,Chapter j1. jThe jHistory jof jMental jHealth jCare j& jChapter j2. jCurrent
jMental jHealth jCare
MULTIPLE jCHOICE
1. A jstaff jnurse jcompletes jorientation jto ja jpsychiatric junit. jThis jnurse jmay jexpect jan
jadvanced jpractice jnurse jto jperform jwhich jadditional jintervention?
a. Conduct jmental jhealth jassessments. c. Establish jtherapeutic jrelationships.
b. Prescribe jpsychotropic jmedication. d. Individualize jnursing jcare jplans.
ANS: jB
In jmost jstates, jprescriptive jprivileges jare jgranted jto jmaster‘s-prepared jnurse jpractitioners jwho
jhave jtaken jspecial jcourses jon jprescribing jmedication. jThe jnurse jprepared jat jthe jbasic jlevel
jis jpermitted jto jperform jmental jhealth jassessments, jestablish jrelationships, jand jprovide
jindividualized jcare jplanning.
2. When ja jnursing jstudent jexpresses jconcerns jabout jhow jmental jhealth jnurses j―lose jall
jtheir jnursing jskills,‖ jthe jbest jresponse jby jthe jmental jhealth jnurse jis:
―Psychiatric jnurses jpractice jin jsafer jenvironments jthan jother jspecialties. jNurse-to-patient
a. ratios jmust jbe jbetter jbecause jof jthe jnature jof jthe jpatients‘ jproblems.‖
―Psychiatric jnurses juse jcomplex jcommunication jskills jas jwell jas jcritical jthinking jto jsolve
b. multidimensional jproblems. jI jam jchallenged jby jthose jsituations.‖
―That‘s ja jmisconception. jPsychiatric jnurses jfrequently juse jhigh jtechnology jmonitoring
c. equipment jand jmanage jcomplex jintravenous jtherapies.‖
―Psychiatric jnurses jdo jnot jhave jto j deal jwith jas jmuch jpain jand jsuffering jas jmedical-surgical
d. nurses 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 jpatients
jwith jmedical jas jwell jas jmental jhealth jproblems, jreflecting jthe jholistic jperspective jthese
jnurses jmust jhave.
Nurse-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.
,PTS: j1 jDIF: jCognitive jLevel: jApply j(Application)
REF: jPage j10 j| jPage j13-14 jTOP: jNursing jProcess:
jImplementation jMSC: jClient jNeeds: jSafe, jEffective jCare
jEnvironment
3. When ja jnew jbill jintroduced jin jCongress jreduces jfunding jfor jcare jof jpersons jwith
jmental jillness, ja jgroup jof jnurses jwrites jletters jto jtheir jelected jrepresentatives jin
jopposition jto jthe jlegislation. jWhich jrole jhave jthe jnurses jfulfilled?
a. Recovery c. Advocacy
b. Attending 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 political activity, 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 16 TOP: Nursing Process: Implementation MSC:
Client Needs: Safe, Effective Care Environment
4. Which jcomment jbest jindicates jthat ja jpatient jperceived jthe jnurse jwas jcaring? j―My jnurse:
a. always jasks jme jwhich jtype jof jjuice jI jwant jto jhelp jme jswallow jmy jmedication.‖
b. explained jmy jtreatment jplan jto jme jand jasked jfor jmy jideas jabout jhow jto jmake jit jbetter.‖
spends jtime jlistening jto jme jtalk jabout jmy jproblems. jThat jhelps jme jfeel jlike jI jam jnot
c. alone.‖
told jme jthat jif jI jtake jall jthe jmedicines jthe jdoctor jprescribes, jthen jI jwill jget jdischarged
d. sooner.‖
, ANS: jC
Caring jevidences jempathetic junderstanding jas jwell jas jcompetency. jIt jhelps jchange jpain
jand jsuffering jinto ja jshared jexperience, jcreating ja jhuman jconnection jthat jalleviates
jfeelings jof jisolation. jThe jdistracters jgive jexamples jof jstatements jthat jdemonstrate
jadvocacy jor jgiving jadvice.
PTS: j1 jDIF: jCognitive jLevel: jApply j(Application)
REF: jPage j7 j|Page j10 jTOP: jNursing jProcess: jEvaluation
jMSC: jClient jNeeds: jPsychosocial jIntegrity
5. Which jassessment jfinding jmost jclearly jindicates jthat ja jpatient jmay jbe jexperiencing ja jmental
reports occasional sleeplessness and anxiety.
reports a consistently sad, discouraged, and hopeless mood.
is able to describe the difference between ―as if‖ and ―for real.‖
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 human experience.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Page 2-3 TOP: Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity
6. Which finding best indicates that the goal “Demonstrate mentally healthy behavior‖ was
achieved? A patient:
illness? jThe jpatient:
a. sees jself jas jcapable jof jachieving jideals jand jmeeting jdemands.
b. behaves jwithout jconsidering jthe jconsequences jof jpersonal jactions.
c. aggressively jmeets jown jneeds jwithout j considering jthe jrights jof jothers.
jMental jHealth jCare
MULTIPLE jCHOICE
1. A jstaff jnurse jcompletes jorientation jto ja jpsychiatric junit. jThis jnurse jmay jexpect jan
jadvanced jpractice jnurse jto jperform jwhich jadditional jintervention?
a. Conduct jmental jhealth jassessments. c. Establish jtherapeutic jrelationships.
b. Prescribe jpsychotropic jmedication. d. Individualize jnursing jcare jplans.
ANS: jB
In jmost jstates, jprescriptive jprivileges jare jgranted jto jmaster‘s-prepared jnurse jpractitioners jwho
jhave jtaken jspecial jcourses jon jprescribing jmedication. jThe jnurse jprepared jat jthe jbasic jlevel
jis jpermitted jto jperform jmental jhealth jassessments, jestablish jrelationships, jand jprovide
jindividualized jcare jplanning.
2. When ja jnursing jstudent jexpresses jconcerns jabout jhow jmental jhealth jnurses j―lose jall
jtheir jnursing jskills,‖ jthe jbest jresponse jby jthe jmental jhealth jnurse jis:
―Psychiatric jnurses jpractice jin jsafer jenvironments jthan jother jspecialties. jNurse-to-patient
a. ratios jmust jbe jbetter jbecause jof jthe jnature jof jthe jpatients‘ jproblems.‖
―Psychiatric jnurses juse jcomplex jcommunication jskills jas jwell jas jcritical jthinking jto jsolve
b. multidimensional jproblems. jI jam jchallenged jby jthose jsituations.‖
―That‘s ja jmisconception. jPsychiatric jnurses jfrequently juse jhigh jtechnology jmonitoring
c. equipment jand jmanage jcomplex jintravenous jtherapies.‖
―Psychiatric jnurses jdo jnot jhave jto j deal jwith jas jmuch jpain jand jsuffering jas jmedical-surgical
d. nurses 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 jpatients
jwith jmedical jas jwell jas jmental jhealth jproblems, jreflecting jthe jholistic jperspective jthese
jnurses jmust jhave.
Nurse-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.
,PTS: j1 jDIF: jCognitive jLevel: jApply j(Application)
REF: jPage j10 j| jPage j13-14 jTOP: jNursing jProcess:
jImplementation jMSC: jClient jNeeds: jSafe, jEffective jCare
jEnvironment
3. When ja jnew jbill jintroduced jin jCongress jreduces jfunding jfor jcare jof jpersons jwith
jmental jillness, ja jgroup jof jnurses jwrites jletters jto jtheir jelected jrepresentatives jin
jopposition jto jthe jlegislation. jWhich jrole jhave jthe jnurses jfulfilled?
a. Recovery c. Advocacy
b. Attending 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 political activity, 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 16 TOP: Nursing Process: Implementation MSC:
Client Needs: Safe, Effective Care Environment
4. Which jcomment jbest jindicates jthat ja jpatient jperceived jthe jnurse jwas jcaring? j―My jnurse:
a. always jasks jme jwhich jtype jof jjuice jI jwant jto jhelp jme jswallow jmy jmedication.‖
b. explained jmy jtreatment jplan jto jme jand jasked jfor jmy jideas jabout jhow jto jmake jit jbetter.‖
spends jtime jlistening jto jme jtalk jabout jmy jproblems. jThat jhelps jme jfeel jlike jI jam jnot
c. alone.‖
told jme jthat jif jI jtake jall jthe jmedicines jthe jdoctor jprescribes, jthen jI jwill jget jdischarged
d. sooner.‖
, ANS: jC
Caring jevidences jempathetic junderstanding jas jwell jas jcompetency. jIt jhelps jchange jpain
jand jsuffering jinto ja jshared jexperience, jcreating ja jhuman jconnection jthat jalleviates
jfeelings jof jisolation. jThe jdistracters jgive jexamples jof jstatements jthat jdemonstrate
jadvocacy jor jgiving jadvice.
PTS: j1 jDIF: jCognitive jLevel: jApply j(Application)
REF: jPage j7 j|Page j10 jTOP: jNursing jProcess: jEvaluation
jMSC: jClient jNeeds: jPsychosocial jIntegrity
5. Which jassessment jfinding jmost jclearly jindicates jthat ja jpatient jmay jbe jexperiencing ja jmental
reports occasional sleeplessness and anxiety.
reports a consistently sad, discouraged, and hopeless mood.
is able to describe the difference between ―as if‖ and ―for real.‖
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 human experience.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Page 2-3 TOP: Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity
6. Which finding best indicates that the goal “Demonstrate mentally healthy behavior‖ was
achieved? A patient:
illness? jThe jpatient:
a. sees jself jas jcapable jof jachieving jideals jand jmeeting jdemands.
b. behaves jwithout jconsidering jthe jconsequences jof jpersonal jactions.
c. aggressively jmeets jown jneeds jwithout j considering jthe jrights jof jothers.
