Test Bank Varcarolis' Foundations of Psychiatric-
m m m m m
Mental Health Nursing A Clinical 9th Edition by Margaret
m m m m m m m m m
Jordan Halter |Test Bank|Chapter 1-36 UPDATED 2022
m m m m m m
Chapter m01:mMentalmHealthmandmMentalmIllness
Halter:mVarcarolis’ mFoundations mofmPsychiatric mMentalmHealthmNursing:mAmClinicalmApp
roach,m8thmEdition
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
1
, Test Bank Varcarolis' Foundations of Psychiatric-
m m m m m
Mental Health Nursing A Clinical 9th Edition by Margaret
m m m m m m m m m
Jordan Halter |Test Bank|Chapter 1-36 UPDATED 2022
m m m m m m
s.mPsychiatricmnursingminvolvesmclinical mpractice, mnot mjust mdocumentation.mPsychosocial mpainm
and msufferingmaremasmrealmasmphysicalmpainmand msuffering.
2
, Test Bank Varcarolis' Foundations of Psychiatric-
m m m m m
Mental Health Nursing A Clinical 9th Edition by Margaret
m m m m m m m m m
Jordan Halter |Test Bank|Chapter 1-36 UPDATED 2022
m m m m m m
PTS:m1 DIF:mCognitive mLevel:mApply m(Application)
REF:mPagesm1-2,m21
TOP:mNursingmProcess:mImplementatio
n mMSC:mClientmNeeds:mSafe,mEffective mCaremEnvironment
3
, Test Bank Varcarolis' Foundations of Psychiatric-
m m m m m
Mental Health Nursing A Clinical 9th Edition by Margaret
m m m m m m m m m
Jordan Halter |Test Bank|Chapter 1-36 UPDATED 2022
m m m m m m
3. Whenmamnew mbillmintroduced minmCongressmreducesmfundingmformcaremof mpersonsmdiagnosed mw
ithmmentalmillness,mamgroupmof mnursesmwritemlettersmtomtheirmelected mrepresentativesminmopposit
ionmtomthemlegislation.mWhichmrolemhavemthemnursesmfulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based mpractice
ANS:mC
Anmadvocatemdefendsmormassertsmanother‘smcause,mparticularlymwhenmthemothermpersonmlacksmth
emabilitymtomdomthat mformself.mExamplesmof mindividualmadvocacymincludemhelpingmpatientsmunde
rstand mtheirmrightsmormmakemdecisions.mOnmamcommunitymscale,madvocacymincludesmpoliticalmact
ivity,mpublicmspeaking,mand mpublicationminmtheminterest mof mimprovingmthemhumanmcondition.
Sincemfundingmismnecessarymtomdelivermqualitymprogrammingmformpersonsmwithmmentalmillness,mt
hemletter-
writingmcampaignmadvocatesmformthat mcausemonmbehalf mof mpatientsmwhomaremunablemtomarticulat
emtheirmownmneeds.
PTS:m1 mDIF:mCognitivemLevel:mUnderstand m(Comprehension)mREF:mPagem1-
26 mTOP:mNursingmProcess:mEvaluation
MSC:mClientmNeeds:mSafe,mEffective mCaremEnvironment
4. Amfamilymhasmamlongmhistorymof mconflicted mrelationshipsmamongmthemmembers.mWhichmfami
lymmember‘smcomment mbest mreflectsmammentallymhealthymperspective?
a. ―I‘vemmademmistakesmbut meveryonemelseminmthismfamilymhasmalso.‖
b. ―I mremembermjoymand mmutualmrespect mfrommourmearlymyearsmtogether.‖
c. ―I mwill mmake msome mchanges min mmymbehavior mformthemgood mof mthemfamily.‖
d. ―It‘smbest mformmemtommovemawaymfrommmymfamily.mThingsmwillmnevermchange.‖
ANS:mC
Themcorrect mresponsemdemonstratesmthembest mevidencemof mamhealthymrecognitionmof mthemimport
ancemof mrelationships.mMentalmhealthmincludesmrationalmthinking,mcommunicationmskills,mlearni
ng,memotionalmgrowth,mresilience,mand mself-
esteem.mRecallingmjoymfrommearlierminm lifemmaymbemhealthy,mbut mthemcorrect mresponsemshowsmam
highermlevelmof mmentalmhealth.mThemothermincorrect mresponsesmshow mblaming mand mavoidance.
PTS:m1 DIF:mCognitive mLevel:mAnalyze m(Analysis)
REF:mPagesm1-2,m3,m32 m(Figurem1-1)
TOP:mNursingmProcess:mAssessmentmMSC
:mClientmNeeds:mPsychosocialmIntegrity
5. Whichmassessment mfindingmmost mclearlymindicatesmthat mampatient mmaymbemexperiencingmammen
talmillness?mThempatient
a. reportsmoccasionalmsleeplessnessmand manxiety.
4
m m m m m
Mental Health Nursing A Clinical 9th Edition by Margaret
m m m m m m m m m
Jordan Halter |Test Bank|Chapter 1-36 UPDATED 2022
m m m m m m
Chapter m01:mMentalmHealthmandmMentalmIllness
Halter:mVarcarolis’ mFoundations mofmPsychiatric mMentalmHealthmNursing:mAmClinicalmApp
roach,m8thmEdition
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
1
, Test Bank Varcarolis' Foundations of Psychiatric-
m m m m m
Mental Health Nursing A Clinical 9th Edition by Margaret
m m m m m m m m m
Jordan Halter |Test Bank|Chapter 1-36 UPDATED 2022
m m m m m m
s.mPsychiatricmnursingminvolvesmclinical mpractice, mnot mjust mdocumentation.mPsychosocial mpainm
and msufferingmaremasmrealmasmphysicalmpainmand msuffering.
2
, Test Bank Varcarolis' Foundations of Psychiatric-
m m m m m
Mental Health Nursing A Clinical 9th Edition by Margaret
m m m m m m m m m
Jordan Halter |Test Bank|Chapter 1-36 UPDATED 2022
m m m m m m
PTS:m1 DIF:mCognitive mLevel:mApply m(Application)
REF:mPagesm1-2,m21
TOP:mNursingmProcess:mImplementatio
n mMSC:mClientmNeeds:mSafe,mEffective mCaremEnvironment
3
, Test Bank Varcarolis' Foundations of Psychiatric-
m m m m m
Mental Health Nursing A Clinical 9th Edition by Margaret
m m m m m m m m m
Jordan Halter |Test Bank|Chapter 1-36 UPDATED 2022
m m m m m m
3. Whenmamnew mbillmintroduced minmCongressmreducesmfundingmformcaremof mpersonsmdiagnosed mw
ithmmentalmillness,mamgroupmof mnursesmwritemlettersmtomtheirmelected mrepresentativesminmopposit
ionmtomthemlegislation.mWhichmrolemhavemthemnursesmfulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based mpractice
ANS:mC
Anmadvocatemdefendsmormassertsmanother‘smcause,mparticularlymwhenmthemothermpersonmlacksmth
emabilitymtomdomthat mformself.mExamplesmof mindividualmadvocacymincludemhelpingmpatientsmunde
rstand mtheirmrightsmormmakemdecisions.mOnmamcommunitymscale,madvocacymincludesmpoliticalmact
ivity,mpublicmspeaking,mand mpublicationminmtheminterest mof mimprovingmthemhumanmcondition.
Sincemfundingmismnecessarymtomdelivermqualitymprogrammingmformpersonsmwithmmentalmillness,mt
hemletter-
writingmcampaignmadvocatesmformthat mcausemonmbehalf mof mpatientsmwhomaremunablemtomarticulat
emtheirmownmneeds.
PTS:m1 mDIF:mCognitivemLevel:mUnderstand m(Comprehension)mREF:mPagem1-
26 mTOP:mNursingmProcess:mEvaluation
MSC:mClientmNeeds:mSafe,mEffective mCaremEnvironment
4. Amfamilymhasmamlongmhistorymof mconflicted mrelationshipsmamongmthemmembers.mWhichmfami
lymmember‘smcomment mbest mreflectsmammentallymhealthymperspective?
a. ―I‘vemmademmistakesmbut meveryonemelseminmthismfamilymhasmalso.‖
b. ―I mremembermjoymand mmutualmrespect mfrommourmearlymyearsmtogether.‖
c. ―I mwill mmake msome mchanges min mmymbehavior mformthemgood mof mthemfamily.‖
d. ―It‘smbest mformmemtommovemawaymfrommmymfamily.mThingsmwillmnevermchange.‖
ANS:mC
Themcorrect mresponsemdemonstratesmthembest mevidencemof mamhealthymrecognitionmof mthemimport
ancemof mrelationships.mMentalmhealthmincludesmrationalmthinking,mcommunicationmskills,mlearni
ng,memotionalmgrowth,mresilience,mand mself-
esteem.mRecallingmjoymfrommearlierminm lifemmaymbemhealthy,mbut mthemcorrect mresponsemshowsmam
highermlevelmof mmentalmhealth.mThemothermincorrect mresponsesmshow mblaming mand mavoidance.
PTS:m1 DIF:mCognitive mLevel:mAnalyze m(Analysis)
REF:mPagesm1-2,m3,m32 m(Figurem1-1)
TOP:mNursingmProcess:mAssessmentmMSC
:mClientmNeeds:mPsychosocialmIntegrity
5. Whichmassessment mfindingmmost mclearlymindicatesmthat mampatient mmaymbemexperiencingmammen
talmillness?mThempatient
a. reportsmoccasionalmsleeplessnessmand manxiety.
4
