Test Bank for Varcarolis' Foundations of Psychiatric Mental Health Nursing A Clinical, 10th Edition by Halter978-0443127236 Covering Chapters 1-36 | Includes Rationales

,Chapter 01: Mental Health and Mental Illness
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Halter: Varcarolis’ Foundations of Psychiatric-
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Mental Health Nursing: A Clinical Approach, 10th Edition
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MULTIPLE CHOICE qk




1. The scope of practiced for an advanced nurse practitioner would include which intervention?
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a. Conducting a mental health assessment. qk qk qk qk


b. Prescribing psychotropic medication. qk qk


c. Establishing a therapeutic relationship. qk qk qk


d. Individualizing a nursing care plan. qk qk qk qk




ANS: q k B
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
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prescribing medication. The nurse prepared at the basic level is permitted to perform mental
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health assessments, establish relationships, and provide individualized care planning.
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PTS: q k q k 1 DIF: Cognitive Level: Understand (Comprehension) qk qk qk


TOP: q k Nursing Process: Implementation 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 nursi
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ng 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-
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to- client ratios must be better because of the nature of the clients’ problems.”
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b. “Psychiatric nurses use complex communication skills as well as critical thinkin
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g to solve multidimensional problems. I am challenged by those situations.”
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c. “That’s a misconception. Psychiatric nurses frequently use high technolog
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y monitoring equipment and manage complex intravenous therapies.”
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d. “Psychiatric nurses do not have to deal with as much pain and suffering
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as medical–surgical nurses do. That appeals to me.”
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ANS: q k B
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
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clients with medical as well as mental health problems, reflecting the holistic perspective th
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ese nurses must have. Nurse–
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client ratios and workloads in psychiatric settings have increased, just like other specialties.
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Psychiatric nursing involves clinical practice, not just documentation.
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Psychosocial pain and suffering are as real as physical pain and suffering.
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PTS: q k q k 1 DIF: Cognitive Level: Apply (Application) qk qk qk


TOP: q k Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment
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3. When a new bill introduced in Congress reduces funding for care of persons diagnosed w
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ith mental illness, a group of nurses write letters to their elected representatives in opposit
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ion to the legislation. Which role have the nurses fulfilled?
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a. Recovery
b. Attending
c. Advocacy
d. Evidence-based practice qk

, ANS: q k C
An advocate defends or asserts another’s cause, particularly when the other person lacks th
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e ability to do that for self. Examples of individual advocacy include helping clients unders
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tand their rights or make decisions. On a community scale, advocacy includes political acti
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vity, public speaking, and publication in the interest of improving the human condition. Sin
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ce funding is necessary to deliver quality programming for persons with mental illness, the l
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etter-
qkwriting campaign advocates for that cause on behalf of clients who are unable to articulate
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ktheir own needs. qk qk




PTS: q k q k 1 DIF: Cognitive Level: Understand (Comprehension) qk qk qk


TOP: q k Nursing Process: Evaluation 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 fami
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ly 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: q k C
The correct response demonstrates the best evidence of a healthy recognition of the import
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ance of relationships. Mental health includes rational thinking, communication skills, learni
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ng, emotional growth, resilience, and self-
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esteem. Recalling joy from earlier in life may be healthy, but the correct response shows a
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higher level of mental health. The other incorrect responses show blaming and avoidance.
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PTS: q k q k 1 DIF: Cognitive Level: Analyze (Analysis) qk qk qk


TOP: q k Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
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5. Which assessment finding most clearly indicates that a client may be experiencing a ment
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al illness?
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a. reporting occasional sleeplessness and anxiety. qk qk qk qk


b. reporting a consistently sad, discouraged, and hopeless mood.
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c. being able to describe the difference between “as if” and “for real.”
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d. experiencing difficulty making a decision about whether to change jobs. qk qk qk qk qk qk qk qk qk




ANS: q k B
The correct response describes a mood alteration, which reflects mental illness. The distracte
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rs describe behaviors that are mentally healthy or within the usual scope of human experien
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ce.

PTS: q k q k 1 DIF: Cognitive Level: Apply (Application) qk qk qk


TOP: q k Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
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6. Which finding best indicates that the goal “Demonstrate mentally healthy behavior” w
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as achieved for an adult client?
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a. being willing to work towards achieving ideals and meeting demands.
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b. behaving without considering the consequences of personal actions.
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c. aggressively meeting personal needs without considering the rights of others.
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d. seeking help from others to avoid assuming responsibility for major areas of o
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wn life. qk

, ANS: q k A
Mental health is a state of well-
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being in which individuals reach their own potential, cope with the normal stresses of life,
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kwork productively, and contribute to the community. Mental health provides people with t
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he capacity for rational thinking, communication skills, learning, emotional growth, resilien
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ce, and self-
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esteem. The correct response describes an adaptive, healthy behavior. The distracters descr
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ibe maladaptive behaviors.
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PTS: q k q k 1 DIF: Cognitive Level: Apply (Application) qk qk qk


TOP: q k Nursing Process: Evaluation MSC: Client Needs: Psychosocial Integrity
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7. A nurse encounters an unfamiliar psychiatric disorder on a new client’s admission form. W
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hich resource should the nurse consult to determine criteria used to establish this diagnosis?
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a. International Statistical Classification of Diseases and Related Health Problem
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s (ICD-10)
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b. The ANA’s Psychiatric-Mental Health Nursing Scope and Standards of Practice
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c. Diagnostic and Statistical Manual of Mental Disorders (DSM-V)qk qk qk qk qk qk qk


d. A behavioral health reference manual
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ANS: q k C
The DSM- qk


V gives the criteria used to diagnose each mental disorder. It is the official guideline for diag
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nosing psychiatric disorders. The distracters may not contain diagnostic criteria for a psychi
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atric illness. qk




PTS: q k q k 1 DIF: Cognitive Level: Understand (Comprehension) qk qk qk


TOP: q k Nursing Process: Assessment MSC: Client Needs: Safe, Effective Care Environment
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8. A nurse wants to find a description of diagnostic criteria for anxiety disorders. Which resour
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ce would have the most complete information?
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a. Nursing Outcomes Classification (NOC) qk qk qk


b. DSM-V
c. The ANA’s Psychiatric-Mental Health Nursing Scope and Standards of Practice
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d. ICD-10
ANS: q k B
The DSM- qk


V details the diagnostic criteria for psychiatric clinical conditions. It is the official guideline
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for diagnosing psychiatric disorders. The other references are good resources but do not def
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ine the diagnostic criteria.
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PTS: q k q k 1 DIF: Cognitive Level: Understand (Comprehension) qk qk qk


TOP: q k Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment
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9. Which individual behavior demonstrates resilience?
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a. Repress stressors associated with a divorce. qk qk qk qk qk


b. Continuing to grieve the death of a spouse for 5 years. qk qk qk qk qk qk qk qk qk qk


c. Continuing to live in a shelter for 2 years after the home is destroyed by fire.
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d. Taking a temporary job to maintain financial stability after loss of a permane
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nt job.qk




ANS: q k D