Test bank For Varcarolis' Foundations of
Psychiatric-Mental Health Nursing 9th
Edition
MULTIPLECHOICE
1. Astaffnursecompletesorientationtoapsychiatricunit.Thisnursemayexpectanadvanced
practice nurse to perform which additional intervention? a. Conduct mental health
assessments.
b. Prescribepsychotropicmedication.
c. Establishtherapeuticrelationships.
d. Individualizenursingcareplans.
ANS:B
Inmoststates,prescriptiveprivilegesare granted tomaster‘s-preparednursepractitioners and
clinicalnursespecialistswhohavetakenspecialcoursesonprescribingmedication.Thenurse
prepared at the basic level is permitted to perform mental health assessments, establish
relationships, and provide individualized care planning.
PTS:1DIF:CognitiveLevel:Understand(Comprehension)REF:Page1-23TOP:
Nursing Process: Implementation
MSC:ClientNeeds:Safe,EffectiveCareEnvironment
2. Anursingstudentexpressesconcernsthatmentalhealthnurses―losealltheirclinicalnursing
skills.‖ Select the best response by the mental health nurse.
a. ―Psychiatricnursespracticeinsaferenvironments thanotherspecialties.Nurse-to-patient
ratios must be better because of the nature of the patients‘problems.‖
b. ―Psychiatricnursesusecomplexcommunicationskillsaswellascriticalthinkingtosolve
multidimensional problems. I am challenged by those situations.‖
c. ―That‘samisconception.Psychiatricnursesfrequentlyusehightechnologymonitoring
equipment and manage complex intravenous therapies.‖
d. ―Psychiatricnursesdonothavetodealwithasmuchpainandsufferingasmedical–
surgical nurses do. That appeals to me.‖
Test bank For Varcarolis' Foundations of Psychiatric-Mental
Health Nursing 9th Edition 1
, ANS:B
The practice of psychiatric nursing requires a different set of skills than medical–surgical
nursing, though there is substantial overlap. Psychiatricnurses must be able to help patients
with medical as well as mental health problems, reflecting the holistic perspective these
nursesmusthave.Nurse–patientratiosandworkloadsinpsychiatricsettingshaveincreased, just
like other specialties. Psychiatric nursing involves clinical practice, not just documentation.
Psychosocial pain and suffering are as real as physical pain and suffering.
Test bank For Varcarolis' Foundations of Psychiatric-Mental
Health Nursing 9th Edition 2
, PTS:1 DIF:CognitiveLevel:Apply(Application)
REF: Pages 1-2, 21 TOP:NursingProcess:Implementation
MSC: Client Needs: Safe, Effective Care Environment
Test bank For Varcarolis' Foundations of Psychiatric-Mental
Health Nursing 9th Edition 3
, Test Bank Varcarolis' Foundations of Psychiatric-Mental
HealthNursingAClinical9thEditionbyMargaretJordan
Halter |Test Bank|Chapter 1-36 UPDATED 2022
3. When anewbillintroduced in Congress reduces fundingforcareofpersons diagnosedwith
mentalillness,agroupofnurseswriteletterstotheirelectedrepresentativesinoppositionto the
legislation. Which role have the nurses fulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-basedpractice
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 patients
understandtheirrightsormakedecisions.Onacommunityscale,advocacyincludespolitical
activity, public speaking, and publication in the interest of improving the human condition.
Sincefundingisnecessarytodeliverqualityprogrammingforpersonswithmentalillness,the letter-
writing campaign advocates for that cause on behalf of patients who are unable to articulate
their own needs.
PTS:1DIF:CognitiveLevel:Understand(Comprehension)REF:Page1-26TOP:
Nursing Process: Evaluation
MSC:ClientNeeds:Safe,EffectiveCareEnvironment
4. Afamilyhasalonghistoryofconflictedrelationshipsamongthemembers.Whichfamily
member‘s comment best reflects a mentally healthy perspective?
a. ―I‘vemademistakesbuteveryoneelseinthisfamilyhasalso.‖
b. ―Irememberjoyandmutualrespectfromourearlyyearstogether.‖
c. ―Iwillmakesomechangesinmybehaviorforthegoodofthefamily.‖
d. ―It‘sbestformetomoveawayfrommyfamily.Thingswillneverchange.‖
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,emotionalgrowth,resilience,andself-esteem.Recallingjoyfromearlierinlifemay
behealthy,butthecorrectresponseshowsahigherlevelofmentalhealth.Theotherincorrect
responses show blaming and avoidance.
PTS:1 DIF:CognitiveLevel:Analyze(Analysis)
REF: Pages 1-2, 3, 32 (Figure 1-1) TOP: Nursing Process: Assessment MSC:
Client Needs: Psychosocial Integrity
5. Whichassessmentfindingmostclearlyindicatesthatapatientmaybeexperiencingamental
illness? The patient
a. reportsoccasionalsleeplessnessandanxiety.
b. reports aconsistentlysad, discouraged, andhopelessmood.
c. isabletodescribethedifferencebetween ―asif‖and―forreal.‖
4
Psychiatric-Mental Health Nursing 9th
Edition
MULTIPLECHOICE
1. Astaffnursecompletesorientationtoapsychiatricunit.Thisnursemayexpectanadvanced
practice nurse to perform which additional intervention? a. Conduct mental health
assessments.
b. Prescribepsychotropicmedication.
c. Establishtherapeuticrelationships.
d. Individualizenursingcareplans.
ANS:B
Inmoststates,prescriptiveprivilegesare granted tomaster‘s-preparednursepractitioners and
clinicalnursespecialistswhohavetakenspecialcoursesonprescribingmedication.Thenurse
prepared at the basic level is permitted to perform mental health assessments, establish
relationships, and provide individualized care planning.
PTS:1DIF:CognitiveLevel:Understand(Comprehension)REF:Page1-23TOP:
Nursing Process: Implementation
MSC:ClientNeeds:Safe,EffectiveCareEnvironment
2. Anursingstudentexpressesconcernsthatmentalhealthnurses―losealltheirclinicalnursing
skills.‖ Select the best response by the mental health nurse.
a. ―Psychiatricnursespracticeinsaferenvironments thanotherspecialties.Nurse-to-patient
ratios must be better because of the nature of the patients‘problems.‖
b. ―Psychiatricnursesusecomplexcommunicationskillsaswellascriticalthinkingtosolve
multidimensional problems. I am challenged by those situations.‖
c. ―That‘samisconception.Psychiatricnursesfrequentlyusehightechnologymonitoring
equipment and manage complex intravenous therapies.‖
d. ―Psychiatricnursesdonothavetodealwithasmuchpainandsufferingasmedical–
surgical nurses do. That appeals to me.‖
Test bank For Varcarolis' Foundations of Psychiatric-Mental
Health Nursing 9th Edition 1
, ANS:B
The practice of psychiatric nursing requires a different set of skills than medical–surgical
nursing, though there is substantial overlap. Psychiatricnurses must be able to help patients
with medical as well as mental health problems, reflecting the holistic perspective these
nursesmusthave.Nurse–patientratiosandworkloadsinpsychiatricsettingshaveincreased, just
like other specialties. Psychiatric nursing involves clinical practice, not just documentation.
Psychosocial pain and suffering are as real as physical pain and suffering.
Test bank For Varcarolis' Foundations of Psychiatric-Mental
Health Nursing 9th Edition 2
, PTS:1 DIF:CognitiveLevel:Apply(Application)
REF: Pages 1-2, 21 TOP:NursingProcess:Implementation
MSC: Client Needs: Safe, Effective Care Environment
Test bank For Varcarolis' Foundations of Psychiatric-Mental
Health Nursing 9th Edition 3
, Test Bank Varcarolis' Foundations of Psychiatric-Mental
HealthNursingAClinical9thEditionbyMargaretJordan
Halter |Test Bank|Chapter 1-36 UPDATED 2022
3. When anewbillintroduced in Congress reduces fundingforcareofpersons diagnosedwith
mentalillness,agroupofnurseswriteletterstotheirelectedrepresentativesinoppositionto the
legislation. Which role have the nurses fulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-basedpractice
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 patients
understandtheirrightsormakedecisions.Onacommunityscale,advocacyincludespolitical
activity, public speaking, and publication in the interest of improving the human condition.
Sincefundingisnecessarytodeliverqualityprogrammingforpersonswithmentalillness,the letter-
writing campaign advocates for that cause on behalf of patients who are unable to articulate
their own needs.
PTS:1DIF:CognitiveLevel:Understand(Comprehension)REF:Page1-26TOP:
Nursing Process: Evaluation
MSC:ClientNeeds:Safe,EffectiveCareEnvironment
4. Afamilyhasalonghistoryofconflictedrelationshipsamongthemembers.Whichfamily
member‘s comment best reflects a mentally healthy perspective?
a. ―I‘vemademistakesbuteveryoneelseinthisfamilyhasalso.‖
b. ―Irememberjoyandmutualrespectfromourearlyyearstogether.‖
c. ―Iwillmakesomechangesinmybehaviorforthegoodofthefamily.‖
d. ―It‘sbestformetomoveawayfrommyfamily.Thingswillneverchange.‖
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,emotionalgrowth,resilience,andself-esteem.Recallingjoyfromearlierinlifemay
behealthy,butthecorrectresponseshowsahigherlevelofmentalhealth.Theotherincorrect
responses show blaming and avoidance.
PTS:1 DIF:CognitiveLevel:Analyze(Analysis)
REF: Pages 1-2, 3, 32 (Figure 1-1) TOP: Nursing Process: Assessment MSC:
Client Needs: Psychosocial Integrity
5. Whichassessmentfindingmostclearlyindicatesthatapatientmaybeexperiencingamental
illness? The patient
a. reportsoccasionalsleeplessnessandanxiety.
b. reports aconsistentlysad, discouraged, andhopelessmood.
c. isabletodescribethedifferencebetween ―asif‖and―forreal.‖
4
