Test Bank Varcarolis' Foundations of Psychiatric-Mental Health
Nursing A Clinical 9th Edition by Margaret Jordan Halter
All Chapter 1-36
,ChapterN01: NMental NHealth Nand NMental NIllness
MULTIPLE NCHOICE
1. A Nstaff Nnurse Ncompletes Norientation Nto Na Npsychiatric Nunit. NThis Nnurse Nmay Nexpect Nan
Nadvanced N practice Nnurse Nto Nperform Nwhich Nadditional Nintervention?
a. Conduct Nmental Nhealth Nassessments.
b. PrescribeNpsychotropic Nmedication.
c. Establish Ntherapeutic Nrelationships.
d. Individualize Nnursing Ncare Nplans.
ANS: NB
In Nmost Nstates, Nprescriptive Nprivileges Nare Ngranted Nto Nmaster‘s-prepared Nnurse Npractitioners Nand
Nclinical N nurse Nspecialists Nwho Nhave Ntaken Nspecial Ncourses Non Nprescribing Nmedication. NThe Nnurse
Nprepared Nat Nthe N basic Nlevel Nis Npermitted Nto Nperform Nmental Nhealth Nassessments, Nestablish
Nrelationships, Nand Nprovide N individualized Ncare Nplanning.
PTS: N1 NDIF: NCognitive NLevel: NUnderstand N(Comprehension) NREF: NPage N1-23 NTOP: NNursing
N Process: NImplementation
MSC: NClient NNeeds: NSafe, NEffective NCare NEnvironment
2. ANnursingNstudent NexpressesNconcernsNthat Nmental Nhealth NnursesN―lose Nall NtheirNclinical
Nnursing N skills.‖ NSelect Nthe Nbest Nresponse Nby Nthe Nmental Nhealth Nnurse.
a. ―Psychiatric Nnurses Npractice Nin Nsafer Nenvironments Nthan Nother Nspecialties. NNurse-to-patient
ratios Nmust Nbe Nbetter Nbecause Nof Nthe Nnature Nof Nthe Npatients‘ Nproblems.‖
b. ―Psychiatric NnursesNuse NcomplexNcommunication NskillsNasNwell NasNcritical NthinkingNto
Nsolve N multidimensional Nproblems. NI Nam Nchallenged Nby Nthose Nsituations.‖
c. ―That‘s Na Nmisconception. NPsychiatric Nnurses Nfrequently Nuse Nhigh Ntechnology
Nmonitoring N equipment Nand Nmanage Ncomplex Nintravenous Ntherapies.‖
d. ―Psychiatric Nnurses Ndo Nnot Nhave Nto Ndeal Nwith Nas Nmuch Npain Nand Nsuffering Nas
Nmedical– N surgical Nnurses Ndo. NThat Nappeals Nto Nme.‖
ANS: NB
The Npractice Nof Npsychiatric Nnursing Nrequires Na Ndifferent Nset Nof Nskills Nthan Nmedical–surgical
Nnursing, N though Nthere Nis Nsubstantial Noverlap. NPsychiatric Nnurses Nmust Nbe Nable Nto Nhelp
Npatients Nwith Nmedical N as Nwell Nas Nmental Nhealth Nproblems, Nreflecting Nthe Nholistic
Nperspective Nthese Nnurses Nmust Nhave.
Nurse–patient Nratios Nand Nworkloads Nin Npsychiatric Nsettings Nhave Nincreased, Njust Nlike Nother N
N specialties. NPsychiatric Nnursing Ninvolves Nclinical Npractice, Nnot Njust Ndocumentation.
NPsychosocial Npain N and Nsuffering Nare Nas Nreal Nas Nphysical Npain Nand Nsuffering.
, PTS: N1 DIF: NCognitive NLevel: NApply N(Application)
REF: NPages N1-2, N21 TOP: NNursing NProcess:
NImplementation N MSC: NClient NNeeds: NSafe, NEffective NCare NEnvironment
3. When N a N new N bill N introduced N in N Congress N reduces N funding N for N care N of N persons
Ndiagnosed N with N mental Nillness, Na Ngroup Nof Nnurses Nwrite Nletters Nto Ntheir Nelected
Nrepresentatives Nin Nopposition Nto N the N legislation. NWhich Nrole Nhave Nthe Nnurses Nfulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-basedNpractice
ANS: NC
An Nadvocate Ndefends Nor Nasserts Nanother‘s Ncause, Nparticularly Nwhen Nthe Nother Nperson Nlacks Nthe
Nability N to Ndo Nthat Nfor Nself. NExamples Nof Nindividual Nadvocacy Ninclude Nhelping Npatients
Nunderstand Ntheir N N rights Nor Nmake Ndecisions. NOn Na Ncommunity Nscale, Nadvocacy Nincludes
Npolitical Nactivity, Npublic N speaking, Nand Npublication Nin Nthe Ninterest Nof Nimproving Nthe Nhuman
Ncondition.
Since Nfunding Nis Nnecessary Nto Ndeliver Nquality Nprogramming Nfor Npersons Nwith Nmental Nillness, Nthe
N letter-writing Ncampaign Nadvocates Nfor Nthat Ncause Non Nbehalf Nof Npatients Nwho Nare Nunable Nto
Narticulate N their Nown Nneeds.
PTS: N1 NDIF: NCognitive NLevel: NUnderstand N(Comprehension) NREF: NPage N1-26 NTOP:
NNursing N Process: NEvaluation
MSC: NClient NNeeds: NSafe, NEffective NCare NEnvironment
4. A Nfamily Nhas Na Nlong Nhistory Nof Nconflicted Nrelationships Namong Nthe Nmembers. NWhich
Nfamily
member‘s Ncomment Nbest Nreflects Na Nmentally Nhealthy Nperspective?
a. ―I‘ve Nmade Nmistakes Nbut Neveryone Nelse Nin Nthis Nfamily Nhas Nalso.‖
b. ―INremember Njoy Nand Nmutual Nrespect Nfrom Nour Nearly Nyears Ntogether.‖
c. ―I Nwill Nmake Nsome NchangesNin Nmy Nbehavior Nfor Nthe NgoodNof Nthe Nfamily.‖
d. ―It‘s Nbest Nfor Nme Nto Nmove Naway Nfrom Nmy Nfamily. NThings Nwill Nnever Nchange.‖
ANS: NC
The Ncorrect Nresponse Ndemonstrates Nthe Nbest Nevidence Nof Na Nhealthy Nrecognition Nof Nthe
Nimportance Nof N relationships. NMental Nhealth Nincludes Nrational Nthinking, Ncommunication Nskills,
Nlearning, Nemotional N growth, Nresilience, Nand Nself-esteem. NRecalling Njoy Nfrom Nearlier Nin Nlife
Nmay Nbe Nhealthy, Nbut Nthe Ncorrect N response Nshows Na Nhigher Nlevel Nof Nmental Nhealth. NThe Nother
Nincorrect Nresponses Nshow Nblaming Nand N avoidance.
PTS: N1 DIF: NCognitive NLevel: NAnalyze N(Analysis)
REF: NPages N1-2, N3, N32 N(Figure N1-1) TOP: NNursing NProcess: NAssessment NMSC:
3
, Client NNeeds: NPsychosocial NIntegrity
5. Which Nassessment Nfinding Nmost Nclearly Nindicates Nthat Na Npatient Nmay Nbe Nexperiencing Na
Nmental N illness? NThe Npatient
a. reports Noccasional Nsleeplessness Nand Nanxiety.
b. reports Na Nconsistently Nsad, Ndiscouraged, Nand Nhopeless Nmood.
c. is Nable Nto Ndescribe Nthe Ndifference Nbetween N―as Nif‖ Nand N―for Nreal.‖
d. perceives Ndifficulty Nmaking Na Ndecision Nabout Nwhether Nto Nchange Njobs.
ANS: NB
The Ncorrect Nresponse Ndescribes Na Nmood Nalteration, Nwhich Nreflects Nmental Nillness. NThe Ndistracters
N describe Nbehaviors Nthat Nare Nmentally Nhealthy Nor Nwithin Nthe Nusual Nscope Nof Nhuman Nexperience.
PTS: N1 DIF: NCognitive NLevel: NApply N(Application)
REF: NPages N1-2 Nto N4 TOP: NNursing NProcess:
NAssessment N MSC: NClient NNeeds: NPsychosocial NIntegrity
6. Which Nfinding Nbest Nindicates Nthat Nthe Ngoal N“Demonstrate Nmentally Nhealthy Nbehavior‖
Nwas N achieved Nfor Nan Nadult Npatient? NThe Npatient
a. sees Nself Nas Ncapable Nof Nachieving Nideals Nand Nmeeting Ndemands.
b. behaves Nwithout Nconsidering Nthe Nconsequences Nof Npersonal Nactions.
c. aggressively Nmeets Nown Nneeds Nwithout Nconsidering Nthe Nrights Nof Nothers.
d. seeks Nhelp Nfrom Nothers Nwhen Nassuming Nresponsibility Nfor Nmajor Nareas Nof Nown Nlife.
ANS: NA
The Ncorrect Nresponse Ndescribes Nan Nadaptive, Nhealthy Nbehavior. NThe Ndistracters Ndescribe
Nmaladaptive N behaviors.
PTS: N1 DIF: NCognitive NLevel: NApply N(Application)
REF: NPages N1-2 Nto N4 TOP: NNursing NProcess:
NEvaluation N MSC: NClient NNeeds: NPsychosocial NIntegrity
7. A Nnurse Nencounters Nan Nunfamiliar Npsychiatric Ndisorder Non Na Nnew Npatient‘s Nadmission Nform.
NWhich N resource Nshould Nthe Nnurse Nconsult Nto Ndetermine Ncriteria Nused Nto Nestablish Nthis
Ndiagnosis? Na. N International NStatistical NClassification Nof NDiseases Nand NRelated NHealth NProblems
N(ICD-
10)
b. The NANA‟s NPsychiatric-Mental NHealth NNursing NScope Nand NStandards Nof NPractice
c. Diagnostic Nand NStatistical NManual Nof NMental NDisorders N(DSM-V)
d. ANbehavioral Nhealth Nreference Nmanual
ANS: NC
4
Nursing A Clinical 9th Edition by Margaret Jordan Halter
All Chapter 1-36
,ChapterN01: NMental NHealth Nand NMental NIllness
MULTIPLE NCHOICE
1. A Nstaff Nnurse Ncompletes Norientation Nto Na Npsychiatric Nunit. NThis Nnurse Nmay Nexpect Nan
Nadvanced N practice Nnurse Nto Nperform Nwhich Nadditional Nintervention?
a. Conduct Nmental Nhealth Nassessments.
b. PrescribeNpsychotropic Nmedication.
c. Establish Ntherapeutic Nrelationships.
d. Individualize Nnursing Ncare Nplans.
ANS: NB
In Nmost Nstates, Nprescriptive Nprivileges Nare Ngranted Nto Nmaster‘s-prepared Nnurse Npractitioners Nand
Nclinical N nurse Nspecialists Nwho Nhave Ntaken Nspecial Ncourses Non Nprescribing Nmedication. NThe Nnurse
Nprepared Nat Nthe N basic Nlevel Nis Npermitted Nto Nperform Nmental Nhealth Nassessments, Nestablish
Nrelationships, Nand Nprovide N individualized Ncare Nplanning.
PTS: N1 NDIF: NCognitive NLevel: NUnderstand N(Comprehension) NREF: NPage N1-23 NTOP: NNursing
N Process: NImplementation
MSC: NClient NNeeds: NSafe, NEffective NCare NEnvironment
2. ANnursingNstudent NexpressesNconcernsNthat Nmental Nhealth NnursesN―lose Nall NtheirNclinical
Nnursing N skills.‖ NSelect Nthe Nbest Nresponse Nby Nthe Nmental Nhealth Nnurse.
a. ―Psychiatric Nnurses Npractice Nin Nsafer Nenvironments Nthan Nother Nspecialties. NNurse-to-patient
ratios Nmust Nbe Nbetter Nbecause Nof Nthe Nnature Nof Nthe Npatients‘ Nproblems.‖
b. ―Psychiatric NnursesNuse NcomplexNcommunication NskillsNasNwell NasNcritical NthinkingNto
Nsolve N multidimensional Nproblems. NI Nam Nchallenged Nby Nthose Nsituations.‖
c. ―That‘s Na Nmisconception. NPsychiatric Nnurses Nfrequently Nuse Nhigh Ntechnology
Nmonitoring N equipment Nand Nmanage Ncomplex Nintravenous Ntherapies.‖
d. ―Psychiatric Nnurses Ndo Nnot Nhave Nto Ndeal Nwith Nas Nmuch Npain Nand Nsuffering Nas
Nmedical– N surgical Nnurses Ndo. NThat Nappeals Nto Nme.‖
ANS: NB
The Npractice Nof Npsychiatric Nnursing Nrequires Na Ndifferent Nset Nof Nskills Nthan Nmedical–surgical
Nnursing, N though Nthere Nis Nsubstantial Noverlap. NPsychiatric Nnurses Nmust Nbe Nable Nto Nhelp
Npatients Nwith Nmedical N as Nwell Nas Nmental Nhealth Nproblems, Nreflecting Nthe Nholistic
Nperspective Nthese Nnurses Nmust Nhave.
Nurse–patient Nratios Nand Nworkloads Nin Npsychiatric Nsettings Nhave Nincreased, Njust Nlike Nother N
N specialties. NPsychiatric Nnursing Ninvolves Nclinical Npractice, Nnot Njust Ndocumentation.
NPsychosocial Npain N and Nsuffering Nare Nas Nreal Nas Nphysical Npain Nand Nsuffering.
, PTS: N1 DIF: NCognitive NLevel: NApply N(Application)
REF: NPages N1-2, N21 TOP: NNursing NProcess:
NImplementation N MSC: NClient NNeeds: NSafe, NEffective NCare NEnvironment
3. When N a N new N bill N introduced N in N Congress N reduces N funding N for N care N of N persons
Ndiagnosed N with N mental Nillness, Na Ngroup Nof Nnurses Nwrite Nletters Nto Ntheir Nelected
Nrepresentatives Nin Nopposition Nto N the N legislation. NWhich Nrole Nhave Nthe Nnurses Nfulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-basedNpractice
ANS: NC
An Nadvocate Ndefends Nor Nasserts Nanother‘s Ncause, Nparticularly Nwhen Nthe Nother Nperson Nlacks Nthe
Nability N to Ndo Nthat Nfor Nself. NExamples Nof Nindividual Nadvocacy Ninclude Nhelping Npatients
Nunderstand Ntheir N N rights Nor Nmake Ndecisions. NOn Na Ncommunity Nscale, Nadvocacy Nincludes
Npolitical Nactivity, Npublic N speaking, Nand Npublication Nin Nthe Ninterest Nof Nimproving Nthe Nhuman
Ncondition.
Since Nfunding Nis Nnecessary Nto Ndeliver Nquality Nprogramming Nfor Npersons Nwith Nmental Nillness, Nthe
N letter-writing Ncampaign Nadvocates Nfor Nthat Ncause Non Nbehalf Nof Npatients Nwho Nare Nunable Nto
Narticulate N their Nown Nneeds.
PTS: N1 NDIF: NCognitive NLevel: NUnderstand N(Comprehension) NREF: NPage N1-26 NTOP:
NNursing N Process: NEvaluation
MSC: NClient NNeeds: NSafe, NEffective NCare NEnvironment
4. A Nfamily Nhas Na Nlong Nhistory Nof Nconflicted Nrelationships Namong Nthe Nmembers. NWhich
Nfamily
member‘s Ncomment Nbest Nreflects Na Nmentally Nhealthy Nperspective?
a. ―I‘ve Nmade Nmistakes Nbut Neveryone Nelse Nin Nthis Nfamily Nhas Nalso.‖
b. ―INremember Njoy Nand Nmutual Nrespect Nfrom Nour Nearly Nyears Ntogether.‖
c. ―I Nwill Nmake Nsome NchangesNin Nmy Nbehavior Nfor Nthe NgoodNof Nthe Nfamily.‖
d. ―It‘s Nbest Nfor Nme Nto Nmove Naway Nfrom Nmy Nfamily. NThings Nwill Nnever Nchange.‖
ANS: NC
The Ncorrect Nresponse Ndemonstrates Nthe Nbest Nevidence Nof Na Nhealthy Nrecognition Nof Nthe
Nimportance Nof N relationships. NMental Nhealth Nincludes Nrational Nthinking, Ncommunication Nskills,
Nlearning, Nemotional N growth, Nresilience, Nand Nself-esteem. NRecalling Njoy Nfrom Nearlier Nin Nlife
Nmay Nbe Nhealthy, Nbut Nthe Ncorrect N response Nshows Na Nhigher Nlevel Nof Nmental Nhealth. NThe Nother
Nincorrect Nresponses Nshow Nblaming Nand N avoidance.
PTS: N1 DIF: NCognitive NLevel: NAnalyze N(Analysis)
REF: NPages N1-2, N3, N32 N(Figure N1-1) TOP: NNursing NProcess: NAssessment NMSC:
3
, Client NNeeds: NPsychosocial NIntegrity
5. Which Nassessment Nfinding Nmost Nclearly Nindicates Nthat Na Npatient Nmay Nbe Nexperiencing Na
Nmental N illness? NThe Npatient
a. reports Noccasional Nsleeplessness Nand Nanxiety.
b. reports Na Nconsistently Nsad, Ndiscouraged, Nand Nhopeless Nmood.
c. is Nable Nto Ndescribe Nthe Ndifference Nbetween N―as Nif‖ Nand N―for Nreal.‖
d. perceives Ndifficulty Nmaking Na Ndecision Nabout Nwhether Nto Nchange Njobs.
ANS: NB
The Ncorrect Nresponse Ndescribes Na Nmood Nalteration, Nwhich Nreflects Nmental Nillness. NThe Ndistracters
N describe Nbehaviors Nthat Nare Nmentally Nhealthy Nor Nwithin Nthe Nusual Nscope Nof Nhuman Nexperience.
PTS: N1 DIF: NCognitive NLevel: NApply N(Application)
REF: NPages N1-2 Nto N4 TOP: NNursing NProcess:
NAssessment N MSC: NClient NNeeds: NPsychosocial NIntegrity
6. Which Nfinding Nbest Nindicates Nthat Nthe Ngoal N“Demonstrate Nmentally Nhealthy Nbehavior‖
Nwas N achieved Nfor Nan Nadult Npatient? NThe Npatient
a. sees Nself Nas Ncapable Nof Nachieving Nideals Nand Nmeeting Ndemands.
b. behaves Nwithout Nconsidering Nthe Nconsequences Nof Npersonal Nactions.
c. aggressively Nmeets Nown Nneeds Nwithout Nconsidering Nthe Nrights Nof Nothers.
d. seeks Nhelp Nfrom Nothers Nwhen Nassuming Nresponsibility Nfor Nmajor Nareas Nof Nown Nlife.
ANS: NA
The Ncorrect Nresponse Ndescribes Nan Nadaptive, Nhealthy Nbehavior. NThe Ndistracters Ndescribe
Nmaladaptive N behaviors.
PTS: N1 DIF: NCognitive NLevel: NApply N(Application)
REF: NPages N1-2 Nto N4 TOP: NNursing NProcess:
NEvaluation N MSC: NClient NNeeds: NPsychosocial NIntegrity
7. A Nnurse Nencounters Nan Nunfamiliar Npsychiatric Ndisorder Non Na Nnew Npatient‘s Nadmission Nform.
NWhich N resource Nshould Nthe Nnurse Nconsult Nto Ndetermine Ncriteria Nused Nto Nestablish Nthis
Ndiagnosis? Na. N International NStatistical NClassification Nof NDiseases Nand NRelated NHealth NProblems
N(ICD-
10)
b. The NANA‟s NPsychiatric-Mental NHealth NNursing NScope Nand NStandards Nof NPractice
c. Diagnostic Nand NStatistical NManual Nof NMental NDisorders N(DSM-V)
d. ANbehavioral Nhealth Nreference Nmanual
ANS: NC
4
