NURn304nExamn1nTestnBank;nVarcarolis’nF
oundationsnofnPsychiatricnMentalnHealthnNu
rsing:nAnClinicalnApproach,n8thnEdition
Chaptern01:nMentalnHealthnandnMentalnIllness
Halter:nVarcarolis’nFoundationsnofnPsychiatricnMentalnHealthnNursing:nAn
ClinicalnApproach,n8thnEdition
MULTIPLEnCHOIC
E
1. Anstaffnnursencompletesnorientationntonanpsychiatricnunit.nThisnnursenmaynexpectnann
advancednpracticennursentonperformnwhichnadditionalnintervention?
a. Conductnmentalnhealthnassessments.
b. Prescribenpsychotropicnmedication.
c. Establishntherapeuticnrelationships.
d. Individualizennursingncarenplans.
ANS:nB
Innmostnstates,nprescriptivenprivilegesnarengrantedntonmaster’s-
preparednnursenpractitionersnandnclinicalnnursenspecialistsnwhonhaventakennspecialncourse
snonnprescribingnmedication.nThennursenpreparednatnthenbasicnlevelnisnpermittedntonperf
ormnmentalnhealthnassessments,nestablishnrelationships,nandnprovidenindividualizedncaren
planning.
PTS:nnn 1 DIF:
CognitivenLevel:nUnderstandn(Comprehension)nREF
:nnnPagen1-23 TOP:n NursingnProcess:nImplementation
MSC:n ClientnNeeds:nSafe,nEffectivenCarenEnvironment
2. Annursingnstudentnexpressesnconcernsnthatnmentalnhealthnnursesn“losenallntheirnclinical
nnursingnskills.”nSelectnthenbestnresponsenbynthenmentalnhealthnnurse.
a. “Psychiatricnnursesnpracticeninnsafernenvironmentsnthannothernspecialti
es.nNurse-to-
patientnratiosnmustnbenbetternbecausenofnthennaturenofnthenpatients’npr
oblems.”
b. “Psychiatricnnursesnusencomplexncommunicationnskillsnasnwellnasncriticalnth
inkingntonsolvenmultidimensionalnproblems.nInamnchallengednbynthosensituat
ions.”
c. “That’snanmisconception.nPsychiatricnnursesnfrequentlynusenhighntechn
ologynmonitoringnequipmentnandnmanagencomplexnintravenousntherapie
s.”
d. “Psychiatricnnursesndonnotnhaventondealnwithnasnmuchnpainnandnsuff
eringnasnmedical–surgicalnnursesndo.nThatnappealsntonme.”
ANS:nB
,NURn304nExamn1nTestnBank;nVarcarolis’nF
oundationsnofnPsychiatricnMentalnHealthnNu
rsing:nAnClinicalnApproach,n8thnEdition
Thenpracticenofnpsychiatricnnursingnrequiresnandifferentnsetnofnskillsnthannmedical–
surgicalnnursing,nthoughntherenisnsubstantialnoverlap.nPsychiatricnnursesnmustnbenablen
tonhelpnpatientsnwithnmedicalnasnwellnasnmentalnhealthnproblems,nreflectingnthenholist
icnperspectiventhesennursesnmustnhave.nNurse–
patientnratiosnandnworkloadsninnpsychiatricnsettingsnhavenincreased,njustnlikenothernspe
cialties.nPsychiatricnnursingninvolvesnclinicalnpractice,nnotnjustndocumentation.nPsychos
ocialnpainnandnsufferingnarenasnrealnasnphysicalnpainnandnsuffering.
PTS:nnn 1 DIF: CognitivenLevel:nApplyn(Application)
REF:nnnPagesn1-2,n21
TOP:n NursingnProcess:nImplementatio
nnMSC:n ClientnNeeds:nSafe,nEffectivenCarenEnvironment
3. WhennannewnbillnintroducedninnCongressnreducesnfundingnforncarenofnpersonsndiagno
sednwithnmentalnillness,nangroupnofnnursesnwritenlettersntontheirnelectednrepresentative
sninnoppositionntonthenlegislation.nWhichnrolenhaventhennursesnfulfilled?
,NURn304nExamn1nTestnBank;nVarcarolis’nF
oundationsnofnPsychiatricnMentalnHealthnNu
rsing:nAnClinicalnApproach,n8thnEdition
a. Recovery
b. Attending
c. Advocacy
d. Evidence-basednpractice
ANS:nC
Annadvocatendefendsnornassertsnanother’sncause,nparticularlynwhennthenothernpersonnla
cksnthenabilityntondonthatnfornself.nExamplesnofnindividualnadvocacynincludenhelpingnp
atientsnunderstandntheirnrightsnornmakendecisions.nOnnancommunitynscale,nadvocacynin
cludesnpoliticalnactivity,npublicnspeaking,nandnpublicationninntheninterestnofnimprovingnt
henhumanncondition.
Sincenfundingnisnnecessaryntondelivernqualitynprogrammingnfornpersonsnwithnmentalnill
ness,nthenletter-
writingncampaignnadvocatesnfornthatncausenonnbehalfnofnpatientsnwhonarenunablento o nart
iculatentheirnownnneeds.
PTS:nnn 1 DIF:
CognitivenLevel:nUnderstandn(Comprehension)nREF
:nnnPagen1-26 TOP:n NursingnProcess:nEvaluation
MSC:n ClientnNeeds:nSafe,nEffectivenCarenEnvironment
4. Anfamilynhasnanlongnhistorynofnconflictednrelationshipsnamongnthenmembers.nWhic
hnfamilynmember’sncommentnbestnreflectsnanmentallynhealthynperspective?
a. “I’venmadenmistakesnbutneveryonenelseninnthisnfamilynhasnalso.”
b. “Inremembernjoynandnmutualnrespectnfromnournearlynyearsntogether.”
c. “Inwillnmakensomenchangesninnmynbehaviornfornthengoodnofnthenfamily.”
d. “It’snbestnfornmentonmovenawaynfromnmynfamily.nThingsnwillnnevernchange.”
ANS:nC
Thencorrectnresponsendemonstratesnthenbestnevidencenofnanhealthynrecognitionnofntheni
mportancenofnrelationships.nMentalnhealthnincludesnrationalnthinking,ncommunicationnski
lls,nlearning,nemotionalngrowth,nresilience,nandnself-
esteem.nRecallingnjoynfromnearlierninnlifenmaynbenhealthy,nbutnthencorrectnresponsensho
wsnanhighernlevelnofnmentalnhealth.nThenothernincorrectnresponsesnshownblamingnandna
voidance.
PTS:nnn 1 DIF: Cog g nitivenLevel:nAnalyzen(Analysis)
REF:nnPagesn1-2,n3,n32n(Figuren1-1) TOP:n NursingnProcess:nAssessment
s ocialnIntegr
MSC:n ClientnNeeds:nPsychos
ity
5. Whichnassessmentnfindingnmostnclearlynindicatesnthatnanpatientnmaynbenexperiencingna
nmentalnillness?nThenpatient
a. reportsnoccasionalnsleeplessnessnandnanxiety.
b. reportsnanconsistentlynsad,ndiscouraged,nandnhopelessnmood.
c. isnablentondescribenthendifferencenbetweenn“asnif”nandn“fornreal.”
, NURn304nExamn1nTestnBank;nVarcarolis’nF
oundationsnofnPsychiatricnMentalnHealthnNu
rsing:nAnClinicalnApproach,n8thnEdition
d. perceivesndifficultynmakingnandecisionnaboutnwhetherntonchangenjobs.
ANS:nB
Thencorrectnresponsendescribesnanmoodnalteration,nwhichnreflectsnmentalnillness.nThendis
tractersndescribenbehaviorsnthatnarenmentallynhealthynornwithinnthenusualnscopenofnhuma
nnexperience.
PTS:nnn 1 DIF: CognitivenLevel:nApplyn(Application)
REF:nn Pagesn1-2nton4
TOP:n NursingnProcess:nAssessme
ntnMSC:n ClientnNeeds:nPsychosocialnIntegrity
oundationsnofnPsychiatricnMentalnHealthnNu
rsing:nAnClinicalnApproach,n8thnEdition
Chaptern01:nMentalnHealthnandnMentalnIllness
Halter:nVarcarolis’nFoundationsnofnPsychiatricnMentalnHealthnNursing:nAn
ClinicalnApproach,n8thnEdition
MULTIPLEnCHOIC
E
1. Anstaffnnursencompletesnorientationntonanpsychiatricnunit.nThisnnursenmaynexpectnann
advancednpracticennursentonperformnwhichnadditionalnintervention?
a. Conductnmentalnhealthnassessments.
b. Prescribenpsychotropicnmedication.
c. Establishntherapeuticnrelationships.
d. Individualizennursingncarenplans.
ANS:nB
Innmostnstates,nprescriptivenprivilegesnarengrantedntonmaster’s-
preparednnursenpractitionersnandnclinicalnnursenspecialistsnwhonhaventakennspecialncourse
snonnprescribingnmedication.nThennursenpreparednatnthenbasicnlevelnisnpermittedntonperf
ormnmentalnhealthnassessments,nestablishnrelationships,nandnprovidenindividualizedncaren
planning.
PTS:nnn 1 DIF:
CognitivenLevel:nUnderstandn(Comprehension)nREF
:nnnPagen1-23 TOP:n NursingnProcess:nImplementation
MSC:n ClientnNeeds:nSafe,nEffectivenCarenEnvironment
2. Annursingnstudentnexpressesnconcernsnthatnmentalnhealthnnursesn“losenallntheirnclinical
nnursingnskills.”nSelectnthenbestnresponsenbynthenmentalnhealthnnurse.
a. “Psychiatricnnursesnpracticeninnsafernenvironmentsnthannothernspecialti
es.nNurse-to-
patientnratiosnmustnbenbetternbecausenofnthennaturenofnthenpatients’npr
oblems.”
b. “Psychiatricnnursesnusencomplexncommunicationnskillsnasnwellnasncriticalnth
inkingntonsolvenmultidimensionalnproblems.nInamnchallengednbynthosensituat
ions.”
c. “That’snanmisconception.nPsychiatricnnursesnfrequentlynusenhighntechn
ologynmonitoringnequipmentnandnmanagencomplexnintravenousntherapie
s.”
d. “Psychiatricnnursesndonnotnhaventondealnwithnasnmuchnpainnandnsuff
eringnasnmedical–surgicalnnursesndo.nThatnappealsntonme.”
ANS:nB
,NURn304nExamn1nTestnBank;nVarcarolis’nF
oundationsnofnPsychiatricnMentalnHealthnNu
rsing:nAnClinicalnApproach,n8thnEdition
Thenpracticenofnpsychiatricnnursingnrequiresnandifferentnsetnofnskillsnthannmedical–
surgicalnnursing,nthoughntherenisnsubstantialnoverlap.nPsychiatricnnursesnmustnbenablen
tonhelpnpatientsnwithnmedicalnasnwellnasnmentalnhealthnproblems,nreflectingnthenholist
icnperspectiventhesennursesnmustnhave.nNurse–
patientnratiosnandnworkloadsninnpsychiatricnsettingsnhavenincreased,njustnlikenothernspe
cialties.nPsychiatricnnursingninvolvesnclinicalnpractice,nnotnjustndocumentation.nPsychos
ocialnpainnandnsufferingnarenasnrealnasnphysicalnpainnandnsuffering.
PTS:nnn 1 DIF: CognitivenLevel:nApplyn(Application)
REF:nnnPagesn1-2,n21
TOP:n NursingnProcess:nImplementatio
nnMSC:n ClientnNeeds:nSafe,nEffectivenCarenEnvironment
3. WhennannewnbillnintroducedninnCongressnreducesnfundingnforncarenofnpersonsndiagno
sednwithnmentalnillness,nangroupnofnnursesnwritenlettersntontheirnelectednrepresentative
sninnoppositionntonthenlegislation.nWhichnrolenhaventhennursesnfulfilled?
,NURn304nExamn1nTestnBank;nVarcarolis’nF
oundationsnofnPsychiatricnMentalnHealthnNu
rsing:nAnClinicalnApproach,n8thnEdition
a. Recovery
b. Attending
c. Advocacy
d. Evidence-basednpractice
ANS:nC
Annadvocatendefendsnornassertsnanother’sncause,nparticularlynwhennthenothernpersonnla
cksnthenabilityntondonthatnfornself.nExamplesnofnindividualnadvocacynincludenhelpingnp
atientsnunderstandntheirnrightsnornmakendecisions.nOnnancommunitynscale,nadvocacynin
cludesnpoliticalnactivity,npublicnspeaking,nandnpublicationninntheninterestnofnimprovingnt
henhumanncondition.
Sincenfundingnisnnecessaryntondelivernqualitynprogrammingnfornpersonsnwithnmentalnill
ness,nthenletter-
writingncampaignnadvocatesnfornthatncausenonnbehalfnofnpatientsnwhonarenunablento o nart
iculatentheirnownnneeds.
PTS:nnn 1 DIF:
CognitivenLevel:nUnderstandn(Comprehension)nREF
:nnnPagen1-26 TOP:n NursingnProcess:nEvaluation
MSC:n ClientnNeeds:nSafe,nEffectivenCarenEnvironment
4. Anfamilynhasnanlongnhistorynofnconflictednrelationshipsnamongnthenmembers.nWhic
hnfamilynmember’sncommentnbestnreflectsnanmentallynhealthynperspective?
a. “I’venmadenmistakesnbutneveryonenelseninnthisnfamilynhasnalso.”
b. “Inremembernjoynandnmutualnrespectnfromnournearlynyearsntogether.”
c. “Inwillnmakensomenchangesninnmynbehaviornfornthengoodnofnthenfamily.”
d. “It’snbestnfornmentonmovenawaynfromnmynfamily.nThingsnwillnnevernchange.”
ANS:nC
Thencorrectnresponsendemonstratesnthenbestnevidencenofnanhealthynrecognitionnofntheni
mportancenofnrelationships.nMentalnhealthnincludesnrationalnthinking,ncommunicationnski
lls,nlearning,nemotionalngrowth,nresilience,nandnself-
esteem.nRecallingnjoynfromnearlierninnlifenmaynbenhealthy,nbutnthencorrectnresponsensho
wsnanhighernlevelnofnmentalnhealth.nThenothernincorrectnresponsesnshownblamingnandna
voidance.
PTS:nnn 1 DIF: Cog g nitivenLevel:nAnalyzen(Analysis)
REF:nnPagesn1-2,n3,n32n(Figuren1-1) TOP:n NursingnProcess:nAssessment
s ocialnIntegr
MSC:n ClientnNeeds:nPsychos
ity
5. Whichnassessmentnfindingnmostnclearlynindicatesnthatnanpatientnmaynbenexperiencingna
nmentalnillness?nThenpatient
a. reportsnoccasionalnsleeplessnessnandnanxiety.
b. reportsnanconsistentlynsad,ndiscouraged,nandnhopelessnmood.
c. isnablentondescribenthendifferencenbetweenn“asnif”nandn“fornreal.”
, NURn304nExamn1nTestnBank;nVarcarolis’nF
oundationsnofnPsychiatricnMentalnHealthnNu
rsing:nAnClinicalnApproach,n8thnEdition
d. perceivesndifficultynmakingnandecisionnaboutnwhetherntonchangenjobs.
ANS:nB
Thencorrectnresponsendescribesnanmoodnalteration,nwhichnreflectsnmentalnillness.nThendis
tractersndescribenbehaviorsnthatnarenmentallynhealthynornwithinnthenusualnscopenofnhuma
nnexperience.
PTS:nnn 1 DIF: CognitivenLevel:nApplyn(Application)
REF:nn Pagesn1-2nton4
TOP:n NursingnProcess:nAssessme
ntnMSC:n ClientnNeeds:nPsychosocialnIntegrity
