, Foundations-of-Mental-Health-Care-8th-Edition-Morrison-Valfre-Test-
Bank
Chapter-1.-The-History-of-Mental-Health-Care-&-Chapter-2.-Current-
Mental-Health-Care
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-assessments. c. Establish-therapeutic-relationships.
b. Prescribe-psychotropic-medication. d. Individualize-nursing-care-plans.
ANS:-B
In-most-states,-prescriptive-privileges-are-granted-to-master‘s-prepared-nurse-practitioners-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.
2. When-a-nursing-student-expresses-concerns-about-how-mental-health-nurses-―lose-all-their-
nursing-skills,‖-the-best-response-by-the-mental-health-nurse-is:
―Psychiatric-nurses-practice-in-safer-environments-than-other-specialties.-Nurse-to-patient
a. ratios-must-be-better-because-of-the-nature-of-the-patients‘-problems.‖
―Psychiatric-nurses-use-complex-communication-skills-as-well-as-critical-thinking-to-solve
b. multidimensional-problems.-I-am-challenged-by-those-situations.‖
―That‘s-a-misconception.-Psychiatric-nurses-frequently-use-high-technology-monitoring
c. equipment-and-manage-complex-intravenous-therapies.‖
―Psychiatric-nurses-do-not-have-to-deal-with-as-much-pain-and-suffering-as-medical-surgical
d. 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:-Page-10-|-Page-13-14-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-with-mental-
illness,-a-group-of-nurses-writes-letters-to-their-elected-representatives-in-opposition-to-the-
legislation.-Which-role-have-the-nurses-fulfilled?
a. Recovery c. Advocacy
b. Attending 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-16-TOP:-Nursing-Process:-Implementation-MSC:
Client-Needs:-Safe,-Effective-Care-Environment
4. Which-comment-best-indicates-that-a-patient-perceived-the-nurse-was-caring?-―My-nurse:
a. always-asks-me-which-type-of-juice-I-want-to-help-me-swallow-my-medication.‖
b. explained-my-treatment-plan-to-me-and-asked-for-my-ideas-about-how-to-make-it-better.‖
spends-time-listening-to-me-talk-about-my-problems.-That-helps-me-feel-like-I-am-not
c. alone.‖
told-me-that-if-I-take-all-the-medicines-the-doctor-prescribes,-then-I-will-get-discharged
d. sooner.‖
ANS:-C