TESTBANK FOR Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical Approach, 8th Edition 2021

Chapter 01: Mental Health and Mental Illness Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical Approach, 8th EditionMULTIPLE CHOICE1.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 nurseprepared 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 Environment2.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 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: Pages 1-2, 21 TOP: Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment1TESTBANK FOR VARCAROLIS FOUNDATIONS OF PSYCHIATRIC MENTAL HEALTH NURSING 8TH EDITION CLINICAL APPROACH 3.When a new bill introduced in Congress reduces funding for care of persons diagnosed with mental illness, a group of nurses write letters to their elected representatives in opposition to the legislation. Which role have the nurses fulfilled?a.Recoveryb.Attendingc.Advocacyd.Evidence-based practiceANS: 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, theletter-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 1-26 TOP:Nursing Process: Evaluation MSC: Client Needs: Safe, Effective Care Environment4.A family has a long history of conflicted relationships among the members. Which family member’s comment best reflects a mentally healthy perspective? a.“I’ve made mistakes but everyone else in this family has also.”b.“I remember joy and mutual respect from our early years together.”c.“I will make some changes in my behavior for the good of the family.”d.“It’s best for me to move away from my family. Things will never change.”ANS: C The correct response demonstrates the best evidence of a healthy recognition of the importance of relationships. Mental health includes rational thinking, communication skills, learning,