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

1

,Chapter 01: Mental Health and Mental Illness
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Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical
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Approach, 8th Edition
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MULTIPLE CHOICE jj




1. A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced
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practice nurse to perform which additional intervention? a. Conduct mental health
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jj assessments.
b. Prescribe psychotropic medication. jj jj


c. Establish therapeutic relationships. jj jj


d. Individualize nursing care plans. jj jj jj




ANS: B jj


In most states, prescriptive privileges are granted to master‘s-prepared nurse practitioners and
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clinical nurse specialists who have taken special courses on prescribing medication. The nurse
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prepared at the basic level is permitted to perform mental health assessments, establish
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relationships, and provide individualized care planning.
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PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-23 TOP:
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Nursing Process: Implementation
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MSC: Client Needs: Safe, Effective Care Environment
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2. A nursing student expresses concerns that mental health nurses ―lose all their clinical nursing
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jj 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-patient jj jj jj jj jj jj jj jj jj


ratios must be better because of the nature of the patients‘ problems.‖
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b. ―Psychiatric nurses use complex communication skills as well as critical thinking to solve j j j j j j j j j j j j


multidimensional problems. I am challenged by those situations.‖
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c. ―That‘s a misconception. Psychiatric nurses frequently use high technology monitoring jj jj jj jj jj jj jj jj jj


equipment and manage complex intravenous therapies.‖
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d. ―Psychiatric nurses do not have to deal with as much pain and suffering as medical– j j j j j j jj jj j j jj j j jj


surgical nurses do. That appeals to me.‖
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ANS: B jj


The practice of psychiatric nursing requires a different set of skills than medical–surgical
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nursing, though there is substantial overlap. Psychiatric nurses must be able to help patients
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with medical as well as mental health problems, reflecting the holistic perspective these
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nurses must have. Nurse–patient ratios and workloads in psychiatric settings have increased,
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just like other specialties. Psychiatric nursing involves clinical practice, not just
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documentation. Psychosocial pain and suffering are as real as physical pain and suffering.
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2

, PTS: 1
jj DIF: Cognitive Level: Apply (Application)
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REF: Pages 1-2, 21
jj jj jj TOP: Nursing Process: Implementation
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MSC: Client Needs: Safe, Effective Care Environment
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3

, Test Bank Varcarolis' Foundations of Psychiatric-Mental
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jj Health Nursing A Clinical 9th Edition by Margaret Jordan jj jj jj jj jj jj jj jj




Halter |Test Bank|Chapter 1-36 UPDATED 2022
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3. When a new bill introduced in Congress reduces funding for care of persons diagnosed with
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mental illness, a group of nurses write letters to their elected representatives in opposition to
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the legislation. Which role have the nurses fulfilled?
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a. Recovery
b. Attending
c. Advocacy
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ANS: C jj


An advocate defends or asserts another‘s cause, particularly when the other person lacks the
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ability to do that for self. Examples of individual advocacy include helping patients
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understand their rights or make decisions. On a community scale, advocacy includes political
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activity, public speaking, and publication in the interest of improving the human condition.
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Since funding is necessary to deliver quality programming for persons with mental illness, the
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letter-writing campaign advocates for that cause on behalf of patients who are unable to
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articulate their own needs.
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PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-26 TOP:
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Nursing 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 family
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member‘s comment best reflects a mentally healthy perspective?
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a. ―I‘ve made mistakes but everyone else in this family has also.‖jj jj jj jj jj jj jj jj jj jj


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 change.‖
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ANS: C jj


The correct response demonstrates the best evidence of a healthy recognition of the
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importance of relationships. Mental health includes rational thinking, communication skills,
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learning, emotional growth, resilience, and self-esteem. Recalling joy from earlier in life may
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be healthy, but the correct response shows a higher level of mental health. The other incorrect
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responses show blaming and avoidance.
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PTS: 1 DIF: Cognitive Level: Analyze (Analysis)
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REF: Pages 1-2, 3, 32 (Figure 1-1)
jj TOP: Nursing Process: Assessment MSC:
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Client Needs: Psychosocial Integrity
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5. Which assessment finding most clearly indicates that a patient may be experiencing a mental
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illness? The patient
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a. reports occasional sleeplessness and anxiety. jj jj jj jj


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


c. is able to describe the difference between ―as if‖ and ―for real.‖
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4