Test bank for foundations of psychiatric mental health nursing 6th edition by halter varcarolis ALL Chapters 1-
36
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.
c.
Establish therapeutic relationships.
b.
Prescribe psychotropic medication.
d.
Individualize nursing care plans. - ANSWER b.
Prescribe psychotropic medication
When a nursing student expresses concerns about how mental health nurses "lose all their nursing skills," the best response by the mental health nurse is:
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." - ANSWER b.
"Psychiatric nurses use complex communication skills as well as critical thinking to solve multidimensional problems. I am challenged by those situations ."
When a new bill introduced in Congress reduces funding for care of persons with mental illness, a group of nurses writes letters to their elected representatives in opposition to the legislation. Which role have the nurses fulfilled?
a.
Recovery
c.
Advocacy
b.
Attending
d.
Evidence-based practice - ANSWER c. Advocacy
Which comment best indicates that 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.
spends time listening to me talk about my problems. That helps me feel like I am not alone."
d.
told me that if I take all the medicines the doctor prescribes, then I will get discharged sooner." - ANSWER c.
spends time listening to me talk about my problems. That helps me feel like I am not alone."
Which assessment finding most clearly indicates that a patient may be experiencing a mental illness? 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. - ANSWER b.
reports a consistently sad, discouraged, and hopeless mood.
Which finding best indicates that the goal "Demonstrate mentally healthy behavior" was achieved? A 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. - ANSWER a.
sees self as capable of achieving ideals and meeting demands.
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.
International Statistical Classification of Diseases and Related Health Problems (ICD-10)
b. Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
c.
A behavioral health reference manual
d.
Wikipedia - ANSWER b.
Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
A nurse wants to find a description of diagnostic criteria for anxiety disorders. Which resource would have the most complete information?
a.
Nursing Outcomes Classification (NOC)
b.
Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
c.
The ANA's Psychiatric-Mental Health Nursing Scope and Standards of Practice
d.
International Statistical Classification of Diseases and Related Health Problems (ICD-10) - ANSWER b.
Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
Which individual is demonstrating the highest level of resilience? One who:
a.
is able to repress stressors.
b.
becomes depressed after the death of a spouse.
c.
lives in a shelter for two years after the home is destroyed by fire.
d.
takes a temporary job to maintain financial stability after loss of a permanent job. - ANSWER d.
takes a temporary job to maintain financial stability after loss of a permanent job.
Complete this analogy. NANDA: clinical judgment: NIC: _________________
a.
patient outcomes
c.
diagnosis
b.
nursing actions
d.
symptoms - ANSWER b.
nursing actions
A college student said, "Most of the time I'm happy and feel good about myself. I have learned that what I get out of something is proportional to the effort I put into it."
Which number on this mental health continuum should the nurse select?
a.
1
b.
2
36
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.
c.
Establish therapeutic relationships.
b.
Prescribe psychotropic medication.
d.
Individualize nursing care plans. - ANSWER b.
Prescribe psychotropic medication
When a nursing student expresses concerns about how mental health nurses "lose all their nursing skills," the best response by the mental health nurse is:
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." - ANSWER b.
"Psychiatric nurses use complex communication skills as well as critical thinking to solve multidimensional problems. I am challenged by those situations ."
When a new bill introduced in Congress reduces funding for care of persons with mental illness, a group of nurses writes letters to their elected representatives in opposition to the legislation. Which role have the nurses fulfilled?
a.
Recovery
c.
Advocacy
b.
Attending
d.
Evidence-based practice - ANSWER c. Advocacy
Which comment best indicates that 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.
spends time listening to me talk about my problems. That helps me feel like I am not alone."
d.
told me that if I take all the medicines the doctor prescribes, then I will get discharged sooner." - ANSWER c.
spends time listening to me talk about my problems. That helps me feel like I am not alone."
Which assessment finding most clearly indicates that a patient may be experiencing a mental illness? 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. - ANSWER b.
reports a consistently sad, discouraged, and hopeless mood.
Which finding best indicates that the goal "Demonstrate mentally healthy behavior" was achieved? A 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. - ANSWER a.
sees self as capable of achieving ideals and meeting demands.
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.
International Statistical Classification of Diseases and Related Health Problems (ICD-10)
b. Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
c.
A behavioral health reference manual
d.
Wikipedia - ANSWER b.
Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
A nurse wants to find a description of diagnostic criteria for anxiety disorders. Which resource would have the most complete information?
a.
Nursing Outcomes Classification (NOC)
b.
Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
c.
The ANA's Psychiatric-Mental Health Nursing Scope and Standards of Practice
d.
International Statistical Classification of Diseases and Related Health Problems (ICD-10) - ANSWER b.
Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
Which individual is demonstrating the highest level of resilience? One who:
a.
is able to repress stressors.
b.
becomes depressed after the death of a spouse.
c.
lives in a shelter for two years after the home is destroyed by fire.
d.
takes a temporary job to maintain financial stability after loss of a permanent job. - ANSWER d.
takes a temporary job to maintain financial stability after loss of a permanent job.
Complete this analogy. NANDA: clinical judgment: NIC: _________________
a.
patient outcomes
c.
diagnosis
b.
nursing actions
d.
symptoms - ANSWER b.
nursing actions
A college student said, "Most of the time I'm happy and feel good about myself. I have learned that what I get out of something is proportional to the effort I put into it."
Which number on this mental health continuum should the nurse select?
a.
1
b.
2
