Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical Approach, 8th Edition Test Bank

Halter: Varcarolis’ Foundations of Psychiatric Mental Health
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Nursing: A Clinical Approach, 8th Edition Test Bank
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Halter: Varcarolis’ g




Foundations of
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Psychiatric Mental
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Health Nursing: A
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Clinical Approach,
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8thEdition
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1

,Halter: Varcarolis’ Foundations of Psychiatric Mental Health
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Nursing: A Clinical Approach, 8th Edition Test Bank
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Chapter 01: Mental Health and Mental Illness
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MULTIPLE CHOICE g




1. A staff nurse completes orientation to a psychiatric unit. This nurse may expect an
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advancedpractice nurse to perform which additional intervention? a.
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g health assessments. g


b. Prescribe psychotropic medication. g g


c. Establish therapeutic relationships. g g


d. Individualize nursing care plans. g g g




ANS: B g


In most states, prescriptive privileges are granted to master‘s-prepared nurse practitioners
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gandclinical nurse specialists who have taken special courses on prescribing medication. The
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gnurseprepared at the basic level is permitted to perform mental health assessments, establish
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grelationships, and provide individualized care planning. g g g g g




PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-23
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TOP:Nursing Process: Implementation
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MSC: Client Needs: Safe, Effective Care Environment
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2. A nursing student expresses concerns that mental health nurses ―lose all their clinical
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nursingskills.‖ Select the best response by the mental health nurse.
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a. ―Psychiatric nurses practice in safer environments than other specialties. Nurse-to-patient
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ratios must be better because of the nature of the patients‘ problems.‖
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b. ―Psychiatric nurses use complex communication skills as well as critical thinking to solve
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multidimensional problems. I am challenged by those situations.‖
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c. ―That‘s a misconception. Psychiatric nurses frequently use high technology monitoring
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equipment and manage complex intravenous therapies.‖
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d. ―Psychiatric nurses do not have to deal with as much pain and suffering as medical– g g g g g g g g g g g g g g


surgical nurses do. That appeals to me.‖
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ANS: B g


The practice of psychiatric nursing requires a different set of skills than medical–surgical
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nursing, though there is substantial overlap. Psychiatric nurses must be able to help
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patientswith medical as well as mental health problems, reflecting the holistic perspective
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these nurses must have. Nurse–patient ratios and workloads in psychiatric settings have
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increased,just like other specialties. Psychiatric nursing involves clinical practice, not just
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documentation. Psychosocial pain and suffering are as real as physical pain and suffering.
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PTS: 1 g DIF: Cognitive Level: Apply (Application)
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2

,Halter: Varcarolis’ Foundations of Psychiatric Mental Health
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Nursing: A Clinical Approach, 8th Edition Test Bank
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REF: Pages 1-2, 21
g g g TOP: Nursing Process:
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ImplementationMSC: Client Needs: Safe, Effective Care Environment
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3

, Halter: Varcarolis’ Foundations of Psychiatric Mental Health
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Nursing: A Clinical Approach, 8th Edition Test Bank
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3. When a new bill introduced in Congress reduces funding for care of persons diagnosed
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with mental illness, a group of nurses write letters to their elected representatives in
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opposition tothe legislation. Which role have the nurses fulfilled?
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a. Recovery
b. Attending
c. Advocacy
d. Evidence-based practice g




ANS: C g


An advocate defends or asserts another‘s cause, particularly when the other person lacks the
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ability to do that for self. Examples of individual advocacy include helping patients
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understand their rights or make decisions. On a community scale, advocacy includes
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politicalactivity, public speaking, and publication in the interest of improving the human
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condition.
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Since funding is necessary to deliver quality programming for persons with mental illness,
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theletter-writing campaign advocates for that cause on behalf of patients who are unable to
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articulate their own needs.
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PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-26
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TOP:Nursing Process: Evaluation
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MSC: Client Needs: Safe, Effective Care Environment
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4. A family has a long history of conflicted relationships among the members. Which
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familymember‘s comment best reflects a mentally healthy perspective?
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a. ―I‘ve made mistakes but everyone else in this family has also.‖
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b. ―I remember joy and mutual respect from our early years together.‖
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c. ―I will make some changes in my behavior for the good of the family.‖
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d. ―It‘s best for me to move away from my family. Things will never change.‖
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ANS: C g


The correct response demonstrates the best evidence of a healthy recognition of the
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importance of relationships. Mental health includes rational thinking, communication skills,
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learning, emotional growth, resilience, and self-esteem. Recalling joy from earlier in life
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maybe healthy, but the correct response shows a higher level of mental health. The other
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incorrectresponses show blaming and avoidance.
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PTS: 1 g DIF: Cognitive Level: Analyze (Analysis) g g g g


REF: Pages 1-2, 3, 32 (Figure 1-1)
g TOP: Nursing Process: Assessment
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gMSC:Client Needs: Psychosocial Integrity
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5. Which assessment finding most clearly indicates that a patient may be experiencing a
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mentalillness? The patient
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a. reports occasional sleeplessness and anxiety. g g g g


b. reports a consistently sad, discouraged, and hopeless mood.
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c. is able to describe the difference between ―as if‖ and ―for real.‖
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