Test bank For Varcarolis\\\' Foundations
of Psychiatric-Mental Health Nursing 9th
Edition
written by
NursingInstructor
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Test Bank Complete Varcarolis' Foundations of Psychiatric-Mental Health Nursing A
Clinical 9th Edition
1
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Chapter 01: Mental Health and Mental Illness Halter: Varcarolis’ Foundations of
Psychiatric-Mental Health Nursing: A Clinical Approach, 9th Edition
MULTIPLE CHOICE
1. The scope of practiced for an advanced nurse practitioner would include which intervention?
a. Conducting a mental health assessment.
b. Prescribing psychotropic medication.
c. Establishing a therapeutic relationship.
d. Individualizing a nursing care plan.
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
nurse prepared 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) TOP: Nursing Process:
Implementation MSC: Client Needs: Safe, Effective Care Environment
2. 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-toclient
ratios must be better because of the nature of the clients’ 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 clients
with medical as well as mental health problems, reflecting the holistic perspective these
nurses must have. Nurse–client 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) TOP: Nursing Process:
Implementation MSC: Client Needs: Safe, Effective Care Environment
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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. Recovery
b. Attending
c. Advocacy
d. Evidence-based practice
ANS: 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 clients 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, the
letterwriting campaign advocates for that cause on behalf of clients who are unable to
articulate their own needs.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Evaluation MSC: Client Needs: Safe, Effective Care Environment
4. 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, emotional growth, resilience, and self-esteem. Recalling joy from earlier in life may
be healthy, but the correct response shows a higher level of mental health. The other
incorrect responses show blaming and avoidance.
PTS: 1 DIF: Cognitive Level: Analyze (Analysis)
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
5. Which assessment finding most clearly indicates that a client may be experiencing a mental
illness?
a. reporting occasional sleeplessness and anxiety.
b. reporting a consistently sad, discouraged, and hopeless mood.
c. being able to describe the difference between “as if” and “for real.”
d. experiencing difficulty making a decision about whether to change jobs.
ANS: B
3
of Psychiatric-Mental Health Nursing 9th
Edition
written by
NursingInstructor
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
Test Bank Complete Varcarolis' Foundations of Psychiatric-Mental Health Nursing A
Clinical 9th Edition
1
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
Chapter 01: Mental Health and Mental Illness Halter: Varcarolis’ Foundations of
Psychiatric-Mental Health Nursing: A Clinical Approach, 9th Edition
MULTIPLE CHOICE
1. The scope of practiced for an advanced nurse practitioner would include which intervention?
a. Conducting a mental health assessment.
b. Prescribing psychotropic medication.
c. Establishing a therapeutic relationship.
d. Individualizing a nursing care plan.
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
nurse prepared 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) TOP: Nursing Process:
Implementation MSC: Client Needs: Safe, Effective Care Environment
2. 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-toclient
ratios must be better because of the nature of the clients’ 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 clients
with medical as well as mental health problems, reflecting the holistic perspective these
nurses must have. Nurse–client 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) TOP: Nursing Process:
Implementation MSC: Client Needs: Safe, Effective Care Environment
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
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. Recovery
b. Attending
c. Advocacy
d. Evidence-based practice
ANS: 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 clients 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, the
letterwriting campaign advocates for that cause on behalf of clients who are unable to
articulate their own needs.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Evaluation MSC: Client Needs: Safe, Effective Care Environment
4. 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, emotional growth, resilience, and self-esteem. Recalling joy from earlier in life may
be healthy, but the correct response shows a higher level of mental health. The other
incorrect responses show blaming and avoidance.
PTS: 1 DIF: Cognitive Level: Analyze (Analysis)
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
5. Which assessment finding most clearly indicates that a client may be experiencing a mental
illness?
a. reporting occasional sleeplessness and anxiety.
b. reporting a consistently sad, discouraged, and hopeless mood.
c. being able to describe the difference between “as if” and “for real.”
d. experiencing difficulty making a decision about whether to change jobs.
ANS: B
3
