Test Bank Varcarolis' Foundations of Psychiatric-
m m m m m
Mental Health Nursing A Clinical 9th Edition by Margaret
m m m m m m m m
JordanHalter |Test Bank|Chapter 1-36 UPDATED 2024
m m m m m m m
Chapter m01:mMentalmHealthmandmMentalmIllness
Halter:m Varcarolis’ m Foundations m of m Psychiatric m Mental m Health m Nursing: m A m Clinical mApproa
ch,m8thmEdition
MULTIPLEmCHOICE
1. A mstaff mnursemcompletesmorientationmtomampsychiatricmunit.mThismnursemmaymexpect manmadvan
ced mpracticemnursemtomperformmwhichmadditionalmintervention?ma.
Conduct mmentalmhealthmassessments.
b. Prescribempsychotropicmmedication.
c. Establishmtherapeuticmrelationships.
d. Individualizemnursingmcaremplans.
ANS:mB
Inmmost mstates,mprescriptivemprivilegesmaremgranted mtommaster‘s-
prepared mnursempractitionersmand mclinicalmnursemspecialistsmwhomhavemtakenmspecialmcoursesmon
mprescribingmmedication.mThemnursem prepared mat mthembasicmlevel mis mpermitted mtomperformmmenta
lmhealthmassessments,mestablishmrelationships,mand mprovidemindividualized mcaremplanning.
PTS:m1 mDIF:mCognitivemLevel:mUnderstand m(Comprehension)mREF:mPagem1-
23 mTOP:mNursingmProcess:mImplementation
MSC:mClientmNeeds:mSafe,mEffective mCaremEnvironment
2. A mnursingmstudent mexpressesmconcernsmthat mmentalmhealthmnursesm―losemallmtheir mclinicalmnursi
ngmskills.‖ mSelect mthembest mresponsembymthemmentalmhealthmnurse.
a. ―Psychiatricmnursesmpracticem inm safer m environm ents mthanmothermspecialties.m N urse-to-
patient mratiosmmust mbembettermbecausemof mthemnaturemof mthempatients‘mproblems.‖
b. ―Psychiatricmnursesm usemcomplexmcommunicationmskillsm asm well mas mcriticalmthinkingmtomsol
vemmultidimensionalmproblems.mI mammchallenged mbymthosemsituations.‖
c. ―That‘smammisconception.m Psychiatricmnursesmfrequently musemhighmtechnology mmonitori
ngmequipment mand mmanagemcomplexmintravenousmtherapies.‖
d. ―Psychiatricmnursesmdomnot mhavemtomdealmwithmasmmuchmpain mand msufferingm asm medic
al–msurgicalmnursesmdo.mThat mappealsmtomme.‖
ANS:mB
Thempracticemof mpsychiatricmnursingmrequiresmamdifferent mset mof mskillsmthanmmedical–
surgicalmnursing,mthoughmtheremismsubstantialmoverlap.mPsychiatricmnursesm must mbemable mtomhel
pmpatientsmwithmmedicalmasmwellmasmmentalmhealthmproblems,m reflectingmthemholisticmperspectiv
emthesemnursesmmust mhave.mNurse–
patient mratiosmand mworkloadsminmpsychiatricmsettingsmhavemincreased,mjust mlikemothermspecialtie
s.mPsychiatricmnursingminvolvesmclinical mpractice, mnot mjust mdocumentation.mPsychosocialmpainm
1
, Test Bank Varcarolis' Foundations of Psychiatric-
m m m m m
Mental Health Nursing A Clinical 9th Edition by Margaret
m m m m m m m m
mJordanHalter |Test Bank|Chapter 1-36 UPDATED 2024
m m m m m m
and msufferingmaremasmrealmasmphysicalmpainmand msuffering.
2
, Test Bank Varcarolis' Foundations of Psychiatric-
m m m m m
Mental Health Nursing A Clinical 9th Edition by Margaret
m m m m m m m m
mJordanHalter |Test Bank|Chapter 1-36 UPDATED 2024
m m m m m m
PTS:m1 DIF:mCognitive mLevel:mApply m(Application)
REF:mPagesm1-2,m21
TOP:mNursingmProcess:mImplementatio
n mMSC:mClientmNeeds:mSafe,mEffective mCaremEnvironment
3
, Test Bank Varcarolis' Foundations of Psychiatric-
m m m m m
Mental Health Nursing A Clinical 9th Edition by Margaret
m m m m m m m m
mJordanHalter |Test Bank|Chapter 1-36 UPDATED 2024
m m m m m m
3. Whenmamnew mbillmintroduced minmCongressmreducesmfundingmformcaremof mpersonsmdiagnosed mw
ithmmentalmillness,mamgroupmof mnursesmwritemlettersmtomtheirmelected mrepresentativesminmopposit
ionmtomthemlegislation.mWhichmrolemhavemthemnursesmfulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based mpractice
ANS:mC
Anmadvocatemdefendsmormassertsmanother‘smcause,mparticularlymwhenmthemothermpersonmlacksmt
hemabilitymtomdomthat mformself.mExamplesmof mindividualmadvocacymincludemhelpingmpatientsmun
derstand mtheirmrightsmormmakemdecisions.mOnmamcommunitymscale,madvocacymincludesmpoliticalm
activity,mpublicmspeaking,mand mpublicationminmtheminterest mof mimprovingmthemhumanmcondition.
Sincemfundingmismnecessarymtomdelivermqualitymprogrammingmformpersonsmwithmmentalmillness,mt
hemletter-
writingmcampaignmadvocatesmformthat mcausemonmbehalf mof mpatientsmwhomaremunablemtomarticulat
emtheirmownmneeds.
PTS:m1 mDIF:mCognitivemLevel:mUnderstand m(Comprehension)mREF:mPagem1-
26 mTOP:mNursingmProcess:mEvaluation
MSC:mClientmNeeds:mSafe,mEffective mCaremEnvironment
4. Amfamilymhasmamlongmhistorymof mconflicted mrelationshipsmamongmthemmembers.m Whichmfam
ilymmember‘smcomment mbest mreflectsmammentallymhealthymperspective?
a. ―I‘vemmademmistakesmbut meveryonemelsem inmthismfamilymhas malso.‖
b. ―I mremem ber m joy m and m mutualm respect m from m our m early m years m together.‖
c. ―I mwill mmakemsome mchanges min mmymbehaviormformthemgood mof mthemfamily.‖
d. ―It‘smbestmformmemtommovemawaymfromm mymfamily.m Thingsm w illmnevermchange.‖
ANS:mC
Themcorrect mresponsemdemonstratesmthembest mevidencemof mamhealthymrecognitionmof mthemimport
ancemof mrelationships.mMentalmhealthmincludesmrationalmthinking,mcommunicationmskills,mlearni
ng,memotionalmgrowth,mresilience,mand mself-
esteem.mRecallingmjoymfrommearlierm inmlifemmaymbemhealthy,mbut mthemcorrect mresponsemshowsmam
highermlevelmof mmentalmhealth.mThemothermincorrect mresponses mshow mblamingmand mavoidance.
PTS:m1 DIF:mCognitivemLevel:mAnalyze m(Analysis)
REF:mPagesm1-2,m3,m32 m(Figurem1-1)
TOP:m Nursingm Process:m Assessmentm MS
C:mClientmNeeds:mPsychosocialmIntegrity
5. Whichmassessment mfindingmmost mclearlymindicatesmthat mampatient mmaymbemexperiencing mammen
talmillness?mThempatient
a. reportsmoccasionalmsleeplessnessmand manxiety.
4
m m m m m
Mental Health Nursing A Clinical 9th Edition by Margaret
m m m m m m m m
JordanHalter |Test Bank|Chapter 1-36 UPDATED 2024
m m m m m m m
Chapter m01:mMentalmHealthmandmMentalmIllness
Halter:m Varcarolis’ m Foundations m of m Psychiatric m Mental m Health m Nursing: m A m Clinical mApproa
ch,m8thmEdition
MULTIPLEmCHOICE
1. A mstaff mnursemcompletesmorientationmtomampsychiatricmunit.mThismnursemmaymexpect manmadvan
ced mpracticemnursemtomperformmwhichmadditionalmintervention?ma.
Conduct mmentalmhealthmassessments.
b. Prescribempsychotropicmmedication.
c. Establishmtherapeuticmrelationships.
d. Individualizemnursingmcaremplans.
ANS:mB
Inmmost mstates,mprescriptivemprivilegesmaremgranted mtommaster‘s-
prepared mnursempractitionersmand mclinicalmnursemspecialistsmwhomhavemtakenmspecialmcoursesmon
mprescribingmmedication.mThemnursem prepared mat mthembasicmlevel mis mpermitted mtomperformmmenta
lmhealthmassessments,mestablishmrelationships,mand mprovidemindividualized mcaremplanning.
PTS:m1 mDIF:mCognitivemLevel:mUnderstand m(Comprehension)mREF:mPagem1-
23 mTOP:mNursingmProcess:mImplementation
MSC:mClientmNeeds:mSafe,mEffective mCaremEnvironment
2. A mnursingmstudent mexpressesmconcernsmthat mmentalmhealthmnursesm―losemallmtheir mclinicalmnursi
ngmskills.‖ mSelect mthembest mresponsembymthemmentalmhealthmnurse.
a. ―Psychiatricmnursesmpracticem inm safer m environm ents mthanmothermspecialties.m N urse-to-
patient mratiosmmust mbembettermbecausemof mthemnaturemof mthempatients‘mproblems.‖
b. ―Psychiatricmnursesm usemcomplexmcommunicationmskillsm asm well mas mcriticalmthinkingmtomsol
vemmultidimensionalmproblems.mI mammchallenged mbymthosemsituations.‖
c. ―That‘smammisconception.m Psychiatricmnursesmfrequently musemhighmtechnology mmonitori
ngmequipment mand mmanagemcomplexmintravenousmtherapies.‖
d. ―Psychiatricmnursesmdomnot mhavemtomdealmwithmasmmuchmpain mand msufferingm asm medic
al–msurgicalmnursesmdo.mThat mappealsmtomme.‖
ANS:mB
Thempracticemof mpsychiatricmnursingmrequiresmamdifferent mset mof mskillsmthanmmedical–
surgicalmnursing,mthoughmtheremismsubstantialmoverlap.mPsychiatricmnursesm must mbemable mtomhel
pmpatientsmwithmmedicalmasmwellmasmmentalmhealthmproblems,m reflectingmthemholisticmperspectiv
emthesemnursesmmust mhave.mNurse–
patient mratiosmand mworkloadsminmpsychiatricmsettingsmhavemincreased,mjust mlikemothermspecialtie
s.mPsychiatricmnursingminvolvesmclinical mpractice, mnot mjust mdocumentation.mPsychosocialmpainm
1
, Test Bank Varcarolis' Foundations of Psychiatric-
m m m m m
Mental Health Nursing A Clinical 9th Edition by Margaret
m m m m m m m m
mJordanHalter |Test Bank|Chapter 1-36 UPDATED 2024
m m m m m m
and msufferingmaremasmrealmasmphysicalmpainmand msuffering.
2
, Test Bank Varcarolis' Foundations of Psychiatric-
m m m m m
Mental Health Nursing A Clinical 9th Edition by Margaret
m m m m m m m m
mJordanHalter |Test Bank|Chapter 1-36 UPDATED 2024
m m m m m m
PTS:m1 DIF:mCognitive mLevel:mApply m(Application)
REF:mPagesm1-2,m21
TOP:mNursingmProcess:mImplementatio
n mMSC:mClientmNeeds:mSafe,mEffective mCaremEnvironment
3
, Test Bank Varcarolis' Foundations of Psychiatric-
m m m m m
Mental Health Nursing A Clinical 9th Edition by Margaret
m m m m m m m m
mJordanHalter |Test Bank|Chapter 1-36 UPDATED 2024
m m m m m m
3. Whenmamnew mbillmintroduced minmCongressmreducesmfundingmformcaremof mpersonsmdiagnosed mw
ithmmentalmillness,mamgroupmof mnursesmwritemlettersmtomtheirmelected mrepresentativesminmopposit
ionmtomthemlegislation.mWhichmrolemhavemthemnursesmfulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based mpractice
ANS:mC
Anmadvocatemdefendsmormassertsmanother‘smcause,mparticularlymwhenmthemothermpersonmlacksmt
hemabilitymtomdomthat mformself.mExamplesmof mindividualmadvocacymincludemhelpingmpatientsmun
derstand mtheirmrightsmormmakemdecisions.mOnmamcommunitymscale,madvocacymincludesmpoliticalm
activity,mpublicmspeaking,mand mpublicationminmtheminterest mof mimprovingmthemhumanmcondition.
Sincemfundingmismnecessarymtomdelivermqualitymprogrammingmformpersonsmwithmmentalmillness,mt
hemletter-
writingmcampaignmadvocatesmformthat mcausemonmbehalf mof mpatientsmwhomaremunablemtomarticulat
emtheirmownmneeds.
PTS:m1 mDIF:mCognitivemLevel:mUnderstand m(Comprehension)mREF:mPagem1-
26 mTOP:mNursingmProcess:mEvaluation
MSC:mClientmNeeds:mSafe,mEffective mCaremEnvironment
4. Amfamilymhasmamlongmhistorymof mconflicted mrelationshipsmamongmthemmembers.m Whichmfam
ilymmember‘smcomment mbest mreflectsmammentallymhealthymperspective?
a. ―I‘vemmademmistakesmbut meveryonemelsem inmthismfamilymhas malso.‖
b. ―I mremem ber m joy m and m mutualm respect m from m our m early m years m together.‖
c. ―I mwill mmakemsome mchanges min mmymbehaviormformthemgood mof mthemfamily.‖
d. ―It‘smbestmformmemtommovemawaymfromm mymfamily.m Thingsm w illmnevermchange.‖
ANS:mC
Themcorrect mresponsemdemonstratesmthembest mevidencemof mamhealthymrecognitionmof mthemimport
ancemof mrelationships.mMentalmhealthmincludesmrationalmthinking,mcommunicationmskills,mlearni
ng,memotionalmgrowth,mresilience,mand mself-
esteem.mRecallingmjoymfrommearlierm inmlifemmaymbemhealthy,mbut mthemcorrect mresponsemshowsmam
highermlevelmof mmentalmhealth.mThemothermincorrect mresponses mshow mblamingmand mavoidance.
PTS:m1 DIF:mCognitivemLevel:mAnalyze m(Analysis)
REF:mPagesm1-2,m3,m32 m(Figurem1-1)
TOP:m Nursingm Process:m Assessmentm MS
C:mClientmNeeds:mPsychosocialmIntegrity
5. Whichmassessment mfindingmmost mclearlymindicatesmthat mampatient mmaymbemexperiencing mammen
talmillness?mThempatient
a. reportsmoccasionalmsleeplessnessmand manxiety.
4
