Varcarolis’ Foundations of Psychiatric Mental Health Nursing A Clinical Approach by Margaret Jordan Halter, PhD, APRN 8th Edition Test Bank

, Test bank Varcarolis' Foundations of Psychiatric Mental Health
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Nursing, 8th Edition by Margaret Jordan Halter
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Chapter 01: Mental Health and Mental Illness
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MULTIPLE CHOICE , y




1. A staff nurse completes orientation to a psychiatric unit. This nurse may
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,y expect anadvanced practice nurse to perform which additional intervention?
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a. Conduct mental health ,y ,y



assessments.
b. Prescribe psychotropic ,y



medication.
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c. Establish therapeutic ,y



relationships.
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d. Individualize nursing care plans. ,y ,y ,y




ANS: B
In most states, prescriptive privileges are granted to master’s-prepared nurse
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practitioners andclinical nurse specialists who have taken special courses on prescribing
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medication. The nurseprepared at the basic level is permitted to perform mental health
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assessments, establish relationships, and provide individualized care planning.
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PTS: 1 DIF: Cognitive Level: Understand ,y ,y



(Comprehension)REF:
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Process: Implementation MSC: Client Needs: Safe, Effective
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Care Environment
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2. A nursing student expresses concerns that mental health nurses “lose all
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,y their clinicalnursing skills.” 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-
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patientratios must be better because of the nature of the patients’ problems.” ,y ,y ,y ,y ,y ,y ,y ,y ,y ,y ,y



b “Psychiatric nurses use complex communication skills as well as critical thinking to
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. solve
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multidimensional problems. I am challenged by those situations.” ,y ,y ,y ,y ,y ,y ,y



c. “That’s a misconception. Psychiatric nurses frequently use high technology
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monitoringequipment and manage complex intravenous therapies.” ,y ,y ,y ,y ,y



d “Psychiatric nurses do not have to deal with as much pain and suffering as medical–
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. surgical
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nurses do. That appeals to me.” ,y ,y ,y ,y ,y




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



REF: Pages 1-2, 21
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ImplementationMSC: Client Needs: Safe, Effective Care Environment ,y ,y ,y ,y ,y ,y




3. When a new bill introduced in Congress reduces funding for care of persons
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,y diagnosed with mental illness, a group of nurses write letters to their elected
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,representatives in opposition tothe legislation. Which role have the nurses fulfilled?
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, a. Recovery
b. Attending
c. Advocacy
d. Evidence-based
practice
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ANS: C
An advocate defends or asserts another’s cause, particularly when the other person
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lacks the ability to do that for self. Examples of individual advocacy include helping
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patients understand their rights or make decisions. On a community scale, advocacy
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includes political activity, publicspeaking, and publication in the interest of improving the
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human condition. Since funding is necessary to deliver quality programming for persons
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with mental illness, the letter-writing campaign advocates for that cause on behalf of
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patients who are unable to articulate their own needs.
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PTS: 1 DIF: Cognitive Level: Understand ,y ,y



(Comprehension)REF:
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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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,y familymember’s comment best reflects a mentally healthy perspective? ,y ,y ,y ,y ,y ,y ,y



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
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. change.” ,y




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



REF: Pages 1-2, 3, 32 (Figure 1-1) TOP: Nursing Process:
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AssessmentMSC: Client Needs: Psychosocial Integrity
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5. Which assessment finding most clearly indicates that a patient may be ,y ,y ,y ,y ,y ,y ,y ,y ,y ,y



,y experiencing amental illness? The patient ,y ,y ,y ,y



a. reports occasional sleeplessness and anxiety. ,y ,y ,y ,y



b. reports a consistently sad, discouraged, and hopeless mood. ,y ,y ,y ,y ,y ,y ,y



c. is able to describe the difference between “as if” and “for real.”
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d. perceives difficulty making a decision about whether to change ,y ,y ,y ,y ,y ,y ,y ,y



jobs. ,y




ANS: B
The correct response describes a mood alteration, which reflects mental illness. The
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distractersdescribe behaviors that are mentally healthy or within the usual scope of
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human experience.
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PTS: 1 DIF: Cognitive Level: Apply (Application) ,y ,y ,y