Test bank Varcarolis'
Foundations of Psychiatric-
MentalHealth Nursing
9th Edition
Test Bank
Complete
chapter(1-36)
,Chapter 01: Mental Health and Mental Illness
Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A
Clinical Approach, 9th Edition.
MULTIPLE CHOICE
• A staff nurse completes orientation to a psychiatric unit. This nurse may expect an
advancedpractice nurse to perform which additional intervention? a. Conduct
mental health assessments.
A. Prescribe psychotropic medication.
B. Establish therapeutic relationships.
C. Individualize nursing care plans.
ANS: B
In most states, prescriptive privileges are granted to master‘s-prepared nurse
practitioners andclinical nurse specialists who have taken special courses on
prescribing medication. The nurseprepared 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
• A nursing student expresses concerns that mental health nurses ―lose all their
clinical nursingskills.‖ 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 multidimensional problems. I am challenged by those
situations.‖
C. ―That‘s 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
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 patientswith 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:
ImplementationMSC: 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
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 rights or make decisions. On a community scale,
advocacy includes politicalactivity, 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
• A family has a long history of conflicted relationships among the members.
Which familymember‘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 relationships. Mental health includes rational thinking,
, communication skills, learning, emotional growth, resilience, and self-esteem.
Recalling joy from earlier in life maybe healthy, but the correct response shows a
higher level of mental health. The other incorrectresponses 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
• Which assessment finding most clearly indicates that a patient may be experiencing
a mentalillness? 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.
ANS: B
The correct response describes a mood alteration, which reflects mental illness.
The distracters describe behaviors that are mentally healthy or within the usual
scope of humanexperience.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Pages 1-2 to 4 TOP: Nursing Process:
AssessmentMSC: Client Needs: Psychosocial Integrity
• Which finding best indicates that the goal “Demonstrate mentally healthy
behavior‖ wasachieved 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:
EvaluationMSC: Client Needs: Psychosocial Integrity
• A nurse encounters an unfamiliar psychiatric disorder on a new patient‘s admission
form. Which resource should the nurse consult to determine criteria used to establish
this diagnosis? a.
A. International Statistical Classification of Diseases and Related
Health Problems (ICD-10)
Foundations of Psychiatric-
MentalHealth Nursing
9th Edition
Test Bank
Complete
chapter(1-36)
,Chapter 01: Mental Health and Mental Illness
Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A
Clinical Approach, 9th Edition.
MULTIPLE CHOICE
• A staff nurse completes orientation to a psychiatric unit. This nurse may expect an
advancedpractice nurse to perform which additional intervention? a. Conduct
mental health assessments.
A. Prescribe psychotropic medication.
B. Establish therapeutic relationships.
C. Individualize nursing care plans.
ANS: B
In most states, prescriptive privileges are granted to master‘s-prepared nurse
practitioners andclinical nurse specialists who have taken special courses on
prescribing medication. The nurseprepared 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
• A nursing student expresses concerns that mental health nurses ―lose all their
clinical nursingskills.‖ 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 multidimensional problems. I am challenged by those
situations.‖
C. ―That‘s 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
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 patientswith 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:
ImplementationMSC: 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
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 rights or make decisions. On a community scale,
advocacy includes politicalactivity, 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
• A family has a long history of conflicted relationships among the members.
Which familymember‘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 relationships. Mental health includes rational thinking,
, communication skills, learning, emotional growth, resilience, and self-esteem.
Recalling joy from earlier in life maybe healthy, but the correct response shows a
higher level of mental health. The other incorrectresponses 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
• Which assessment finding most clearly indicates that a patient may be experiencing
a mentalillness? 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.
ANS: B
The correct response describes a mood alteration, which reflects mental illness.
The distracters describe behaviors that are mentally healthy or within the usual
scope of humanexperience.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Pages 1-2 to 4 TOP: Nursing Process:
AssessmentMSC: Client Needs: Psychosocial Integrity
• Which finding best indicates that the goal “Demonstrate mentally healthy
behavior‖ wasachieved 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:
EvaluationMSC: Client Needs: Psychosocial Integrity
• A nurse encounters an unfamiliar psychiatric disorder on a new patient‘s admission
form. Which resource should the nurse consult to determine criteria used to establish
this diagnosis? a.
A. International Statistical Classification of Diseases and Related
Health Problems (ICD-10)
