Test Bank For Varcarolis’ Foundations Of Psychiatric Mental Health Nursing A Clinical 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,708th70Edition


MULTIPLE70CHOICE

1. A70staff70nurse70completes70orientation70to70a70psychiatric70unit.70This70nurse70may70expect70
an70advanced70practice70nurse70to70perform70which70additional70intervention?70a.
Conduct70mental70health70asse
ssments.
b. Prescribe70psychotropic70medication.
c. Establish70therapeutic70relationships.
d. Individualize70nursing70care70plans.
ANS:70B
In70most70states,70prescriptive70privileges70are70granted70to70master’s-
prepared70nurse70practitioners70and70clinical70nurse70specialists70who70have70taken70special70cours
es70on70prescribing70medication.70The70nurse70prepared70at70the70basic70level70is70permitted70to70p
erform70mental70health70assessments,70establish70relationships,70and70provide70individualized70car
e70planning.

PTS:70170DIF:70Cognitive70Level:70Understand70(Comprehension)70REF:70Page701-
2370TOP:70Nursing70Process:70Implementation
MSC:70Client70Needs:70Safe,70Effective70Care70Environment

2. A70nursing70student70expresses70concerns70that70mental70health70nurses70“lose70all70their70clin
ical70nursing70skills.”70Select70the70best70response70by70the70mental70health70nurse.
a. “Psychiatric70nurses70practice70in70safer70environments70than70other70specialties.70Nurse-
to-
patient70ratios70must70be70better70because70of70the70nature70of70the70patients’70problems.
”
b. “Psychiatric70nurses70use70complex70communication70skills70as70well70as70critical70thinkin
g70to70solve70multidimensional70problems.70I70am70challenged70by70those70situations.”
c. “That’s70a70misconception.70Psychiatric70nurses70frequently70use70high70technology70m
onitoring70equipment70and70manage70complex70intravenous70therapies.”
d. “Psychiatric70nurses70do70not70have70to70deal70with70as70much70pain70and70suffering7
0as70medical–70surgical70nurses70do.70That70appeals70to70me.”

ANS:70B
The70practice70of70psychiatric70nursing70requires70a70different70set70of70skills70than70medical–
surgical70nursing,70though70there70is70substantial70overlap.70Psychiatric70nurses70must70be70a
ble70to70help70patients70with70medical70as70well70as70mental70health70problems,70reflecting70t
he70holistic70perspective70these70nurses70must70have.70Nurse–
1

,patient70ratios70and70workloads70in70psychiatric70settings70have70increased,70just70like70other70
specialties.70Psychiatric70nursing70involves70clinical70practice,70not70just70documentation.70Ps
ychosocial70pain70and70suffering70are70as70real70as70physical70pain70and70suffering.

PTS:701 DIF:70Cognitive70Level:70Apply70(Application)




2

, REF:70Pages701-2,7021
TOP:70Nursing70Process:70Implementat
ion70When70a70new70bill70introduced70in70Congress70reduces70funding70for70c
are70of70persons70diagnosed70withmental70illness,70a70group70of70nurses70writ
e70letters70to70their70elected70representatives70in70opposition70tothe70legislati
on.70Which70role70have70the70nurses70fulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based70practice

ANS:70C
An70advocate70defends70or70asserts70another’s70cause,70particularly70when70the70other70perso
n70lacks70the70ability70to70do70that70for70self.70Examples70of70individual70advocacy70include70
helping70patients70understand70their70rights70or70make70decisions.70On70a70community70scale,7
0advocacy70includes70political70activity,70public70speaking,70and70publication70in70the70interes
t70of70improving70the70human70condition.
Since70funding70is70necessary70to70deliver70quality70programming70for70persons70with70mental7
0illness,70the70letter-
writing70campaign70advocates70for70that70cause70on70behalf70of70patients70who70are70unable70
to70articulate70their70own70needs.

PTS:70170DIF:70Cognitive70Level:70Understand70(Comprehension)70REF:70Page701-
2670TOP:70Nursing70Process:70Evaluation
MSC:70Client70Needs:70Safe,70Effective70Care70Environment

3. A70family70has70a70long70history70of70conflicted70relationships70among70the70members.70W
hich70family70member’s70comment70best70reflects70a70mentally70healthy70perspective?
a. “I’ve70made70mistakes70but70everyone70else70in70this70family70has70also.”
b. “I70remember70joy70and70mutual70respect70from70our70early70years70together.”
c. “I70will70make70some70changes70in70my70behavior70for70the70good70of70the70family.”
d. “It’s70best70for70me70to70move70away70from70my70family.70Things70will70never70change.”

ANS:70C
The70correct70response70demonstrates70the70best70evidence70of70a70healthy70recognition70of70t
he70importance70of70relationships.70Mental70health70includes70rational70thinking,70communic
ation70skills,70learning,70emotional70growth,70resilience,70and70self-
esteem.70Recalling70joy70from70earlier70in70life70may70be70healthy,70but70the70correct70respons
e70shows70a70higher70level70of70mental70health.70The70other70incorrect70responses70show70bla
ming70and70avoidance.

PTS:701 DIF:70Cognitive70Level:70Analyze70(Analysis)
REF:70Pages701-2,703,703270(Figure701-1)
TOP:70Nursing70Process:70Assessment70
MSC:70Client70Needs:70Psychosocial70Integrity

4. Which70assessment70finding70most70clearly70indicates70that70a70patient70may70be70experienci
3

, ng70a70mental70illness?70The70patient
a. reports70occasional70sleeplessness70and70anxiety.
b. reports70a70consistently70sad,70discouraged,70and70hopeless70mood.
c. is70able70to70describe70the70difference70between70“as70if”70and70“for70real.”
d. perceives70difficulty70making70a70decision70about70whether70to70change70jobs.




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