,Chapter 01: Mental Health and Mental Illness
x x x x x x
Halter: Varcarolis’ Foundations of Psychiatric-
x x x x
Mental Health Nursing: A Clinical Approach, 9th Edition
x x x x x x x
,MULTIPLE CHOICE x
1. The scope of practiced for an advanced nurse practitioner would include which intervention?
x x x x x x x x x x x x
a. Conducting a mental health assessment. x x x x
b. Prescribing psychotropic medication. x x
c. Establishing a therapeutic relationship. x x x
d. Individualizing a nursing care plan. x x x x
ANS: B x
In most states, prescriptive privileges are granted to master‘s-
x x x x x x x x
prepared nurse practitioners and clinical nurse specialists who have taken special courses on pres
x x x x x x x x x x x x x
cribing medication. The nurse prepared at the basic level is permitted to perform mental health as
x x x x x x x x x x x x x x x
sessments, establish relationships, and provide individualized care planning.
x x x x x x x
PTS: 1 x x DIF: Cognitive Level: Understand (Comprehension) x x x
TOP: Nursing Process: Implementation
x MSC: Client Needs: Safe, Effective Care Environment
x x x x x x x x
2. A nursing student expresses concerns that mental health nurses ―lose all their clinical nursing sk
x x x x x x x x x x x x x x
ills.‖ Select the best response by the mental health nurse.
x x x x x x x x x
a. ―Psychiatric nurses practice in safer environments than other specialties. Nurse-to-
x x x x x x x x x
client ratios must be better because of the nature of the clients‘ problems.‖
x x x x x x x x x x x x x
b. ―Psychiatric nurses use complex communication skills as well as critical thinking to
x x x x x x x x x x x
solve multidimensional problems. I am challenged by those situations.‖
x x x x x x x x x
c. ―That‘s a misconception. Psychiatric nurses frequently use high technology
x x x x x x x x x
monitoring equipment and manage complex intravenous therapies.‖ x x x x x x
d. ―Psychiatric nurses do not have to deal with as much pain and suffering as m x x x x x x x x x x x x x x
edical–surgical nurses do. That appeals to me.‖ x x x x x x
ANS: B x
The practice of psychiatric nursing requires a different set of skills than medical–
x x x x x x x x x x x x
surgical nursing, though there is substantial overlap. Psychiatric nurses must be able to help clien
x x x x x x x x x x x x x x
ts with medical as well as mental health problems, reflecting the holistic perspective these nurses
x x x x x x x x x x x x x x x
must have. Nurse–
x x
client ratios and workloads in psychiatric settings have increased, just like other specialties. Psyc
x x x x x x x x x x x x x
hiatric nursing involves clinical practice, not just documentation.
x x x x x x x
Psychosocial pain and suffering are as real as physical pain and suffering.
x x x x x x x x x x x
PTS: 1 x x DIF: Cognitive Level: Apply (Application) x x x
TOP: Nursing Process: Implementation
x MSC: Client Needs: Safe, Effective Care Environment
x x x x x x x x
3. When a new bill introduced in Congress reduces funding for care of persons diagnosed with me
x x x x x x x x x x x x x x x
ntal illness, a group of nurses write letters to their elected representatives in opposition to the le
x x x x x x x x x x x x x x x x
gislation. Which role have the nurses fulfilled?
x x x x x x
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based practice x
, ANS: C x
An advocate defends or asserts another‘s cause, particularly when the other person lacks the abili
x x x x x x x x x x x x x x
ty to do that for self. Examples of individual advocacy include helping clients understand their ri
x x x x x x x x x x x x x x x
ghts or make decisions. On a community scale, advocacy includes political activity, public speak
x x x x x x x x x x x x x
ing, and publication in the interest of improving the human condition. Since funding is necessary
x x x x x x x x x x x x x x x
to deliver quality programming for persons with mental illness, the letter-
x x x x x x x x x x
xwriting campaign advocates for that cause on behalf of clients who are unable to articulate their o
x x x x x x x x x x x x x x x x
wn needs.x
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
x x x x x
TOP: Nursing Process: Evaluation
x MSC: Client Needs: Safe, Effective Care Environment
x x x x x x x x
4. A family has a long history of conflicted relationships among the members. Which family m
x x x x x x x x x x x x x x
ember‘s comment best reflects a mentally healthy perspective?
x x x x x x x
a. ―I‘ve made mistakes but everyone else in this family has also.‖
x x x x x x x x x x
b. ―I remember joy and mutual respect from our early years together.‖
x x x x x x x x x x
c. ―I will make some changes in my behavior for the good of the family.‖
x x x x x x x x x x x x x
d. ―It‘s best for me to move away from my family. Things will never change.‖
x x x x x x x x x x x x x
ANS: C x
The correct response demonstrates the best evidence of a healthy recognition of the importance
x x x x x x x x x x x x x x
of relationships. Mental health includes rational thinking, communication skills, learning, emoti
x x x x x x x x x x
onal growth, resilience, and self-
x x x x
esteem. Recalling joy from earlier in life may be healthy, but the correct response shows a higher
x x x x x x x x x x x x x x x x x
level of mental health. The other incorrect responses show blaming and avoidance.
x x x x x x x x x x x
PTS: 1 DIF: Cognitive Level: Analyze (Analysis)
x x x x x
TOP: Nursing Process: Assessment
x MSC: Client Needs: Psychosocial Integrity
x x x x x x
5. Which assessment finding most clearly indicates that a client may be experiencing a mental ill
x x x x x x x x x x x x x x
ness?
a. reporting occasional sleeplessness and anxiety. x x x x
b. reporting a consistently sad, discouraged, and hopeless mood. x x x x x x x
c. being able to describe the difference between ―as if‖ and ―for real.‖
x x x x x x x x x x x
d. experiencing difficulty making a decision about whether to change jobs. x x x x x x x x x
ANS: B x
The correct response describes a mood alteration, which reflects mental illness. The distracters de
x x x x x x x x x x x x x
scribe behaviors that are mentally healthy or within the usual scope of human experience.
x x x x x x x x x x x x x
PTS: 1 DIF: Cognitive Level: Apply (Application)
x x x x x
TOP: Nursing Process: Assessment
x MSC: Client Needs: Psychosocial Integrity
x x x x x x
6. Which finding best indicates that the goal ―Demonstrate mentally healthy behavior‖ was ac
x x x x x x x x x x x x
hieved for an adult client? x x x x
a. being willing to work towards achieving ideals and meeting demands.
x x x x x x x x x
b. behaving without considering the consequences of personal actions.
x x x x x x x
c. aggressively meeting personal needs without considering the rights of others. x x x x x x x x x
d. seeking help from others to avoid assuming responsibility for major areas of own lif
x x x x x x x x x x x x x
e.
x x x x x x
Halter: Varcarolis’ Foundations of Psychiatric-
x x x x
Mental Health Nursing: A Clinical Approach, 9th Edition
x x x x x x x
,MULTIPLE CHOICE x
1. The scope of practiced for an advanced nurse practitioner would include which intervention?
x x x x x x x x x x x x
a. Conducting a mental health assessment. x x x x
b. Prescribing psychotropic medication. x x
c. Establishing a therapeutic relationship. x x x
d. Individualizing a nursing care plan. x x x x
ANS: B x
In most states, prescriptive privileges are granted to master‘s-
x x x x x x x x
prepared nurse practitioners and clinical nurse specialists who have taken special courses on pres
x x x x x x x x x x x x x
cribing medication. The nurse prepared at the basic level is permitted to perform mental health as
x x x x x x x x x x x x x x x
sessments, establish relationships, and provide individualized care planning.
x x x x x x x
PTS: 1 x x DIF: Cognitive Level: Understand (Comprehension) x x x
TOP: Nursing Process: Implementation
x MSC: Client Needs: Safe, Effective Care Environment
x x x x x x x x
2. A nursing student expresses concerns that mental health nurses ―lose all their clinical nursing sk
x x x x x x x x x x x x x x
ills.‖ Select the best response by the mental health nurse.
x x x x x x x x x
a. ―Psychiatric nurses practice in safer environments than other specialties. Nurse-to-
x x x x x x x x x
client ratios must be better because of the nature of the clients‘ problems.‖
x x x x x x x x x x x x x
b. ―Psychiatric nurses use complex communication skills as well as critical thinking to
x x x x x x x x x x x
solve multidimensional problems. I am challenged by those situations.‖
x x x x x x x x x
c. ―That‘s a misconception. Psychiatric nurses frequently use high technology
x x x x x x x x x
monitoring equipment and manage complex intravenous therapies.‖ x x x x x x
d. ―Psychiatric nurses do not have to deal with as much pain and suffering as m x x x x x x x x x x x x x x
edical–surgical nurses do. That appeals to me.‖ x x x x x x
ANS: B x
The practice of psychiatric nursing requires a different set of skills than medical–
x x x x x x x x x x x x
surgical nursing, though there is substantial overlap. Psychiatric nurses must be able to help clien
x x x x x x x x x x x x x x
ts with medical as well as mental health problems, reflecting the holistic perspective these nurses
x x x x x x x x x x x x x x x
must have. Nurse–
x x
client ratios and workloads in psychiatric settings have increased, just like other specialties. Psyc
x x x x x x x x x x x x x
hiatric nursing involves clinical practice, not just documentation.
x x x x x x x
Psychosocial pain and suffering are as real as physical pain and suffering.
x x x x x x x x x x x
PTS: 1 x x DIF: Cognitive Level: Apply (Application) x x x
TOP: Nursing Process: Implementation
x MSC: Client Needs: Safe, Effective Care Environment
x x x x x x x x
3. When a new bill introduced in Congress reduces funding for care of persons diagnosed with me
x x x x x x x x x x x x x x x
ntal illness, a group of nurses write letters to their elected representatives in opposition to the le
x x x x x x x x x x x x x x x x
gislation. Which role have the nurses fulfilled?
x x x x x x
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based practice x
, ANS: C x
An advocate defends or asserts another‘s cause, particularly when the other person lacks the abili
x x x x x x x x x x x x x x
ty to do that for self. Examples of individual advocacy include helping clients understand their ri
x x x x x x x x x x x x x x x
ghts or make decisions. On a community scale, advocacy includes political activity, public speak
x x x x x x x x x x x x x
ing, and publication in the interest of improving the human condition. Since funding is necessary
x x x x x x x x x x x x x x x
to deliver quality programming for persons with mental illness, the letter-
x x x x x x x x x x
xwriting campaign advocates for that cause on behalf of clients who are unable to articulate their o
x x x x x x x x x x x x x x x x
wn needs.x
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
x x x x x
TOP: Nursing Process: Evaluation
x MSC: Client Needs: Safe, Effective Care Environment
x x x x x x x x
4. A family has a long history of conflicted relationships among the members. Which family m
x x x x x x x x x x x x x x
ember‘s comment best reflects a mentally healthy perspective?
x x x x x x x
a. ―I‘ve made mistakes but everyone else in this family has also.‖
x x x x x x x x x x
b. ―I remember joy and mutual respect from our early years together.‖
x x x x x x x x x x
c. ―I will make some changes in my behavior for the good of the family.‖
x x x x x x x x x x x x x
d. ―It‘s best for me to move away from my family. Things will never change.‖
x x x x x x x x x x x x x
ANS: C x
The correct response demonstrates the best evidence of a healthy recognition of the importance
x x x x x x x x x x x x x x
of relationships. Mental health includes rational thinking, communication skills, learning, emoti
x x x x x x x x x x
onal growth, resilience, and self-
x x x x
esteem. Recalling joy from earlier in life may be healthy, but the correct response shows a higher
x x x x x x x x x x x x x x x x x
level of mental health. The other incorrect responses show blaming and avoidance.
x x x x x x x x x x x
PTS: 1 DIF: Cognitive Level: Analyze (Analysis)
x x x x x
TOP: Nursing Process: Assessment
x MSC: Client Needs: Psychosocial Integrity
x x x x x x
5. Which assessment finding most clearly indicates that a client may be experiencing a mental ill
x x x x x x x x x x x x x x
ness?
a. reporting occasional sleeplessness and anxiety. x x x x
b. reporting a consistently sad, discouraged, and hopeless mood. x x x x x x x
c. being able to describe the difference between ―as if‖ and ―for real.‖
x x x x x x x x x x x
d. experiencing difficulty making a decision about whether to change jobs. x x x x x x x x x
ANS: B x
The correct response describes a mood alteration, which reflects mental illness. The distracters de
x x x x x x x x x x x x x
scribe behaviors that are mentally healthy or within the usual scope of human experience.
x x x x x x x x x x x x x
PTS: 1 DIF: Cognitive Level: Apply (Application)
x x x x x
TOP: Nursing Process: Assessment
x MSC: Client Needs: Psychosocial Integrity
x x x x x x
6. Which finding best indicates that the goal ―Demonstrate mentally healthy behavior‖ was ac
x x x x x x x x x x x x
hieved for an adult client? x x x x
a. being willing to work towards achieving ideals and meeting demands.
x x x x x x x x x
b. behaving without considering the consequences of personal actions.
x x x x x x x
c. aggressively meeting personal needs without considering the rights of others. x x x x x x x x x
d. seeking help from others to avoid assuming responsibility for major areas of own lif
x x x x x x x x x x x x x
e.
