Test bank For Varcarolis Foundations of Psychiatric Mental Health Nursing 9th Edition by Margaret Halter 9780323697071 Chapter 1-36 All Chapters with Answers and Rationals

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,Chapter 01: Mental Health and Mental Illness
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Halter: Varcarolis’ Foundations of Psychiatric-
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Mental Health Nursing: A Clinical Approach, 9th Edition
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MULTIPLE CHOICE 5r




1. The scope of practiced for an advanced nurse practitioner would include which intervention?
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a. Conducting a mental health assessment. 5r 5r 5r 5r


b. Prescribing psychotropic medication. 5r 5r


c. Establishing a therapeutic relationship. 5r 5r 5r


d. Individualizing a nursing care plan. 5r 5r 5r 5r




ANS: 5 r B
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 p
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rescribing medication. The nurse prepared at the basic level is permitted to perform mental he
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alth assessments, establish relationships, and provide individualized care planning.
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PTS: 5 r 5 r 1 DIF: Cognitive Level: Understand (Comprehension) 5r 5r 5r


TOP: 5 r Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment
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2. A nursing student expresses concerns that mental health nurses ―lose all their clinical nursing
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skills.‖ Select the best response by the mental health nurse.
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a. ―Psychiatric nurses practice in safer environments than other specialties. Nurse-to-
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client ratios must be better because of the nature of the clients‘ problems.‖
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b. ―Psychiatric nurses use complex communication skills as well as critical thinking
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to solve multidimensional problems. I am challenged by those situations.‖
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c. ―That‘s a misconception. Psychiatric nurses frequently use high technology
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monitoring equipment and manage complex intravenous therapies.‖
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d. ―Psychiatric nurses do not have to deal with as much pain and suffering as
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medical–surgical nurses do. That appeals to me.‖
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ANS: 5 r B
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 c
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lients with medical as well as mental health problems, reflecting the holistic perspective these
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nurses must have. Nurse– 5r 5r 5r


client ratios and workloads in psychiatric settings have increased, just like other specialties. P
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sychiatric nursing involves clinical practice, not just documentation.
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Psychosocial pain and suffering are as real as physical pain and suffering.
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PTS: 5 r 5 r 1 DIF: Cognitive Level: Apply (Application) 5r 5r 5r


TOP: 5 r Nursing Process: Implementation 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 diagnosed wit
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h mental illness, a group of nurses write letters to their elected representatives in opposition
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to the legislation. Which role have the nurses fulfilled?
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a. Recovery
b. Attending
c. Advocacy
d. Evidence-based practice 5r

, ANS: 5 r C
An advocate defends or asserts another‘s cause, particularly when the other person lacks the
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ability to do that for self. Examples of individual advocacy include helping clients understand
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their rights or make decisions. On a community scale, advocacy includes political activity, p
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ublic speaking, and publication in the interest of improving the human condition. Since fundi
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ng is necessary to deliver quality programming for persons with mental illness, the letter-
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writing campaign advocates for that cause on behalf of clients who are unable to articulate t
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heir own needs. 5r 5r




PTS: 5 r 5 r 1 DIF: Cognitive Level: Understand (Comprehension) 5r 5r 5r


TOP: 5 r Nursing Process: Evaluation MSC: Client Needs: Safe, Effective Care Environment
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4. A family has a long history of conflicted relationships among the members. Which family
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member‘s comment best reflects a mentally healthy perspective?
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a. ―I‘ve made mistakes but everyone else in this family has also.‖
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b. ―I remember joy and mutual respect from our early years together.‖
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c. ―I will make some changes in my behavior for the good of the family.‖
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d. ―It‘s best for me to move away from my family. Things will never change.‖
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ANS: 5 r C
The correct response demonstrates the best evidence of a healthy recognition of the importa
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nce of relationships. Mental health includes rational thinking, communication skills, learning
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, emotional growth, resilience, and self-
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esteem. Recalling joy from earlier in life may be healthy, but the correct response shows a hi
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gher level of mental health. The other incorrect responses show blaming and avoidance.
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PTS: 5 r 5 r 1 DIF: Cognitive Level: Analyze (Analysis) 5r 5r 5r


TOP: 5 r Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
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5. Which assessment finding most clearly indicates that a client may be experiencing a mental
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illness?
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a. reporting occasional sleeplessness and anxiety. 5r 5r 5r 5r


b. reporting a consistently sad, discouraged, and hopeless mood.5r 5r 5r 5r 5r 5r 5r


c. being able to describe the difference between ―as if‖ and ―for real.‖
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d. experiencing difficulty making a decision about whether to change jobs. 5r 5r 5r 5r 5r 5r 5r 5r 5r




ANS: 5 r B
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: 5 r 5 r 1 DIF: Cognitive Level: Apply (Application) 5r 5r 5r


TOP: 5 r Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
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6. Which finding best indicates that the goal ―Demonstrate mentally healthy behavior‖ was
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5r achieved for an adult client? 5r 5r 5r 5r


a. being willing to work towards achieving ideals and meeting demands.
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b. behaving without considering the consequences of personal actions.
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c. aggressively meeting personal needs without considering the rights of others. 5r 5r 5r 5r 5r 5r 5r 5r 5r


d. seeking help from others to avoid assuming responsibility for major areas of own
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life. 5r