Exam (elaborations) TEST BANK FOR Foundations of Psychiatric Mental Health Nursing 6th Edition By Halter & Varcarolis

Varcarolis: Foundations of Psychiatric Mental Health Nursing, 6th Edition Chapter 01: Mental Health and Mental Illness Test Bank MULTIPLE CHOICE 1. A new staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced practice nurse to perform which additional interventions? a. Conduct mental health assessments b. Establish therapeutic relationships c. Individualize nursing care plans d. Prescribe psychotropic medication ANS: D Prescriptive privileges are granted to masters-prepared nurse practitioners 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. DIF: Cognitive Level: Comprehension REF: Text Page: 18 TOP: Nursing Process: Implementation MSC: Client Needs: Safe and Effective Care Environment 2. Two nursing students discuss their career plans after graduation. One student wants to enter psychiatric nursing. The other asks, “Why would you want to be a psychiatric nurse? The only thing they do is talk. You’ll lose all your skills.” Select the best response. 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 multidimensional problems. I am challenged by those situations.” c. “I think I will be good in the mental health field. I did not like clinical rotations in school, so I do not want to continue them after I graduate.” 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 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 documenta- tion. Psychosocial pain and suffering is as real as physical. DIF: Cognitive Level: Application REF: Text Pages: 7-8 TOP: Nursing Process: Implementation MSC: Client Needs: Safe and Effective Care Environment 3. A new bill introduced in Congress would reduce funding for care of persons with mental illness. Groups of nurses write letters to their elected representatives in opposition to the legislation. Which role have the nurses fulfilled? a. Advocacy b. Attending c. Recovery d. Evidence-based practice ANS: A 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 under- stand 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. DIF: Cognitive Level: Application REF: Text Pages: 20-21 TOP: Nursing Process: Implementation MSC: Client Needs: Safe and Effective Care Environment 4. An informal group of patients discusses their perceptions of nursing care. Which comment best indicates a patient perceived the nurse was caring? “My nurse: a. always asks me which type of juice I want to help me swallow my medication.” b. explained my treatment plan to me and asked for my ideas about how to make it better.” c. told me that if I take all the medicines the doctor prescribes, then I will get dis- charged soon.” d. spends time listening to me talk about my problems. That helps me feel like I’m not alone.” ANS: D Caring evidences empathetic understanding as well as competency. It helps change pain and suffering into a shared experience, creating a human connection that alleviates feelings of isolation. The distracters give examples of statements that demonstrate advocacy or giving advice. DIF: Cognitive Level: Application REF: Text Pages: 15-17 TOP: Nursing Process: Evaluation MSC: Client Needs: Psychosocial Integrity 5. Which finding best indicates that a patient has a mental illness? The patient: a. responds to rules, routines, and customs of a group. b. reports mood is consistently sad, discouraged, and hopeless. c. performs tasks attempted within the limits set by own abilities. d. is able to see the difference between the “as if” and the “for real.” ANS: B The correct response describes a mood alteration, which further reflects mental illness. The distracters describe mentally healthy behaviors. DIF: Cognitive Level: Application REF: Text Pages: 4-7 TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity 6. Which finding best indicates that the goal “Demonstrate mentally healthy behavior” was achieved? A patient: a. sees self as approaching ideals and capable of meeting demands. b. seeks others to assume responsibility for major areas of own life. c. behaves without considering the consequences of personal actions. d. aggressively meets own needs without considering the rights of others. ANS: A The correct response describes an adaptive, healthy behavior. The distracters describe maladaptive behaviors. DIF: Cognitive Level: Application REF: Text Page: 3 TOP: Nursing Process: Evaluation MSC: Client Needs: Psychosocial Integrity 7. A nurse encounters an unfamiliar psychiatric disorder on a new patient’s admission form. To determine criteria used to establish this diagnosis, the nurse should consult which resource? a. Diagnostic and Statistical Manual of Mental Disorders b. A nursing diagnosis handbook c. A psychiatric nursing textbook d. A behavioral health reference manual ANS: A The DSM-IV-TR gives the criteria used to diagnose each mental disorder. The distracters may not contain diagnostic criteria for a psychiatric illness. DIF: Cognitive Level: Application REF: Text Pages: 12-14 TOP: Nursing Process: Assessment MSC: Client Needs: Safe and Effective Care Environment 8. Which documentation of diagnosis would a nurse expect in a psychiatric treatment setting? a. I Acute renal failure II 75 III Bipolar disorder I, mixed IV Loss of disability benefits 2 months ago V None b. I Schizophrenia, paranoid type II Death of spouse last year III 60 IV None V Diabetes, type 2 c. I Polysubstance dependence II Narcissistic Personality Disorder III 90 IV Hyperlipidemia V Charges pending for assault d. I Major Depression II Avoidant