Test Bank Varcarolis' Foundations of Psychiatric-
b b b b b
Mental Health Nursing
b b
..
A Clinical 9th Edition by
b b b b b b
Margaret Jordan
b b
Halter |Test Bank|Chapter 1-36 UPDATED 2022.
b b b b b
, Test Bank Varcarolis' Foundations of Psychiatric-Mental
b b b b b
Health Nursing A Clinical 9th Edition by Margaret Jordan
b b b b b b b b b
Halter |Test Bank|Chapter 1-36 UPDATED 2022
b b b b b b
Chapter 01: Mental Health and Mental Illness
b b b b b b
Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical
b b b b b b b b b
Approach, 8th Edition
b b b
MULTIPLE CHOICE b
1. A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced
b b b b b b b b b b b b b b
practice nurse to perform which additional intervention? a. Conduct mental health
b b b b b b b b b b
assessments.
b
b. Prescribe psychotropic medication. b b
c. Establish therapeutic relationships. b b
d. Individualize nursing care plans. b b b
ANS: B b
In most states, prescriptive privileges are granted to master‘s-prepared nurse practitioners and
b b b b b b b b b b b
bclinical nurse specialists who have taken special courses on prescribing medication. The nurse
b b b b b b b b b b b b
bprepared at the basic level is permitted to perform mental health assessments, establish
b b b b b b b b b b b b
brelationships, and provide individualized care planning. b b b b b
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-23 TOP:
b b b b b b b b b b
Nursing Process: Implementation
b b b
MSC: Client Needs: Safe, Effective Care Environment
b b b b b b
2. A nursing student expresses concerns that mental health nurses ―lose all their clinical nursing
b b b b b b b b b b b b b
b skills.‖ Select the best response by the mental health nurse.
b b b b b b b b b
a. ―Psychiatric nurses practice in safer environments than other specialties. Nurse-to-patient b b b b b b b b b
ratios must be better because of the nature of the patients‘ problems.‖
b b b b b b b b b b b b
b. ―Psychiatric nurses use complex communication skills as well as critical thinking to solve b b b b b b b b b b b b
multidimensional problems. I am challenged by those situations.‖
b b b b b b b b
c. ―That‘s a misconception. Psychiatric nurses frequently use high technology monitoring
b b b b b b b b b
equipment and manage complex intravenous therapies.‖
b b b b b b
d. ―Psychiatric nurses do not have to deal with as much pain and suffering as medical– b b b b b b b b b b b b b b
surgical nurses do. That appeals to me.‖
b b b b b b b
ANS: B b
The practice of psychiatric nursing requires a different set of skills than medical–surgical
b b b b b b b b b b b b
nursing, though there is substantial overlap. Psychiatric nurses must be able to help patients
b b b b b b b b b b b b b b
with medical as well as mental health problems, reflecting the holistic perspective these
b b b b b b b b b b b b b
nurses must have. Nurse–patient ratios and workloads in psychiatric settings have increased,
b b b b b b b b b b b b
just like other specialties. Psychiatric nursing involves clinical practice, not just
b b b b b b b b b b b
documentation. Psychosocial pain and suffering are as real as physical pain and suffering.
b b b b b b b b b b b b b
1
,Test Bank Varcarolis' Foundations of Psychiatric-Mental
b b b b b
Health Nursing A Clinical 9th Edition by Margaret Jordan
b b b b b b b b b
Halter |Test Bank|Chapter 1-36 UPDATED 2022
b b b b b b
PTS: 1
b DIF: Cognitive Level: Apply (Application)
b b b b
REF: Pages 1-2, 21
b b b TOP: Nursing Process: Implementation b b b
MSC: Client Needs: Safe, Effective Care Environment
b b b b b b b
2
, Test Bank Varcarolis' Foundations of Psychiatric-Mental
b b b b b
Health Nursing A Clinical 9th Edition by Margaret Jordan
b b b b b b b b b
Halter |Test Bank|Chapter 1-36 UPDATED 2022
b b b b b b
3. When a new bill introduced in Congress reduces funding for care of persons diagnosed with
b b b b b b b b b b b b b b
mental illness, a group of nurses write letters to their elected representatives in opposition to
b b b b b b b b b b b b b b b
the legislation. Which role have the nurses fulfilled?
b b b b b b b b
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based practice b
ANS: C b
An advocate defends or asserts another‘s cause, particularly when the other person lacks the
b b b b b b b b b b b b b
ability to do that for self. Examples of individual advocacy include helping patients
b b b b b b b b b b b b b
understand their rights or make decisions. On a community scale, advocacy includes political
b b b b b b b b b b b b b
activity, public speaking, and publication in the interest of improving the human condition.
b b b b b b b b b b b b b
Since funding is necessary to deliver quality programming for persons with mental illness, the
b b b b b b b b b b b b b
letter-writing campaign advocates for that cause on behalf of patients who are unable to
b b b b b b b b b b b b b b
articulate their own needs.
b b b b
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-26 TOP:
b b b b b b b b b b
Nursing Process: Evaluation
b b b
MSC: Client Needs: Safe, Effective Care Environment
b b b b b b
4. A family has a long history of conflicted relationships among the members. Which family
b b b b b b b b b b b b b
member‘s comment best reflects a mentally healthy perspective?
b b b b b b b b
a. ―I‘ve made mistakes but everyone else in this family has also.‖
b b b b b b b b b b
b. ―I remember joy and mutual respect from our early years together.‖
b b b b b b b b b b
c. ―I will make some changes in my behavior for the good of the family.‖
b b b b b b b b b b b b b
d. ―It‘s best for me to move away from my family. Things will never change.‖
b b b b b b b b b b b b b
ANS: C b
The correct response demonstrates the best evidence of a healthy recognition of the
b b b b b b b b b b b b
importance of relationships. Mental health includes rational thinking, communication skills,
b b b b b b b b b b
learning, emotional growth, resilience, and self-esteem. Recalling joy from earlier in life may
b b b b b b b b b b b b b
be healthy, but the correct response shows a higher level of mental health. The other incorrect
b b b b b b b b b b b b b b b b
responses show blaming and avoidance.
b b b b b
PTS: 1 b DIF: Cognitive Level: Analyze (Analysis) b b b b
REF: Pages 1-2, 3, 32 (Figure 1-1)
b TOP: Nursing Process: Assessment MSC:
b b b b b b b b b
Client Needs: Psychosocial Integrity
b b b b
5. Which assessment finding most clearly indicates that a patient may be experiencing a mental
b b b b b b b b b b b b b
illness? The patient
b b b
a. reports occasional sleeplessness and anxiety. b b b b
b. reports a consistently sad, discouraged, and hopeless mood.
b b b b b b b
c. is able to describe the difference between ―as if‖ and ―for real.‖
b b b b b b b b b b b
3
b b b b b
Mental Health Nursing
b b
..
A Clinical 9th Edition by
b b b b b b
Margaret Jordan
b b
Halter |Test Bank|Chapter 1-36 UPDATED 2022.
b b b b b
, Test Bank Varcarolis' Foundations of Psychiatric-Mental
b b b b b
Health Nursing A Clinical 9th Edition by Margaret Jordan
b b b b b b b b b
Halter |Test Bank|Chapter 1-36 UPDATED 2022
b b b b b b
Chapter 01: Mental Health and Mental Illness
b b b b b b
Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical
b b b b b b b b b
Approach, 8th Edition
b b b
MULTIPLE CHOICE b
1. A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced
b b b b b b b b b b b b b b
practice nurse to perform which additional intervention? a. Conduct mental health
b b b b b b b b b b
assessments.
b
b. Prescribe psychotropic medication. b b
c. Establish therapeutic relationships. b b
d. Individualize nursing care plans. b b b
ANS: B b
In most states, prescriptive privileges are granted to master‘s-prepared nurse practitioners and
b b b b b b b b b b b
bclinical nurse specialists who have taken special courses on prescribing medication. The nurse
b b b b b b b b b b b b
bprepared at the basic level is permitted to perform mental health assessments, establish
b b b b b b b b b b b b
brelationships, and provide individualized care planning. b b b b b
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-23 TOP:
b b b b b b b b b b
Nursing Process: Implementation
b b b
MSC: Client Needs: Safe, Effective Care Environment
b b b b b b
2. A nursing student expresses concerns that mental health nurses ―lose all their clinical nursing
b b b b b b b b b b b b b
b skills.‖ Select the best response by the mental health nurse.
b b b b b b b b b
a. ―Psychiatric nurses practice in safer environments than other specialties. Nurse-to-patient b b b b b b b b b
ratios must be better because of the nature of the patients‘ problems.‖
b b b b b b b b b b b b
b. ―Psychiatric nurses use complex communication skills as well as critical thinking to solve b b b b b b b b b b b b
multidimensional problems. I am challenged by those situations.‖
b b b b b b b b
c. ―That‘s a misconception. Psychiatric nurses frequently use high technology monitoring
b b b b b b b b b
equipment and manage complex intravenous therapies.‖
b b b b b b
d. ―Psychiatric nurses do not have to deal with as much pain and suffering as medical– b b b b b b b b b b b b b b
surgical nurses do. That appeals to me.‖
b b b b b b b
ANS: B b
The practice of psychiatric nursing requires a different set of skills than medical–surgical
b b b b b b b b b b b b
nursing, though there is substantial overlap. Psychiatric nurses must be able to help patients
b b b b b b b b b b b b b b
with medical as well as mental health problems, reflecting the holistic perspective these
b b b b b b b b b b b b b
nurses must have. Nurse–patient ratios and workloads in psychiatric settings have increased,
b b b b b b b b b b b b
just like other specialties. Psychiatric nursing involves clinical practice, not just
b b b b b b b b b b b
documentation. Psychosocial pain and suffering are as real as physical pain and suffering.
b b b b b b b b b b b b b
1
,Test Bank Varcarolis' Foundations of Psychiatric-Mental
b b b b b
Health Nursing A Clinical 9th Edition by Margaret Jordan
b b b b b b b b b
Halter |Test Bank|Chapter 1-36 UPDATED 2022
b b b b b b
PTS: 1
b DIF: Cognitive Level: Apply (Application)
b b b b
REF: Pages 1-2, 21
b b b TOP: Nursing Process: Implementation b b b
MSC: Client Needs: Safe, Effective Care Environment
b b b b b b b
2
, Test Bank Varcarolis' Foundations of Psychiatric-Mental
b b b b b
Health Nursing A Clinical 9th Edition by Margaret Jordan
b b b b b b b b b
Halter |Test Bank|Chapter 1-36 UPDATED 2022
b b b b b b
3. When a new bill introduced in Congress reduces funding for care of persons diagnosed with
b b b b b b b b b b b b b b
mental illness, a group of nurses write letters to their elected representatives in opposition to
b b b b b b b b b b b b b b b
the legislation. Which role have the nurses fulfilled?
b b b b b b b b
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based practice b
ANS: C b
An advocate defends or asserts another‘s cause, particularly when the other person lacks the
b b b b b b b b b b b b b
ability to do that for self. Examples of individual advocacy include helping patients
b b b b b b b b b b b b b
understand their rights or make decisions. On a community scale, advocacy includes political
b b b b b b b b b b b b b
activity, public speaking, and publication in the interest of improving the human condition.
b b b b b b b b b b b b b
Since funding is necessary to deliver quality programming for persons with mental illness, the
b b b b b b b b b b b b b
letter-writing campaign advocates for that cause on behalf of patients who are unable to
b b b b b b b b b b b b b b
articulate their own needs.
b b b b
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-26 TOP:
b b b b b b b b b b
Nursing Process: Evaluation
b b b
MSC: Client Needs: Safe, Effective Care Environment
b b b b b b
4. A family has a long history of conflicted relationships among the members. Which family
b b b b b b b b b b b b b
member‘s comment best reflects a mentally healthy perspective?
b b b b b b b b
a. ―I‘ve made mistakes but everyone else in this family has also.‖
b b b b b b b b b b
b. ―I remember joy and mutual respect from our early years together.‖
b b b b b b b b b b
c. ―I will make some changes in my behavior for the good of the family.‖
b b b b b b b b b b b b b
d. ―It‘s best for me to move away from my family. Things will never change.‖
b b b b b b b b b b b b b
ANS: C b
The correct response demonstrates the best evidence of a healthy recognition of the
b b b b b b b b b b b b
importance of relationships. Mental health includes rational thinking, communication skills,
b b b b b b b b b b
learning, emotional growth, resilience, and self-esteem. Recalling joy from earlier in life may
b b b b b b b b b b b b b
be healthy, but the correct response shows a higher level of mental health. The other incorrect
b b b b b b b b b b b b b b b b
responses show blaming and avoidance.
b b b b b
PTS: 1 b DIF: Cognitive Level: Analyze (Analysis) b b b b
REF: Pages 1-2, 3, 32 (Figure 1-1)
b TOP: Nursing Process: Assessment MSC:
b b b b b b b b b
Client Needs: Psychosocial Integrity
b b b b
5. Which assessment finding most clearly indicates that a patient may be experiencing a mental
b b b b b b b b b b b b b
illness? The patient
b b b
a. reports occasional sleeplessness and anxiety. b b b b
b. reports a consistently sad, discouraged, and hopeless mood.
b b b b b b b
c. is able to describe the difference between ―as if‖ and ―for real.‖
b b b b b b b b b b b
3
