Foundations of Psychiatric Mental Health Nursing: A ClinicalAppr
o o o o o o o o
oach, 8th Edition Varcarolis’ COMPLETE TEST BANK
o o o o o o o
1
,Foundations of Psychiatric Mental Health Nursing: A ClinicalAppr
o o o o o o o o
oach, 8th Edition Varcarolis’ COMPLETE TEST BANK
o o o o o o o
Chapter 01: Mental Health and Mental Illness
o o o o o o
Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A ClinicalAppro
o o o o o o o o o o
ach, 8th Edition
o o
MULTIPLEoCHOICE
1. Aostaffonurseocompletesoorientationotooaopsychiatricounit.oThisonurseomayoexpectoanoadvancedop
racticeonurseotooperformowhichoadditionalointervention?oa.
Conductomentalohealthoassessments.
b. Prescribeopsychotropicomedication.
c. Establishotherapeuticorelationships.
d. Individualizeonursingocareoplans.
ANS:oB
Inomostostates,oprescriptiveoprivilegesoareograntedotoomaster’s-
preparedonurseopractitionersoandoclinicalonurseospecialistsowhoohaveotakenospecialocoursesoonopresc
ribingomedication.oTheonurseopreparedoatotheobasicoleveloisopermittedotooperformomentalohealthoass
essments,oestablishorelationships,oandoprovideoindividualizedocareoplanning.
PTS:o1oDIF:oCognitiveoLevel:oUnderstando(Comprehension)oREF:oPageo1-
23oTOP:oNursingoProcess:oImplementation
MSC:oClientoNeeds:oSafe,oEffectiveoCareoEnvironment
2. Aonursingostudentoexpressesoconcernsothatomentalohealthonurseso“loseoallotheiroclinicalonursingos
kills.”oSelectotheobestoresponseobyotheomentalohealthonurse.
a. “Psychiatriconursesopracticeoinosaferoenvironmentsothanootherospecialties.oNurse-to-
patientoratiosomustobeobetterobecauseoofotheonatureoofotheopatients’oproblems.”
b. “Psychiatriconursesouseocomplexocommunicationoskillsoasowelloasocriticalothinkingotoosolveo
multidimensionaloproblems.oIoamochallengedobyothoseosituations.”
c. “That’soaomisconception.oPsychiatriconursesofrequentlyouseohighotechnologyomonitoringoe
quipmentoandomanageocomplexointravenousotherapies.”
d. “Psychiatriconursesodoonotohaveotoodealowithoasomuchopainoandosufferingoasomedical–
osurgicalonursesodo.oThatoappealsotoome.”
2
,Foundations of Psychiatric Mental Health Nursing: A ClinicalAppr
o o o o o o o o
oach, 8th Edition Varcarolis’ COMPLETE TEST BANK
o o o o o o o
ANS:oB
Theopracticeoofopsychiatriconursingorequiresoaodifferentosetoofoskillsothanomedical–
surgicalonursing,othoughothereoisosubstantialooverlap.oPsychiatriconursesomustobeoableotoohelpopa
tientsowithomedicaloasowelloasomentalohealthoproblems,oreflectingotheoholisticoperspectiveotheseo
nursesomustohave.oNurse–
patientoratiosoandoworkloadsoinopsychiatricosettingsohaveoincreased,ojustolikeootherospecialties.oPs
ychiatriconursingoinvolvesoclinicalopractice,onotojustodocumentation.oPsychosocialopainoandosuff
eringoareoasorealoasophysicalopainoandosuffering.
PTS:o1 DIF:oCognitiveoLevel:oApplyo(Application)
REF:oPageso1-2,o21
TOP:oNursingoProcess:oImplementationo
MSC:oClientoNeeds:oSafe,oEffectiveoCareoEnvironment
3
, Foundations of Psychiatric Mental Health Nursing: A ClinicalAppr
o o o o o o o o
oach, 8th Edition Varcarolis’ COMPLETE TEST BANK
o o o o o o o
3. WhenoaonewobillointroducedoinoCongressoreducesofundingoforocareoofopersonsodiagnosedowitho
mentaloillness,oaogroupoofonursesowriteolettersotootheiroelectedorepresentativesoinooppositionotoot
heolegislation.oWhichoroleohaveotheonursesofulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-basedopractice
ANS:oC
Anoadvocateodefendsooroassertsoanother’socause,oparticularlyowhenotheootheropersonolacksotheoab
ilityotoodoothatoforoself.oExamplesoofoindividualoadvocacyoincludeohelpingopatientsounderstandot
heirorightsooromakeodecisions.oOnoaocommunityoscale,oadvocacyoincludesopoliticaloactivity,opubli
cospeaking,oandopublicationoinotheointerestoofoimprovingotheohumanocondition.
Sinceofundingoisonecessaryotoodeliveroqualityoprogrammingoforopersonsowithomentaloillness,otheol
etter-
writingocampaignoadvocatesoforothatocauseoonobehalfoofopatientsowhooareounableotooarticulateothe
iroownoneeds.
PTS:o1oDIF:oCognitiveoLevel:oUnderstando(Comprehension)oREF:oPageo1-
26oTOP:oNursingoProcess:oEvaluation
MSC:oClientoNeeds:oSafe,oEffectiveoCareoEnvironment
4. Aofamilyohasoaolongohistoryoofoconflictedorelationshipsoamongotheomembers.oWhichofamilyo
member’socommentobestoreflectsoaomentallyohealthyoperspective?
a. “I’veomadeomistakesobutoeveryoneoelseoinothisofamilyohasoalso.”
b. “Iorememberojoyoandomutualorespectofromoouroearlyoyearsotogether.”
c. “Iowillomakeosomeochangesoinomyobehavioroforotheogoodoofotheofamily.”
d. “It’sobestoforomeotoomoveoawayofromomyofamily.oThingsowilloneverochange.”
ANS:oC
Theocorrectoresponseodemonstratesotheobestoevidenceoofoaohealthyorecognitionoofotheoimportanc
eooforelationships.oMentalohealthoincludesorationalothinking,ocommunicationoskills,olearning,oe
motionalogrowth,oresilience,oandoself-
esteem.oRecallingojoyofromoearlieroinolifeomayobeohealthy,obutotheocorrectoresponseoshowsoaohigh
eroleveloofomentalohealth.oTheootheroincorrectoresponsesoshowoblamingoandoavoidance.
PTS:o1 DIF:oCognitiveoLevel:oAnalyzeo(Analysis)
REF:oPageso1-2,o3,o32o(Figureo1-1)
TOP:o Nursingo Process:o Assessmento MSC:o
ClientoNeeds:oPsychosocialoIntegrity
5. Whichoassessmentofindingomostoclearlyoindicatesothatoaopatientomayobeoexperiencingoaomentaloil
lness?oTheopatient
a. reportsooccasionalosleeplessnessoandoanxiety.
b. reportsoaoconsistentlyosad,odiscouraged,oandohopelessomood.
c. isoableotoodescribeotheodifferenceobetweeno“asoif”oando“fororeal.”
4
o o o o o o o o
oach, 8th Edition Varcarolis’ COMPLETE TEST BANK
o o o o o o o
1
,Foundations of Psychiatric Mental Health Nursing: A ClinicalAppr
o o o o o o o o
oach, 8th Edition Varcarolis’ COMPLETE TEST BANK
o o o o o o o
Chapter 01: Mental Health and Mental Illness
o o o o o o
Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A ClinicalAppro
o o o o o o o o o o
ach, 8th Edition
o o
MULTIPLEoCHOICE
1. Aostaffonurseocompletesoorientationotooaopsychiatricounit.oThisonurseomayoexpectoanoadvancedop
racticeonurseotooperformowhichoadditionalointervention?oa.
Conductomentalohealthoassessments.
b. Prescribeopsychotropicomedication.
c. Establishotherapeuticorelationships.
d. Individualizeonursingocareoplans.
ANS:oB
Inomostostates,oprescriptiveoprivilegesoareograntedotoomaster’s-
preparedonurseopractitionersoandoclinicalonurseospecialistsowhoohaveotakenospecialocoursesoonopresc
ribingomedication.oTheonurseopreparedoatotheobasicoleveloisopermittedotooperformomentalohealthoass
essments,oestablishorelationships,oandoprovideoindividualizedocareoplanning.
PTS:o1oDIF:oCognitiveoLevel:oUnderstando(Comprehension)oREF:oPageo1-
23oTOP:oNursingoProcess:oImplementation
MSC:oClientoNeeds:oSafe,oEffectiveoCareoEnvironment
2. Aonursingostudentoexpressesoconcernsothatomentalohealthonurseso“loseoallotheiroclinicalonursingos
kills.”oSelectotheobestoresponseobyotheomentalohealthonurse.
a. “Psychiatriconursesopracticeoinosaferoenvironmentsothanootherospecialties.oNurse-to-
patientoratiosomustobeobetterobecauseoofotheonatureoofotheopatients’oproblems.”
b. “Psychiatriconursesouseocomplexocommunicationoskillsoasowelloasocriticalothinkingotoosolveo
multidimensionaloproblems.oIoamochallengedobyothoseosituations.”
c. “That’soaomisconception.oPsychiatriconursesofrequentlyouseohighotechnologyomonitoringoe
quipmentoandomanageocomplexointravenousotherapies.”
d. “Psychiatriconursesodoonotohaveotoodealowithoasomuchopainoandosufferingoasomedical–
osurgicalonursesodo.oThatoappealsotoome.”
2
,Foundations of Psychiatric Mental Health Nursing: A ClinicalAppr
o o o o o o o o
oach, 8th Edition Varcarolis’ COMPLETE TEST BANK
o o o o o o o
ANS:oB
Theopracticeoofopsychiatriconursingorequiresoaodifferentosetoofoskillsothanomedical–
surgicalonursing,othoughothereoisosubstantialooverlap.oPsychiatriconursesomustobeoableotoohelpopa
tientsowithomedicaloasowelloasomentalohealthoproblems,oreflectingotheoholisticoperspectiveotheseo
nursesomustohave.oNurse–
patientoratiosoandoworkloadsoinopsychiatricosettingsohaveoincreased,ojustolikeootherospecialties.oPs
ychiatriconursingoinvolvesoclinicalopractice,onotojustodocumentation.oPsychosocialopainoandosuff
eringoareoasorealoasophysicalopainoandosuffering.
PTS:o1 DIF:oCognitiveoLevel:oApplyo(Application)
REF:oPageso1-2,o21
TOP:oNursingoProcess:oImplementationo
MSC:oClientoNeeds:oSafe,oEffectiveoCareoEnvironment
3
, Foundations of Psychiatric Mental Health Nursing: A ClinicalAppr
o o o o o o o o
oach, 8th Edition Varcarolis’ COMPLETE TEST BANK
o o o o o o o
3. WhenoaonewobillointroducedoinoCongressoreducesofundingoforocareoofopersonsodiagnosedowitho
mentaloillness,oaogroupoofonursesowriteolettersotootheiroelectedorepresentativesoinooppositionotoot
heolegislation.oWhichoroleohaveotheonursesofulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-basedopractice
ANS:oC
Anoadvocateodefendsooroassertsoanother’socause,oparticularlyowhenotheootheropersonolacksotheoab
ilityotoodoothatoforoself.oExamplesoofoindividualoadvocacyoincludeohelpingopatientsounderstandot
heirorightsooromakeodecisions.oOnoaocommunityoscale,oadvocacyoincludesopoliticaloactivity,opubli
cospeaking,oandopublicationoinotheointerestoofoimprovingotheohumanocondition.
Sinceofundingoisonecessaryotoodeliveroqualityoprogrammingoforopersonsowithomentaloillness,otheol
etter-
writingocampaignoadvocatesoforothatocauseoonobehalfoofopatientsowhooareounableotooarticulateothe
iroownoneeds.
PTS:o1oDIF:oCognitiveoLevel:oUnderstando(Comprehension)oREF:oPageo1-
26oTOP:oNursingoProcess:oEvaluation
MSC:oClientoNeeds:oSafe,oEffectiveoCareoEnvironment
4. Aofamilyohasoaolongohistoryoofoconflictedorelationshipsoamongotheomembers.oWhichofamilyo
member’socommentobestoreflectsoaomentallyohealthyoperspective?
a. “I’veomadeomistakesobutoeveryoneoelseoinothisofamilyohasoalso.”
b. “Iorememberojoyoandomutualorespectofromoouroearlyoyearsotogether.”
c. “Iowillomakeosomeochangesoinomyobehavioroforotheogoodoofotheofamily.”
d. “It’sobestoforomeotoomoveoawayofromomyofamily.oThingsowilloneverochange.”
ANS:oC
Theocorrectoresponseodemonstratesotheobestoevidenceoofoaohealthyorecognitionoofotheoimportanc
eooforelationships.oMentalohealthoincludesorationalothinking,ocommunicationoskills,olearning,oe
motionalogrowth,oresilience,oandoself-
esteem.oRecallingojoyofromoearlieroinolifeomayobeohealthy,obutotheocorrectoresponseoshowsoaohigh
eroleveloofomentalohealth.oTheootheroincorrectoresponsesoshowoblamingoandoavoidance.
PTS:o1 DIF:oCognitiveoLevel:oAnalyzeo(Analysis)
REF:oPageso1-2,o3,o32o(Figureo1-1)
TOP:o Nursingo Process:o Assessmento MSC:o
ClientoNeeds:oPsychosocialoIntegrity
5. Whichoassessmentofindingomostoclearlyoindicatesothatoaopatientomayobeoexperiencingoaomentaloil
lness?oTheopatient
a. reportsooccasionalosleeplessnessoandoanxiety.
b. reportsoaoconsistentlyosad,odiscouraged,oandohopelessomood.
c. isoableotoodescribeotheodifferenceobetweeno“asoif”oando“fororeal.”
4
