Test Bank Varcarolis' Foundations of Psychiatric-
`! `! `! `! `!
Mental Health Nursing.. A Clinical 9th Edition by
`! `! `! `! `! `! `! `!
Margaret Jordan
`! `!
Halter |Test Bank|Chapter 1-36 UPDATED 2022.
`! `! `! `! `!
, Test Bank Varcarolis' Foundations of Psychiatric-Mental
`! `! `! `! `!
Health Nursing A Clinical 9th Edition by Margaret
`! `! `! `! `! `! `! `!
JordanHalter |Test Bank|Chapter 1-36 UPDATED 2022
`! `! `! `! `! `! `!
Chapter 01: Mental Health and Mental Illness
`! `! `! `! `! `!
Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A ClinicalApproach,
`! `! `! `! `! `! `! `! `! `!
8th Edition
`! `!
MULTIPLE CHOICE `!
1. 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.
`! `!
b. Prescribe psychotropic medication. `! `!
c. Establish therapeutic relationships. `! `!
d. 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
`! `! `! `! `! `!
2. 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- `! `! `! `! `! `! `! `! `!
patientratios must be better because of the nature of the patients‘ problems.‖
`! `! `! `! `! `! `! `! `! `! `! `!
b. ―Psychiatric nurses use complex communication skills as well as critical thinking to `! `! `! `! `! `! `! `! `! `! `!
solvemultidimensional problems. I am challenged by those situations.‖
`! `! `! `! `! `! `! `! `!
c. ―That‘s a misconception. Psychiatric nurses frequently use high technology `! `! `! `! `! `! `! `!
monitoringequipment 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 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
`! `! `! `! `! `! `! `! `! `! `! `!
documentation. Psychosocial pain and suffering are as real as physical pain and suffering.
`! `! `! `! `! `! `! `! `! `! `! `! `!
1
,Test Bank Varcarolis' Foundations of Psychiatric-Mental
`! `! `! `! `!
Health Nursing A Clinical 9th Edition by Margaret
`! `! `! `! `! `! `! `!
JordanHalter |Test Bank|Chapter 1-36 UPDATED 2022
`! `! `! `! `! `! `!
PTS: 1 `! DIF: Cognitive Level: Apply (Application)
`! `! `! `!
REF: Pages 1-2, 21
`! `! `! TOP: Nursing Process: `! `!
`! ImplementationMSC: Client Needs: Safe, Effective Care Environment
`! `! `! `! `! `! `!
2
, Test Bank Varcarolis' Foundations of Psychiatric-Mental
`! `! `! `! `!
Health Nursing A Clinical 9th Edition by Margaret
`! `! `! `! `! `! `! `!
JordanHalter |Test Bank|Chapter 1-36 UPDATED 2022
`! `! `! `! `! `! `!
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 tothe 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,
`! `! `! `! `! `! `! `! `! `! `! `!
theletter-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
`! `! `! `! `! `!
4. 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
`! `! `! `! `!
5. 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. `! `! `! `! `! `! `!
3
`! `! `! `! `!
Mental Health Nursing.. A Clinical 9th Edition by
`! `! `! `! `! `! `! `!
Margaret Jordan
`! `!
Halter |Test Bank|Chapter 1-36 UPDATED 2022.
`! `! `! `! `!
, Test Bank Varcarolis' Foundations of Psychiatric-Mental
`! `! `! `! `!
Health Nursing A Clinical 9th Edition by Margaret
`! `! `! `! `! `! `! `!
JordanHalter |Test Bank|Chapter 1-36 UPDATED 2022
`! `! `! `! `! `! `!
Chapter 01: Mental Health and Mental Illness
`! `! `! `! `! `!
Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A ClinicalApproach,
`! `! `! `! `! `! `! `! `! `!
8th Edition
`! `!
MULTIPLE CHOICE `!
1. 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.
`! `!
b. Prescribe psychotropic medication. `! `!
c. Establish therapeutic relationships. `! `!
d. 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
`! `! `! `! `! `!
2. 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- `! `! `! `! `! `! `! `! `!
patientratios must be better because of the nature of the patients‘ problems.‖
`! `! `! `! `! `! `! `! `! `! `! `!
b. ―Psychiatric nurses use complex communication skills as well as critical thinking to `! `! `! `! `! `! `! `! `! `! `!
solvemultidimensional problems. I am challenged by those situations.‖
`! `! `! `! `! `! `! `! `!
c. ―That‘s a misconception. Psychiatric nurses frequently use high technology `! `! `! `! `! `! `! `!
monitoringequipment 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 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
`! `! `! `! `! `! `! `! `! `! `! `!
documentation. Psychosocial pain and suffering are as real as physical pain and suffering.
`! `! `! `! `! `! `! `! `! `! `! `! `!
1
,Test Bank Varcarolis' Foundations of Psychiatric-Mental
`! `! `! `! `!
Health Nursing A Clinical 9th Edition by Margaret
`! `! `! `! `! `! `! `!
JordanHalter |Test Bank|Chapter 1-36 UPDATED 2022
`! `! `! `! `! `! `!
PTS: 1 `! DIF: Cognitive Level: Apply (Application)
`! `! `! `!
REF: Pages 1-2, 21
`! `! `! TOP: Nursing Process: `! `!
`! ImplementationMSC: Client Needs: Safe, Effective Care Environment
`! `! `! `! `! `! `!
2
, Test Bank Varcarolis' Foundations of Psychiatric-Mental
`! `! `! `! `!
Health Nursing A Clinical 9th Edition by Margaret
`! `! `! `! `! `! `! `!
JordanHalter |Test Bank|Chapter 1-36 UPDATED 2022
`! `! `! `! `! `! `!
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 tothe 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,
`! `! `! `! `! `! `! `! `! `! `! `!
theletter-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
`! `! `! `! `! `!
4. 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
`! `! `! `! `!
5. 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. `! `! `! `! `! `! `!
3
