, Test Bank Varcarolis' Foundations of Psychiatric-
Mental
Health Nursing A Clinical 9th Edition by Margaret
Chapter 01: Mental Health and Mental Illness
Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical
Approach, 8th Edition
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.
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
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
1
,Test Bank Varcarolis' Foundations of Psychiatric-
Mental
Health Nursing A Clinical 9th Edition by Margaret
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.
2
, Test Bank Varcarolis' Foundations of Psychiatric-
Mental
Health Nursing A Clinical 9th Edition by Margaret
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Pages 1-2, 21 TOP: Nursing Process:
Implementation MSC: Client Needs: Safe, Effective Care
Environment
3
Mental
Health Nursing A Clinical 9th Edition by Margaret
Chapter 01: Mental Health and Mental Illness
Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical
Approach, 8th Edition
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.
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
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
1
,Test Bank Varcarolis' Foundations of Psychiatric-
Mental
Health Nursing A Clinical 9th Edition by Margaret
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.
2
, Test Bank Varcarolis' Foundations of Psychiatric-
Mental
Health Nursing A Clinical 9th Edition by Margaret
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Pages 1-2, 21 TOP: Nursing Process:
Implementation MSC: Client Needs: Safe, Effective Care
Environment
3