Test bank For Varcarolis' Foundations of Psychiatric-Mental Health Nursing 9th Edition by Margaret Jordan Halter | 2022/2023 | 9780323697071| Chapter 1-36 | Complete Questions and Answers A+

j 4j 4j 4j 4j 4j 4j 4j 4j 4j 4j 4j 4 Test Bank Varcarolis' Foundations of Psychiatric-Mental Health
Nursing A Clinical 9th Edition by Margaret Jordan Halter
All Chapter 1-36

,Chapter01:Mental Health andMentalIllness
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MULTIPLE CHOICE j4




1. Astaffnurse completes orientation to apsychiatric unit. This nurse may expect an advance
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d practice nurse to perform which additional intervention?
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a. Conduct mental health assessments. j4 j4 j4




b. Prescribepsychotropicmedication. j4 j4




c. Establishtherapeutic relationships. j4 j4




d. Individualize nursing care plans. j4 j4 j4




ANS: B j4




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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bingmedication. The nurse prepared at the basic level is permitted to perform mental health assessm
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ents, 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 CareEnvironment
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2. Anursingstudentexpressesconcernsthatmentalhealthnurses―losealltheirc linicalnursin
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g skills.‖ Select the best response by the mental health nurse.
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a. ―Psychiatric nursespractice insafer environmentsthan otherspecialties. Nurse-to-patient j4 j4 j4 j4 j4 j4 j4 j4 j4




ratios must be better because of the nature of the patients‘ problems.‖ j4 j4 j4 j4 j4 j4 j4 j4 j4 j4 j4




b. ―Psychiatricnursesusecomplexcommunicationskills as wellascriticalthinkingtoso j4 j4 j4 j4 j4 j4 j4 j4 j4 j4 j4 j4




lve multidimensional problems. I am challenged by those situations.‖
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c. ―That‘samisconception.Psychiatricnursesfrequentlyuse hightechnologymonitori j4 j4 j4 j4 j4 j4 j4 j4 j4




ng equipment and manage complex intravenous therapies.‖
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d. ―Psychiatricnursesdonothavetodeal with asmuchpainandsuffering asmedical– j4 j4 j4 j4 j4 j4 j4 j4 j4 j4 j4 j4 j4 j4




surgical nurses do. That appeals to me.‖
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ANS: B j4




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.
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Nurse–
patient ratios and workloads in psychiatric settings have increased, just like other specialties.
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Psychiatric nursing involves clinical practice, not just documentation. Psychosocial pain and s
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uffering are as real as physical pain and suffering. j4 j4 j4 j4 j4 j4 j4 j4

, PTS: 1 j4 DIF:Cognitive Level:Apply(Application) j4 j4 j4 j4




REF: Pages 1-2, 21 j4 j4 j4




TOP:NursingProcess:Implementatio j4 j4 j4




n 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 diagnose
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d with mental illness, a group of nurses write letters to their elected representatives in opposi
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tion to the legislation. Which role have the nurses fulfilled?
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a. Recovery
b. Attending
c. Advocacy
d. Evidence-basedpractice j4




ANS: C j4




An advocate defends or asserts another‘s cause, particularly when the other person lacks the abil
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ity to do that for self. Examples of individual advocacy include helping patients understand thei
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r rightsor make decisions. On acommunityscale, advocacyincludes political activity, public s
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peaking, and publication in the interest of improving the human condition. j4 j4 j4 j4 j4 j4 j4 j4 j4 j4




Since funding is necessaryto deliver quality programming for persons with mental illness, the le
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tter-
writing campaign advocates for that cause on behalf of patients who are unable to articulate the
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ir own needs. j4 j4




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 CareEnvironment j4 j4 j4 j4 j4 j4




4. Afamilyhas a long historyof conflicted relationships among themembers. Which family
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member‘s comment best reflects a mentally healthy perspective? j4 j4 j4 j4 j4 j4 j4




a. ―I‘vemademistakesbut everyone else inthis family hasalso.‖ j4 j4 j4 j4 j4 j4 j4 j4 j4 j4




b. ―Irememberjoy andmutual respectfrom our earlyyearstogether.‖ j4 j4 j4 j4 j4 j4 j4 j4 j4 j4




c. ―I willmakesomechanges inmybehaviorforthe goodof thefamily.‖ j4 j4 j4 j4 j4 j4 j4 j4 j4 j4 j4 j4 j4




d. ―It‘sbest formetomove awayfrom myfamily. Things will never change.‖ j4 j4 j4 j4 j4 j4 j4 j4 j4 j4 j4 j4 j4




ANS: C j4




The correct response demonstratesthe best evidence of a healthy recognition of the importance o
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f relationships. Mental health includes rational thinking, communication skills, learning, emoti
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onal growth, resilience, and self- j 4 j4 j4 j4




esteem.Recallingjoy from earlier in life may be healthy, butthe correct response shows a higher l
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evel 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) TOP: Nursing Process: Assessment MSC:
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3

, Client Needs: Psychosocial Integrity j4 j4 j4




5. Which assessment finding most clearly indicates that a patient maybe experiencing ament
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al illness? The patient
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a. reportsoccasional sleeplessness andanxiety. j4 j4 j4 j4




b. reports a consistently sad, discouraged, and hopeless mood. j4 j4 j4 j4 j4 j4 j4




c. isable to describethe differencebetween ―as if‖ and―forreal.‖
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d. perceives difficultymaking adecision about whether to change jobs. j4 j4 j4 j4 j4 j4 j4 j4 j4




ANS: B j4




The correct response describes a mood alteration, which reflects mental illness. The distracters
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describe behaviors that are mentally healthy or within the usual scope of human experience.
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PTS: 1 j4 DIF:Cognitive Level:Apply(Application) j4 j4 j4 j4




REF: Pages 1-2 to 4 j4 j4 j4 j4




TOP:NursingProcess:Assessme j4 j4 j4




nt MSC: Client Needs: Psychosocial Integrity
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6. Which finding best indicates that the goal “Demonstrate mentally healthy behavior‖ was a
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chieved for an adult patient? The patient j4 j4 j4 j4 j4 j4




a. seesself as capable of achieving ideals and meeting demands.j4 j4 j4 j4 j4 j4 j4 j4 j4




b. behaves without considering the consequencesof personal actions. j4 j4 j4 j4 j4 j4 j4




c. aggressively meets own needs without considering the rights of others. j4 j4 j4 j4 j4 j4 j4 j4 j4




d. seeks help from others when assuming responsibility formajor areas of own life.
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ANS:A j4




Thecorrect responsedescribes anadaptive, healthybehavior. The distracters describe maladaptive
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jbehaviors. 4




PTS: 1 j4 DIF:Cognitive Level:Apply(Application) j4 j4 j4 j4




REF: Pages 1-2 to 4 j4 j4 j4 j4




TOP:NursingProcess:Evaluatio j4 j4 j4




n MSC: Client Needs: Psychosocial Integrity
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7. A nurse encounters an unfamiliar psychiatric disorder on a new patient‘s admission form. Whi
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ch resource should the nurse consult to determine criteria used to establish this diagnosis? a. I
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nternationalStatisticalClassificationofDiseasesand Related HealthProblems (ICD-
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10)
b. TheANA‟sPsychiatric-Mental Health Nursing Scopeand Standards ofPractice
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c. Diagnosticand StatisticalManual of Mental Disorders (DSM-V) 4j j4 j4 j4 j4 j4 j4




d. Abehavioralhealth reference manual j4 j4 j4 j4




ANS: C j4




4