Med.C
,Chapter 01: Mental Health and Mental Illness
. . . . . .
Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical Approach, 8t
. . . . . . . . . . .
h Edition
.
MULTIPLE.CHOICE
1. A.staff.nurse.completes.orientation.to.a.psychiatric.unit..This.nurse.may.expect.an.advanced.pract
ice.nurse.to.perform.which.additional.intervention?.a.
Conduct.mental.health.assessm
ents.
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.prescribin
g.medication..The.nurse.prepared.at.the.basic.level.is.permitted.to.perform.mental.health.assessments,.e
stablish.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. A.nursing.student.expresses.concerns.that.mental.health.nurses.“lose.all.their.clinical.nursing.skill
s.”.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.mult
idimensional.problems..I.am.challenged.by.those.situations.”
c. “That’s.a.misconception..Psychiatric.nurses.frequently.use.high.technology.monitoring.eq
uipment.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.patien
ts.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..Psyc
hiatric.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.1-2,.21
TOP:.Nursing.Process:.Implementation.
MSC:.Client.Needs:.Safe,.Effective.Care.Environment
Med.C
, 3. When.a.new.bill.introduced.in.Congress.reduces.funding.for.care.of.persons.diagnosed.with.ment
al.illness,.a.group.of.nurses.write.letters.to.their.elected.representatives.in.opposition.to.the.legisla
tion..Which.role.have.the.nurses.fulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based.practice
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.right
s.or.make.decisions..On.a.community.scale,.advocacy.includes.political.activity,.public.speaking,.a
nd.publication.in.the.interest.of.improving.the.human.condition.
Since.funding.is.necessary.to.deliver.quality.programming.for.persons.with.mental.illness,.the.lette
r-
writing.campaign.advocates.for.that.cause.on.behalf.of.patients.who.are.unable.to.articulate.their.o
wn.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.me
mber’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.r
elationships..Mental.health.includes.rational.thinking,.communication.skills,.learning,.emotional.
growth,.resilience,.and.self-
esteem..Recalling.joy.from.earlier.in.life.may.be.healthy,.but.the.correct.response.shows.a.higher.lev
el.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:.C
lient.Needs:.Psychosocial.Integrity
5. Which.assessment.finding.most.clearly.indicates.that.a.patient.may.be.experiencing.a.mental.illne
ss?.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.
Med.C
, ANS:.B
The.correct.response.describes.a.mood.alteration,.which.reflects.mental.illness..The.distracters.de
scribe.behaviors.that.are.mentally.healthy.or.within.the.usual.scope.of.human.experience.
PTS:.1 DIF:.Cognitive.Level:.Apply.(Application)
REF:.Pages.1-2.to.4
TOP:.Nursing.Process:.Assessment.
MSC:.Client.Needs:.Psychosocial.Integrity
6. Which.finding.best.indicates.that.the.goal.“Demonstrate.mentally.healthy.behavior”.was.achi
eved.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:.A
The.correct.response.describes.an.adaptive,.healthy.behavior..The.distracters.describe.maladaptive.
behaviors.
PTS:.1 DIF:.Cognitive.Level:.Apply.(Application)
REF:.Pages.1-2.to.4
TOP:.Nursing.Process:.Evaluation.
MSC:.Client.Needs:.Psychosocial.Integrity
7. A.nurse.encounters.an.unfamiliar.psychiatric.disorder.on.a.new.patient’s.admission.form..Which.res
ource.should.the.nurse.consult.to.determine.criteria.used.to.establish.this.diagnosis?.a.
International.Statistical.Classification.of.Diseases.and.Related.Health.Problems.(I
CD-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
The.DSM-
V.gives.the.criteria.used.to.diagnose.each.mental.disorder..It.is.the.official.guideline.for.diagnosing.
psychiatric.disorders..The.distracters.may.not.contain.diagnostic.criteria.for.a.psychiatric.illness.
PTS:.1 DIF:.Cognitive.Level:.Apply.(Application)
REF:.Pages.1-18,.19
TOP:.Nursing.Process:.Assessment.
MSC:.Client.Needs:.Safe,.Effective.Care.Environment
8. A.nurse.wants.to.find.a.description.of.diagnostic.criteria.for.anxiety.disorders..Which.resource.woul
d.have.the.most.complete.information?
a. Nursing.Outcomes.Classification.(NOC)
b. DSM-V
Med.C
,Chapter 01: Mental Health and Mental Illness
. . . . . .
Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical Approach, 8t
. . . . . . . . . . .
h Edition
.
MULTIPLE.CHOICE
1. A.staff.nurse.completes.orientation.to.a.psychiatric.unit..This.nurse.may.expect.an.advanced.pract
ice.nurse.to.perform.which.additional.intervention?.a.
Conduct.mental.health.assessm
ents.
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.prescribin
g.medication..The.nurse.prepared.at.the.basic.level.is.permitted.to.perform.mental.health.assessments,.e
stablish.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. A.nursing.student.expresses.concerns.that.mental.health.nurses.“lose.all.their.clinical.nursing.skill
s.”.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.mult
idimensional.problems..I.am.challenged.by.those.situations.”
c. “That’s.a.misconception..Psychiatric.nurses.frequently.use.high.technology.monitoring.eq
uipment.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.patien
ts.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..Psyc
hiatric.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.1-2,.21
TOP:.Nursing.Process:.Implementation.
MSC:.Client.Needs:.Safe,.Effective.Care.Environment
Med.C
, 3. When.a.new.bill.introduced.in.Congress.reduces.funding.for.care.of.persons.diagnosed.with.ment
al.illness,.a.group.of.nurses.write.letters.to.their.elected.representatives.in.opposition.to.the.legisla
tion..Which.role.have.the.nurses.fulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based.practice
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.right
s.or.make.decisions..On.a.community.scale,.advocacy.includes.political.activity,.public.speaking,.a
nd.publication.in.the.interest.of.improving.the.human.condition.
Since.funding.is.necessary.to.deliver.quality.programming.for.persons.with.mental.illness,.the.lette
r-
writing.campaign.advocates.for.that.cause.on.behalf.of.patients.who.are.unable.to.articulate.their.o
wn.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.me
mber’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.r
elationships..Mental.health.includes.rational.thinking,.communication.skills,.learning,.emotional.
growth,.resilience,.and.self-
esteem..Recalling.joy.from.earlier.in.life.may.be.healthy,.but.the.correct.response.shows.a.higher.lev
el.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:.C
lient.Needs:.Psychosocial.Integrity
5. Which.assessment.finding.most.clearly.indicates.that.a.patient.may.be.experiencing.a.mental.illne
ss?.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.
Med.C
, ANS:.B
The.correct.response.describes.a.mood.alteration,.which.reflects.mental.illness..The.distracters.de
scribe.behaviors.that.are.mentally.healthy.or.within.the.usual.scope.of.human.experience.
PTS:.1 DIF:.Cognitive.Level:.Apply.(Application)
REF:.Pages.1-2.to.4
TOP:.Nursing.Process:.Assessment.
MSC:.Client.Needs:.Psychosocial.Integrity
6. Which.finding.best.indicates.that.the.goal.“Demonstrate.mentally.healthy.behavior”.was.achi
eved.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:.A
The.correct.response.describes.an.adaptive,.healthy.behavior..The.distracters.describe.maladaptive.
behaviors.
PTS:.1 DIF:.Cognitive.Level:.Apply.(Application)
REF:.Pages.1-2.to.4
TOP:.Nursing.Process:.Evaluation.
MSC:.Client.Needs:.Psychosocial.Integrity
7. A.nurse.encounters.an.unfamiliar.psychiatric.disorder.on.a.new.patient’s.admission.form..Which.res
ource.should.the.nurse.consult.to.determine.criteria.used.to.establish.this.diagnosis?.a.
International.Statistical.Classification.of.Diseases.and.Related.Health.Problems.(I
CD-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
The.DSM-
V.gives.the.criteria.used.to.diagnose.each.mental.disorder..It.is.the.official.guideline.for.diagnosing.
psychiatric.disorders..The.distracters.may.not.contain.diagnostic.criteria.for.a.psychiatric.illness.
PTS:.1 DIF:.Cognitive.Level:.Apply.(Application)
REF:.Pages.1-18,.19
TOP:.Nursing.Process:.Assessment.
MSC:.Client.Needs:.Safe,.Effective.Care.Environment
8. A.nurse.wants.to.find.a.description.of.diagnostic.criteria.for.anxiety.disorders..Which.resource.woul
d.have.the.most.complete.information?
a. Nursing.Outcomes.Classification.(NOC)
b. DSM-V
Med.C
