TestBankVarcarolis'FoundationsofPsychiatric-Mental c c
HealthNursingAClinical9thEditionbyMargaretJordan
c
Halter|TestBank|Chapter1-36UPDATED2022 c
Chapter01:MentalHealthandMentalIllness
c c c c c c
Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical
c c c c c c c c c
Approach,8thEdition
c c
MULTIPLECHOICE
1. Astaffnursecompletesorientationtoapsychiatricunit.This nursemayexpectanadvanced c b
practicenursetoperformwhichadditionalintervention?a.
c Conductmentalhealth c c c
assessments.
c
b. Prescribepsychotropicmedication.
c. Establishtherapeuticrelationships.
d. Individualizenursingcareplans.
ANS:B c
Inmoststates,prescriptiveprivilegesaregrantedtomaster‘s-preparednursepractitionersand
c c c c c
clinicalnursespecialistswho havetakenspecialcoursesonprescribing medication.Thenurse
c c b b
preparedatthebasiclevelispermittedtoperformmentalhealthassessments,establish relationships,
c c c c c c c c c c c c c
andprovideindividualizedcareplanning.
c c
PTS:1DIF:CognitiveLevel:Understand(Comprehension)REF:Page1-23TOP: c c c c
NursingProcess: Implementation
c c c
MSC:ClientNeeds:Safe,EffectiveCareEnvironment c c b
2. Anursingstudentexpressesconcernsthatmentalhealthnurses―losealltheirclinicalnursing b b
skills.‖Selectthebestresponsebythementalhealthnurse.
c c c
a. ―Psychiatric nurses practicein saferenvironmentsthanotherspecialties.Nurse-to-patient b b b c c
ratiosmustbebetterbecauseofthenatureofthepatients‘problems.‖
c c c
b. ―Psychiatric nursesusecomplex communicationskills aswell as criticalthinkingtosolve b b c c b
multidimensionalproblems. I amchallenged bythosesituations.‖
c c b c c
c. ―That‘samisconception.Psychiatricnursesfrequentlyuse high technologymonitoring c b b
equipmentandmanagecomplexintravenoustherapies.‖
c c c c
d. ―Psychiatricnursesdonothavetodealwith asmuch pain and sufferingas medical– b c b b c
surgicalnursesdo.Thatappealstome.‖
c c c
ANS:B c
Thepracticeofpsychiatricnursingrequiresadifferentsetofskillsthanmedical–surgical nursing,
c c c c c c c c c c c c
thoughthereissubstantialoverlap.Psychiatricnursesmustbeabletohelppatientswith medicalas
c c c c c c c c c c c b c c
wellasmentalhealthproblems,reflectingtheholisticperspectivethesenurses must have.Nurse–
c c c c c c c c c c c b c
patientratios and workloads inpsychiatricsettingshaveincreased, justlikeother specialties.
c b b c c c c
Psychiatricnursinginvolvesclinicalpractice,notjustdocumentation.Psychosocial
c c c c c c c c
pain and suffering areasrealas physicalpainandsuffering.
c b b b c b c
1
, TestBankVarcarolis'FoundationsofPsychiatric-Mental
c c
HealthNursingAClinical9thEditionbyMargaretJordan
c
Halter|TestBank|Chapter1-36UPDATED2022
c
PTS:1 c DIF:CognitiveLevel:Apply(Application)
c c
REF: Pages1-2, 21
c c c TOP:NursingProcess:Implementation
MSC:Client Needs: Safe,Effective Care Environment
c c c c c c
2
, TestBankVarcarolis'FoundationsofPsychiatric-Mental c c
HealthNursingAClinical9thEditionbyMargaretJordan
c
Halter|TestBank|Chapter1-36UPDATED2022 c
3. When a new bill introduced in Congress reduces funding for care of persons diagnosed with mental
c c c c c c c c c c c c c c c
illness, a group of nurses write letters to their elected representatives in opposition tothe
c c c c c c c c c c c c c c b
legislation.Whichrolehavethenursesfulfilled?
c
a. Recovery
b. Attending
c. Advocacy
d. Evidence-basedpractice
ANS:C c
Anadvocatedefendsorassertsanother‘scause,particularlywhentheotherpersonlacksthe ability
c c c c c c c c c c c c c c
todothatforself.Examplesofindividualadvocacyincludehelpingpatientsunderstand
c c c c c c c c c c c
theirrights ormakedecisions.Onacommunityscale,advocacyincludespoliticalactivity,public
c b c c
speaking,and publication intheinterestofimprovingthehumancondition.
c c b
Sincefundingisnecessarytodeliverqualityprogrammingforpersonswithmentalillness,the c c
letter-writingcampaignadvocatesforthatcauseonbehalfofpatientswhoareunableto
c c c c c c c c c c c c c c
articulatetheirownneeds.
c c c
PTS:1DIF:CognitiveLevel:Understand(Comprehension)REF:Page1-26 TOP: c c c c b
NursingProcess: Evaluation
c c c
MSC:ClientNeeds:Safe,EffectiveCareEnvironment c c b
4. Afamilyhas alonghistoryofconflictedrelationshipsamong the members.Whichfamily b c b c
member‘scommentbestreflectsamentallyhealthyperspective?
c c c
a. ―I‘vemademistakes buteveryone elsein this familyhasalso.‖ c c b c
b. ―I rememberjoyandmutualrespectfromourearlyyearstogether.‖
b c c c c c c c
c. ―Iwillmakesomechangesinmybehaviorforthegoodofthefamily.‖
b b b b
d. ―It‘sbestformetomoveawayfrommyfamily.Thingswillneverchange.‖
ANS:C c
Thecorrectresponsedemonstratesthebestevidenceofahealthyrecognitionoftheimportanceof
c c c c c c c c c c c c c
relationships.Mentalhealthincludesrationalthinking,communicationskills,learning,
c c c
emotionalgrowth,resilience,andself-esteem.Recallingjoyfromearlierinlifemaybehealthy,
c c c c c c c c c c
butthecorrectresponseshowsahigherlevelofmentalhealth.Theotherincorrectresponses show
c c c c c c c c c c c c c c
blamingandavoidance.
c c
PTS:1 DIF:Cognitive Level:Analyze (Analysis)
c c c c
c REF: Pages1-2,3,32(Figure1-1)
c TOP: Nursing Process: c c c c c c
AssessmentMSC:ClientNeeds: Psychosocial Integrity b c c c
5. Which assessment findingmostclearlyindicatesthat apatientmaybeexperiencingamental
b b c c b b
illness?Thepatient
c
a. reportsoccasionalsleeplessnessandanxiety. b b
b. reportsaconsistentlysad,discouraged,andhopelessmood. c c
c. isabletodescribethedifferencebetween ―asif‖and―forreal.‖ c
3
, TestBankVarcarolis'FoundationsofPsychiatric-Mental
c c
HealthNursingAClinical9thEditionbyMargaretJordan
c
Halter|TestBank|Chapter1-36UPDATED2022
c
d. perceives difficultymakingadecision aboutwhethertochangejobs.
b
4
HealthNursingAClinical9thEditionbyMargaretJordan
c
Halter|TestBank|Chapter1-36UPDATED2022 c
Chapter01:MentalHealthandMentalIllness
c c c c c c
Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical
c c c c c c c c c
Approach,8thEdition
c c
MULTIPLECHOICE
1. Astaffnursecompletesorientationtoapsychiatricunit.This nursemayexpectanadvanced c b
practicenursetoperformwhichadditionalintervention?a.
c Conductmentalhealth c c c
assessments.
c
b. Prescribepsychotropicmedication.
c. Establishtherapeuticrelationships.
d. Individualizenursingcareplans.
ANS:B c
Inmoststates,prescriptiveprivilegesaregrantedtomaster‘s-preparednursepractitionersand
c c c c c
clinicalnursespecialistswho havetakenspecialcoursesonprescribing medication.Thenurse
c c b b
preparedatthebasiclevelispermittedtoperformmentalhealthassessments,establish relationships,
c c c c c c c c c c c c c
andprovideindividualizedcareplanning.
c c
PTS:1DIF:CognitiveLevel:Understand(Comprehension)REF:Page1-23TOP: c c c c
NursingProcess: Implementation
c c c
MSC:ClientNeeds:Safe,EffectiveCareEnvironment c c b
2. Anursingstudentexpressesconcernsthatmentalhealthnurses―losealltheirclinicalnursing b b
skills.‖Selectthebestresponsebythementalhealthnurse.
c c c
a. ―Psychiatric nurses practicein saferenvironmentsthanotherspecialties.Nurse-to-patient b b b c c
ratiosmustbebetterbecauseofthenatureofthepatients‘problems.‖
c c c
b. ―Psychiatric nursesusecomplex communicationskills aswell as criticalthinkingtosolve b b c c b
multidimensionalproblems. I amchallenged bythosesituations.‖
c c b c c
c. ―That‘samisconception.Psychiatricnursesfrequentlyuse high technologymonitoring c b b
equipmentandmanagecomplexintravenoustherapies.‖
c c c c
d. ―Psychiatricnursesdonothavetodealwith asmuch pain and sufferingas medical– b c b b c
surgicalnursesdo.Thatappealstome.‖
c c c
ANS:B c
Thepracticeofpsychiatricnursingrequiresadifferentsetofskillsthanmedical–surgical nursing,
c c c c c c c c c c c c
thoughthereissubstantialoverlap.Psychiatricnursesmustbeabletohelppatientswith medicalas
c c c c c c c c c c c b c c
wellasmentalhealthproblems,reflectingtheholisticperspectivethesenurses must have.Nurse–
c c c c c c c c c c c b c
patientratios and workloads inpsychiatricsettingshaveincreased, justlikeother specialties.
c b b c c c c
Psychiatricnursinginvolvesclinicalpractice,notjustdocumentation.Psychosocial
c c c c c c c c
pain and suffering areasrealas physicalpainandsuffering.
c b b b c b c
1
, TestBankVarcarolis'FoundationsofPsychiatric-Mental
c c
HealthNursingAClinical9thEditionbyMargaretJordan
c
Halter|TestBank|Chapter1-36UPDATED2022
c
PTS:1 c DIF:CognitiveLevel:Apply(Application)
c c
REF: Pages1-2, 21
c c c TOP:NursingProcess:Implementation
MSC:Client Needs: Safe,Effective Care Environment
c c c c c c
2
, TestBankVarcarolis'FoundationsofPsychiatric-Mental c c
HealthNursingAClinical9thEditionbyMargaretJordan
c
Halter|TestBank|Chapter1-36UPDATED2022 c
3. When a new bill introduced in Congress reduces funding for care of persons diagnosed with mental
c c c c c c c c c c c c c c c
illness, a group of nurses write letters to their elected representatives in opposition tothe
c c c c c c c c c c c c c c b
legislation.Whichrolehavethenursesfulfilled?
c
a. Recovery
b. Attending
c. Advocacy
d. Evidence-basedpractice
ANS:C c
Anadvocatedefendsorassertsanother‘scause,particularlywhentheotherpersonlacksthe ability
c c c c c c c c c c c c c c
todothatforself.Examplesofindividualadvocacyincludehelpingpatientsunderstand
c c c c c c c c c c c
theirrights ormakedecisions.Onacommunityscale,advocacyincludespoliticalactivity,public
c b c c
speaking,and publication intheinterestofimprovingthehumancondition.
c c b
Sincefundingisnecessarytodeliverqualityprogrammingforpersonswithmentalillness,the c c
letter-writingcampaignadvocatesforthatcauseonbehalfofpatientswhoareunableto
c c c c c c c c c c c c c c
articulatetheirownneeds.
c c c
PTS:1DIF:CognitiveLevel:Understand(Comprehension)REF:Page1-26 TOP: c c c c b
NursingProcess: Evaluation
c c c
MSC:ClientNeeds:Safe,EffectiveCareEnvironment c c b
4. Afamilyhas alonghistoryofconflictedrelationshipsamong the members.Whichfamily b c b c
member‘scommentbestreflectsamentallyhealthyperspective?
c c c
a. ―I‘vemademistakes buteveryone elsein this familyhasalso.‖ c c b c
b. ―I rememberjoyandmutualrespectfromourearlyyearstogether.‖
b c c c c c c c
c. ―Iwillmakesomechangesinmybehaviorforthegoodofthefamily.‖
b b b b
d. ―It‘sbestformetomoveawayfrommyfamily.Thingswillneverchange.‖
ANS:C c
Thecorrectresponsedemonstratesthebestevidenceofahealthyrecognitionoftheimportanceof
c c c c c c c c c c c c c
relationships.Mentalhealthincludesrationalthinking,communicationskills,learning,
c c c
emotionalgrowth,resilience,andself-esteem.Recallingjoyfromearlierinlifemaybehealthy,
c c c c c c c c c c
butthecorrectresponseshowsahigherlevelofmentalhealth.Theotherincorrectresponses show
c c c c c c c c c c c c c c
blamingandavoidance.
c c
PTS:1 DIF:Cognitive Level:Analyze (Analysis)
c c c c
c REF: Pages1-2,3,32(Figure1-1)
c TOP: Nursing Process: c c c c c c
AssessmentMSC:ClientNeeds: Psychosocial Integrity b c c c
5. Which assessment findingmostclearlyindicatesthat apatientmaybeexperiencingamental
b b c c b b
illness?Thepatient
c
a. reportsoccasionalsleeplessnessandanxiety. b b
b. reportsaconsistentlysad,discouraged,andhopelessmood. c c
c. isabletodescribethedifferencebetween ―asif‖and―forreal.‖ c
3
, TestBankVarcarolis'FoundationsofPsychiatric-Mental
c c
HealthNursingAClinical9thEditionbyMargaretJordan
c
Halter|TestBank|Chapter1-36UPDATED2022
c
d. perceives difficultymakingadecision aboutwhethertochangejobs.
b
4