Test bank varcarolis foundations of psychiatric mental
health nursing a clinical 9th edition by margaret jordan
,Chapter 01: Mental Health and Mental Illness
Halter: Foundations of Psychiatric Mental Health Nursing: A Clinical Approach, 8th
Edition
MULTIPLE CHOICE
1. A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced
practice nurse to perform which additional intervention? a. Conduct mental health assessments.
b. Prescribe psychotropic medication.
c. Establish therapeutic relationships.
d. Individualize nursing care plans.
ANS: B
In most states, prescriptive privileges are granted to -prepared nurse practitioners and
clinical nurse specialists who have taken special courses on prescribing medication. The nurse
prepared at the basic level is permitted to perform mental health assessments, establish
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 skills.‖ 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 patien ‖
b. ―Psychiatric nurses use complex communication skills as well as critical thinking to solve
multidimensional problems. I am challenged by those situations.‖
c. ― a misconception. Psychiatric nurses frequently use high technology monitoring
equipment 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
1
,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 patients 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.
Psychiatric 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
, 3. When a new bill introduced in Congress reduces funding for care of persons diagnosed with mental
illness, a group of nurses write letters to their elected representatives in opposition to the legislation.
Which role have the nurses fulfilled? a. Recovery
b. Attending
c. Advocacy
d. Evidence-based practice
ANS: C
er person lacks the ability
to do that for self. Examples of individual advocacy include helping patients understand their rights
or make decisions. On a community scale, advocacy includes political activity, public speaking, and
publication in the interest of improving the human condition.
Since funding is necessary to deliver quality programming for persons with mental illness, the
letter-writing campaign advocates for that cause on behalf of patients who are unable to articulate
their own 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
est reflects a mentally healthy perspective?
a. ― 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. ― 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
relationships. 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 level 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: Client Needs:
Psychosocial Integrity
5. Which assessment finding most clearly indicates that a patient may be experiencing a mental
illness? The patient
health nursing a clinical 9th edition by margaret jordan
,Chapter 01: Mental Health and Mental Illness
Halter: Foundations of Psychiatric Mental Health Nursing: A Clinical Approach, 8th
Edition
MULTIPLE CHOICE
1. A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced
practice nurse to perform which additional intervention? a. Conduct mental health assessments.
b. Prescribe psychotropic medication.
c. Establish therapeutic relationships.
d. Individualize nursing care plans.
ANS: B
In most states, prescriptive privileges are granted to -prepared nurse practitioners and
clinical nurse specialists who have taken special courses on prescribing medication. The nurse
prepared at the basic level is permitted to perform mental health assessments, establish
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 skills.‖ 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 patien ‖
b. ―Psychiatric nurses use complex communication skills as well as critical thinking to solve
multidimensional problems. I am challenged by those situations.‖
c. ― a misconception. Psychiatric nurses frequently use high technology monitoring
equipment 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
1
,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 patients 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.
Psychiatric 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
, 3. When a new bill introduced in Congress reduces funding for care of persons diagnosed with mental
illness, a group of nurses write letters to their elected representatives in opposition to the legislation.
Which role have the nurses fulfilled? a. Recovery
b. Attending
c. Advocacy
d. Evidence-based practice
ANS: C
er person lacks the ability
to do that for self. Examples of individual advocacy include helping patients understand their rights
or make decisions. On a community scale, advocacy includes political activity, public speaking, and
publication in the interest of improving the human condition.
Since funding is necessary to deliver quality programming for persons with mental illness, the
letter-writing campaign advocates for that cause on behalf of patients who are unable to articulate
their own 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
est reflects a mentally healthy perspective?
a. ― 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. ― 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
relationships. 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 level 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: Client Needs:
Psychosocial Integrity
5. Which assessment finding most clearly indicates that a patient may be experiencing a mental
illness? The patient
