Test Bank Varcarolis' Foundations of
Psychiatric-Mental Health Nursing A Clinical
9th Edition by Margaret Jordan Halter
All Chapter 1-36
,Chapter 01: Mental Health and Mental Illness
MULTIPLE CHOICE
1. A staff nurse completes orientation to a psychiatric unit. This nurse
may expect an advanced practice nurse to perform which
additional intervention?
a. Conduct mental health assessments.
b. Prescribe psychotropic medication.
c. Establish therapeutic relationships.
d. Individualize nursing care plans.
ANS: B
In most states, prescriptive privileges are granted to master‘s-prepared
nurse practitioners and clinical nurse specialists who have taken special
courses on prescribing medication. The nurse prepared at the basic level is
permitted to perform mental health assessments, establish relationships,
and provide individualized care planning.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF:
Page 1-23 TOP: Nursing Process: Implementation
MSC: Client Needs: Safe, Effective Care Environment
2. Anursing student expresses concernsthat mental health nurses―lose
all their clinical nursing skills.‖ Select the best response by the mental
health nurse.
a. ―Psychiatric nurses practice in safer environments than other
specialties. Nurse-to-patient ratios must be better because of the
nature of the patients‘ problems.‖
b. ―Psychiatric nurses use complex communication skills as well as
critical thinking to solve multidimensional problems. I am
challenged by those situations.‖
c. ―That‘s a misconception. Psychiatric nurses frequently use high
technology monitoring equipment and manage complex
intravenous therapies.‖
d. ―Psychiatric nurses do not have to deal with as much pain
and suffering as medical– surgical nurses do. That appeals to
me.‖
ANS: B
The practice of psychiatric nursing requires a different set of skills than
medical–surgical nursing, though there is substantial overlap. Psychiatric
nurses must be able to help patients with medical as well as mental
health problems, reflecting the holistic perspective these nurses must
have.
Nurse–patient ratios and workloads in psychiatric settings have increased,
just like other specialties. Psychiatric nursing involves clinical practice,
not just documentation. Psychosocial pain and suffering are as real as
physical pain and suffering.
, PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Pages 1- TOP: Nursing Process:
2, 21 Client Needs: Safe, Effective Care
MSC: Implementation
Environment
3. When a new bill introduced in Congress reduces funding for care of
persons diagnosed with mental illness, a group of nurses write
letters to their elected representatives in opposition to the legislation.
Which role have the nurses fulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-basedpractice
ANS: C
An advocate defends or asserts another‘s cause, particularly when the
other person lacks the ability to do that for self. Examples of individual
advocacy include helping patients understand their rights or make
decisions. On a community scale, advocacy includes political activity,
public speaking, and publication in the interest of improving the human
condition.
Since funding is necessary to deliver quality programming for persons
with mental illness, the letter-writing campaign advocates for that cause
on behalf of patients who are unable to articulate their own needs.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF:
Page 1-26 TOP: Nursing Process: Evaluation
MSC: Client Needs: Safe, Effective Care Environment
4. A family has a long history of conflicted relationships among
the members. Which family
member‘s comment best reflects a mentally healthy
perspective?
a. ―I‘ve made mistakes but everyone else in this family has
also.‖
b. ―I remember joy and mutual respect from our early
years together.‖
c. ―I will make some changes in my behavior for the good
of the family.‖
d. ―It‘s best for me to move away from my family. Things
will never change.‖
ANS: C
The correct response demonstrates the best evidence of a healthy
recognition of the importance of relationships. Mental health includes
rational thinking, communication skills, learning, emotional growth, 3
resilience, and self-esteem. Recalling joy from earlier in life may be
healthy, but the correct response shows a higher level of mental health.
The other incorrect responses show blaming and avoidance.
PTS: 1 DIF: Cognitive Level: Analyze (Analysis)
REF: Pages 1-2, 3, 32 (Figure 1-1) TOP: Nursing Process: Assessment MSC:
, Client Needs: Psychosocial Integrity
5. Which assessment finding most clearly indicates that a patient may
be experiencing a mental illness? The patient
a. reports occasional sleeplessness and anxiety.
b. reports a consistently sad, discouraged, and hopeless mood.
c. is able to describe the difference between ―as if‖ and ―for real.‖
d. perceives difficulty making a decision about whether to change
jobs.
ANS: B
The correct response describes a mood alteration, which reflects
mental illness. The distracters describe behaviors that are mentally
healthy
PTS: 1 or withinDIF:
the Cognitive
usual scope of Apply
Level: human experience.
(Application)
REF: Pages 1- TOP: Nursing Process:
2 to 4Client Needs: Psychosocial Integrity
MSC: Assessment
6. Which finding best indicates that the goal “Demonstrate mentally
healthy behavior‖ was achieved for an adult patient? The patient
a. sees self as capable of achieving ideals and meeting
demands.
b. behaves without considering the consequences of personal
actions.
c. aggressively meets own needs without considering the rights
of others.
d. seeks help from others when assuming responsibility for
major areas of own life.
ANS:
PTS: A1 DIF: Cognitive Level: Apply (Application)
The
REF: correct
Pages 1-response describes an adaptive,
TOP: Nursinghealthy
Process:behavior. The
MSC:
2 to 4Client Needs:
distracters Psychosocial
describe maladaptiveIntegrity
behaviors.
Evaluation
7. A nurse encounters an unfamiliar psychiatric disorder on a new patient‘s
admission form. Which resource should the nurse consult to determine
criteria used to establish this diagnosis? a. International Statistical
Classification of Diseases and Related Health Problems (ICD-
10)
b. The ANA‟s Psychiatric-Mental Health Nursing Scope and Standards of
Practice
c. Diagnostic and Statistical Manual of Mental Disorders (DSM-V)
d. A behavioral health reference manual
ANS: C
4
Psychiatric-Mental Health Nursing A Clinical
9th Edition by Margaret Jordan Halter
All Chapter 1-36
,Chapter 01: Mental Health and Mental Illness
MULTIPLE CHOICE
1. A staff nurse completes orientation to a psychiatric unit. This nurse
may expect an advanced practice nurse to perform which
additional intervention?
a. Conduct mental health assessments.
b. Prescribe psychotropic medication.
c. Establish therapeutic relationships.
d. Individualize nursing care plans.
ANS: B
In most states, prescriptive privileges are granted to master‘s-prepared
nurse practitioners and clinical nurse specialists who have taken special
courses on prescribing medication. The nurse prepared at the basic level is
permitted to perform mental health assessments, establish relationships,
and provide individualized care planning.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF:
Page 1-23 TOP: Nursing Process: Implementation
MSC: Client Needs: Safe, Effective Care Environment
2. Anursing student expresses concernsthat mental health nurses―lose
all their clinical nursing skills.‖ Select the best response by the mental
health nurse.
a. ―Psychiatric nurses practice in safer environments than other
specialties. Nurse-to-patient ratios must be better because of the
nature of the patients‘ problems.‖
b. ―Psychiatric nurses use complex communication skills as well as
critical thinking to solve multidimensional problems. I am
challenged by those situations.‖
c. ―That‘s a misconception. Psychiatric nurses frequently use high
technology monitoring equipment and manage complex
intravenous therapies.‖
d. ―Psychiatric nurses do not have to deal with as much pain
and suffering as medical– surgical nurses do. That appeals to
me.‖
ANS: B
The practice of psychiatric nursing requires a different set of skills than
medical–surgical nursing, though there is substantial overlap. Psychiatric
nurses must be able to help patients with medical as well as mental
health problems, reflecting the holistic perspective these nurses must
have.
Nurse–patient ratios and workloads in psychiatric settings have increased,
just like other specialties. Psychiatric nursing involves clinical practice,
not just documentation. Psychosocial pain and suffering are as real as
physical pain and suffering.
, PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Pages 1- TOP: Nursing Process:
2, 21 Client Needs: Safe, Effective Care
MSC: Implementation
Environment
3. When a new bill introduced in Congress reduces funding for care of
persons diagnosed with mental illness, a group of nurses write
letters to their elected representatives in opposition to the legislation.
Which role have the nurses fulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-basedpractice
ANS: C
An advocate defends or asserts another‘s cause, particularly when the
other person lacks the ability to do that for self. Examples of individual
advocacy include helping patients understand their rights or make
decisions. On a community scale, advocacy includes political activity,
public speaking, and publication in the interest of improving the human
condition.
Since funding is necessary to deliver quality programming for persons
with mental illness, the letter-writing campaign advocates for that cause
on behalf of patients who are unable to articulate their own needs.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF:
Page 1-26 TOP: Nursing Process: Evaluation
MSC: Client Needs: Safe, Effective Care Environment
4. A family has a long history of conflicted relationships among
the members. Which family
member‘s comment best reflects a mentally healthy
perspective?
a. ―I‘ve made mistakes but everyone else in this family has
also.‖
b. ―I remember joy and mutual respect from our early
years together.‖
c. ―I will make some changes in my behavior for the good
of the family.‖
d. ―It‘s best for me to move away from my family. Things
will never change.‖
ANS: C
The correct response demonstrates the best evidence of a healthy
recognition of the importance of relationships. Mental health includes
rational thinking, communication skills, learning, emotional growth, 3
resilience, and self-esteem. Recalling joy from earlier in life may be
healthy, but the correct response shows a higher level of mental health.
The other incorrect responses show blaming and avoidance.
PTS: 1 DIF: Cognitive Level: Analyze (Analysis)
REF: Pages 1-2, 3, 32 (Figure 1-1) TOP: Nursing Process: Assessment MSC:
, Client Needs: Psychosocial Integrity
5. Which assessment finding most clearly indicates that a patient may
be experiencing a mental illness? The patient
a. reports occasional sleeplessness and anxiety.
b. reports a consistently sad, discouraged, and hopeless mood.
c. is able to describe the difference between ―as if‖ and ―for real.‖
d. perceives difficulty making a decision about whether to change
jobs.
ANS: B
The correct response describes a mood alteration, which reflects
mental illness. The distracters describe behaviors that are mentally
healthy
PTS: 1 or withinDIF:
the Cognitive
usual scope of Apply
Level: human experience.
(Application)
REF: Pages 1- TOP: Nursing Process:
2 to 4Client Needs: Psychosocial Integrity
MSC: Assessment
6. Which finding best indicates that the goal “Demonstrate mentally
healthy behavior‖ was achieved for an adult patient? The patient
a. sees self as capable of achieving ideals and meeting
demands.
b. behaves without considering the consequences of personal
actions.
c. aggressively meets own needs without considering the rights
of others.
d. seeks help from others when assuming responsibility for
major areas of own life.
ANS:
PTS: A1 DIF: Cognitive Level: Apply (Application)
The
REF: correct
Pages 1-response describes an adaptive,
TOP: Nursinghealthy
Process:behavior. The
MSC:
2 to 4Client Needs:
distracters Psychosocial
describe maladaptiveIntegrity
behaviors.
Evaluation
7. A nurse encounters an unfamiliar psychiatric disorder on a new patient‘s
admission form. Which resource should the nurse consult to determine
criteria used to establish this diagnosis? a. International Statistical
Classification of Diseases and Related Health Problems (ICD-
10)
b. The ANA‟s Psychiatric-Mental Health Nursing Scope and Standards of
Practice
c. Diagnostic and Statistical Manual of Mental Disorders (DSM-V)
d. A behavioral health reference manual
ANS: C
4
