Halter: Varcarolis’ Foundations of Psychiatric Mental Health
Nursing: A Clinical Approach, 8th Edition Test Bank
Test Bank Varcarolis
Foundations of Psychiatric-
Mental Health Nursing 8th
Edition by Halter
Chapter01:MentalHealthandMentalIllness
Halter:Varcarolis’FoundationsofPsychiatricMentalHealthNursing:AClinicalApproach,
8th Edition
1
,Halter: Varcarolis’ Foundations of Psychiatric Mental Health
Nursing: A Clinical Approach, 8th Edition Test Bank
1. A staff nurse completes orientation to a psychiatric unit. This nurse may expect an
advancedpracticenursetoperformwhichadditionalintervention?a. Conduct mental
healthassessments.
b. Prescribepsychotropicmedication.
c. Establishtherapeuticrelationships.
d. Individualizenursingcareplans.
ANS:B
In most states, prescriptive privileges are granted to master’s-prepared nurse practitioners
andclinicalnursespecialistswhohavetakenspecialcoursesonprescribingmedication.Thenurseprepa
red at the basic level is permitted to perform mental health assessments,
establishrelationships,andprovideindividualizedcareplanning.
PTS:1DIF:CognitiveLevel:Understand(Comprehension)REF:Page1-
23TOP:NursingProcess:Implementation
MSC:ClientNeeds:Safe,EffectiveCareEnvironment
2. A nursing student expresses concerns that mental health nurses “lose all their clinical
nursingskills.” Selectthebestresponsebythemental healthnurse.
2
,Halter: Varcarolis’ Foundations of Psychiatric Mental Health
Nursing: A Clinical Approach, 8th Edition Test Bank
a. “Psychiatricnursespracticeinsaferenvironmentsthanotherspecialties.Nurse-to-
patientratiosmust be betterbecauseof thenatureof thepatients’problems.”
b. “Psychiatricnursesusecomplexcommunicationskillsaswellascriticalthinkingtosolvemultidi
mensionalproblems.I amchallengedbythosesituations.”
c. “That’samisconception.Psychiatricnursesfrequentlyusehightechnologymonitoringequi
pment and managecomplexintravenous therapies.”
d. “Psychiatricnursesdonothavetodealwithasmuchpainandsufferingasmedical–surgical
nurses do.Thatappeals tome.”
ANS:B
The practice of psychiatric nursing requires a different set of skills than medical–
surgicalnursing, though there is substantial overlap. Psychiatric nurses must be able to help
patientswith medical as well as mental health problems, reflecting the holistic perspective
thesenursesmusthave.Nurse–patientratiosandworkloads
inpsychiatricsettingshaveincreased,just like other specialties. Psychiatric nursing involves
clinical practice, not
justdocumentation.Psychosocialpainandsufferingareasrealasphysicalpainandsuffering.
PTS: 1 DIF: CognitiveLevel:Apply(Application)
REF:Pages1-2, 21
TOP:NursingProcess:Implementation
MSC:Client Needs:Safe,EffectiveCareEnvironment
3
, Halter: Varcarolis’ Foundations of Psychiatric Mental Health
Nursing: A Clinical Approach, 8th Edition Test Bank
3. When a new bill introduced in Congress reduces funding for care of persons diagnosed
withmentalillness,agroupofnurseswriteletterstotheirelectedrepresentativesinoppositiontothe
legislation.Which rolehavethenurses fulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-basedpractice
ANS:C
An advocate defends or asserts another’s cause, particularly when the other person lacks
theability to do that for self. Examples of individual advocacy include helping
patientsunderstandtheirrightsormakedecisions.Onacommunityscale,advocacyincludespolitical
activity,publicspeaking,andpublicationintheinterestofimprovingthehumancondition.
Sincefundingisnecessarytodeliverqualityprogrammingforpersonswithmental illness,theletter-
writing campaign advocates for that cause on behalf of patients who are unable toarticulate
theirown needs.
PTS:1DIF:CognitiveLevel:Understand(Comprehension)REF:Page1-
26TOP:NursingProcess:Evaluation
MSC:ClientNeeds:Safe,EffectiveCareEnvironment
4. A family has a long history of conflicted relationships among the members. Which
familymember’scommentbestreflects amentallyhealthyperspective?
a. “I’vemademistakesbuteveryone elseinthisfamilyhasalso.”
b. “Irememberjoyandmutualrespectfromourearlyyearstogether.”
c. “Iwillmakesomechangesinmybehaviorforthegoodofthefamily.”
d. “It’sbestformetomoveawayfrommyfamily.Thingswillneverchange.”
ANS:C
The correct response demonstrates the best evidence of a healthy recognition of
theimportance of relationships. Mental health includes rational thinking, communication
skills,learning, emotional growth, resilience, and self-esteem. Recalling joy from earlier in
life
maybehealthy,butthecorrectresponseshowsahigherlevelofmentalhealth.Theotherincorrectresp
onsesshow blaming andavoidance.
PTS: 1 DIF:Cognitive Level:Analyze(Analysis)
REF:Pages 1-2,3,32(Figure1-1)
TOP:NursingProcess:AssessmentMSC:Clie
ntNeeds:PsychosocialIntegrity
5. Whichassessmentfindingmostclearlyindicates
thatapatientmaybeexperiencingamentalillness?Thepatient
a. reportsoccasionalsleeplessnessandanxiety.
b. reports aconsistentlysad,discouraged,andhopelessmood.
4
Nursing: A Clinical Approach, 8th Edition Test Bank
Test Bank Varcarolis
Foundations of Psychiatric-
Mental Health Nursing 8th
Edition by Halter
Chapter01:MentalHealthandMentalIllness
Halter:Varcarolis’FoundationsofPsychiatricMentalHealthNursing:AClinicalApproach,
8th Edition
1
,Halter: Varcarolis’ Foundations of Psychiatric Mental Health
Nursing: A Clinical Approach, 8th Edition Test Bank
1. A staff nurse completes orientation to a psychiatric unit. This nurse may expect an
advancedpracticenursetoperformwhichadditionalintervention?a. Conduct mental
healthassessments.
b. Prescribepsychotropicmedication.
c. Establishtherapeuticrelationships.
d. Individualizenursingcareplans.
ANS:B
In most states, prescriptive privileges are granted to master’s-prepared nurse practitioners
andclinicalnursespecialistswhohavetakenspecialcoursesonprescribingmedication.Thenurseprepa
red at the basic level is permitted to perform mental health assessments,
establishrelationships,andprovideindividualizedcareplanning.
PTS:1DIF:CognitiveLevel:Understand(Comprehension)REF:Page1-
23TOP:NursingProcess:Implementation
MSC:ClientNeeds:Safe,EffectiveCareEnvironment
2. A nursing student expresses concerns that mental health nurses “lose all their clinical
nursingskills.” Selectthebestresponsebythemental healthnurse.
2
,Halter: Varcarolis’ Foundations of Psychiatric Mental Health
Nursing: A Clinical Approach, 8th Edition Test Bank
a. “Psychiatricnursespracticeinsaferenvironmentsthanotherspecialties.Nurse-to-
patientratiosmust be betterbecauseof thenatureof thepatients’problems.”
b. “Psychiatricnursesusecomplexcommunicationskillsaswellascriticalthinkingtosolvemultidi
mensionalproblems.I amchallengedbythosesituations.”
c. “That’samisconception.Psychiatricnursesfrequentlyusehightechnologymonitoringequi
pment and managecomplexintravenous therapies.”
d. “Psychiatricnursesdonothavetodealwithasmuchpainandsufferingasmedical–surgical
nurses do.Thatappeals tome.”
ANS:B
The practice of psychiatric nursing requires a different set of skills than medical–
surgicalnursing, though there is substantial overlap. Psychiatric nurses must be able to help
patientswith medical as well as mental health problems, reflecting the holistic perspective
thesenursesmusthave.Nurse–patientratiosandworkloads
inpsychiatricsettingshaveincreased,just like other specialties. Psychiatric nursing involves
clinical practice, not
justdocumentation.Psychosocialpainandsufferingareasrealasphysicalpainandsuffering.
PTS: 1 DIF: CognitiveLevel:Apply(Application)
REF:Pages1-2, 21
TOP:NursingProcess:Implementation
MSC:Client Needs:Safe,EffectiveCareEnvironment
3
, Halter: Varcarolis’ Foundations of Psychiatric Mental Health
Nursing: A Clinical Approach, 8th Edition Test Bank
3. When a new bill introduced in Congress reduces funding for care of persons diagnosed
withmentalillness,agroupofnurseswriteletterstotheirelectedrepresentativesinoppositiontothe
legislation.Which rolehavethenurses fulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-basedpractice
ANS:C
An advocate defends or asserts another’s cause, particularly when the other person lacks
theability to do that for self. Examples of individual advocacy include helping
patientsunderstandtheirrightsormakedecisions.Onacommunityscale,advocacyincludespolitical
activity,publicspeaking,andpublicationintheinterestofimprovingthehumancondition.
Sincefundingisnecessarytodeliverqualityprogrammingforpersonswithmental illness,theletter-
writing campaign advocates for that cause on behalf of patients who are unable toarticulate
theirown needs.
PTS:1DIF:CognitiveLevel:Understand(Comprehension)REF:Page1-
26TOP:NursingProcess:Evaluation
MSC:ClientNeeds:Safe,EffectiveCareEnvironment
4. A family has a long history of conflicted relationships among the members. Which
familymember’scommentbestreflects amentallyhealthyperspective?
a. “I’vemademistakesbuteveryone elseinthisfamilyhasalso.”
b. “Irememberjoyandmutualrespectfromourearlyyearstogether.”
c. “Iwillmakesomechangesinmybehaviorforthegoodofthefamily.”
d. “It’sbestformetomoveawayfrommyfamily.Thingswillneverchange.”
ANS:C
The correct response demonstrates the best evidence of a healthy recognition of
theimportance of relationships. Mental health includes rational thinking, communication
skills,learning, emotional growth, resilience, and self-esteem. Recalling joy from earlier in
life
maybehealthy,butthecorrectresponseshowsahigherlevelofmentalhealth.Theotherincorrectresp
onsesshow blaming andavoidance.
PTS: 1 DIF:Cognitive Level:Analyze(Analysis)
REF:Pages 1-2,3,32(Figure1-1)
TOP:NursingProcess:AssessmentMSC:Clie
ntNeeds:PsychosocialIntegrity
5. Whichassessmentfindingmostclearlyindicates
thatapatientmaybeexperiencingamentalillness?Thepatient
a. reportsoccasionalsleeplessnessandanxiety.
b. reports aconsistentlysad,discouraged,andhopelessmood.
4
