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

Enjoy Psychiatric Mental Health Varcarolis
Questions And Answers
Chapter 01: Mental
CHAPTER Health and Mental
01:MENTAL Illness AND MENTAL ILLNESS
HEALTH
Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical
Approach,668th66Edition


MULTIPLE66CHOICE

1. A66staff66nurse66completes66orientation66to66a66psychiatric66unit.66This66nurse66may66expect66
an66advanced66practice66nurse66to66perform66which66additional66intervention?66a.
Conduct66mental66health66asse
ssments.
b. Prescribe66psychotropic66medication.
c. Establish66therapeutic66relationships.
d. Individualize66nursing66care66plans.
ANS:66B
In66most66states,66prescriptive66privileges66are66granted66to66master’s-
prepared66nurse66practitioners66and66clinical66nurse66specialists66who66have66taken66special66cours
es66on66prescribing66medication.66The66nurse66prepared66at66the66basic66level66is66permitted66to66p
erform66mental66health66assessments,66establish66relationships,66and66provide66individualized66car
e66planning.

PTS:66166DIF:66Cognitive66Level:66Understand66(Comprehension)66REF:66Page661-
2366TOP:66Nursing66Process:66Implementation
MSC:66Client66Needs:66Safe,66Effective66Care66Environment

2. A66nursing66student66expresses66concerns66that66mental66health66nurses66“lose66all66their66clin
ical66nursing66skills.”66Select66the66best66response66by66the66mental66health66nurse.
a. “Psychiatric66nurses66practice66in66safer66environments66than66other66specialties.66Nurse-
to-
patient66ratios66must66be66better66because66of66the66nature66of66the66patients’66problems.
”
b. “Psychiatric66nurses66use66complex66communication66skills66as66well66as66critical66thinkin
g66to66solve66multidimensional66problems.66I66am66challenged66by66those66situations.”
c. “That’s66a66misconception.66Psychiatric66nurses66frequently66use66high66technology66m
onitoring66equipment66and66manage66complex66intravenous66therapies.”
d. “Psychiatric66nurses66do66not66have66to66deal66with66as66much66pain66and66suffering6
6as66medical–66surgical66nurses66do.66That66appeals66to66me.”

ANS:66B
The66practice66of66psychiatric66nursing66requires66a66different66set66of66skills66than66medical–
surgical66nursing,66though66there66is66substantial66overlap.66Psychiatric66nurses66must66be66a
ble66to66help66patients66with66medical66as66well66as66mental66health66problems,66reflecting66t
he66holistic66perspective66these66nurses66must66have.66Nurse–
1

,patient66ratios66and66workloads66in66psychiatric66settings66have66increased,66just66like66other66
specialties.66Psychiatric66nursing66involves66clinical66practice,66not66just66documentation.66Ps
ychosocial66pain66and66suffering66are66as66real66as66physical66pain66and66suffering.

PTS:661 DIF:66Cognitive66Level:66Apply66(Application)




2

, REF:66Pages661-2,6621
TOP:66Nursing66Process:66Implementat
ion66When66a66new66bill66introduced66in66Congress66reduces66funding66for66c
are66of66persons66diagnosed66withmental66illness,66a66group66of66nurses66writ
e66letters66to66their66elected66representatives66in66opposition66tothe66legislati
on.66Which66role66have66the66nurses66fulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based66practice

ANS:66C
An66advocate66defends66or66asserts66another’s66cause,66particularly66when66the66other66perso
n66lacks66the66ability66to66do66that66for66self.66Examples66of66individual66advocacy66include66
helping66patients66understand66their66rights66or66make66decisions.66On66a66community66scale,6
6advocacy66includes66political66activity,66public66speaking,66and66publication66in66the66interes
t66of66improving66the66human66condition.
Since66funding66is66necessary66to66deliver66quality66programming66for66persons66with66mental6
6illness,66the66letter-
writing66campaign66advocates66for66that66cause66on66behalf66of66patients66who66are66unable66
to66articulate66their66own66needs.

PTS:66166DIF:66Cognitive66Level:66Understand66(Comprehension)66REF:66Page661-
2666TOP:66Nursing66Process:66Evaluation
MSC:66Client66Needs:66Safe,66Effective66Care66Environment

3. A66family66has66a66long66history66of66conflicted66relationships66among66the66members.66W
hich66family66member’s66comment66best66reflects66a66mentally66healthy66perspective?
a. “I’ve66made66mistakes66but66everyone66else66in66this66family66has66also.”
b. “I66remember66joy66and66mutual66respect66from66our66early66years66together.”
c. “I66will66make66some66changes66in66my66behavior66for66the66good66of66the66family.”
d. “It’s66best66for66me66to66move66away66from66my66family.66Things66will66never66change.”

ANS:66C
The66correct66response66demonstrates66the66best66evidence66of66a66healthy66recognition66of66t
he66importance66of66relationships.66Mental66health66includes66rational66thinking,66communic
ation66skills,66learning,66emotional66growth,66resilience,66and66self-
esteem.66Recalling66joy66from66earlier66in66life66may66be66healthy,66but66the66correct66respons
e66shows66a66higher66level66of66mental66health.66The66other66incorrect66responses66show66bla
ming66and66avoidance.

PTS:661 DIF:66Cognitive66Level:66Analyze66(Analysis)
REF:66Pages661-2,663,663266(Figure661-1)
TOP:66Nursing66Process:66Assessment66
MSC:66Client66Needs:66Psychosocial66Integrity

4. Which66assessment66finding66most66clearly66indicates66that66a66patient66may66be66experienci
3

, ng66a66mental66illness?66The66patient
a. reports66occasional66sleeplessness66and66anxiety.
b. reports66a66consistently66sad,66discouraged,66and66hopeless66mood.
c. is66able66to66describe66the66difference66between66“as66if”66and66“for66real.”
d. perceives66difficulty66making66a66decision66about66whether66to66change66jobs.




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