Test Bank for Varcarolis' Foundations of Psychiatric-Mental Health Nursing: A Clinical Approach, 9th Edition by Margaret Jordan Halter

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Varcarolis'Foundations o vc vc




f Psychiatric-
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Mental Health Nursing A
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Clinical 9th Edition by Ma
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rgaret Jordan Halter Chapt
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er 1-36
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,TEST BANK FOR Varcarolis' Foundations of Psychiatric-
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Mental Health Nursing A Clinical 9th Edition by Margaret Jo
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rdan Halter Chapter 1-36
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Chapter 01: Mental Health and Mental Illness
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Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical Approach
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, 8th Edition
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MULTIPLE CHOICE vc




1. A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced
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practice nurse to perform which additional intervention? a.
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Conduct mental health assessm vc vc vc



ents.
b. Prescribe psychotropic medication. vc vc



c. Establish therapeutic relationships. vc vc




d. Individualize nursing care plans. vc vc vc




ANS: B vc



In most states, prescriptive privileges are granted to master‘s-
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prepared nurse practitioners and clinical nurse specialists who have taken special courses on prescri
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bing medication. The nurse prepared at the basic level is permitted to perform mental health assess
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ments, establish relationships, and provide individualized care planning.
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PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-
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23 TOP: Nursing Process: Implementation
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MSC: Client Needs: Safe, Effective Care Environment
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2. A nursing student expresses concerns that mental health nurses ―lose all their clinical nursing
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skills.‖ Select the best response by the mental health nurse.
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a. ―Psychiatric nurses practice in safer environments than other specialties. Nurse-to- vc vc vc vc vc vc vc vc vc



patient ratios must be better because of the nature of the patients‘ problems.‖
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b. ―Psychiatric nurses use complex communication skills as well as critical thinking to solve vc vc vc vc vc vc vc vc vc vc vc vc vc



multidimensional problems. I am challenged by those situations.‖ vc vc vc vc vc vc vc




c. ―That‘s a misconception. Psychiatric nurses frequently use high technology monitoring
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equipment and manage complex intravenous therapies.‖ vc vc vc vc vc




d. ―Psychiatric nurses do not have to deal with as much pain and suffering as medical– vc vc vc vc vc vc vc vc vc vc vc vc vc vc



surgical nurses do. That appeals to me.‖
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ANS: B vc



The practice of psychiatric nursing requires a different set of skills than medical–
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surgical nursing, though there is substantial overlap. Psychiatric nurses must be able to help p
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atients with medical as well as mental health problems, reflecting the holistic perspective thes
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e nurses must have. Nurse–
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patient ratios and workloads in psychiatric settings have increased, just like other specialties. P
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1

,sychiatric nursing involves clinical practice, not just documentation. Psychosocial pain and su
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ffering are as real as physical pain and suffering.
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1

, Test Bank Varcarolis' Foundations of Psychiatric-Mental
Health Nursing A Clinical 9th Edition by Margaret Jordan
Halter |Test Bank|Chapter 1-36 UPDATED 2022
3. When a new bill introduced in Congress reduces funding for care of persons diagnosed with
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mental illness, a group of nurses write letters to their elected representatives in opposition to t
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he legislation. Which role have the nurses fulfilled?
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a. Recovery
b. Attending
c. Advocacy
d. Evidence-based practice vc




ANS: C vc



An advocate defends or asserts another‘s cause, particularly when the other person lacks the a
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bility to do that for self. Examples of individual advocacy include helping patients understand
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their rights or make decisions. On a community scale, advocacy includes political activity, pub
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lic speaking, and publication in the interest of improving the human condition.
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Since funding is necessary to deliver quality programming for persons with mental illness, the l
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etter-
writing campaign advocates for that cause on behalf of patients who are unable to articulate th
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eir own needs. vc vc




PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-
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26 TOP: Nursing Process: Evaluation
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MSC: Client Needs: Safe, Effective Care Environment
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4. A family has a long history of conflicted relationships among the members. Which family
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member‘s comment best reflects a mentally healthy perspective?
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a. ―I‘ve made mistakes but everyone else in this family has also.‖
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b. ―I remember joy and mutual respect from our early years together.‖
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c. ―I will make some changes in my behavior for the good of the family.‖
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d. ―It‘s best for me to move away from my family. Things will never change.‖
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ANS: C vc



The correct response demonstrates the best evidence of a healthy recognition of the importanc
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e of relationships. Mental health includes rational thinking, communication skills, learning, e
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motional growth, resilience, and self- vc vc vc vc



esteem. Recalling joy from earlier in life may be healthy, but the correct response shows a high
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er level of mental health. The other incorrect responses show blaming and avoidance.
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PTS: 1 DIF: Cognitive Level: Analyze (Analysis)
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REF: Pages 1-2, 3, 32 (Figure 1-1)
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TOP: Nursing Process: Assessment MSC: vc vc vc vc v



Client Needs: Psychosocial Integrity
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5. Which assessment finding most clearly indicates that a patient may be experiencing a mental i
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llness? The patient vc vc



a. reports occasional sleeplessness and anxiety. vc vc vc vc




3