NUR 304 Exam 1 Test Bank; Varcarolis’ Foundat
g g g g g g g
ions of Psychiatric Mental Health Nursing: A Cli
g g g g g g g
nical Approach, 8th Edition
g g g
Chapterg01:gMentalgHealthgandgMentalgIllness
Halter:gVarcarolis’gFoundationsgofgPsychiatricgMentalgHealthgNursing:gAgClinica
lgApproach,g8thgEdition
MULTIPLEgCHOICE
1. Agstaffgnursegcompletesgorientationgtogagpsychiatricgunit.gThisgnursegmaygexpectgangadvanc
edgpracticegnursegtogperformgwhichgadditionalgintervention?
a. Conductgmentalghealthgassessments.
b. Prescribegpsychotropicgmedication.
c. Establishgtherapeuticgrelationships.
d. Individualizegnursinggcaregplans.
ANS:g B
Ingmostgstates,gprescriptivegprivilegesgareggrantedgtogmaster’s-
preparedgnursegpractitionersgandgclinicalgnursegspecialistsgwhoghavegtakengspecialgcoursesgong
prescribinggmedication.gThegnursegpreparedgatgthegbasicglevelgisgpermittedgtogperformgmentalg
healthgassessments,gestablishgrelationships,gandgprovidegindividualizedgcaregplanning.
PTS:ggg 1 DIF:
CognitivegLevel:gUnderstandg(Comprehension)gREF:g
ggPageg1-23 TOP:g NursinggProcess:gImplementation
MSC:g ClientgNeeds:gSafe,gEffectivegCaregEnvironment
2. Agnursinggstudentgexpressesgconcernsgthatgmentalghealthgnursesg“losegallgtheirgclinicalgnursi
nggskills.”gSelectgthegbestgresponsegbygthegmentalghealthgnurse.
a. “Psychiatricgnursesgpracticegingsafergenvironmentsgthangothergspecialties.g
Nurse-to-
patientgratiosgmustgbegbettergbecausegofgthegnaturegofgthegpatients’gproblem
s.”
b. “Psychiatricgnursesgusegcomplexgcommunicationgskillsgasgwellgasgcriticalgthinkin
ggtogsolvegmultidimensionalgproblems.gIgamgchallengedgbygthosegsituations.”
c. “That’sgagmisconception.gPsychiatricgnursesgfrequentlyguseghighgtechnolog
ygmonitoringgequipmentgandgmanagegcomplexgintravenousgtherapies.”
d. “Psychiatricgnursesgdognotghavegtogdealgwithgasgmuchgpaingandgsufferingg
asgmedical–surgicalgnursesgdo.gThatgappealsgtogme.”
ANS:g B
Thegpracticegofgpsychiatricgnursinggrequiresgagdifferentgsetgofgskillsgthangmedical–
surgicalgnursing,gthoughgtheregisgsubstantialgoverlap.gPsychiatricgnursesgmustgbegablegtoghel
pgpatientsgwithgmedicalgasgwellgasgmentalghealthgproblems,greflectinggthegholisticgperspectiv
egthesegnursesgmustghave.gNurse–
,NUR 304 Exam 1 Test Bank; Varcarolis’ Foundat
g g g g g g g
ions of Psychiatric Mental Health Nursing: A Cli
g g g g g g g
nical Approach, 8th Edition
g g g
patientgratiosgandgworkloadsgingpsychiatricgsettingsghavegincreased,gjustglikegothergspecialtie
s.gPsychiatricgnursingginvolvesgclinicalgpractice,gnotgjustgdocumentation.gPsychosocialgpaing
andgsufferinggaregasgrealgasgphysicalgpaingandgsuffering.
PTS:ggg 1 DIF: CognitivegLevel:gApplyg(Application)
REF:gggPagesg1-2,g21
TOP:g NursinggProcess:gImplementationg
MSC:g ClientgNeeds:gSafe,gEffectivegCaregEnvironment
3. WhengagnewgbillgintroducedgingCongressgreducesgfundinggforgcaregofgpersonsgdiagnosedgwit
hgmentalgillness,gaggroupgofgnursesgwriteglettersgtogtheirgelectedgrepresentativesgingoppositio
ngtogtheglegislation.gWhichgroleghavegthegnursesgfulfilled?
,NUR 304 Exam 1 Test Bank; Varcarolis’ Foundat
g g g g g g g
ions of Psychiatric Mental Health Nursing: A Cli
g g g g g g g
nical Approach, 8th Edition
g g g
a. Recovery
b. Attending
c. Advocacy
d. Evidence-basedgpractice
ANS:g C
Angadvocategdefendsgorgassertsganother’sgcause,gparticularlygwhengthegothergpersonglacksgthe
gabilitygtogdogthatgforgself.gExamplesgofgindividualgadvocacygincludeghelpinggpatientsgunderst
andgtheirgrightsgorgmakegdecisions.gOngagcommunitygscale,gadvocacygincludesgpoliticalgactivi
ty,gpublicgspeaking,gandgpublicationgingtheginterestgofgimprovinggtheghumangcondition.
Sincegfundinggisgnecessarygtogdelivergqualitygprogramminggforgpersonsgwithgmentalgillness,gt
hegletter-
writinggcampaigngadvocatesgforgthatgcausegongbehalfgofgpatientsgwhogaregunablegto o garticulateg
theirgowngneeds.
PTS:ggg 1 DIF:
CognitivegLevel:gUnderstandg(Comprehension)gREF:g
ggPageg1-26 TOP:g NursinggProcess:gEvaluation
MSC:g ClientgNeeds:gSafe,gEffectivegCaregEnvironment
4. Agfamilyghasgaglongghistorygofgconflictedgrelationshipsgamonggthegmembers.gWhichgfami
lygmember’sgcommentgbestgreflectsgagmentallyghealthygperspective?
a. “I’vegmadegmistakesgbutgeveryonegelsegingthisgfamilyghasgalso.”
b. “Igremembergjoygandgmutualgrespectgfromgourgearlygyearsgtogether.”
c. “Igwillgmakegsomegchangesgingmygbehaviorgforgtheggoodgofgthegfamily.”
d. “It’sgbestgforgmegtogmovegawaygfromgmygfamily.gThingsgwillgnevergchange.”
ANS:g C
Thegcorrectgresponsegdemonstratesgthegbestgevidencegofgaghealthygrecognitiongofgthegimporta
ncegofgrelationships.gMentalghealthgincludesgrationalgthinking,gcommunicationgskills,glearnin
g,gemotionalggrowth,gresilience,gandgself-
esteem.gRecallinggjoygfromgearlierginglifegmaygbeghealthy,gbutgthegcorrectgresponsegshowsgaghi
gherglevelgofgmentalghealth.gThegothergincorrectgresponsesgshowgblaminggandgavoidance.
PTS:ggg 1 DIF: Cog g nitivegLevel:gAnalyzeg(Analysis)
REF:ggPagesg1-2,g3,g32g(Figureg1-1) TOP:g NursinggProcess:gAssessment
MSC:g ClientgNeeds:gPsychoss ocialgIntegrit
y
5. Whichgassessmentgfindinggmostgclearlygindicatesgthatgagpatientgmaygbegexperiencinggagment
algillness?gThegpatient
a. reportsgoccasionalgsleeplessnessgandganxiety.
b. reportsgagconsistentlygsad,gdiscouraged,gandghopelessgmood.
c. isgablegtogdescribegthegdifferencegbetweeng“asgif”gandg“forgreal.”
d. perceivesgdifficultygmakinggagdecisiongaboutgwhethergtogchangegjobs.
, NUR 304 Exam 1 Test Bank; Varcarolis’ Foundat
g g g g g g g
ions of Psychiatric Mental Health Nursing: A Cli
g g g g g g g
nical Approach, 8th Edition
g g g
ANS:g B
Thegcorrectgresponsegdescribesgagmoodgalteration,gwhichgreflectsgmentalgillness.gThegdistracte
rsgdescribegbehaviorsgthatgaregmentallyghealthygorgwithingthegusualgscopegofghumangexperience
.
PTS:ggg 1 DIF: CognitivegLevel:gApplyg(Application)
REF:gg Pagesg1-2gtog4
TOP:g NursinggProcess:gAssessment
gMSC:g ClientgNeeds:gPsychosocialgIntegrity
g g g g g g g
ions of Psychiatric Mental Health Nursing: A Cli
g g g g g g g
nical Approach, 8th Edition
g g g
Chapterg01:gMentalgHealthgandgMentalgIllness
Halter:gVarcarolis’gFoundationsgofgPsychiatricgMentalgHealthgNursing:gAgClinica
lgApproach,g8thgEdition
MULTIPLEgCHOICE
1. Agstaffgnursegcompletesgorientationgtogagpsychiatricgunit.gThisgnursegmaygexpectgangadvanc
edgpracticegnursegtogperformgwhichgadditionalgintervention?
a. Conductgmentalghealthgassessments.
b. Prescribegpsychotropicgmedication.
c. Establishgtherapeuticgrelationships.
d. Individualizegnursinggcaregplans.
ANS:g B
Ingmostgstates,gprescriptivegprivilegesgareggrantedgtogmaster’s-
preparedgnursegpractitionersgandgclinicalgnursegspecialistsgwhoghavegtakengspecialgcoursesgong
prescribinggmedication.gThegnursegpreparedgatgthegbasicglevelgisgpermittedgtogperformgmentalg
healthgassessments,gestablishgrelationships,gandgprovidegindividualizedgcaregplanning.
PTS:ggg 1 DIF:
CognitivegLevel:gUnderstandg(Comprehension)gREF:g
ggPageg1-23 TOP:g NursinggProcess:gImplementation
MSC:g ClientgNeeds:gSafe,gEffectivegCaregEnvironment
2. Agnursinggstudentgexpressesgconcernsgthatgmentalghealthgnursesg“losegallgtheirgclinicalgnursi
nggskills.”gSelectgthegbestgresponsegbygthegmentalghealthgnurse.
a. “Psychiatricgnursesgpracticegingsafergenvironmentsgthangothergspecialties.g
Nurse-to-
patientgratiosgmustgbegbettergbecausegofgthegnaturegofgthegpatients’gproblem
s.”
b. “Psychiatricgnursesgusegcomplexgcommunicationgskillsgasgwellgasgcriticalgthinkin
ggtogsolvegmultidimensionalgproblems.gIgamgchallengedgbygthosegsituations.”
c. “That’sgagmisconception.gPsychiatricgnursesgfrequentlyguseghighgtechnolog
ygmonitoringgequipmentgandgmanagegcomplexgintravenousgtherapies.”
d. “Psychiatricgnursesgdognotghavegtogdealgwithgasgmuchgpaingandgsufferingg
asgmedical–surgicalgnursesgdo.gThatgappealsgtogme.”
ANS:g B
Thegpracticegofgpsychiatricgnursinggrequiresgagdifferentgsetgofgskillsgthangmedical–
surgicalgnursing,gthoughgtheregisgsubstantialgoverlap.gPsychiatricgnursesgmustgbegablegtoghel
pgpatientsgwithgmedicalgasgwellgasgmentalghealthgproblems,greflectinggthegholisticgperspectiv
egthesegnursesgmustghave.gNurse–
,NUR 304 Exam 1 Test Bank; Varcarolis’ Foundat
g g g g g g g
ions of Psychiatric Mental Health Nursing: A Cli
g g g g g g g
nical Approach, 8th Edition
g g g
patientgratiosgandgworkloadsgingpsychiatricgsettingsghavegincreased,gjustglikegothergspecialtie
s.gPsychiatricgnursingginvolvesgclinicalgpractice,gnotgjustgdocumentation.gPsychosocialgpaing
andgsufferinggaregasgrealgasgphysicalgpaingandgsuffering.
PTS:ggg 1 DIF: CognitivegLevel:gApplyg(Application)
REF:gggPagesg1-2,g21
TOP:g NursinggProcess:gImplementationg
MSC:g ClientgNeeds:gSafe,gEffectivegCaregEnvironment
3. WhengagnewgbillgintroducedgingCongressgreducesgfundinggforgcaregofgpersonsgdiagnosedgwit
hgmentalgillness,gaggroupgofgnursesgwriteglettersgtogtheirgelectedgrepresentativesgingoppositio
ngtogtheglegislation.gWhichgroleghavegthegnursesgfulfilled?
,NUR 304 Exam 1 Test Bank; Varcarolis’ Foundat
g g g g g g g
ions of Psychiatric Mental Health Nursing: A Cli
g g g g g g g
nical Approach, 8th Edition
g g g
a. Recovery
b. Attending
c. Advocacy
d. Evidence-basedgpractice
ANS:g C
Angadvocategdefendsgorgassertsganother’sgcause,gparticularlygwhengthegothergpersonglacksgthe
gabilitygtogdogthatgforgself.gExamplesgofgindividualgadvocacygincludeghelpinggpatientsgunderst
andgtheirgrightsgorgmakegdecisions.gOngagcommunitygscale,gadvocacygincludesgpoliticalgactivi
ty,gpublicgspeaking,gandgpublicationgingtheginterestgofgimprovinggtheghumangcondition.
Sincegfundinggisgnecessarygtogdelivergqualitygprogramminggforgpersonsgwithgmentalgillness,gt
hegletter-
writinggcampaigngadvocatesgforgthatgcausegongbehalfgofgpatientsgwhogaregunablegto o garticulateg
theirgowngneeds.
PTS:ggg 1 DIF:
CognitivegLevel:gUnderstandg(Comprehension)gREF:g
ggPageg1-26 TOP:g NursinggProcess:gEvaluation
MSC:g ClientgNeeds:gSafe,gEffectivegCaregEnvironment
4. Agfamilyghasgaglongghistorygofgconflictedgrelationshipsgamonggthegmembers.gWhichgfami
lygmember’sgcommentgbestgreflectsgagmentallyghealthygperspective?
a. “I’vegmadegmistakesgbutgeveryonegelsegingthisgfamilyghasgalso.”
b. “Igremembergjoygandgmutualgrespectgfromgourgearlygyearsgtogether.”
c. “Igwillgmakegsomegchangesgingmygbehaviorgforgtheggoodgofgthegfamily.”
d. “It’sgbestgforgmegtogmovegawaygfromgmygfamily.gThingsgwillgnevergchange.”
ANS:g C
Thegcorrectgresponsegdemonstratesgthegbestgevidencegofgaghealthygrecognitiongofgthegimporta
ncegofgrelationships.gMentalghealthgincludesgrationalgthinking,gcommunicationgskills,glearnin
g,gemotionalggrowth,gresilience,gandgself-
esteem.gRecallinggjoygfromgearlierginglifegmaygbeghealthy,gbutgthegcorrectgresponsegshowsgaghi
gherglevelgofgmentalghealth.gThegothergincorrectgresponsesgshowgblaminggandgavoidance.
PTS:ggg 1 DIF: Cog g nitivegLevel:gAnalyzeg(Analysis)
REF:ggPagesg1-2,g3,g32g(Figureg1-1) TOP:g NursinggProcess:gAssessment
MSC:g ClientgNeeds:gPsychoss ocialgIntegrit
y
5. Whichgassessmentgfindinggmostgclearlygindicatesgthatgagpatientgmaygbegexperiencinggagment
algillness?gThegpatient
a. reportsgoccasionalgsleeplessnessgandganxiety.
b. reportsgagconsistentlygsad,gdiscouraged,gandghopelessgmood.
c. isgablegtogdescribegthegdifferencegbetweeng“asgif”gandg“forgreal.”
d. perceivesgdifficultygmakinggagdecisiongaboutgwhethergtogchangegjobs.
, NUR 304 Exam 1 Test Bank; Varcarolis’ Foundat
g g g g g g g
ions of Psychiatric Mental Health Nursing: A Cli
g g g g g g g
nical Approach, 8th Edition
g g g
ANS:g B
Thegcorrectgresponsegdescribesgagmoodgalteration,gwhichgreflectsgmentalgillness.gThegdistracte
rsgdescribegbehaviorsgthatgaregmentallyghealthygorgwithingthegusualgscopegofghumangexperience
.
PTS:ggg 1 DIF: CognitivegLevel:gApplyg(Application)
REF:gg Pagesg1-2gtog4
TOP:g NursinggProcess:gAssessment
gMSC:g ClientgNeeds:gPsychosocialgIntegrity
