Test Bank Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical Approach, 8th Edition by Halter All chapters | A+ latest 2023.

Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nu
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rsing: A Clinical Approach, 8th Edition Test Bank u u u u u u u




Chapter 01: Mental Health and Mental Illness
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Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A ClinicalApproa
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ch, 8th Edition
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MULTIPLE CHOICE u




1. A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advancedpr
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actice nurse to perform which additional intervention? a.
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Conduct mental health assessments. u u u


b. Prescribe psychotropic medication. u u


c. Establish therapeutic relationships. u u


d. Individualize nursing care plans. u u u




ANS: B u


In most states, prescriptive privileges are granted to master’s-
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prepared nurse practitioners andclinical nurse specialists who have taken special courses on prescr
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ibing medication. The nurseprepared at the basic level is permitted to perform mental health assess
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ments, establish relationships, and provide individualized care planning.
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PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-
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23 TOP:Nursing Process: Implementation
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MSC: Client Needs: Safe, Effective Care Environment
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2. A nursing student expresses concerns that mental health nurses “lose all their clinical nursingski
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lls.” Select the best response by the mental health nurse.
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a. “Psychiatric nurses practice in safer environments than other specialties. Nurse-to- u u u u u u u u u


patientratios must be better because of the nature of the patients’ problems.”
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b. “Psychiatric nurses use complex communication skills as well as critical thinking to solvem u u u u u u u u u u u u u


ultidimensional problems. I am challenged by those situations.” u u u u u u u


c. “That’s a misconception. Psychiatric nurses frequently use high technology monitoringe
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quipment and manage complex intravenous therapies.” u u u u u


d. “Psychiatric nurses do not have to deal with as much pain and suffering as medical– u u u u u u u u u u u u u u


surgical nurses do. That appeals to me.”
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ANS: B u


The practice of psychiatric nursing requires a different set of skills than medical–
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surgical nursing, though there is substantial overlap. Psychiatric nurses must be able to help pati
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ents with medical as well as mental health problems, reflecting the holistic perspective these nur
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ses must have. Nurse–
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patient ratios and workloads in psychiatric settings have increased,just like other specialties. Psy
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chiatric nursing involves clinical practice, not just documentation. Psychosocial pain and sufferi
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ng are as real as physical pain and suffering.
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1

,Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nu
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rsing: A Clinical Approach, 8th Edition Test Bank
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PTS: 1 u DIF: Cognitive Level: Apply (Application)
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REF: Pages 1-2, 21
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TOP: Nursing Process: Implementation
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MSC: Client Needs: Safe, Effective Care Environment
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2

,Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nu
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rsing: A Clinical Approach, 8th Edition Test Bank u u u u u u u




3. When a new bill introduced in Congress reduces funding for care of persons diagnosed withme
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ntal illness, a group of nurses write letters to their elected representatives in opposition tothe le
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gislation. Which role have the nurses fulfilled?u u u u u u


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




ANS: C u


An advocate defends or asserts another’s cause, particularly when the other person lacks the abil
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ity to do that for self. Examples of individual advocacy include helping patients understand their
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urights or make decisions. On a community scale, advocacy includes politicalactivity, public spe
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aking, and publication in the interest of improving the human condition.
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Since funding is necessary to deliver quality programming for persons with mental illness, thelet
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ter-
writing campaign advocates for that cause on behalf of patients who are unable to articulate their
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own needs. u




PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-
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26 TOP:Nursing Process: Evaluation
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MSC: Client Needs: Safe, Effective Care Environment
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4. A family has a long history of conflicted relationships among the members. Which familym
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ember’s comment best reflects a mentally healthy perspective?
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a. “I’ve made mistakes but everyone else in this family has also.”
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b. “I remember joy and mutual respect from our early years together.”
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c. “I will make some changes in my behavior for the good of the family.”
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d. “It’s best for me to move away from my family. Things will never change.”
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ANS: C u


The correct response demonstrates the best evidence of a healthy recognition of the importance
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of relationships. Mental health includes rational thinking, communication skills, learning, emot
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ional growth, resilience, and self-
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esteem. Recalling joy from earlier in life maybe healthy, but the correct response shows a higher
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level of mental health. The other incorrectresponses show blaming and avoidance.
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PTS: 1 u DIF: Cognitive Level: Analyze (Analysis) u u u u


REF: Pages 1-2, 3, 32 (Figure 1-1)
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TOP: Nursing Process: Assessment MSC: u u u u u


Client Needs: Psychosocial Integrity
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5. Which assessment finding most clearly indicates that a patient may be experiencing a mentalill
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ness? The patient
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a. reports occasional sleeplessness and anxiety. u u u u


b. reports a consistently sad, discouraged, and hopeless mood.
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3

, Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nu
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rsing: A Clinical Approach, 8th Edition Test Bank
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c. is able to describe the difference between “as if” and “for real.”
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d. perceives difficulty making a decision about whether to change jobs.
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4