1|Page
TEST BANK Varcarolis’ Essentials of Psychiatric Mental
Health Nursing 2025/2026: A Communication Approach
to Evidence-Based Care 5th Edition By Chyllia D Fosbre |
Complete Guide chapter 1-28
A nurse working on a unit in a psychiatric hospital is responsible for
performing a variety of functions. Which are the ones that a registered
nurse is legally permitted to perform? Select all that apply.
1. Psychotherapy
2. Health promotion
3. Case management
4. Prescribing medication
5. Treating human responses - ANSWER-2. Health promotion
3. Case management
5. Treating human responses
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The psychiatrist orders "Restraints PRN" for a client who has a history
of violent behavior. Then nurse should:
1. Utilize the restraint order if the client begins to act-out
2. Ask the psychiatrist to clarify the type of restraint order
3. Ensure that the entire staff is aware of the restraint order
4. Recognize that PRN orders for restraints are unacceptable -
ANSWER-4. Recognize that PRN orders for restraints are unacceptable
New orders must be written each time a client requires restraints.
When a client is acting-out, the nurse may use restraints or a
seclusion room and then obtain the necessary order.
A client on the psychiatric unit asks the nurse about psychiatric advance
directives (PAD). The nurse explains that these advanced directives:
1. Make the appointment of a surrogate decision maker unnecessary
2. Permit the client to dictate what treatment will be given during the
future hospitalizations
3. Eliminate the need for involuntary admissions when the client is a
threat to self or others
4. Allow the client, while having the capacity, to consent or refuse
potential psychiatric treatments in the event of a future incapacitating
mental health crisis - ANSWER-4. Allow the client, while having the
capacity, to consent or refuse potential psychiatric treatments in the
event of a future incapacitating mental health crisis
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The purpose of a PAD is to allow psychiatric clients the opportunity to
provide input into future treatment decisions.
The statement that best describes the practice of psychiatric nursing is:
1. Helps people with present or potential mental health problems
2. Ensures clients' legal and ethical rights by acting as a client advocate
3. Focuses interpersonal skills on people with physical or emotional
problems
4. Acts in a therapeutic way with people who are diagnosed as having a
mental disorder - ANSWER-1. Helps people with present or potential
mental health problems
An important aspect of the role of the psychiatric nurse is primary,
secondary, and tertiary interventions to promote emotional
equilibrium.
A 45-year-old physician is admitted to the psychiatric unit of a
community hospital. The client is restless, loud, aggressive, and
resistive during the admission procedure and states, "I will take my own
blood pressure." What is the most therapeutic response by the nurse?
1. "Right now, doctor, you are just another client."
2. "If you would rather, doctor, I'm sure you will do it OK."
3. "If you do not cooperate, I will get the attendants to hold you down."
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4. "I am sorry, but I cannot allow that. I must take your blood pressure."
- ANSWER-4. "I am sorry, but I cannot allow that. I must take your
blood pressure."
This simply states facts without getting involved in role conflict.
For most nurses the most difficult part of the nurse-client relationship
is:
1. Remaining therapeutic and professional
2. Being able to understand and accept the client's behavior
3. Developing an awareness of self and the professional role in the
relationship
4. Accepting responsibility in identifying and evaluating the real needs
of the client - ANSWER-3. Developing an awareness of self and the
professional role in the relationship
The nurse's major tool in psychiatric nursing is the therapeutic use of
self. Psychiatric nurses must learn to identify their own feelings and
understand who they affect the situation.
The father of a 16-year-old boy who has just been diagnosed with
Hodgkin's disease tells the nurse he does not want his son to know the
diagnosis. What response by the nurse is best in this situation?
1. "It is best is he knows the diagnosis."
2. The cure rate for Hodgkin's disease is high."
TEST BANK Varcarolis’ Essentials of Psychiatric Mental
Health Nursing 2025/2026: A Communication Approach
to Evidence-Based Care 5th Edition By Chyllia D Fosbre |
Complete Guide chapter 1-28
A nurse working on a unit in a psychiatric hospital is responsible for
performing a variety of functions. Which are the ones that a registered
nurse is legally permitted to perform? Select all that apply.
1. Psychotherapy
2. Health promotion
3. Case management
4. Prescribing medication
5. Treating human responses - ANSWER-2. Health promotion
3. Case management
5. Treating human responses
,2|Page
The psychiatrist orders "Restraints PRN" for a client who has a history
of violent behavior. Then nurse should:
1. Utilize the restraint order if the client begins to act-out
2. Ask the psychiatrist to clarify the type of restraint order
3. Ensure that the entire staff is aware of the restraint order
4. Recognize that PRN orders for restraints are unacceptable -
ANSWER-4. Recognize that PRN orders for restraints are unacceptable
New orders must be written each time a client requires restraints.
When a client is acting-out, the nurse may use restraints or a
seclusion room and then obtain the necessary order.
A client on the psychiatric unit asks the nurse about psychiatric advance
directives (PAD). The nurse explains that these advanced directives:
1. Make the appointment of a surrogate decision maker unnecessary
2. Permit the client to dictate what treatment will be given during the
future hospitalizations
3. Eliminate the need for involuntary admissions when the client is a
threat to self or others
4. Allow the client, while having the capacity, to consent or refuse
potential psychiatric treatments in the event of a future incapacitating
mental health crisis - ANSWER-4. Allow the client, while having the
capacity, to consent or refuse potential psychiatric treatments in the
event of a future incapacitating mental health crisis
,3|Page
The purpose of a PAD is to allow psychiatric clients the opportunity to
provide input into future treatment decisions.
The statement that best describes the practice of psychiatric nursing is:
1. Helps people with present or potential mental health problems
2. Ensures clients' legal and ethical rights by acting as a client advocate
3. Focuses interpersonal skills on people with physical or emotional
problems
4. Acts in a therapeutic way with people who are diagnosed as having a
mental disorder - ANSWER-1. Helps people with present or potential
mental health problems
An important aspect of the role of the psychiatric nurse is primary,
secondary, and tertiary interventions to promote emotional
equilibrium.
A 45-year-old physician is admitted to the psychiatric unit of a
community hospital. The client is restless, loud, aggressive, and
resistive during the admission procedure and states, "I will take my own
blood pressure." What is the most therapeutic response by the nurse?
1. "Right now, doctor, you are just another client."
2. "If you would rather, doctor, I'm sure you will do it OK."
3. "If you do not cooperate, I will get the attendants to hold you down."
, 4|Page
4. "I am sorry, but I cannot allow that. I must take your blood pressure."
- ANSWER-4. "I am sorry, but I cannot allow that. I must take your
blood pressure."
This simply states facts without getting involved in role conflict.
For most nurses the most difficult part of the nurse-client relationship
is:
1. Remaining therapeutic and professional
2. Being able to understand and accept the client's behavior
3. Developing an awareness of self and the professional role in the
relationship
4. Accepting responsibility in identifying and evaluating the real needs
of the client - ANSWER-3. Developing an awareness of self and the
professional role in the relationship
The nurse's major tool in psychiatric nursing is the therapeutic use of
self. Psychiatric nurses must learn to identify their own feelings and
understand who they affect the situation.
The father of a 16-year-old boy who has just been diagnosed with
Hodgkin's disease tells the nurse he does not want his son to know the
diagnosis. What response by the nurse is best in this situation?
1. "It is best is he knows the diagnosis."
2. The cure rate for Hodgkin's disease is high."
