Test Bank for Varcarolis' Foundations of Psychiatric Mental Health Nursing A Clinical, 9th Edition by Halter, 9780323697071, Covering Chapters 1-36 | Includes Rationales

Test Bank Varcarolis' Foundations of Psychiatric-Mental
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Health Nursing A Clinical 9th Edition by Margaret Jordan
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Halter |Test Bank|Chapter 1-36 UPDATED 2022
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Chapter01: Mental Health and Mental Illness
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Halter:Varcarolis’FoundationsofPsychiatricMentalHealthNursing:AClinical
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Approach, 8th Edition
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MULTIPLE CHOICE ix




1. A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced
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practice nurse to perform which additional intervention? a. Conduct mental health
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ix assessments.
b. Prescribe psychotropic medication. ix ix




c. Establish therapeutic relationships. ix ix




d. Individualize nursing care plans. ix ix ix




ANS: B ix




In most states, prescriptive privileges are granted to master‘s-prepared nurse practitioners and
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clinical nurse specialists who have taken special courses on prescribing medication. The nurse
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prepared at the basic level is permitted to perform mental health assessments, establish
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relationships, and provide individualized care planning.
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PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-23TOP:
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Nursing Process: Implementation
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MSC: Client Needs: Safe, Effective Care Environment
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2. Anursingstudentexpressesconcernsthatmentalhealthnurses―losealltheirclinicalnursing
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ix skills.‖ 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-patient ix ix ix ix ix ix ix ix ix




ratios must be better because of the nature of the patients‘ problems.‖
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b. ―Psychiatricnursesusecomplexcommunicationskillsaswellascriticalthinkingtosolve ix ix ix ix ix ix ix ix ix ix ix ix




multidimensional problems. I am challenged by those situations.‖
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c. ―That‘s a misconception. Psychiatric nurses frequentlyuse high technologymonitoring ix ix ix ix ix ix ix ix ix




equipment and manage complex intravenous therapies.‖
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d. ―Psychiatricnursesdonothavetodealwith asmuchpainandsufferingas medical– ix ix ix ix ix ix ix ix ix ix ix ix ix ix




surgical nurses do. That appeals to me.‖
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ANS: B ix




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

,Test Bank Varcarolis' Foundations of Psychiatric-Mental
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Health Nursing A Clinical 9th Edition by Margaret Jordan
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Halter |Test Bank|Chapter 1-36 UPDATED 2022
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PTS: 1
ix DIF: Cognitive Level:Apply (Application)
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REF: Pages 1-2, 21
ix ix ix TOP:Nursing Process: Implementation ix ix ix




ixMSC: Client Needs: Safe, Effective Care Environment
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2

, Test Bank Varcarolis' Foundations of Psychiatric-Mental
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Health Nursing A Clinical 9th Edition by Margaret Jordan
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Halter |Test Bank|Chapter 1-36 UPDATED 2022ix ix ix ix ix ix




3. When a new bill introduced in Congress reduces funding for care of persons diagnosed with
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mental illness, a group of nurses write letters to their elected representatives in opposition to the
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legislation. Which role have the nurses fulfilled?
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a. Recovery
b. Attending
c. Advocacy
d. Evidence-based practice ix




ANS: C ix




An advocate defends or asserts another‘s cause, particularly when the other person lacks the
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ability to do that for self. Examples of individual advocacy include helping patients understand
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their rights or make decisions. On a communityscale, advocacy includes political activity, public
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speaking, 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, the
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letter-writing campaign advocates for that cause on behalf of patients who are unable to
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articulate their own needs.
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PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-26TOP:
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Nursing Process: Evaluation
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MSC: Client Needs: Safe, Effective Care Environment
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4. A familyhas a long history of conflicted relationships among the members. Which family
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member‘s comment best reflects a mentally healthy perspective?
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a. ―I‘ve made mistakes but everyone else in this familyhas also.‖ ix ix ix ix ix ix ix ix ix ix




b. ―Iremember joyand mutual respect from our early years together.‖
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c. ―I will makesomechanges inmybehaviorfor the goodof thefamily.‖
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d. ―It‘s best for me to move awayfrom my family. Things will never change.‖ ix ix ix ix ix ix ix ix ix ix ix ix ix




ANS: C ix




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,
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emotional growth, resilience, and self-esteem. Recalling joy from earlier in life may be healthy,
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but the correct response shows a higher level of mental health. The other incorrect responses show
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blaming and avoidance.
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PTS: 1 DIF:Cognitive Level:Analyze (Analysis)
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REF: Pages 1-2, 3, 32 (Figure 1-1)
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Client Needs: Psychosocial Integrity
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5. Which assessment finding most clearlyindicates that a patient maybe experiencing a mental
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illness? The patient
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a. reports occasional sleeplessness and anxiety. ix ix ix ix




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




c. is able to describe the difference between ―as if‖ and ―for real.‖
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3

, Test Bank Varcarolis' Foundations of Psychiatric-Mental
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Health Nursing A Clinical 9th Edition by Margaret Jordan
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Halter |Test Bank|Chapter 1-36 UPDATED 2022
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d. perceives difficulty making a decision about whether to change jobs.
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