Varcarolis’ Foundations of Psychiatric Mental Health
Nursing A Clinical Approach FINAL 8th Edition Test
Bank VERIFIED
MULTIPLE
CHOICE
1. A staff nurse completes orientation to a psychiatric unit. This nurse
may expect an advanced practice nurse to perform which additional
intervention?
a. Conduct mental health
[AUTHOR] 1
, assessments.
b. Prescribe psychotropic
medication.
c. Establish therapeutic
relationships.
d. Individualize nursing care
plans.
ANS: B
In most states, prescriptive privileges are granted to master’s-prepared
nurse practitioners and clinical nurse specialists who have taken
special courses on prescribing medication. The nurse prepared at the
basic level is permitted to perform mental health assessments,
establish relationships, and provide individualized care planning.
PTS: 1 DIF: Cognitive Level: Understand
(Comprehension) REF: Page 1-23 TOP: Nursing
Process: Implementation
MSC: Client Needs: Safe, Effective Care Environment
2. A nursing student expresses concerns that mental health nurses “lose
all their clinical nursing skills.” Select the best response by the mental
health nurse.
a. “Psychiatric nurses practice in safer environments than
other specialties. Nurse-to-patient ratios must be better
because of the nature of the patients’
problems.”
b. “Psychiatric nurses use complex communication skills as well
as critical thinking
to solve multidimensional problems. I am challenged by those
situations.”
c. “That’s a misconception. Psychiatric nurses frequently use
high technology
monitoring equipment and manage complex intravenous
[AUTHOR] 2
, therapies.”
d. “Psychiatric nurses do not have to deal with as much pain and
suffering as
medical–surgical nurses do. That appeals to me.”
ANS: B
The practice of psychiatric nursing requires a different set of skills
than medical–surgical nursing, though there is substantial overlap.
Psychiatric nurses must be able to help patients with medical as well
as mental health problems, reflecting the holistic perspective these
nurses must have. Nurse–patient ratios and workloads in psychiatric
settings have increased, just like other specialties. Psychiatric nursing
involves clinical practice, not just documentation. Psychosocial pain
and suffering are as real as physical pain and suffering.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Pages 1-2, 21 TOP: Nursing Process:
Implementation MSC: Client Needs: Safe, Effective Care
Environment
3. When a new bill introduced in Congress reduces funding for care of
persons diagnosed with mental illness, a group of nurses write letters
to their elected representatives in opposition to the legislation. Which
role have the nurses fulfilled?
[AUTHOR] 3
, a. Recovery
b. Attending
c. Advocacy
d. Evidence-based
practice
ANS: C
An advocate defends or asserts another’s cause, particularly when the
other person lacks the ability to do that for self. Examples of
individual advocacy include helping patients understand their rights
or make decisions. On a community scale, advocacy includes political
activity, public speaking, and publication in the interest of improving
the human condition.
Since funding is necessary to deliver quality programming for persons
with mental illness, the letter-writing campaign advocates for that
cause on behalf of patients who are unable to articulate their own
needs.
PTS: 1 DIF: Cognitive Level: Understand
(Comprehension) REF: Page 1-26 TOP: Nursing
Process: Evaluation
MSC: Client Needs: Safe, Effective Care Environment
4. A family has a long history of conflicted relationships among the
members. Which family member’s comment best reflects a
mentally healthy perspective?
a. “I’ve made mistakes but everyone else in this family has
also.”
b. “I remember joy and mutual respect from our early years
together.”
c. “I will make some changes in my behavior for the good of
the family.”
d. “It’s best for me to move away from my family. Things
will never change.”
[AUTHOR] 4
Nursing A Clinical Approach FINAL 8th Edition Test
Bank VERIFIED
MULTIPLE
CHOICE
1. A staff nurse completes orientation to a psychiatric unit. This nurse
may expect an advanced practice nurse to perform which additional
intervention?
a. Conduct mental health
[AUTHOR] 1
, assessments.
b. Prescribe psychotropic
medication.
c. Establish therapeutic
relationships.
d. Individualize nursing care
plans.
ANS: B
In most states, prescriptive privileges are granted to master’s-prepared
nurse practitioners and clinical nurse specialists who have taken
special courses on prescribing medication. The nurse prepared at the
basic level is permitted to perform mental health assessments,
establish relationships, and provide individualized care planning.
PTS: 1 DIF: Cognitive Level: Understand
(Comprehension) REF: Page 1-23 TOP: Nursing
Process: Implementation
MSC: Client Needs: Safe, Effective Care Environment
2. A nursing student expresses concerns that mental health nurses “lose
all their clinical nursing skills.” Select the best response by the mental
health nurse.
a. “Psychiatric nurses practice in safer environments than
other specialties. Nurse-to-patient ratios must be better
because of the nature of the patients’
problems.”
b. “Psychiatric nurses use complex communication skills as well
as critical thinking
to solve multidimensional problems. I am challenged by those
situations.”
c. “That’s a misconception. Psychiatric nurses frequently use
high technology
monitoring equipment and manage complex intravenous
[AUTHOR] 2
, therapies.”
d. “Psychiatric nurses do not have to deal with as much pain and
suffering as
medical–surgical nurses do. That appeals to me.”
ANS: B
The practice of psychiatric nursing requires a different set of skills
than medical–surgical nursing, though there is substantial overlap.
Psychiatric nurses must be able to help patients with medical as well
as mental health problems, reflecting the holistic perspective these
nurses must have. Nurse–patient ratios and workloads in psychiatric
settings have increased, just like other specialties. Psychiatric nursing
involves clinical practice, not just documentation. Psychosocial pain
and suffering are as real as physical pain and suffering.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Pages 1-2, 21 TOP: Nursing Process:
Implementation MSC: Client Needs: Safe, Effective Care
Environment
3. When a new bill introduced in Congress reduces funding for care of
persons diagnosed with mental illness, a group of nurses write letters
to their elected representatives in opposition to the legislation. Which
role have the nurses fulfilled?
[AUTHOR] 3
, a. Recovery
b. Attending
c. Advocacy
d. Evidence-based
practice
ANS: C
An advocate defends or asserts another’s cause, particularly when the
other person lacks the ability to do that for self. Examples of
individual advocacy include helping patients understand their rights
or make decisions. On a community scale, advocacy includes political
activity, public speaking, and publication in the interest of improving
the human condition.
Since funding is necessary to deliver quality programming for persons
with mental illness, the letter-writing campaign advocates for that
cause on behalf of patients who are unable to articulate their own
needs.
PTS: 1 DIF: Cognitive Level: Understand
(Comprehension) REF: Page 1-26 TOP: Nursing
Process: Evaluation
MSC: Client Needs: Safe, Effective Care Environment
4. A family has a long history of conflicted relationships among the
members. Which family member’s comment best reflects a
mentally healthy perspective?
a. “I’ve made mistakes but everyone else in this family has
also.”
b. “I remember joy and mutual respect from our early years
together.”
c. “I will make some changes in my behavior for the good of
the family.”
d. “It’s best for me to move away from my family. Things
will never change.”
[AUTHOR] 4
