Test Bank for Varcarolis’ Foundations of Psychiatric-Mental Health Nursing: A Clinical Approach, 10th Edition by Margaret Jordan Halter | ISBN 9780443127236 | All Chapters | A+

Chapter 01: Mental Health and Mental Illness
@X @X @X @X @X @X


Halter: Varcarolis’ Foundations of Psychiatric-
@X @X @X @X

,Mental Health Nursing: A Clinical Approach, 10th Edition
@X @X @X @X @X @X @X




MULTIPLE CHOICE @X




1. The scope of practiced for an advanced nurse practitioner would include which interve
@X @X @X @X @X @X @X @X @X @X @X @X


ntion?
a. Conducting a mental health assessment. @X @X @X @X


b. Prescribing psychotropic medication. @X @X


c. Establishing a therapeutic relationship. @X @X @X


d. Individualizing a nursing care plan. @X @X @X @X




ANS: @ X B
In most states, prescriptive privileges are granted to master’s-
@X @X @X @X @X @X @X @X


prepared nurse practitioners and clinical nurse specialists who have taken special cours
@X @X @X @X @X @X @X @X @X @X @X


es on prescribing medication. The nurse prepared at the basic level is permitted to p
@X @X @X @X @X @X @X @X @X @X @X @X @X @X


erform mental health assessments, establish relationships, and provide individualized ca
@X @X @X @X @X @X @X @X @X


re planning.
@X




2. A nursing student expresses concerns that mental health nurses “lose all their clinical
@X @X @X @X @X @X @X @X @X @X @X @X


nursing skills.” Select the best response by the mental health nurse.
@X @X @X @X @X @X @X @X @X @X @X


a. “Psychiatric nurses practice in safer environments than other specialties. Nu
@X @X @X @X @X @X @X @X @X


rse-to-
client ratios must be better because of the nature of the clients’ problem
@X @X @X @X @X @X @X @X @X @X @X @X @X


s.”
b. “Psychiatric nurses use complex communication skills as well as critical t
@X @X @X @X @X @X @X @X @X @X


hinking to solve multidimensional problems. I am challenged by those sit
@X @X @X @X @X @X @X @X @X @X


uations.”
c. “That’s a misconception. Psychiatric nurses frequently use high techn
@X @X @X @X @X @X @X @X


ology monitoring equipment and manage complex intravenous therap
@X @X @X @X @X @X @X


ies.”
d. “Psychiatric nurses do not have to deal with as much pain and suf
@X @X @X @X @X @X @X @X @X @X @X @X


fering as medical–surgical nurses do. That appeals to me.”
@X @X @X @X @X @X @X @X




ANS: @ X B
The practice of psychiatric nursing requires a different set of skills than medical–
@X @X @X @X @X @X @X @X @X @X @X @X


surgical nursing, though there is substantial overlap. Psychiatric nurses must be able t
@X @X @X @X @X @X @X @X @X @X @X @X


o help clients with medical as well as mental health problems, reflecting the holistic
@X @X @X @X @X @X @X @X @X @X @X @X @X @X


perspective these nurses must have. Nurse–
@X @X @X @X @X


client ratios and workloads in psychiatric settings have increased, just like other speci
@X @X @X @X @X @X @X @X @X @X @X @X


alties. Psychiatric nursing involves clinical practice, not just documentation.
@X @X @X @X @X @X @X @X


Psychosocial pain and suffering are as real as physical pain and suffering.
@X @X @X @X @X @X @X @X @X @X @X




3. When a new bill introduced in Congress reduces funding for care of persons diagn
@X @X @X @X @X @X @X @X @X @X @X @X @X


osed with mental illness, a group of nurses write letters to their elected representati
@X @X @X @X @X @X @X @X @X @X @X @X @X


ves in opposition to the legislation. Which role have the nurses fulfilled?
@X @X @X @X @X @X @X @X @X @X @X


a. Recovery
b. Attending
c. Advocacy
d. Evidence-based practice @X

, ANS: @ X C
An advocate defends or asserts another’s cause, particularly when the other person la
@X @X @X @X @X @X @X @X @X @X @X @X


cks the ability to do that for self. Examples of individual advocacy include helping
@X @X @X @X @X @X @X @X @X @X @X @X @X @X


clients understand their rights or make decisions. On a community scale, advocacy in
@X @X @X @X @X @X @X @X @X @X @X @X


cludes political activity, public speaking, and publication in the interest of improving
@X @X @X @X @X @X @X @X @X @X @X @X


the human condition. Since funding is necessary to deliver quality programming for p
@X @X @X @X @X @X @X @X @X @X @X @X


ersons with mental illness, the letter-
@X @X @X @X @X


@Xwriting campaign advocates for that cause on behalf of clients who are unable to a
@X @X @X @X @X @X @X @X @X @X @X @X @X @X


rticulate their own needs. @X @X @X




4. A family has a long history of conflicted relationships among the members. Whic
@X @X @X @X @X @X @X @X @X @X @X @X


h family member’s comment best reflects a mentally healthy perspective?
@X @X @X @X @X @X @X @X @X


a. “I’ve made mistakes but everyone else in this family has also.”
@X @X @X @X @X @X @X @X @X @X


b. “I remember joy and mutual respect from our early years together.”
@X @X @X @X @X @X @X @X @X @X


c. “I will make some changes in my behavior for the good of the family.”
@X @X @X @X @X @X @X @X @X @X @X @X @X


d. “It’s best for me to move away from my family. Things will never change.”
@X @X @X @X @X @X @X @X @X @X @X @X @X




ANS: @ X C
The correct response demonstrates the best evidence of a healthy recognition of the
@X @X @X @X @X @X @X @X @X @X @X @X @X


importance of relationships. Mental health includes rational thinking, communication s
@X @X @X @X @X @X @X @X @X


kills, learning, emotional growth, resilience, and self-
@X @X @X @X @X @X


esteem. Recalling joy from earlier in life may be healthy, but the correct response s
@X @X @X @X @X @X @X @X @X @X @X @X @X @X


hows a higher level of mental health. The other incorrect responses show blaming an
@X @X @X @X @X @X @X @X @X @X @X @X @X


d avoidance.
@X


5. Which assessment finding most clearly indicates that a client may be experiencing
@X @X @X @X @X @X @X @X @X @X @X @X


a mental illness?
@X @X


a. reporting occasional sleeplessness and anxiety.
@X @X @X @X


b. reporting a consistently sad, discouraged, and hopeless mood.
@X @X @X @X @X @X @X


c. being able to describe the difference between “as if” and “for real.”
@X @X @X @X @X @X @X @X @X @X @X


d. experiencing difficulty making a decision about whether to change jobs.
@X @X @X @X @X @X @X @X @X




ANS: @ X B
The correct response describes a mood alteration, which reflects mental illness. The di
@X @X @X @X @X @X @X @X @X @X @X @X


stracters describe behaviors that are mentally healthy or within the usual scope of hu
@X @X @X @X @X @X @X @X @X @X @X @X @X


man experience.
@X




6. Which finding best indicates that the goal “Demonstrate mentally healthy behavio
@X @X @X @X @X @X @X @X @X @X


r” was achieved for an adult client?
@X @X @X @X @X @X


a. being willing to work towards achieving ideals and meeting demands.
@X @X @X @X @X @X @X @X @X


b. behaving without considering the consequences of personal actions.
@X @X @X @X @X @X @X


c. aggressively meeting personal needs without considering the rights of others.
@X @X @X @X @X @X @X @X @X


d. seeking help from others to avoid assuming responsibility for major areas
@X @X @X @X @X @X @X @X @X @X @


of own life.
X @X @X



ANS: @ X A
Mental health is a state of well-
@X @X @X @X @X @X


being in which individuals reach their own potential, cope with the normal stresses
@X @X @X @X @X @X @X @X @X @X @X @X @X


of life, work productively, and contribute to the community. Mental health provides
@X @X @X @X @X @X @X @X @X @X @X @X


people with the capacity for rational thinking, communication skills, learning, emotion
@X @X @X @X @X @X @X @X @X @X


al growth, resilience, and self-
@X @X @X @X


esteem. The correct response describes an adaptive, healthy behavior. The distracters
@X @X @X @X @X @X @X @X @X @X @


Xdescribe maladaptive behaviors.
@X @X

, 7. A nurse encounters an unfamiliar psychiatric disorder on a new client’s admission fo
@X @X @X @X @X @X @X @X @X @X @X @X


rm. Which resource should the nurse consult to determine criteria used to establish th
@X @X @X @X @X @X @X @X @X @X @X @X @X


is diagnosis?
@X


a. International Statistical Classification of Diseases and Related Health Prob
@X @X @X @X @X @X @X @X


lems (ICD-10) @X


b. The ANA’s Psychiatric-Mental Health Nursing Scope and Standards of Practice
@X @X @X @X @X @X @X @X @X


c. Diagnostic and Statistical Manual of Mental Disorders (DSM-V)
@X @X @X @X @X @X @X


d. A behavioral health reference manual
@X @X @X @X




ANS: @ X C
The DSM- @X


V gives the criteria used to diagnose each mental disorder. It is the official guideline
@X @X @X @X @X @X @X @X @X @X @X @X @X @X @X


for diagnosing psychiatric disorders. The distracters may not contain diagnostic criteri
@X @X @X @X @X @X @X @X @X @X


a for a psychiatric illness.
@X @X @X @X




8. A nurse wants to find a description of diagnostic criteria for anxiety disorders. Which
@X @X @X @X @X @X @X @X @X @X @X @X @X


@X resource would have the most complete information?
@X @X @X @X @X @X


a. Nursing Outcomes Classification (NOC)
@X @X @X


b. DSM-V
c. The ANA’s Psychiatric-Mental Health Nursing Scope and Standards of Practice
@X @X @X @X @X @X @X @X @X


d. ICD-10
ANS: @ X B
The DSM- @X


V details the diagnostic criteria for psychiatric clinical conditions. It is the official gu
@X @X @X @X @X @X @X @X @X @X @X @X @X


ideline for diagnosing psychiatric disorders. The other references are good resources b
@X @X @X @X @X @X @X @X @X @X @X


ut do not define the diagnostic criteria.
@X @X @X @X @X @X




PTS: @ X @ X 1 DIF: Cognitive Level: Understand (Comprehension) @X @X @X


TOP: @ X Nursing Process: Implementation
@X @X


MSC: Client Needs: Safe, Effective Care Environme @ X @X @X @X @X @X


nt

9. Which individual behavior demonstrates resilience?
@X @X @X @X


a. Repress stressors associated with a divorce.
@X @X @X @X @X


b. Continuing to grieve the death of a spouse for 5 years.
@X @X @X @X @X @X @X @X @X @X


c. Continuing to live in a shelter for 2 years after the home is destroyed by fire.
@X @X @X @X @X @X @X @X @X @X @X @X @X @X @X


d. Taking a temporary job to maintain financial stability after loss of a pe
@X @X @X @X @X @X @X @X @X @X @X @X


rmanent job. @X




ANS: @ X D
Resilience is closely associated with the process of adapting and helps people facing t
@X @X @X @X @X @X @X @X @X @X @X @X @X


ragedies, loss, trauma, and severe stress. It is the ability and capacity for people to
@X @X @X @X @X @X @X @X @X @X @X @X @X @X @X


secure the resources they need to support their well-
@X @X @X @X @X @X @X @X


being. Repression and protracted grief are unhealthy. Living in a shelter for 2 years
@X @X @X @X @X @X @X @X @X @X @X @X @X @X


shows a failure to move forward after a tragedy. See related audience response quest
@X @X @X @X @X @X @X @X @X @X @X @X @X


ion.