TEST BANK VARCAROLIS’ FOUNDATIONS OF PSYCHIATRIC MENTAL HEALTH NURSING A CLINICAL APPROACH 8TH EDITION BY MARGARET JORDAN HALTER, PHD, APRN ALL CHAPTERS 1-36 COVERED QUESTIONS AND ANSWERS GRADED A+ 100% VERIFIED

TESTBANK
v

,Chapter01: Mental Health and Mental Illness
v v v v v v




MULTIPLE CHOICE v




1. A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced
v v v v v v v v v v v v v v




practice nurse to perform which additional intervention? a.
v v Conduct mental health v v v v v v v v




assessments.
v




b. Prescribepsychotropic medication. v v




c. Establish therapeutic relationships. v v




d. Individualize nursing care plans. v v v




ANS: B v




In most states, prescriptive privileges are granted to master’s-prepared nurse practitioners and
v v v v v v v v v v v




clinical nurse specialists who have taken special courses on prescribing medication. The nurse
v v v v v v v v v v v v v




prepared at the basic level is permitted to perform mental health assessments, establish
v v v v v v v v v v v v v




relationships, and provide individualized care planning.
v v v v v v




PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-23 TOP:
v v v v v v v v v v




Nursing Process: Implementation
v v v




MSC:Client Needs: Safe,Effective Care Environment
v v v v v v




2. A nursing student expresses concerns that mental health nurses “lose all their clinical nursing
v v v v v v v v v v v v v




skills.” Select the best response by the mental health nurse.
v v v v v v v v v v




a. “Psychiatric nurses practicein safer environments than otherspecialties. Nurse-to-patient v v v v v v v v v




ratios must be better because of the nature of the patients’ problems.”
v v v v v v v v v v v v




b. “Psychiatric nurses use complex communication skills as well as critical thinking to solve v v v v v v v v v v v v




multidimensional problems. I am challenged by those situations.”
v v v v v v v v




c. “That’s a misconception. Psychiatric nurses frequently usehigh technology monitoring
v v v v v v v v v




equipment and manage complex intravenous therapies.”
v v v v v v




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




surgical nurses do. That appeals to me.”
v v v v v v v




ANS: B v




The practice of psychiatric nursing requires a different set of skills than medical–surgical nursing,
v v v v v v v v v v v v v




though there is substantial overlap. Psychiatric nurses must be able to help patients with medical
v v v v v v v v v v v v v v v




as well as mental health problems, reflecting the holistic perspective these nurses must have.
v v v v v v v v v v v v v v




Nurse–patient ratios and workloads in psychiatricsettings have increased, just like other
v v v v v v v v v v v v




specialties. Psychiatric nursing involves clinical practice, not just documentation. Psychosocial
v v v v v v v v v v




pain and suffering are as real as physical pain and suffering.
v v v v v v v v v v v




PTS: 1 DIF: Cognitive Level: Apply (Application)
v v v v v




REF: Pages 1-2, 21 v TOP: NursingProcess:Implementation
v v v v v




v MSC: Client Needs: Safe, Effective Care Environment
v v v v v v

, 3. When a new bill introduced in Congress reduces funding for care of persons diagnosed with
v v v v v v v v v v v v v v




mental illness, a group of nurses write letters to their elected representatives in opposition to the
v v v v v v v v v v v v v v v v




legislation. Which role have the nurses fulfilled?
v v v v v v v




a. Recovery
b. Attending
c. Advocacy
d. Evidence-based practice v




ANS: C v




An advocate defends or asserts another’s cause, particularly when the other person lacks the
v v v v v v v v v v v v v




ability to do that for self. Examples of individual advocacy include helping patients understand
v v v v v v v v v v v v v v




their rights or make decisions. On a community scale, advocacy includes political activity, public
v v v v v v v v v v v v v v




speaking, and publication in the interest of improving the human condition.
v v v v v v v v v v v




Since funding is necessary to deliver quality programming for persons with mental illness, the
v v v v v v v v v v v v v




letter-writing campaign advocates for that cause on behalf of patients who are unable to articulate
v v v v v v v v v v v v v v v




their own needs.
v v v




PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-26 TOP:
v v v v v v v v v v




Nursing Process: Evaluation
v v v




MSC:Client Needs: Safe,Effective Care Environment
v v v v v v




4. A family has a long history of conflicted relationships among the members. Which family
v v v v v v v v v v v v v




member’s comment best reflects a mentally healthy perspective?
v v v v v v v v




a. “I’ve made mistakes but everyone else in this family has also.” v v v v v v v v v v




b. “Iremember joy and mutual respect from our early years together.”
v v v v v v v v v v




c. “Iwill make some changes in my behavior for the good of the family.”
v v v v v v v v v v v v v




d. “It’s best for me to move away from my family. Things will never change.”
v v v v v v v v v v v v v




ANS: C v




The correct response demonstrates the best evidence of a healthy recognition of the importance of
v v v v v v v v v v v v v v




relationships. Mental health includes rational thinking, communication skills, learning,
v v v v v v v v v




emotional growth, resilience, and self-esteem. Recalling joy from earlier in lifemay be healthy, but
v v v v v v v v v v v v v v v




the correct response shows a higher level of mental health. The other incorrect responses show
v v v v v v v v v v v v v v v




blaming and avoidance.
v v v




PTS: 1 DIF: Cognitive Level:Analyze (Analysis)
v v v v v




REF: Pages 1-2, 3, 32 (Figure 1-1)
v TOP: Nursing Process: Assessment MSC: v v v v v v v v v




Client Needs: Psychosocial Integrity
v v v v




5. Which assessment finding most clearly indicates that a patient maybe experiencing a mental
v v v v v v v v v v v v v




illness? The patient
v v v




a. reports occasional sleeplessness and anxiety. v v v v




b. reports a consistently sad, discouraged, and hopeless mood. v v v v v v v




c. is able to describe the difference between “as if” and “for real.”
v v v v v v v v v v v




d. perceives difficulty making a decision about whether to change jobs. v v v v v v v v v

, ANS: B v




The correct response describes a mood alteration, which reflects mental illness. The distracters
v v v v v v v v v v v v




describe behaviors that are mentally healthy or within the usual scope of human experience.
v v v v v v v v v v v v v v




PTS: 1 v DIF: Cognitive Level: Apply (Application) v v v v




REF: Pages 1-2 to 4
v TOP: NursingProcess:Assessment
v v v v v v




v MSC: Client Needs: Psychosocial Integrity
v v v v




6. Which finding best indicates that the goal “Demonstrate mentally healthy behavior” was
v v v v v v v v v v v




achieved for an adult patient? The patient
v v v v v v v




a. sees self as capable of achieving ideals and meeting demands.
v v v v v v v v v




b. behaves without considering the consequences of personal actions. v v v v v v v




c. aggressively meets own needs without considering the rights of others. v v v v v v v v v




d. seeks help from others when assuming responsibility for major areas of own life.
v v v v v v v v v v v v




ANS: A v




Thecorrect response describes an adaptive, healthy behavior.The distracters describe maladaptive
v v v v v v v v v v v




behaviors.
v




PTS: 1 v DIF: Cognitive Level: Apply (Application) v v v v




REF: Pages 1-2 to 4
v TOP: NursingProcess:Evaluation
v v v v v v




v MSC: Client Needs: Psychosocial Integrity
v v v v




7. A nurse encounters an unfamiliar psychiatric disorder on a new patient’s admission form. Which
v v v v v v v v v v v v v




resource should the nurse consult to determine criteria used to establish this diagnosis? a.
v v v v v v v v v v v v v v




International StatisticalClassification ofDiseases andRelated Health Problems
v v v v v v v v




(ICD-10)
v




b. TheANA’sPsychiatric-Mental Health Nursing Scopeand Standards of Practice
v v v v v v v v v




c. Diagnostic and Statistical Manual of Mental Disorders (DSM-V) v v v v v v v




d. A behavioral health reference manual
v v v v




ANS: C v




The DSM-V gives the criteria used to diagnose each mental disorder. It is the official guideline for
v v v v v v v v v v v v v v v v




diagnosing psychiatric disorders. The distracters may not contain diagnostic criteria for a
v v v v v v v v v v v v




psychiatric illness.
v v




PTS: 1 v DIF: Cognitive Level: Apply (Application) v v v v




REF: Pages 1-18, 19
v TOP: Nursing Process: Assessment
v v v v v




v MSC: Client Needs: Safe, Effective Care Environment
v v v v v v




8. A nurse wants to find a description of diagnostic criteria for anxiety disorders. Which resource
v v v v v v v v v v v v v v




would have the most complete information?
v v v v v v




a. NursingOutcomes Classification (NOC) v v v




b. DSM-V
c. TheANA’sPsychiatric-Mental Health Nursing Scopeand Standards of Practiced. ICD-10
v v v v v v v v v v v