, Test bank Varcarolis' Foundations of Psychiatric Mental Health
f f f f f f f
Nursing, 8th Edition by Margaret Jordan Halter
f f f f f f f
Chapter 01: Mental Health and Mental Illness
f f f f f f
MULTIPLE f CHOICE
1. A fstaff fnurse fcompletes forientation fto fa fpsychiatric funit. fThis fnurse fmay
f expect fanadvanced fpractice fnurse fto fperform fwhich fadditional fintervention?
a. Conduct fmental fhealth
assessments.
b. Prescribe fpsychotropic
fmedication.
c. Establish ftherapeutic
f relationships.
d. Individualize fnursing fcare fplans.
ANS: B
In fmost fstates, fprescriptive fprivileges fare fgranted fto fmaster‘s-prepared fnurse
fpractitioners fandclinical fnurse fspecialists fwho fhave ftaken fspecial fcourses fon fprescribing
fmedication. fThe fnurseprepared fat f the fbasic f level f is f permitted f to fperform fmental fhealth
fassessments, festablish f relationships, fand fprovide f individualized f care f planning.
PTS: 1 DIF: Cognitive fLevel: fUnderstand
f(Comprehension)REF: Page f1-23 TOP: Nursing
fProcess: fImplementation fMSC: f Client fNeeds: fSafe, fEffective
f Care f Environment
2. A fnursing fstudent fexpresses fconcerns fthat fmental fhealth fnurses f―lose fall
ftheir fclinicalnursing fskills.‖ fSelect fthe fbest fresponse fby fthe fmental fhealth fnurse.
a. ―Psychiatric fnurses fpractice fin fsafer fenvironments fthan fother fspecialties. fNurse-to-
patientratios fmust fbe fbetter fbecause fof fthe fnature fof fthe fpatients‘ fproblems.‖
b ―Psychiatric fnurses fuse fcomplex fcommunication fskills fas fwell fas fcritical fthinking fto
. fsolve
multidimensional fproblems. fI fam fchallenged fby fthose fsituations.‖
c. ―That‘s fa fmisconception. fPsychiatric fnurses ffrequently fuse fhigh ftechnology
monitoringequipment fand fmanage fcomplex fintravenous ftherapies.‖
d ―Psychiatric fnurses fdo fnot fhave fto fdeal fwith fas fmuch fpain fand fsuffering fas fmedical–
. fsurgical
nurses fdo. fThat fappeals fto fme.‖
ANS: B
The fpractice fof fpsychiatric fnursing frequires fa fdifferent fset fof fskills fthan fmedical–
f surgical f nursing, fthough fthere fis fsubstantial foverlap. fPsychiatric fnurses fmust fbe fable fto
fhelp fpatients f withmedical f as f well f as fmental fhealth f problems, f reflecting f the fholistic
fperspective fthese fnurses fmust fhave. f Nurse–patient f ratios fand f workloads fin f psychiatric
f settings fhave f increased, f just f like fother f specialties. fPsychiatric f nursing f involves f clinical
fpractice, fnot f just fdocumentation. fPsychosocial f pain fand fsuffering f are fas f real fas fphysical
fpain fand f suffering.
PTS: 1 DIF: Cognitive fLevel: fApply f(Application)
f REF: Pages f1-2, f21 TOP: Nursing fProcess:
ImplementationMSC: f Client fNeeds: fSafe, fEffective fCare fEnvironment
3. When fa fnew fbill fintroduced fin fCongress freduces ffunding ffor fcare fof fpersons
fdiagnosed f with fmental fillness, fa f group fof fnurses f write f letters fto ftheir felected
,representatives fin fopposition ftothe flegislation. fWhich frole fhave fthe fnurses ffulfilled?
, a. Recovery
b. Attending
c. Advocacy
d. Evidence-based
fpractice
ANS: C
An fadvocate fdefends for fasserts fanother‘s fcause, fparticularly fwhen fthe fother fperson flacks
fthe fability fto fdo fthat ffor fself. fExamples fof f individual fadvocacy f include fhelping fpatients
funderstand ftheir f rights for fmake fdecisions. fOn fa f community f scale, fadvocacy f includes
fpolitical factivity, fpublicspeaking, fand fpublication fin fthe finterest fof fimproving fthe f human
fcondition. fSince ffunding fis fnecessary fto fdeliver fquality fprogramming ffor fpersons f with
fmental f illness, f the f letter-writing f campaign fadvocates ffor fthat f cause fon fbehalf fof f patients
f who fare f unable fto f articulate f their fown f needs.
PTS: 1 DIF: Cognitive fLevel: fUnderstand
f(Comprehension)REF: Page f1-26 TOP: Nursing
fProcess: f Evaluation
MSC: f Client fNeeds: fSafe, fEffective fCare fEnvironment
4. A ffamily fhas fa flong fhistory fof fconflicted frelationships famong fthe fmembers. fWhich
ffamilymember‘s f comment fbest f reflects fa fmentally f healthy fperspective?
a. ―I‘ve fmade fmistakes fbut feveryone felse fin fthis ffamily fhas falso.‖
b ―I fremember fjoy fand fmutual frespect ffrom four fearly fyears ftogether.‖
.
c. ―I fwill fmake fsome fchanges fin fmy fbehavior ffor fthe fgood fof fthe ffamily.‖
d ―It‘s fbest ffor fme fto fmove faway ffrom fmy ffamily. fThings fwill fnever
. fchange.‖
ANS: C
The fcorrect fresponse fdemonstrates fthe fbest fevidence fof fa fhealthy frecognition fof fthe
f importanceof f relationships. f Mental fhealth f includes f rational fthinking, fcommunication
f skills, flearning, femotional fgrowth, fresilience, fand fself-esteem. fRecalling fjoy ffrom fearlier
f in flife fmay fbe fhealthy,but fthe f correct f response f shows f a f higher flevel f of fmental f health.
The fother fincorrect fresponses fshow fblaming fand favoidance.
PTS: 1 DIF: Cognitive fLevel: fAnalyze f(Analysis)
f REF: Pages f1-2, f3, f32 f(Figure f1-1) fTOP: Nursing fProcess:
fAssessmentMSC: f Client f Needs: fPsychosocial f Integrity
5. Which fassessment ffinding fmost fclearly findicates fthat fa fpatient fmay fbe
f experiencing famental fillness? fThe fpatient
a. reports foccasional fsleeplessness fand fanxiety.
b. reports fa fconsistently fsad, fdiscouraged, fand fhopeless fmood.
c. is fable fto fdescribe fthe fdifference fbetween f―as fif‖ fand f―for freal.‖
d. perceives fdifficulty fmaking fa fdecision fabout fwhether fto fchange
f jobs.
ANS: B
The fcorrect fresponse fdescribes fa fmood falteration, fwhich freflects fmental fillness. fThe
fdistractersdescribe f behaviors fthat fare fmentally f healthy f or f within f the fusual fscope fof
fhuman fexperience.
PTS: 1 DIF: Cognitive fLevel: fApply f(Application)
f f f f f f f
Nursing, 8th Edition by Margaret Jordan Halter
f f f f f f f
Chapter 01: Mental Health and Mental Illness
f f f f f f
MULTIPLE f CHOICE
1. A fstaff fnurse fcompletes forientation fto fa fpsychiatric funit. fThis fnurse fmay
f expect fanadvanced fpractice fnurse fto fperform fwhich fadditional fintervention?
a. Conduct fmental fhealth
assessments.
b. Prescribe fpsychotropic
fmedication.
c. Establish ftherapeutic
f relationships.
d. Individualize fnursing fcare fplans.
ANS: B
In fmost fstates, fprescriptive fprivileges fare fgranted fto fmaster‘s-prepared fnurse
fpractitioners fandclinical fnurse fspecialists fwho fhave ftaken fspecial fcourses fon fprescribing
fmedication. fThe fnurseprepared fat f the fbasic f level f is f permitted f to fperform fmental fhealth
fassessments, festablish f relationships, fand fprovide f individualized f care f planning.
PTS: 1 DIF: Cognitive fLevel: fUnderstand
f(Comprehension)REF: Page f1-23 TOP: Nursing
fProcess: fImplementation fMSC: f Client fNeeds: fSafe, fEffective
f Care f Environment
2. A fnursing fstudent fexpresses fconcerns fthat fmental fhealth fnurses f―lose fall
ftheir fclinicalnursing fskills.‖ fSelect fthe fbest fresponse fby fthe fmental fhealth fnurse.
a. ―Psychiatric fnurses fpractice fin fsafer fenvironments fthan fother fspecialties. fNurse-to-
patientratios fmust fbe fbetter fbecause fof fthe fnature fof fthe fpatients‘ fproblems.‖
b ―Psychiatric fnurses fuse fcomplex fcommunication fskills fas fwell fas fcritical fthinking fto
. fsolve
multidimensional fproblems. fI fam fchallenged fby fthose fsituations.‖
c. ―That‘s fa fmisconception. fPsychiatric fnurses ffrequently fuse fhigh ftechnology
monitoringequipment fand fmanage fcomplex fintravenous ftherapies.‖
d ―Psychiatric fnurses fdo fnot fhave fto fdeal fwith fas fmuch fpain fand fsuffering fas fmedical–
. fsurgical
nurses fdo. fThat fappeals fto fme.‖
ANS: B
The fpractice fof fpsychiatric fnursing frequires fa fdifferent fset fof fskills fthan fmedical–
f surgical f nursing, fthough fthere fis fsubstantial foverlap. fPsychiatric fnurses fmust fbe fable fto
fhelp fpatients f withmedical f as f well f as fmental fhealth f problems, f reflecting f the fholistic
fperspective fthese fnurses fmust fhave. f Nurse–patient f ratios fand f workloads fin f psychiatric
f settings fhave f increased, f just f like fother f specialties. fPsychiatric f nursing f involves f clinical
fpractice, fnot f just fdocumentation. fPsychosocial f pain fand fsuffering f are fas f real fas fphysical
fpain fand f suffering.
PTS: 1 DIF: Cognitive fLevel: fApply f(Application)
f REF: Pages f1-2, f21 TOP: Nursing fProcess:
ImplementationMSC: f Client fNeeds: fSafe, fEffective fCare fEnvironment
3. When fa fnew fbill fintroduced fin fCongress freduces ffunding ffor fcare fof fpersons
fdiagnosed f with fmental fillness, fa f group fof fnurses f write f letters fto ftheir felected
,representatives fin fopposition ftothe flegislation. fWhich frole fhave fthe fnurses ffulfilled?
, a. Recovery
b. Attending
c. Advocacy
d. Evidence-based
fpractice
ANS: C
An fadvocate fdefends for fasserts fanother‘s fcause, fparticularly fwhen fthe fother fperson flacks
fthe fability fto fdo fthat ffor fself. fExamples fof f individual fadvocacy f include fhelping fpatients
funderstand ftheir f rights for fmake fdecisions. fOn fa f community f scale, fadvocacy f includes
fpolitical factivity, fpublicspeaking, fand fpublication fin fthe finterest fof fimproving fthe f human
fcondition. fSince ffunding fis fnecessary fto fdeliver fquality fprogramming ffor fpersons f with
fmental f illness, f the f letter-writing f campaign fadvocates ffor fthat f cause fon fbehalf fof f patients
f who fare f unable fto f articulate f their fown f needs.
PTS: 1 DIF: Cognitive fLevel: fUnderstand
f(Comprehension)REF: Page f1-26 TOP: Nursing
fProcess: f Evaluation
MSC: f Client fNeeds: fSafe, fEffective fCare fEnvironment
4. A ffamily fhas fa flong fhistory fof fconflicted frelationships famong fthe fmembers. fWhich
ffamilymember‘s f comment fbest f reflects fa fmentally f healthy fperspective?
a. ―I‘ve fmade fmistakes fbut feveryone felse fin fthis ffamily fhas falso.‖
b ―I fremember fjoy fand fmutual frespect ffrom four fearly fyears ftogether.‖
.
c. ―I fwill fmake fsome fchanges fin fmy fbehavior ffor fthe fgood fof fthe ffamily.‖
d ―It‘s fbest ffor fme fto fmove faway ffrom fmy ffamily. fThings fwill fnever
. fchange.‖
ANS: C
The fcorrect fresponse fdemonstrates fthe fbest fevidence fof fa fhealthy frecognition fof fthe
f importanceof f relationships. f Mental fhealth f includes f rational fthinking, fcommunication
f skills, flearning, femotional fgrowth, fresilience, fand fself-esteem. fRecalling fjoy ffrom fearlier
f in flife fmay fbe fhealthy,but fthe f correct f response f shows f a f higher flevel f of fmental f health.
The fother fincorrect fresponses fshow fblaming fand favoidance.
PTS: 1 DIF: Cognitive fLevel: fAnalyze f(Analysis)
f REF: Pages f1-2, f3, f32 f(Figure f1-1) fTOP: Nursing fProcess:
fAssessmentMSC: f Client f Needs: fPsychosocial f Integrity
5. Which fassessment ffinding fmost fclearly findicates fthat fa fpatient fmay fbe
f experiencing famental fillness? fThe fpatient
a. reports foccasional fsleeplessness fand fanxiety.
b. reports fa fconsistently fsad, fdiscouraged, fand fhopeless fmood.
c. is fable fto fdescribe fthe fdifference fbetween f―as fif‖ fand f―for freal.‖
d. perceives fdifficulty fmaking fa fdecision fabout fwhether fto fchange
f jobs.
ANS: B
The fcorrect fresponse fdescribes fa fmood falteration, fwhich freflects fmental fillness. fThe
fdistractersdescribe f behaviors fthat fare fmentally f healthy f or f within f the fusual fscope fof
fhuman fexperience.
PTS: 1 DIF: Cognitive fLevel: fApply f(Application)
