Halter: Varcarolis’ Foundations of Psychiatric Mental Health
m m m m m m mm
Nursing: A Clinical Approach, 8th Edition Test Bank
m m m m m m m
Halter: Varcarolis’ Foun m m
m
dations of Psychiatric Me m mm m
ntal Health Nursing: A Cl
mm m m mm
inical Approach, 8th Editi
m m mm
on
1
,Halter: Varcarolis’ Foundations of Psychiatric Mental Health
m m m m m m mm
Nursing: A Clinical Approach, 8th Edition Test Bank
m m m m m m m
Chapter m01:mMentalmHealthmandmMentalmIllness
MULTIPLEmCHOICE
1. A mstaff mnursemcompletesmorientationmtomampsychiatricmunit.mThismnursemmaymexpect manmadvanc
ed mpracticemnursemtomperformmwhichmadditionalmintervention?ma.
Conduct mmentalmhealthmassess
ments.
b. Prescribempsychotropicmmedication.
c. Establishmtherapeuticmrelationships.
d. Individualizemnursingmcaremplans.
ANS:mB
Inmmost mstates,mprescriptivemprivilegesmaremgranted mtommaster‘s-
prepared mnursempractitionersmand mclinicalmnursemspecialistsmwhomhavemtakenmspecialmcoursesmonmpre
scribingmmedication.mThemnursemprepared mat mthembasicmlevel mismpermitted mtomperformmmentalmhealth
massessments,mestablishmrelationships,mand mprovidemindividualized mcaremplanning.
PTS:m1 mDIF:mCognitivemLevel:mUnderstand m(Comprehension)mREF:mPagem1-
23 mTOP:mNursingmProcess:mImplementation
MSC:mClientmNeeds:mSafe,mEffective mCaremEnvironment
2. A mnursingmstudent mexpressesmconcernsmthat mmentalmhealthmnursesm―losemallmtheirmclinicalmnursi
ngmskills.‖ mSelect mthembest mresponsembymthemmentalmhealthmnurse.
a. ―Psychiatricmnursesmpracticeminmsafermenvironmentsmthanmothermspecialties.mNurse-to-
patient mratiosmmust mbembettermbecausemof mthemnaturemof mthempatients‘mproblems.‖
b. ―Psychiatricmnursesmusemcomplexmcommunicationmskillsmas mwellmasmcriticalmthinkingmtomsol
vemmultidimensionalmproblems.mI mammchallenged mbymthosemsituations.‖
c. ―That‘smammisconception.mPsychiatricmnursesmfrequentlymusemhighmtechnologymmonitorin
gmequipment mand mmanagemcomplexmintravenousmtherapies.‖
d. ―Psychiatricmnursesmdomnot mhavemtomdealmwithmasmmuchmpainmand msufferingmasmmedic
al–msurgicalmnursesmdo.mThat mappealsmtomme.‖
ANS:mB
Thempracticemof mpsychiatricmnursingmrequiresmamdifferent mset mof mskillsmthanmmedical–
surgicalmnursing,mthoughmtheremismsubstantialmoverlap. mPsychiatricmnursesmmust mbemablemtomhel
pmpatientsmwithmmedicalmasmwellmasmmentalmhealthmproblems,m reflectingmthemholisticmperspectiv
emthesemnursesmmust mhave.mNurse–
patient mratiosmand mworkloadsminmpsychiatricmsettingsmhavemincreased,mjust mlikemothermspecialtie
s.mPsychiatricmnursingminvolvesmclinical mpractice, mnot mjust mdocumentation.mPsychosocial mpainm
and msufferingmaremasmrealmasmphysicalmpainmand msuffering.
2
,Halter: Varcarolis’ Foundations of Psychiatric Mental Health
m m m m m m mm
Nursing: A Clinical Approach, 8th Edition Test Bank
m m m m m m m
PTS:m1 DIF:mCognitive mLevel:mApply m(Application)
3
, Halter: Varcarolis’ Foundations of Psychiatric Mental Health
m m m m m m mm
Nursing: A Clinical Approach, 8th Edition Test Bank
m m m m m m m
REF:mPagesm1-2,m21
TOP:mNursingmProcess:mImplementatio
n mMSC:mClientmNeeds:mSafe,mEffective mCaremEnvironment
4
m m m m m m mm
Nursing: A Clinical Approach, 8th Edition Test Bank
m m m m m m m
Halter: Varcarolis’ Foun m m
m
dations of Psychiatric Me m mm m
ntal Health Nursing: A Cl
mm m m mm
inical Approach, 8th Editi
m m mm
on
1
,Halter: Varcarolis’ Foundations of Psychiatric Mental Health
m m m m m m mm
Nursing: A Clinical Approach, 8th Edition Test Bank
m m m m m m m
Chapter m01:mMentalmHealthmandmMentalmIllness
MULTIPLEmCHOICE
1. A mstaff mnursemcompletesmorientationmtomampsychiatricmunit.mThismnursemmaymexpect manmadvanc
ed mpracticemnursemtomperformmwhichmadditionalmintervention?ma.
Conduct mmentalmhealthmassess
ments.
b. Prescribempsychotropicmmedication.
c. Establishmtherapeuticmrelationships.
d. Individualizemnursingmcaremplans.
ANS:mB
Inmmost mstates,mprescriptivemprivilegesmaremgranted mtommaster‘s-
prepared mnursempractitionersmand mclinicalmnursemspecialistsmwhomhavemtakenmspecialmcoursesmonmpre
scribingmmedication.mThemnursemprepared mat mthembasicmlevel mismpermitted mtomperformmmentalmhealth
massessments,mestablishmrelationships,mand mprovidemindividualized mcaremplanning.
PTS:m1 mDIF:mCognitivemLevel:mUnderstand m(Comprehension)mREF:mPagem1-
23 mTOP:mNursingmProcess:mImplementation
MSC:mClientmNeeds:mSafe,mEffective mCaremEnvironment
2. A mnursingmstudent mexpressesmconcernsmthat mmentalmhealthmnursesm―losemallmtheirmclinicalmnursi
ngmskills.‖ mSelect mthembest mresponsembymthemmentalmhealthmnurse.
a. ―Psychiatricmnursesmpracticeminmsafermenvironmentsmthanmothermspecialties.mNurse-to-
patient mratiosmmust mbembettermbecausemof mthemnaturemof mthempatients‘mproblems.‖
b. ―Psychiatricmnursesmusemcomplexmcommunicationmskillsmas mwellmasmcriticalmthinkingmtomsol
vemmultidimensionalmproblems.mI mammchallenged mbymthosemsituations.‖
c. ―That‘smammisconception.mPsychiatricmnursesmfrequentlymusemhighmtechnologymmonitorin
gmequipment mand mmanagemcomplexmintravenousmtherapies.‖
d. ―Psychiatricmnursesmdomnot mhavemtomdealmwithmasmmuchmpainmand msufferingmasmmedic
al–msurgicalmnursesmdo.mThat mappealsmtomme.‖
ANS:mB
Thempracticemof mpsychiatricmnursingmrequiresmamdifferent mset mof mskillsmthanmmedical–
surgicalmnursing,mthoughmtheremismsubstantialmoverlap. mPsychiatricmnursesmmust mbemablemtomhel
pmpatientsmwithmmedicalmasmwellmasmmentalmhealthmproblems,m reflectingmthemholisticmperspectiv
emthesemnursesmmust mhave.mNurse–
patient mratiosmand mworkloadsminmpsychiatricmsettingsmhavemincreased,mjust mlikemothermspecialtie
s.mPsychiatricmnursingminvolvesmclinical mpractice, mnot mjust mdocumentation.mPsychosocial mpainm
and msufferingmaremasmrealmasmphysicalmpainmand msuffering.
2
,Halter: Varcarolis’ Foundations of Psychiatric Mental Health
m m m m m m mm
Nursing: A Clinical Approach, 8th Edition Test Bank
m m m m m m m
PTS:m1 DIF:mCognitive mLevel:mApply m(Application)
3
, Halter: Varcarolis’ Foundations of Psychiatric Mental Health
m m m m m m mm
Nursing: A Clinical Approach, 8th Edition Test Bank
m m m m m m m
REF:mPagesm1-2,m21
TOP:mNursingmProcess:mImplementatio
n mMSC:mClientmNeeds:mSafe,mEffective mCaremEnvironment
4