Test Bank Varcarolis' Foundations of Psychiatric-
j j j j j
Mental Health Nursing A Clinical 9thEdition by Mar
j j j j j j j j
garet JordanHalter |Test j j j
Bank|Chapter 1-36 UPDATED 2022 j j j
Chapter 01: Mental Health and Mental Illness
j j j j j j
Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A ClinicalAp
j j j j j j j j j j
proach, 8th Edition
j j
MULTIPLEjCHOICE
1. Ajstaffjnursejcompletesjorientationjtojajpsychiatricjunit.jThisjnursejmayjexpectjanjadva
ncedpracticejnursejtojperformjwhichjadditionaljintervention?ja.jConductjmentaljhealthj
assessments.
b. Prescribejpsychotropicjmedication.
c. Establishjtherapeuticjrelationships.
d. Individualizejnursingjcarejplans.
ANS:jB
Injmostjstates,jprescriptivejprivilegesjarejgrantedjtojmaster‘s-
preparedjnursejpractitionersjandclinicaljnursejspecialistsjwhojhavejtakenjspecialjcours
esjonjprescribingjmedication.jThejnursepreparedjatjthejbasicjleveljisjpermittedjtojperfor
mjmentaljhealthjassessments,jestablishjrelationships,jandjprovidejindividualizedjcarejpl
anning.
PTS:j1jDIF:jCognitivejLevel:jUnderstandj(Comprehension)jREF:jPagej1-
23jTOP:NursingjProcess:jImplementation
MSC:jClientjNeeds:jSafe,jEffectivejCarejEnvironment
2. Ajnursingjstudentjexpressesjconcernsjthatjmentaljhealthjnursesj―losejalljtheirjclini
caljnursingskills.‖jSelectjthejbestjresponsejbyjthejmentaljhealthjnurse.
a. ―Psychiatricjnursesjpracticejinjsaferjenvironmentsjthanjotherjspecialties.jNurse-jto-
patientjratiosjmustjbejbetterjbecausejofjthejnaturejofjthejpatients‘jproblems.‖
1
,Test Bank Varcarolis' Foundations of Psychiatric-
j j j j j
Mental Health Nursing A Clinical 9thEdition by Mar
j j j j j j j j
garet JordanHalter |Test
j j j
b. ―PsychB
iaa
tricnnk
ur|sC
esh
usa
epcotm
eprlex1c-
36 UPDATED 2022
ommunication skills as welljas criticaljthinkingjtojsolvejmultidimensionaljproblems.jIj
amjchallengedjbyjthosejsituations.‖
c. ―That‘sjajmisconception.jPsychiatricjnursesjfrequentlyjusejhighjtechnologyjmo
nitoringjequipmentjandjmanagejcomplexjintravenousjtherapies.‖
d. ―Psychiatricjnursesjdojnotjhavejtojdealjwithjasjmuchjpainjandjsufferingjasjmedic
al–jsurgicaljnursesjdo.jThatjappealsjtojme.‖
ANS:jB
Thejpracticejofjpsychiatricjnursingjrequiresjajdifferentjsetjofjskillsjthanjmedical–
j surgicaljnursing,jthoughjtherejisjsubstantialjoverlap.jPsychiatricjnursesjmustjbejablejtojh
elpjpatientswithjmedicaljasjwelljasjmentaljhealthjproblems,jreflectingjthejholisticjperspe
ctivejthesejnursesjmustjhave.jNurse–
patientjratiosjandjworkloadsjinjpsychiatricjsettingsjhavejincreased,justjlikejotherjspecialt
ies.jPsychiatricjnursingjinvolvesjclinicaljpractice,jnotjjustjdocumentation.jPsychosocialj
painjandjsufferingjarejasjrealjasjphysicaljpainjandjsuffering.
2
,Test Bank Varcarolis' Foundations of Psychiatric-
j j j j j
Mental Health Nursing A Clinical 9thEdition by Mar
j j j j j j j j
garet JordanHalter |Test
j j j
Bank|Chapter 1-36 UPDATED 2022 j j j
PTS:j1
DIF:jCognitivejLevel:jApplyj(Application)jRE
F:jPagesj1-2,j21 TOP:jNursingjProcess:
ImplementationMSC:jClientjNeeds:jSafe,jEffectivejCarejEnvironment
3
, Test Bank Varcarolis' Foundations of Psychiatric-
j j j j j
Mental Health Nursing A Clinical 9th Edition by Margaret Jo
j j j j j j j j j
rdanHalter |Test Bank|Chapter 1-36 UPDATED 2022
j j j j j j
3. WhenjajnewjbilljintroducedjinjCongressjreducesjfundingjforjcarejofjpersonsjdiagnosedj
withjmentaljillness,jajgroupjofjnursesjwritejlettersjtojtheirjelectedjrepresentativesjinjoppo
sitionjtothejlegislation.jWhichjrolejhavejthejnursesjfulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-basedjpractice
ANS:jC
Anjadvocatejdefendsjorjassertsjanother‘sjcause,jparticularlyjwhenjthejotherjpersonjlacksj
thejabilityjtojdojthatjforjself.jExamplesjofjindividualjadvocacyjincludejhelpingjpatientsjund
erstandjtheirjrightsjorjmakejdecisions.jOnjajcommunityjscale,jadvocacyjincludesjpolitical
activity,jpublicjspeaking,jandjpublicationjinjthejinterestjofjimprovingjthejhumanjcondition.
Sincejfundingjisjnecessaryjtojdeliverjqualityjprogrammingjforjpersonsjwithjmentaljillness,j
theletter-
writingjcampaignjadvocatesjforjthatjcausejonjbehalfjofjpatientsjwhojarejunablejtojarticulat
ejtheirjownjneeds.
PTS:j1jDIF:jCognitivejLevel:jUnderstandj(Comprehension)jREF:jPagej1-
26jTOP:NursingjProcess:jEvaluation
MSC:jClientjNeeds:jSafe,jEffectivejCarejEnvironment
4. Ajfamilyjhasjajlongjhistoryjofjconflictedjrelationshipsjamongjthejmembers.jWhichjfamil
ymember‘sjcommentjbestjreflectsjajmentallyjhealthyjperspective?
a. ―I‘vejmadejmistakesjbutjeveryonejelsejinjthisjfamilyjhasjalso.‖
b. ―Ij rememberj joyj andj mutualj respectj fromj ourj earlyj yearsj together.‖
c. ―Ijwilljmakejsomejchangesjinjmyjbehaviorjforjthejgoodjofjthejfamily.‖
d. ―It‘sjbestjforjmejtojmovejawayjfromjmyjfamily.jThingsjwilljneverjchange.‖
4
j j j j j
Mental Health Nursing A Clinical 9thEdition by Mar
j j j j j j j j
garet JordanHalter |Test j j j
Bank|Chapter 1-36 UPDATED 2022 j j j
Chapter 01: Mental Health and Mental Illness
j j j j j j
Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A ClinicalAp
j j j j j j j j j j
proach, 8th Edition
j j
MULTIPLEjCHOICE
1. Ajstaffjnursejcompletesjorientationjtojajpsychiatricjunit.jThisjnursejmayjexpectjanjadva
ncedpracticejnursejtojperformjwhichjadditionaljintervention?ja.jConductjmentaljhealthj
assessments.
b. Prescribejpsychotropicjmedication.
c. Establishjtherapeuticjrelationships.
d. Individualizejnursingjcarejplans.
ANS:jB
Injmostjstates,jprescriptivejprivilegesjarejgrantedjtojmaster‘s-
preparedjnursejpractitionersjandclinicaljnursejspecialistsjwhojhavejtakenjspecialjcours
esjonjprescribingjmedication.jThejnursepreparedjatjthejbasicjleveljisjpermittedjtojperfor
mjmentaljhealthjassessments,jestablishjrelationships,jandjprovidejindividualizedjcarejpl
anning.
PTS:j1jDIF:jCognitivejLevel:jUnderstandj(Comprehension)jREF:jPagej1-
23jTOP:NursingjProcess:jImplementation
MSC:jClientjNeeds:jSafe,jEffectivejCarejEnvironment
2. Ajnursingjstudentjexpressesjconcernsjthatjmentaljhealthjnursesj―losejalljtheirjclini
caljnursingskills.‖jSelectjthejbestjresponsejbyjthejmentaljhealthjnurse.
a. ―Psychiatricjnursesjpracticejinjsaferjenvironmentsjthanjotherjspecialties.jNurse-jto-
patientjratiosjmustjbejbetterjbecausejofjthejnaturejofjthejpatients‘jproblems.‖
1
,Test Bank Varcarolis' Foundations of Psychiatric-
j j j j j
Mental Health Nursing A Clinical 9thEdition by Mar
j j j j j j j j
garet JordanHalter |Test
j j j
b. ―PsychB
iaa
tricnnk
ur|sC
esh
usa
epcotm
eprlex1c-
36 UPDATED 2022
ommunication skills as welljas criticaljthinkingjtojsolvejmultidimensionaljproblems.jIj
amjchallengedjbyjthosejsituations.‖
c. ―That‘sjajmisconception.jPsychiatricjnursesjfrequentlyjusejhighjtechnologyjmo
nitoringjequipmentjandjmanagejcomplexjintravenousjtherapies.‖
d. ―Psychiatricjnursesjdojnotjhavejtojdealjwithjasjmuchjpainjandjsufferingjasjmedic
al–jsurgicaljnursesjdo.jThatjappealsjtojme.‖
ANS:jB
Thejpracticejofjpsychiatricjnursingjrequiresjajdifferentjsetjofjskillsjthanjmedical–
j surgicaljnursing,jthoughjtherejisjsubstantialjoverlap.jPsychiatricjnursesjmustjbejablejtojh
elpjpatientswithjmedicaljasjwelljasjmentaljhealthjproblems,jreflectingjthejholisticjperspe
ctivejthesejnursesjmustjhave.jNurse–
patientjratiosjandjworkloadsjinjpsychiatricjsettingsjhavejincreased,justjlikejotherjspecialt
ies.jPsychiatricjnursingjinvolvesjclinicaljpractice,jnotjjustjdocumentation.jPsychosocialj
painjandjsufferingjarejasjrealjasjphysicaljpainjandjsuffering.
2
,Test Bank Varcarolis' Foundations of Psychiatric-
j j j j j
Mental Health Nursing A Clinical 9thEdition by Mar
j j j j j j j j
garet JordanHalter |Test
j j j
Bank|Chapter 1-36 UPDATED 2022 j j j
PTS:j1
DIF:jCognitivejLevel:jApplyj(Application)jRE
F:jPagesj1-2,j21 TOP:jNursingjProcess:
ImplementationMSC:jClientjNeeds:jSafe,jEffectivejCarejEnvironment
3
, Test Bank Varcarolis' Foundations of Psychiatric-
j j j j j
Mental Health Nursing A Clinical 9th Edition by Margaret Jo
j j j j j j j j j
rdanHalter |Test Bank|Chapter 1-36 UPDATED 2022
j j j j j j
3. WhenjajnewjbilljintroducedjinjCongressjreducesjfundingjforjcarejofjpersonsjdiagnosedj
withjmentaljillness,jajgroupjofjnursesjwritejlettersjtojtheirjelectedjrepresentativesjinjoppo
sitionjtothejlegislation.jWhichjrolejhavejthejnursesjfulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-basedjpractice
ANS:jC
Anjadvocatejdefendsjorjassertsjanother‘sjcause,jparticularlyjwhenjthejotherjpersonjlacksj
thejabilityjtojdojthatjforjself.jExamplesjofjindividualjadvocacyjincludejhelpingjpatientsjund
erstandjtheirjrightsjorjmakejdecisions.jOnjajcommunityjscale,jadvocacyjincludesjpolitical
activity,jpublicjspeaking,jandjpublicationjinjthejinterestjofjimprovingjthejhumanjcondition.
Sincejfundingjisjnecessaryjtojdeliverjqualityjprogrammingjforjpersonsjwithjmentaljillness,j
theletter-
writingjcampaignjadvocatesjforjthatjcausejonjbehalfjofjpatientsjwhojarejunablejtojarticulat
ejtheirjownjneeds.
PTS:j1jDIF:jCognitivejLevel:jUnderstandj(Comprehension)jREF:jPagej1-
26jTOP:NursingjProcess:jEvaluation
MSC:jClientjNeeds:jSafe,jEffectivejCarejEnvironment
4. Ajfamilyjhasjajlongjhistoryjofjconflictedjrelationshipsjamongjthejmembers.jWhichjfamil
ymember‘sjcommentjbestjreflectsjajmentallyjhealthyjperspective?
a. ―I‘vejmadejmistakesjbutjeveryonejelsejinjthisjfamilyjhasjalso.‖
b. ―Ij rememberj joyj andj mutualj respectj fromj ourj earlyj yearsj together.‖
c. ―Ijwilljmakejsomejchangesjinjmyjbehaviorjforjthejgoodjofjthejfamily.‖
d. ―It‘sjbestjforjmejtojmovejawayjfromjmyjfamily.jThingsjwilljneverjchange.‖
4