TEST BANK VARCAROLIS' FOUNDATIONS OF PSYCHIATRIC-MENTAL HEALTH NURSING: A Clinical Approach 8TH EDITION BY MARGARET JORDAN HALTER

TESTBANK

,Chapter01:Mental HealthandMentalIllness n




MULTIPLECHOICE

1. Astaffnurse completesorientationtoa psychiatric unit.Thisnursemayexpectanadvanced
n n n n n n




practice nurseto perform which additional intervention? a.
n n Conductmentalhealth n n n n n n n




assessments.
n




b. Prescribepsychotropicmedication.
c. Establish therapeuticrelationships. n




d. Individualizenursingcareplans. n




ANS:B n




Inmoststates,prescriptiveprivilegesaregrantedtomaster’s-preparednursepractitionersand
n n n n n n n




clinicalnursespecialistswhohavetaken specialcoursesonprescribingmedication.Thenurse
n n n n n




preparedat thebasiclevel is permittedtoperformmental healthassessments, establish
n n n n n n n n n n n n




relationships, and provideindividualized care planning.
n n n n n




PTS:1DIF:CognitiveLevel:Understand (Comprehension)REF:Page1-23TOP: n n




NursingProcess: Implementation
n n n




MSC:Client Needs: Safe,Effective CareEnvironment n n n




2. Anursing studentexpresses concernsthatmentalhealthnurses “losealltheirclinicalnursing
n n n n




skills.”Selectthebestresponsebythementalhealthnurse.
n n n n n n n n




a. “Psychiatricnursespracticein saferenvironmentsthanotherspecialties.Nurse-to-patient n n




ratios mustbebetterbecauseofthenatureofthepatients’problems.”
n n n n n n n n n n n




b. “Psychiatricnursesusecomplex communicationskills aswellas criticalthinking tosolve n n n n n n




multidimensional problems. I am challenged by those situations.”
n n n n n n n n




c. “That’s amisconception.Psychiatricnursesfrequentlyusehightechnologymonitoring
n n




equipment and manage complex intravenous therapies.”
n n n n n n




d. “Psychiatricnursesdonothavetodealwithasmuch painand suffering asmedical– n n n n n n n n n




surgical nurses do. That appeals to me.”
n n n n n n n




ANS:B n




Thepracticeofpsychiatricnursingrequiresadifferentsetofskillsthanmedical–surgicalnursing,
n n n n n n n n n n n n n




though thereis substantialoverlap. Psychiatric nursesmust beable tohelp patients with medical as
n n n n n n n n n n n n




wellasmental health problems, reflecting theholisticperspectivethesenursesmusthave.
n n n n n n n n n n n




Nurse–patient ratiosand workloadsinpsychiatricsettingshaveincreased, just like other specialties.
n n n n n n n n n




Psychiatricnursinginvolvesclinicalpractice,notjust documentation.Psychosocial painand
n n n n n n n n n n n




sufferingareasrealasphysical painandsuffering.
n n n n n n n n n




PTS:1 n DIF:CognitiveLevel:Apply(Application) n




REF: Pages 1-2, 21 n TOP:NursingProcess:Implementation
n n n




MSC: Client Needs: Safe, Effective Care Environment
n n n n n n n

, 3. When a new bill introduced in Congress reduces funding for care of persons diagnosed with
n n n n n n n n n n n n n n




mental illness, a group of nurses write letters to their elected representatives in opposition to the
n n n n n n n n n n n n n n n n




legislation. Which role have the nurses fulfilled?
n n n n n n n




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




ANS:C n




Anadvocatedefendsorassertsanother’scause,particularlywhentheotherpersonlacksthe abilityto
n n n n n n n n n n n n n n n




dothatforself.Examplesofindividualadvocacyincludehelpingpatientsunderstand theirrights
n n n n n n n n n n n n n




ormakedecisions.Ona communityscale,advocacyincludes political activity, public speaking, and
n n n n n n n n n n




publicationintheinterest ofimprovingthehumancondition.
n n n n n n n n n




Sincefundingis necessarytodeliverqualityprogramming forpersonswithmental illness,the letter- n n n n n n




writingcampaignadvocatesforthatcauseonbehalfofpatientswhoareunabletoarticulate theirown
n n n n n n n n n n n n n n n




needs.
n




PTS:1DIF:CognitiveLevel:Understand (Comprehension)REF:Page1-26TOP: n n




NursingProcess: Evaluation
n n n




MSC:Client Needs:Safe,EffectiveCareEnvironment n n n




4. Afamilyhasa longhistoryofconflictedrelationships amongthemembers.Which family
n n n n




member’scommentbestreflectsamentallyhealthyperspective?
n n n n n n n




a. “I’vemademistakes buteveryoneelseinthisfamilyhas also.” n n




b. “Irememberjoyandmutualrespectfromourearlyyearstogether.” n n n n




c. “Iwillmakesomechanges inmybehavior for the good ofthe family.” n n n n n n




d. “It’sbestformetomove awayfrom myfamily.Thingswillneverchange.” n n n n




ANS:C n




Thecorrectresponsedemonstratesthebestevidenceofahealthyrecognitionoftheimportanceof
n n n n n n n n n n n n n n




relationships. Mental health includes rational thinking, communication skills,learning, emotional
n n n n n n n n n n




growth,resilience,andself-esteem.Recallingjoyfrom earlierinlifemaybehealthy,but the correct
n n n n n n n n n




responseshows a higher level ofmentalhealth.Theotherincorrect responses show blamingand
n n n n n n n n n




avoidance.
n




PTS:1 n DIF:CognitiveLevel:Analyze(Analysis) n n




REF: Pages 1-2, 3, 32 (Figure 1-1)
n TOP:NursingProcess:AssessmentMSC:
n n n n n n n n n




Client Needs: Psychosocial Integrity
n n n n




5. Whichassessmentfindingmostclearlyindicatesthatapatientmaybeexperiencinga mental n n n n n n




illness?Thepatient
n n n




a. reportsoccasionalsleeplessnessand anxiety. n n




b. reportsa consistentlysad,discouraged,andhopelessmood. n n n n n n




c. is ableto describethedifferencebetween “asif”and“forreal.”
n n n n n




d. perceivesdifficultymakingadecision aboutwhetherto change jobs. n n n n n

, ANS:B n




Thecorrectresponsedescribesamoodalteration,whichreflectsmentalillness.Thedistracters
n n n n n n n n n n n n




describebehaviors thatarementallyhealthyorwithin theusualscopeofhumanexperience.
n n n n n n




PTS:1 n DIF:CognitiveLevel:Apply(Application) n




REF: Pages 1-2 to 4
n n TOP:NursingProcess:Assessment
n n n




MSC: Client Needs: Psychosocial Integrity
n n n n n




6. Whichfindingbest indicatesthatthegoal “Demonstratementallyhealthybehavior”was
n n n n n




achieved for an adult patient? The patient
n n n n n n n




a. seesselfascapableofachievingidealsandmeetingdemands.n n n n n n




b. behaveswithout considering theconsequencesof personalactions. n n n




c. aggressivelymeetsownneedswithoutconsideringtherightsofothers. n n n n n




d. seekshelpfromotherswhenassumingresponsibilityformajorareasofownlife.
n n n n n n




ANS:A
Thecorrectresponse describesanadaptive,healthybehavior.The distractersdescribemaladaptive
n n n n n




behaviors.
n




PTS:1 n DIF:CognitiveLevel:Apply(Application) n




REF: Pages 1-2 to 4
n n TOP:NursingProcess:Evaluation
n n n




MSC: Client Needs: Psychosocial Integrity
n n n n n




7. Anurseencountersanunfamiliarpsychiatricdisorderonanewpatient’sadmissionform.Which
n n n n n n n n n n n




resourceshouldthenurseconsulttodeterminecriteriausedtoestablishthisdiagnosis?a.
n n n n n




InternationalStatisticalClassificationofDiseasesandRelatedHealthProblems
(ICD-10) n




b. TheANA’sPsychiatric-MentalHealthNursingScopeandStandardsofPractice
c. DiagnosticandStatisticalManualofMentalDisorders(DSM-V) n n n n




d. Abehavioralhealthreference manual n




ANS:C n




TheDSM-Vgivesthecriteriaused todiagnose eachmentaldisorder. Itistheofficialguideline for
n n n n n n n n




diagnosingpsychiatricdisorders.Thedistractersmaynotcontaindiagnosticcriteriafora
n n n n n n n n n n n n




psychiatricillness.
n n




PTS:1 n DIF:CognitiveLevel:Apply(Application) n




REF: Pages 1-18, 19
n n TOP:NursingProcess:Assessment
n n n




MSC: Client Needs: Safe, Effective Care Environment
n n n n n n n




8. Anursewantstofind adescription ofdiagnosticcriteria foranxietydisorders.Whichresource
n n n n n




would have the most complete information?
n n n n n n




a. NursingOutcomesClassification(NOC) n




b. DSM-V
c. TheANA’sPsychiatric-MentalHealthNursingScopeandStandardsofPracticed. ICD-10 n n