Nursing, 10th Edition, Karyn I. Morgan, Mary C. Townsend
Chapter 1-43| 9780803699670 | All Chapters with Answers
and Rationals
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.