamiliar
̦̣ psychiatric disorder on a new patient’s admission form. Which
resource
̦̣ should
̦̣ the nurse
̦̣ consulț̣ 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: Apply (Application)
REF: Pages 1-18, 19 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 resourceș̣ buț̣ do
not define the diagnostic criteria.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF:
Pages 1-18, 19 TOP: Nursing
̦̣ Process: Implementation MSC: Client Needs:
Safe, Effective Care Environment
9.Which individual ̦̣ is demonstrating the highest level of resilience? One who
a.is able to repress stressors.
b.becomes depressed after the death of a spouse. ̦̣
c.lives in a shelter for 2 years after the home is destroyed by fire.
̦̣ of Psychiatric-Mental Health
Nursing:
̦̣ A Clinical Approach 10th Edition by Margaret Jordan Halter
,Chapter 01: Mental Health and Mental Illness
MULTIPLE CHOICE
1.A staff nurse
̦̣ completes orientation to a psychiatric unit.
̦̣ This nurse
̦̣ may expect an advanced
practice nurse ̦̣ to perform which additional intervention?
a.Conducț̣ mental health assessments.
b.Prescribe psychotropic medication.
c.Establish therapeutic ̦̣ relationships.
d.Individualize
̦̣ nursing
̦̣ care plans.
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)
REF: Page 1-23 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 imoments than other specialties.Nurse-to-patient ̦̣ ratios
must ̦̣ be better becau se
̦̣ of the natu re
̦̣ of the patients’
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 ̦̣ frequ ently
̦̣ u se
̦̣ high technology monitoring
equipmenț̣ and manage complex intravenouș̣ therapies.=
d.<Psychiatric nurses ̦̣ do not have to deal with as much ̦̣ pain and suffering
̦̣ as medical–
surgical
̦̣ nu rses
̦̣ do. That appeals to me.=
ANS: B
The practice of psychiatric nursing ̦̣ requires
̦̣ a different set of skills than medical–surgical ̦̣
nursing,
̦̣ thou gh
̦̣ there is su bstantial
̦̣ overlap. Psychiatric nurses
̦̣ must
̦̣ be able to help patients
with medical as well as mental health problems, reflecting the holistic perspective these
nurses ̦̣ must
̦̣ have. Nurse–patient
̦̣ ratios and workloads in psychiatric settings have increased,
just
̦̣ like other specialties. Psychiatric nursing ̦̣ involves clinical practice, not just ̦̣
documentation.
̦̣ Psychosocial pain and su ffering
̦̣ are as real as physical pain and suffering.
̦̣
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Pages 1-2, 21 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 group̦̣ 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
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 patients
understand
̦̣ their rights or make decisions. On a commu nity̦̣ scale, advocacy includes ̦̣ political
activity, public
̦̣ speaking, and pu blication
̦̣ in the interest of improving the hu man
̦̣ condition.
Since funding
̦̣ is necessary to deliver qu ality
̦̣ programming for persons with mental illness, the
letter-writing campaign advocates for that cause ̦̣ on behalf of patients who are u nable
̦̣ to
articulate
̦̣ their own needs.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: Page 1-26 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 buț̣ everyone else in this family has also.=
b.<I remember joy and mutu ̦̣ al
̦̣ respect from our̦̣ 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. Men mes rational thinking, communication
̦̣ skills, learning,
emotional growth, resilience, and self-esteem. Recalling joy from earlier in life may be
healthy, buț̣ 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)
REF: Pages 1-2, 3, 32 (Figure
̦̣ 1-1) TOP: Nursing
̦̣ Process: Assessment
MSC: Client Needs: Psychosocial Integrity
5.Which assessment finding most clearly indicates that a patient may be experiencing a mental
illness? The patient
a.reports occasional sleeplessness and anxiety.
b.reports a consistently sad, discouraged,
̦̣ and hopeless mood.
c.is able to describe the difference between <as if= and <for real.=
d.perceives difficulty
̦̣ making a decision abouț̣ 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 usu
̦̣ al
̦̣ scope of human
̦̣ experience.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Pages 1-2 to 4 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 adulț̣ patient? The patient
a.sees self as capable of achieving ideals and meeting demands.
b.behaves withouț̣ considering the consequences
̦̣ of personal actions.
c.aggressively meets own needs withouț̣ considering the rights of others.
d.seeks help from others when assuming̦̣ responsibility for major areas of own life.
ANS: A
The correct response describes an adaptive, healthy behavior. The distracters describe
maladaptive behaviors.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Pages 1-2 to 4 TOP: Nursing
̦̣ Process: Evaluation
̦̣
MSC: Client Needs: Psychosocial Integrity
7.A nurse
̦̣ encounters
̦̣ an unfamiliar
̦̣ psychiatric disorder on a new patient’s admission form. Which
resource
̦̣ should
̦̣ the nurse
̦̣ consulț̣ 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: Apply (Application)
REF: Pages 1-18, 19 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 resourceș̣ buț̣ do
not define the diagnostic criteria.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF:
Pages 1-18, 19 TOP: Nursing
̦̣ Process: Implementation MSC: Client Needs:
Safe, Effective Care Environment
9.Which individual ̦̣ is demonstrating the highest level of resilience? One who
a.is able to repress stressors.
b.becomes depressed after the death of a spouse. ̦̣
c.lives in a shelter for 2 years after the home is destroyed by fire.
