1
,Chapter j01: jMental jHealth jand jMental jIllness
Halter: jVarcarolis’ jFoundations jof jPsychiatric jMental jHealth jNursing: jA
jClinicaljApproach, j8th jEdition
MULTIPLE jCHOICE
1. A jstaff jnurse jcompletes jorientation jto ja jpsychiatric junit. jThis jnurse jmay jexpect jan
jadvancedjpractice jnurse jto jperform jwhich jadditional jintervention? ja. Conduct jmental
jhealth jassessments.
b. Prescribe jpsychotropic jmedication.
c. Establish jtherapeutic jrelationships.
d. Individualize jnursing jcare jplans.
ANS: jB
In jmost jstates, jprescriptive jprivileges jare jgranted jto jmaster‘s-prepared jnurse jpractitioners
jandjclinical jnurse jspecialists jwho jhave jtaken jspecial jcourses jon jprescribing jmedication.
jThe jnursejprepared jat jthe jbasic jlevel jis jpermitted jto jperform jmental jhealth jassessments,
jestablish jrelationships, jand jprovide jindividualized jcare jplanning.
PTS: j1 jDIF: jCognitive jLevel: jUnderstand j(Comprehension) jREF: jPage j1-23
jTOP:jNursing jProcess: jImplementation
MSC: jClient jNeeds: jSafe, jEffective jCare jEnvironment
2. A jnursing jstudent jexpresses jconcerns jthat jmental jhealth jnurses j―lose jall jtheir jclinical
jnursingjskills.‖ jSelect jthe jbest jresponse jby jthe jmental jhealth jnurse.
a. ―Psychiatric jnurses jpractice jin jsafer jenvironments jthan jother jspecialties. jNurse-to-
patient jratios jmust jbe jbetter jbecause jof jthe jnature jof jthe jpatients‘ jproblems.‖
b. ―Psychiatric jnurses juse jcomplex jcommunication jskills jas jwell jas jcritical jthinking jto
jsolve jmultidimensional jproblems. j I jam jchallenged jby jthose jsituations.‖
c. ―That‘s ja jmisconception. jPsychiatric jnurses jfrequently juse jhigh jtechnology
jmonitoring jequipment jand jmanage jcomplex jintravenous jtherapies.‖
d. ―Psychiatric jnurses jdo jnot jhave jto jdeal jwith jas jmuch jpain jand jsuffering jas
jmedical– jsurgical jnurses jdo. jThat jappeals jto jme.‖
ANS: jB
The jpractice jof jpsychiatric jnursing jrequires ja jdifferent jset jof jskills jthan jmedical–surgical
jnursing, jthough jthere jis jsubstantial joverlap. jPsychiatric jnurses jmust jbe jable jto jhelp
jpatientsjwith jmedical jas jwell jas jmental jhealth jproblems, jreflecting jthe jholistic jperspective
jthese jnurses jmust jhave. jNurse–patient jratios jand jworkloads jin jpsychiatric jsettings jhave
jincreased,jjust jlike jother jspecialties. jPsychiatric jnursing jinvolves jclinical jpractice, jnot jjust
jdocumentation. jPsychosocial jpain jand jsuffering jare jas jreal jas jphysical jpain jand jsuffering.
2
, PTS: j1 DIF: jCognitive jLevel: jApply j(Application)
REF: jPages j1-2, j21 TOP: jNursing jProcess:
jImplementationjMSC: jClient jNeeds: jSafe, jEffective jCare jEnvironment
3
, Test Bank Varcarolis' Foundations of Psychiatric-Mental
Health Nursing A Clinical 9th Edition by Margaret Jordan
Halter |Test Bank|Chapter 1-36 UPDATED 2022
3. When ja jnew jbill jintroduced jin jCongress jreduces jfunding jfor jcare jof jpersons jdiagnosed
jwith jmental jillness, ja jgroup jof jnurses jwrite jletters jto jtheir jelected jrepresentatives jin
jopposition jtojthe jlegislation. jWhich jrole jhave jthe jnurses jfulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based jpractice
ANS: jC
An jadvocate jdefends jor jasserts janother‘s jcause, jparticularly jwhen jthe jother jperson jlacks
jthe jability jto jdo jthat jfor jself. jExamples jof jindividual jadvocacy jinclude jhelping jpatients
junderstand jtheir jrights jor jmake jdecisions. jOn ja jcommunity jscale, jadvocacy jincludes
jpoliticaljactivity, jpublic jspeaking, jand jpublication jin jthe jinterest jof jimproving jthe jhuman
jcondition.
Since jfunding jis jnecessary jto jdeliver jquality jprogramming jfor jpersons jwith jmental jillness,
jthejletter-writing jcampaign jadvocates jfor jthat jcause jon jbehalf jof jpatients jwho jare junable
jto jarticulate jtheir jown jneeds.
PTS: j1 jDIF: jCognitive jLevel: jUnderstand j(Comprehension) jREF: jPage j1-26
jTOP:jNursing jProcess: jEvaluation
MSC: jClient jNeeds: jSafe, jEffective jCare jEnvironment
4. A jfamily jhas ja jlong jhistory jof jconflicted jrelationships jamong jthe jmembers. jWhich
jfamilyjmember‘s jcomment jbest jreflects ja jmentally jhealthy jperspective?
a. ―I‘ve jmade jmistakes jbut jeveryone jelse jin jthis jfamily jhas jalso.‖
b. ―I j remember j joy jand j mutual j respect j from j our j early j years j together.‖
c. ―I jwill jmake jsome jchanges jin jmy jbehavior jfor jthe jgood jof jthe jfamily.‖
d. ―It‘s jbest jfor jme jto jmove jaway jfrom jmy jfamily. jThings jwill jnever jchange.‖
ANS: jC
The jcorrect jresponse jdemonstrates jthe jbest jevidence jof ja jhealthy jrecognition jof jthe
jimportance jof jrelationships. jMental jhealth jincludes jrational jthinking, jcommunication
jskills, jlearning, jemotional jgrowth, jresilience, jand jself-esteem. jRecalling jjoy jfrom jearlier
jin jlife jmayjbe jhealthy, jbut jthe jcorrect jresponse jshows ja jhigher jlevel jof jmental jhealth. jThe
jother jincorrectjresponses jshow jblaming jand javoidance.
PTS: j1 DIF: jCognitive jLevel: jAnalyze j(Analysis)
REF: jPages j1-2, j3, j32 j(Figure j1-1) TOP: j Nursing j Process: j Assessment
j MSC:jClient jNeeds: jPsychosocial jIntegrity
5. Which jassessment jfinding jmost jclearly jindicates jthat ja jpatient jmay jbe jexperiencing ja
jmentaljillness? jThe jpatient
a. reports joccasional jsleeplessness jand janxiety.
b. reports ja jconsistently jsad, jdiscouraged, jand jhopeless jmood.
4
,Chapter j01: jMental jHealth jand jMental jIllness
Halter: jVarcarolis’ jFoundations jof jPsychiatric jMental jHealth jNursing: jA
jClinicaljApproach, j8th jEdition
MULTIPLE jCHOICE
1. A jstaff jnurse jcompletes jorientation jto ja jpsychiatric junit. jThis jnurse jmay jexpect jan
jadvancedjpractice jnurse jto jperform jwhich jadditional jintervention? ja. Conduct jmental
jhealth jassessments.
b. Prescribe jpsychotropic jmedication.
c. Establish jtherapeutic jrelationships.
d. Individualize jnursing jcare jplans.
ANS: jB
In jmost jstates, jprescriptive jprivileges jare jgranted jto jmaster‘s-prepared jnurse jpractitioners
jandjclinical jnurse jspecialists jwho jhave jtaken jspecial jcourses jon jprescribing jmedication.
jThe jnursejprepared jat jthe jbasic jlevel jis jpermitted jto jperform jmental jhealth jassessments,
jestablish jrelationships, jand jprovide jindividualized jcare jplanning.
PTS: j1 jDIF: jCognitive jLevel: jUnderstand j(Comprehension) jREF: jPage j1-23
jTOP:jNursing jProcess: jImplementation
MSC: jClient jNeeds: jSafe, jEffective jCare jEnvironment
2. A jnursing jstudent jexpresses jconcerns jthat jmental jhealth jnurses j―lose jall jtheir jclinical
jnursingjskills.‖ jSelect jthe jbest jresponse jby jthe jmental jhealth jnurse.
a. ―Psychiatric jnurses jpractice jin jsafer jenvironments jthan jother jspecialties. jNurse-to-
patient jratios jmust jbe jbetter jbecause jof jthe jnature jof jthe jpatients‘ jproblems.‖
b. ―Psychiatric jnurses juse jcomplex jcommunication jskills jas jwell jas jcritical jthinking jto
jsolve jmultidimensional jproblems. j I jam jchallenged jby jthose jsituations.‖
c. ―That‘s ja jmisconception. jPsychiatric jnurses jfrequently juse jhigh jtechnology
jmonitoring jequipment jand jmanage jcomplex jintravenous jtherapies.‖
d. ―Psychiatric jnurses jdo jnot jhave jto jdeal jwith jas jmuch jpain jand jsuffering jas
jmedical– jsurgical jnurses jdo. jThat jappeals jto jme.‖
ANS: jB
The jpractice jof jpsychiatric jnursing jrequires ja jdifferent jset jof jskills jthan jmedical–surgical
jnursing, jthough jthere jis jsubstantial joverlap. jPsychiatric jnurses jmust jbe jable jto jhelp
jpatientsjwith jmedical jas jwell jas jmental jhealth jproblems, jreflecting jthe jholistic jperspective
jthese jnurses jmust jhave. jNurse–patient jratios jand jworkloads jin jpsychiatric jsettings jhave
jincreased,jjust jlike jother jspecialties. jPsychiatric jnursing jinvolves jclinical jpractice, jnot jjust
jdocumentation. jPsychosocial jpain jand jsuffering jare jas jreal jas jphysical jpain jand jsuffering.
2
, PTS: j1 DIF: jCognitive jLevel: jApply j(Application)
REF: jPages j1-2, j21 TOP: jNursing jProcess:
jImplementationjMSC: jClient jNeeds: jSafe, jEffective jCare jEnvironment
3
, Test Bank Varcarolis' Foundations of Psychiatric-Mental
Health Nursing A Clinical 9th Edition by Margaret Jordan
Halter |Test Bank|Chapter 1-36 UPDATED 2022
3. When ja jnew jbill jintroduced jin jCongress jreduces jfunding jfor jcare jof jpersons jdiagnosed
jwith jmental jillness, ja jgroup jof jnurses jwrite jletters jto jtheir jelected jrepresentatives jin
jopposition jtojthe jlegislation. jWhich jrole jhave jthe jnurses jfulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based jpractice
ANS: jC
An jadvocate jdefends jor jasserts janother‘s jcause, jparticularly jwhen jthe jother jperson jlacks
jthe jability jto jdo jthat jfor jself. jExamples jof jindividual jadvocacy jinclude jhelping jpatients
junderstand jtheir jrights jor jmake jdecisions. jOn ja jcommunity jscale, jadvocacy jincludes
jpoliticaljactivity, jpublic jspeaking, jand jpublication jin jthe jinterest jof jimproving jthe jhuman
jcondition.
Since jfunding jis jnecessary jto jdeliver jquality jprogramming jfor jpersons jwith jmental jillness,
jthejletter-writing jcampaign jadvocates jfor jthat jcause jon jbehalf jof jpatients jwho jare junable
jto jarticulate jtheir jown jneeds.
PTS: j1 jDIF: jCognitive jLevel: jUnderstand j(Comprehension) jREF: jPage j1-26
jTOP:jNursing jProcess: jEvaluation
MSC: jClient jNeeds: jSafe, jEffective jCare jEnvironment
4. A jfamily jhas ja jlong jhistory jof jconflicted jrelationships jamong jthe jmembers. jWhich
jfamilyjmember‘s jcomment jbest jreflects ja jmentally jhealthy jperspective?
a. ―I‘ve jmade jmistakes jbut jeveryone jelse jin jthis jfamily jhas jalso.‖
b. ―I j remember j joy jand j mutual j respect j from j our j early j years j together.‖
c. ―I jwill jmake jsome jchanges jin jmy jbehavior jfor jthe jgood jof jthe jfamily.‖
d. ―It‘s jbest jfor jme jto jmove jaway jfrom jmy jfamily. jThings jwill jnever jchange.‖
ANS: jC
The jcorrect jresponse jdemonstrates jthe jbest jevidence jof ja jhealthy jrecognition jof jthe
jimportance jof jrelationships. jMental jhealth jincludes jrational jthinking, jcommunication
jskills, jlearning, jemotional jgrowth, jresilience, jand jself-esteem. jRecalling jjoy jfrom jearlier
jin jlife jmayjbe jhealthy, jbut jthe jcorrect jresponse jshows ja jhigher jlevel jof jmental jhealth. jThe
jother jincorrectjresponses jshow jblaming jand javoidance.
PTS: j1 DIF: jCognitive jLevel: jAnalyze j(Analysis)
REF: jPages j1-2, j3, j32 j(Figure j1-1) TOP: j Nursing j Process: j Assessment
j MSC:jClient jNeeds: jPsychosocial jIntegrity
5. Which jassessment jfinding jmost jclearly jindicates jthat ja jpatient jmay jbe jexperiencing ja
jmentaljillness? jThe jpatient
a. reports joccasional jsleeplessness jand janxiety.
b. reports ja jconsistently jsad, jdiscouraged, jand jhopeless jmood.
4
