Enjoy Psychiatric Mental Health Varcarolis
nn nn nn nn
Questions And Answers nn nn nn nn
CHAPTERChapter 01: Mental 01: HealthMENTAL nn nn nn nn nn and Mental nn
HEALTH Illness AND MENTAL ILLNESS
nn nn nn nn nn nn nn
Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A
nn nn nn nn nn nn nn nn
Clinical Approach, 8th Edition
nn nn nn nn nn
nn
nn
MULTIPLE nnCHOICE nn
nn
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nnan nnadvanced nnpractice nnnurse nnto nnperform nnwhich nnadditional nnintervention? nna. nn
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assessments. nn
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c. Establish nntherapeutic nnrelationships. nn
d. Individualize nnnursing nncare nnplans. nn
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nnpractitioners nnand nnclinical nnnurse nnspecialists nnwho nnhave nntaken nnspecial nncourses nnon
nnprescribing nnmedication. nnThe nnnurse nnprepared nnat nnthe nnbasic nnlevel nnis nnpermitted nnto
nnperform nnmental nnhealth nnassessments, nnestablish nnrelationships, nnand nnprovide
nnindividualized nncare nnplanning. nn
PTS: nn1 nnDIF: nnCognitive nnLevel: nnUnderstand nn(Comprehension) nnREF: nnPage nn1-23
nnTOP: nnNursing nnProcess: nnImplementation nn
MSC: nnClient nnNeeds: nnSafe, nnEffective nnCare nnEnvironment nn
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to-patient nnratios nnmust nnbe nnbetter nnbecause nnof nnthe nnnature nnof nnthe nnpatients’
nnproblems.” nn
b. “Psychiatric nnnurses nnuse nncomplex nncommunication nnskills nnas nnwell nnas nncritical
nnthinking nnto nnsolve nnmultidimensional nnproblems. nnI nnam nnchallenged nnby nnthose
nnsituations.” nn
c. “That’s nna nnmisconception. nnPsychiatric nnnurses nnfrequently nnuse nnhigh nntechnology
nnmonitoring nnequipment nnand nnmanage nncomplex nnintravenous nntherapies.” nn
d. “Psychiatric nnnurses nndo nnnot nnhave nnto nndeal nnwith nnas nnmuch nnpain nnand nnsuffering nnas
nnmedical– nnsurgical nnnurses nndo. nnThat nnappeals nnto nnme.” nn
ANS: nnB nn
nn 1 nn
, The nnpractice nnof nnpsychiatric nnnursing nnrequires nna nndifferent nnset nnof nnskills nnthan nnmedical–
surgical nnnursing, nnthough nnthere nnis nnsubstantial nnoverlap. nnPsychiatric nnnurses nnmust nnbe
nnable nnto nnhelp nnpatients nnwith nnmedical nnas nnwell nnas nnmental nnhealth nnproblems, nnreflecting
nnthe nnholistic nnperspective nnthese nnnurses nnmust nnhave. nnNurse–patient nnratios nnand nnworkloads
nnin nnpsychiatric nnsettings nnhave nnincreased, nnjust nnlike nnother nnspecialties. nnPsychiatric nnnursing
nninvolves nnclinical nnpractice, nnnot nnjust nndocumentation. nnPsychosocial nnpain nnand nnsuffering
nnare nnas nnreal nnas nnphysical nnpain nnand nnsuffering. nn
PTS: nn1 nn DIF: nnCognitive nnLevel: nnApply nn(Application) nn
REF: nnPages nn1-2, nn21 nn TOP: nnNursing nnProcess: nnImplementation nn
When nna nnnew nnbill nnintroduced nnin nnCongress nnreduces nnfunding nnfor nncare nnof
nnpersons nndiagnosed nnwith nnmental nnillness, nna nngroup nnof nnnurses nnwrite nnletters nnto
nntheir nnelected nnrepresentatives nnin nnopposition nnto nnthe nnlegislation. nnWhich nnrole
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nnlacks nnthe nnability nnto nndo nnthat nnfor nnself. nnExamples nnof nnindividual nnadvocacy nninclude
nnhelping nnpatients nnunderstand nntheir nnrights nnor nnmake nndecisions. nnOn nna nncommunity nnscale,
nnadvocacy nnincludes nnpolitical nnactivity, nnpublic nnspeaking, nnand nnpublication nnin nnthe nninterest
nnof nnimproving nnthe nnhuman nncondition. nnSince nnfunding nnis nnnecessary nnto nndeliver nnquality
nnprogramming nnfor nnpersons nnwith nnmental nnillness, nnthe nnletter-writing nncampaign nnadvocates
nnfor nnthat nncause nnon nnbehalf nnof nnpatients nnwho nnare nnunable nnto nnarticulate nntheir nnown nnneeds.
nn
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PTS: nn1 nnDIF: nnCognitive nnLevel: nnUnderstand nn(Comprehension) nnREF: nnPage nn1-26
nnTOP: nnNursing nnProcess: nnEvaluation nn
MSC: nnClient nnNeeds: nnSafe, nnEffective nnCare nnEnvironment nn
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3. A nnfamily nnhas nna nnlong nnhistory nnof nnconflicted nnrelationships nnamong nnthe nnmembers. nnWhich
nnfamily nnmember’s nncomment nnbest nnreflects nna nnmentally nnhealthy nnperspective? nn
a. “I’ve nnmade nnmistakes nnbut nneveryone nnelse nnin nnthis nnfamily nnhas nnalso.” nn
b. “I nnremember nnjoy nnand nnmutual nnrespect nnfrom nnour nnearly nnyears nntogether.” nn
c. “I nnwill nnmake nnsome nnchanges nnin nnmy nnbehavior nnfor nnthe nngood nnof nnthe nnfamily.” nn
d. “It’s nnbest nnfor nnme nnto nnmove nnaway nnfrom nnmy nnfamily. nnThings nnwill nnnever nnchange.” nn
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nncommunication nnskills, nnlearning, nnemotional nngrowth, nnresilience, nnand nnself-esteem.
nnRecalling nnjoy nnfrom nnearlier nnin nnlife nnmay nnbe nnhealthy, nnbut nnthe nncorrect nnresponse nnshows
nna nnhigher nnlevel nnof nnmental nnhealth. nnThe nnother nnincorrect nnresponses nnshow nnblaming nnand
nnavoidance. nn
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REF: nnPages nn1-2, nn3, nn32 nn(Figure nn1-1) nn TOP: nnNursing nnProcess: nn Assessment
nnMSC: nnClient nnNeeds: nnPsychosocial nnIntegrity nn
nn
4. Which nnassessment nnfinding nnmost nnclearly nnindicates nnthat nna nnpatient nnmay nnbe nnexperiencing
nna nnmental nnillness? nnThe nnpatient nn
a. reports nnoccasional nnsleeplessness nnand nnanxiety. nn
b. reports nna nnconsistently nnsad, nndiscouraged, nnand nnhopeless nnmood. nn
c. is nnable nnto nndescribe nnthe nndifference nnbetween nn“as nnif” nnand nn“for nnreal.” nn
d. perceives nndifficulty nnmaking nna nndecision nnabout nnwhether nnto nnchange nnjobs. nn
ANS: nnB nn
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nndistracters nndescribe nnbehaviors nnthat nnare nnmentally nnhealthy nnor nnwithin nnthe nnusual nnscope
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a. sees nnself nnas nncapable nnof nnachieving nnideals nnand nnmeeting nndemands. nn
b. behaves nnwithout nnconsidering nnthe nnconsequences nnof nnpersonal nnactions. nn
c. aggressively nnmeets nnown nnneeds nnwithout nnconsidering nnthe nnrights nnof nnothers. nn
d. seeks nnhelp nnfrom nnothers nnwhen nnassuming nnresponsibility nnfor nnmajor nnareas nnof nnown
nnlife. nn
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nndescribe nnmaladaptive nnbehaviors. nn
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REF: nnPages nn1-2 nnto nn4 nn TOP: nnNursing nnProcess: nnEvaluation nn
MSC: nnClient nnNeeds: nnPsychosocial nnIntegrity nn
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6. A nnnurse nnencounters nnan nnunfamiliar nnpsychiatric nndisorder nnon nna nnnew nnpatient’s nnadmission
nnform. nn
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nndiagnosis? nna. nnInternational nnStatistical nnClassification nnof nnDiseases nnand nnRelated nnHealth
nnProblems nn
(ICD-10) nn
b. The nnANA’s nnPsychiatric-Mental nnHealth nnNursing nnScope nnand nnStandards nnof nnPractice nn
c. Diagnostic nnand nnStatistical nnManual nnof nnMental nnDisorders nn(DSM-V) nn
d. A nnbehavioral nnhealth nnreference nnmanual nn
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, The nnDSM-V nngives nnthe nncriteria nnused nnto nndiagnose nneach nnmental nndisorder. nnIt nnis nnthe
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nncontain nndiagnostic nncriteria nnfor nna nnpsychiatric nnillness. nn
nn
PTS: nn1 nn DIF: nnCognitive nnLevel: nnApply nn(Application) nn
REF: nnPages nn1-18, nn19 nn TOP: nnNursing nnProcess: nnAssessment nn
MSC: nnClient nnNeeds: nnSafe, nnEffective nnCare nnEnvironment nn
nn
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a. Nursing nnOutcomes nnClassification nn(NOC) nn
b. DSM-V nn
c. The nnANA’s nnPsychiatric-Mental nnHealth nnNursing nnScope nnand nnStandards nnof nnPractice
nnd. nnICD-10 nn
ANS: nnB nn
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nngood nnresources nnbut nndo nnnot nndefine nnthe nndiagnostic nncriteria. nn
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MSC: nnClient nnNeeds: nnSafe, nnEffective nnCare nnEnvironment nn
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8. Which nnindividual nnis nndemonstrating nnthe nnhighest nnlevel nnof nnresilience? nnOne nnwho nn
a. is nnable nnto nnrepress nnstressors. nn
b. becomes nndepressed nnafter nnthe nndeath nnof nna nnspouse. nn
c. lives nnin nna nnshelter nnfor nn2 nnyears nnafter nnthe nnhome nnis nndestroyed nnby nnfire. nn
d. takes nna nntemporary nnjob nnto nnmaintain nnfinancial nnstability nnafter nnloss nnof nna nnpermanent
nnjob. nn
nn
ANS: nnD nn
Resilience nnis nnclosely nnassociated nnwith nnthe nnprocess nnof nnadapting nnand nnhelps nnpeople
nnfacing nntragedies, nnloss, nntrauma, nnand nnsevere nnstress. nnIt nnis nnthe nnability nnand nncapacity nnfor
nnpeople nnto nnsecure nnthe nnresources nnthey nnneed nnto nnsupport nntheir nnwell-being. nnRepression
nnand nndepression nnare nnunhealthy. nnLiving nnin nna nnshelter nnfor nn2 nnyears nnshows nna nnfailure nnto
nnmove nnforward nnafter nna nntragedy. nnSee nnrelated nnaudience nnresponse nnquestion. nn
nn
PTS: nn1 nnDIF: nnCognitive nnLevel: nnApply nn(Application) nnREF: nnPages nn1-5, nn6
nnTOP: nnNursing nnProcess: nnAssessment nn
MSC: nnClient nnNeeds: nnPsychosocial nnIntegrity nn
nn
9. Complete nnthis nnanalogy. nnNANDA: nnclinical nnjudgment: nnNIC: nn a.
nnpatient nnoutcomes. nn
b. nursing nnactions. nn
c. diagnosis. nn
d. symptoms. nn
nn
ANS: nnB nn
nn 4 nn
nn nn nn nn
Questions And Answers nn nn nn nn
CHAPTERChapter 01: Mental 01: HealthMENTAL nn nn nn nn nn and Mental nn
HEALTH Illness AND MENTAL ILLNESS
nn nn nn nn nn nn nn
Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A
nn nn nn nn nn nn nn nn
Clinical Approach, 8th Edition
nn nn nn nn nn
nn
nn
MULTIPLE nnCHOICE nn
nn
1. A nnstaff nnnurse nncompletes nnorientation nnto nna nnpsychiatric nnunit. nnThis nnnurse nnmay nnexpect
nnan nnadvanced nnpractice nnnurse nnto nnperform nnwhich nnadditional nnintervention? nna. nn
Conduct nnmental nnhealth nn
assessments. nn
b. Prescribe nnpsychotropic nnmedication. nn
c. Establish nntherapeutic nnrelationships. nn
d. Individualize nnnursing nncare nnplans. nn
ANS: nnB nn
In nnmost nnstates, nnprescriptive nnprivileges nnare nngranted nnto nnmaster’s-prepared nnnurse
nnpractitioners nnand nnclinical nnnurse nnspecialists nnwho nnhave nntaken nnspecial nncourses nnon
nnprescribing nnmedication. nnThe nnnurse nnprepared nnat nnthe nnbasic nnlevel nnis nnpermitted nnto
nnperform nnmental nnhealth nnassessments, nnestablish nnrelationships, nnand nnprovide
nnindividualized nncare nnplanning. nn
PTS: nn1 nnDIF: nnCognitive nnLevel: nnUnderstand nn(Comprehension) nnREF: nnPage nn1-23
nnTOP: nnNursing nnProcess: nnImplementation nn
MSC: nnClient nnNeeds: nnSafe, nnEffective nnCare nnEnvironment nn
nn
2. A nnnursing nnstudent nnexpresses nnconcerns nnthat nnmental nnhealth nnnurses nn“lose nnall nntheir
clinical nnnursing nnskills.” nnSelect nnthe nnbest nnresponse nnby nnthe nnmental nnhealth nnnurse. nn
nn
a. “Psychiatric nnnurses nnpractice nnin nnsafer nnenvironments nnthan nnother nnspecialties. nnNurse-
to-patient nnratios nnmust nnbe nnbetter nnbecause nnof nnthe nnnature nnof nnthe nnpatients’
nnproblems.” nn
b. “Psychiatric nnnurses nnuse nncomplex nncommunication nnskills nnas nnwell nnas nncritical
nnthinking nnto nnsolve nnmultidimensional nnproblems. nnI nnam nnchallenged nnby nnthose
nnsituations.” nn
c. “That’s nna nnmisconception. nnPsychiatric nnnurses nnfrequently nnuse nnhigh nntechnology
nnmonitoring nnequipment nnand nnmanage nncomplex nnintravenous nntherapies.” nn
d. “Psychiatric nnnurses nndo nnnot nnhave nnto nndeal nnwith nnas nnmuch nnpain nnand nnsuffering nnas
nnmedical– nnsurgical nnnurses nndo. nnThat nnappeals nnto nnme.” nn
ANS: nnB nn
nn 1 nn
, The nnpractice nnof nnpsychiatric nnnursing nnrequires nna nndifferent nnset nnof nnskills nnthan nnmedical–
surgical nnnursing, nnthough nnthere nnis nnsubstantial nnoverlap. nnPsychiatric nnnurses nnmust nnbe
nnable nnto nnhelp nnpatients nnwith nnmedical nnas nnwell nnas nnmental nnhealth nnproblems, nnreflecting
nnthe nnholistic nnperspective nnthese nnnurses nnmust nnhave. nnNurse–patient nnratios nnand nnworkloads
nnin nnpsychiatric nnsettings nnhave nnincreased, nnjust nnlike nnother nnspecialties. nnPsychiatric nnnursing
nninvolves nnclinical nnpractice, nnnot nnjust nndocumentation. nnPsychosocial nnpain nnand nnsuffering
nnare nnas nnreal nnas nnphysical nnpain nnand nnsuffering. nn
PTS: nn1 nn DIF: nnCognitive nnLevel: nnApply nn(Application) nn
REF: nnPages nn1-2, nn21 nn TOP: nnNursing nnProcess: nnImplementation nn
When nna nnnew nnbill nnintroduced nnin nnCongress nnreduces nnfunding nnfor nncare nnof
nnpersons nndiagnosed nnwith nnmental nnillness, nna nngroup nnof nnnurses nnwrite nnletters nnto
nntheir nnelected nnrepresentatives nnin nnopposition nnto nnthe nnlegislation. nnWhich nnrole
nnhave nnthe nnnurses nnfulfilled? nn
a. Recovery nn
b. Attending nn
c. Advocacy nn
d. Evidence-based nnpractice nn
nn
ANS: nnC nn
An nnadvocate nndefends nnor nnasserts nnanother’s nncause, nnparticularly nnwhen nnthe nnother nnperson
nnlacks nnthe nnability nnto nndo nnthat nnfor nnself. nnExamples nnof nnindividual nnadvocacy nninclude
nnhelping nnpatients nnunderstand nntheir nnrights nnor nnmake nndecisions. nnOn nna nncommunity nnscale,
nnadvocacy nnincludes nnpolitical nnactivity, nnpublic nnspeaking, nnand nnpublication nnin nnthe nninterest
nnof nnimproving nnthe nnhuman nncondition. nnSince nnfunding nnis nnnecessary nnto nndeliver nnquality
nnprogramming nnfor nnpersons nnwith nnmental nnillness, nnthe nnletter-writing nncampaign nnadvocates
nnfor nnthat nncause nnon nnbehalf nnof nnpatients nnwho nnare nnunable nnto nnarticulate nntheir nnown nnneeds.
nn
nn
PTS: nn1 nnDIF: nnCognitive nnLevel: nnUnderstand nn(Comprehension) nnREF: nnPage nn1-26
nnTOP: nnNursing nnProcess: nnEvaluation nn
MSC: nnClient nnNeeds: nnSafe, nnEffective nnCare nnEnvironment nn
nn
3. A nnfamily nnhas nna nnlong nnhistory nnof nnconflicted nnrelationships nnamong nnthe nnmembers. nnWhich
nnfamily nnmember’s nncomment nnbest nnreflects nna nnmentally nnhealthy nnperspective? nn
a. “I’ve nnmade nnmistakes nnbut nneveryone nnelse nnin nnthis nnfamily nnhas nnalso.” nn
b. “I nnremember nnjoy nnand nnmutual nnrespect nnfrom nnour nnearly nnyears nntogether.” nn
c. “I nnwill nnmake nnsome nnchanges nnin nnmy nnbehavior nnfor nnthe nngood nnof nnthe nnfamily.” nn
d. “It’s nnbest nnfor nnme nnto nnmove nnaway nnfrom nnmy nnfamily. nnThings nnwill nnnever nnchange.” nn
nn
ANS: nnC nn
The nncorrect nnresponse nndemonstrates nnthe nnbest nnevidence nnof nna nnhealthy nnrecognition nnof
nnthe nnimportance nnof nnrelationships. nnMental nnhealth nnincludes nnrational nnthinking,
nncommunication nnskills, nnlearning, nnemotional nngrowth, nnresilience, nnand nnself-esteem.
nnRecalling nnjoy nnfrom nnearlier nnin nnlife nnmay nnbe nnhealthy, nnbut nnthe nncorrect nnresponse nnshows
nna nnhigher nnlevel nnof nnmental nnhealth. nnThe nnother nnincorrect nnresponses nnshow nnblaming nnand
nnavoidance. nn
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nn 2 nn
, PTS: nn1 nn DIF: nnCognitive nnLevel: nnAnalyze nn(Analysis) nn
REF: nnPages nn1-2, nn3, nn32 nn(Figure nn1-1) nn TOP: nnNursing nnProcess: nn Assessment
nnMSC: nnClient nnNeeds: nnPsychosocial nnIntegrity nn
nn
4. Which nnassessment nnfinding nnmost nnclearly nnindicates nnthat nna nnpatient nnmay nnbe nnexperiencing
nna nnmental nnillness? nnThe nnpatient nn
a. reports nnoccasional nnsleeplessness nnand nnanxiety. nn
b. reports nna nnconsistently nnsad, nndiscouraged, nnand nnhopeless nnmood. nn
c. is nnable nnto nndescribe nnthe nndifference nnbetween nn“as nnif” nnand nn“for nnreal.” nn
d. perceives nndifficulty nnmaking nna nndecision nnabout nnwhether nnto nnchange nnjobs. nn
ANS: nnB nn
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nndistracters nndescribe nnbehaviors nnthat nnare nnmentally nnhealthy nnor nnwithin nnthe nnusual nnscope
nnof nnhuman nnexperience. nn
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MSC: nnClient nnNeeds: nnPsychosocial nnIntegrity nn
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a. sees nnself nnas nncapable nnof nnachieving nnideals nnand nnmeeting nndemands. nn
b. behaves nnwithout nnconsidering nnthe nnconsequences nnof nnpersonal nnactions. nn
c. aggressively nnmeets nnown nnneeds nnwithout nnconsidering nnthe nnrights nnof nnothers. nn
d. seeks nnhelp nnfrom nnothers nnwhen nnassuming nnresponsibility nnfor nnmajor nnareas nnof nnown
nnlife. nn
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REF: nnPages nn1-2 nnto nn4 nn TOP: nnNursing nnProcess: nnEvaluation nn
MSC: nnClient nnNeeds: nnPsychosocial nnIntegrity nn
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6. A nnnurse nnencounters nnan nnunfamiliar nnpsychiatric nndisorder nnon nna nnnew nnpatient’s nnadmission
nnform. nn
Which nnresource nnshould nnthe nnnurse nnconsult nnto nndetermine nncriteria nnused nnto nnestablish nnthis
nndiagnosis? nna. nnInternational nnStatistical nnClassification nnof nnDiseases nnand nnRelated nnHealth
nnProblems nn
(ICD-10) nn
b. The nnANA’s nnPsychiatric-Mental nnHealth nnNursing nnScope nnand nnStandards nnof nnPractice nn
c. Diagnostic nnand nnStatistical nnManual nnof nnMental nnDisorders nn(DSM-V) nn
d. A nnbehavioral nnhealth nnreference nnmanual nn
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nncontain nndiagnostic nncriteria nnfor nna nnpsychiatric nnillness. nn
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PTS: nn1 nn DIF: nnCognitive nnLevel: nnApply nn(Application) nn
REF: nnPages nn1-18, nn19 nn TOP: nnNursing nnProcess: nnAssessment nn
MSC: nnClient nnNeeds: nnSafe, nnEffective nnCare nnEnvironment nn
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a. Nursing nnOutcomes nnClassification nn(NOC) nn
b. DSM-V nn
c. The nnANA’s nnPsychiatric-Mental nnHealth nnNursing nnScope nnand nnStandards nnof nnPractice
nnd. nnICD-10 nn
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nngood nnresources nnbut nndo nnnot nndefine nnthe nndiagnostic nncriteria. nn
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MSC: nnClient nnNeeds: nnSafe, nnEffective nnCare nnEnvironment nn
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8. Which nnindividual nnis nndemonstrating nnthe nnhighest nnlevel nnof nnresilience? nnOne nnwho nn
a. is nnable nnto nnrepress nnstressors. nn
b. becomes nndepressed nnafter nnthe nndeath nnof nna nnspouse. nn
c. lives nnin nna nnshelter nnfor nn2 nnyears nnafter nnthe nnhome nnis nndestroyed nnby nnfire. nn
d. takes nna nntemporary nnjob nnto nnmaintain nnfinancial nnstability nnafter nnloss nnof nna nnpermanent
nnjob. nn
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ANS: nnD nn
Resilience nnis nnclosely nnassociated nnwith nnthe nnprocess nnof nnadapting nnand nnhelps nnpeople
nnfacing nntragedies, nnloss, nntrauma, nnand nnsevere nnstress. nnIt nnis nnthe nnability nnand nncapacity nnfor
nnpeople nnto nnsecure nnthe nnresources nnthey nnneed nnto nnsupport nntheir nnwell-being. nnRepression
nnand nndepression nnare nnunhealthy. nnLiving nnin nna nnshelter nnfor nn2 nnyears nnshows nna nnfailure nnto
nnmove nnforward nnafter nna nntragedy. nnSee nnrelated nnaudience nnresponse nnquestion. nn
nn
PTS: nn1 nnDIF: nnCognitive nnLevel: nnApply nn(Application) nnREF: nnPages nn1-5, nn6
nnTOP: nnNursing nnProcess: nnAssessment nn
MSC: nnClient nnNeeds: nnPsychosocial nnIntegrity nn
nn
9. Complete nnthis nnanalogy. nnNANDA: nnclinical nnjudgment: nnNIC: nn a.
nnpatient nnoutcomes. nn
b. nursing nnactions. nn
c. diagnosis. nn
d. symptoms. nn
nn
ANS: nnB nn
nn 4 nn
