Test Bank Varcarolis' Foundations of Psychiatric-
b b b b b
Mental Health Nursing A Clinical 9th Edition by Margaret J
b b b b b b b b b
ordanHalter |Test Bank|Chapter 1-36 UPDATED 2024
b b b b b b
Chapter 01: Mental Health and Mental Illness
b b b b b b
Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A ClinicalApproach
b b b b b b b b b b
, 8th Edition
b b
MULTIPLEbCHOICE
1. Abstaffbnursebcompletesborientationbtobabpsychiatricbunit.bThisbnursebmaybexpectbanbadvancedbp
racticebnursebtobperformbwhichbadditionalbintervention?ba.
Conductbmentalbhealthbassessments.
b. Prescribebpsychotropicbmedication.
c. Establishbtherapeuticbrelationships.
d. Individualizebnursingbcarebplans.
ANS:bB
Inbmostbstates,bprescriptivebprivilegesbarebgrantedbtobmaster‘s-
preparedbnursebpractitionersbandbclinicalbnursebspecialistsbwhobhavebtakenbspecialbcoursesbonbpre
scribingbmedication.bThebnursebpreparedbatbthebbasicblevelbisbpermittedbtobperformbmentalbhealthb
assessments,bestablishbrelationships,bandbprovidebindividualizedbcarebplanning.
PTS:b1bDIF:bCognitivebLevel:bUnderstandb(Comprehension)bREF:bPageb1-
23bTOP:bNursingbProcess:bImplementation
MSC:bClientbNeeds:bSafe,bEffectivebCarebEnvironment
2. Abnursingbstudentbexpressesbconcernsbthatbmentalbhealthbnursesb―loseballbtheirbclinicalbnursingbs
kills.‖bSelectbthebbestbresponsebbybthebmentalbhealthbnurse.
a. ―Psychiatricbnursesbpracticebinbsaferbenvironmentsbthanbotherbspecialties.bNurse-to-
patientbratiosbmustbbebbetterbbecausebofbthebnaturebofbthebpatients‘bproblems.‖
b. ―Psychiatricbnursesbusebcomplexbcommunicationbskillsbasbwellbasbcriticalbthinkingbtobsolveb
multidimensionalbproblems.bIbambchallengedbbybthosebsituations.‖
c. ―That‘sbabmisconception.bPsychiatricbnursesbfrequentlybusebhighbtechnologybmonitoringb
equipmentbandbmanagebcomplexbintravenousbtherapies.‖
d. ―Psychiatricbnursesbdobnotbhavebtobdealbwithbasbmuchbpainbandbsufferingbasbmedical–
bsurgicalbnursesbdo.bThatbappeals btobme.‖
ANS:bB
Thebpracticebofbpsychiatricbnursingbrequiresbabdifferentbsetbofbskillsbthanbmedical–
surgicalbnursing,bthoughbtherebisbsubstantialboverlap.bPsychiatricbnursesbmustbbebablebtobhelpbp
atientsbwithbmedicalbasbwellbasbmentalbhealthbproblems,breflectingbthebholisticbperspectivebthese
bnursesbmustbhave.bNurse–
patientbratiosbandbworkloadsbinbpsychiatricbsettingsbhavebincreased,bjustblikebotherbspecialties.bP
sychiatricbnursingbinvolvesbclinicalbpractice,bnotbjustbdocumentation.bPsychosocialbpainbandbsu
1
, Test Bank Varcarolis' Foundations of Psychiatric-
b b b b b
Mental Health Nursing A Clinical 9th Edition by Margaret J
b b b b b b b b b
ordanHalter |Test Bank|Chapter 1-36 UPDATED 2024
b b b b b b
fferingbarebasbrealbasbphysicalbpainbandbsuffering.
2
, Test Bank Varcarolis' Foundations of Psychiatric-
b b b b b
Mental Health Nursing A Clinical 9th Edition by Margaret J
b b b b b b b b b
ordanHalter |Test Bank|Chapter 1-36 UPDATED 2024
b b b b b b
PTS:b1 DIF:bCognitivebLevel:bApplyb(Application)
REF:bPagesb1-2,b21
TOP:bNursingbProcess:bImplementationb
MSC:bClientbNeeds:bSafe,bEffectivebCarebEnvironment
3
, Test Bank Varcarolis' Foundations of Psychiatric-
b b b b b
Mental Health Nursing A Clinical 9th Edition by Margaret J
b b b b b b b b b
ordanHalter |Test Bank|Chapter 1-36 UPDATED 2024
b b b b b b
3. WhenbabnewbbillbintroducedbinbCongressbreducesbfundingbforbcarebofbpersonsbdiagnosedbwithb
mentalbillness,babgroupbofbnursesbwriteblettersbtobtheirbelectedbrepresentativesbinboppositionbtobt
heblegislation.bWhichbrolebhavebthebnursesbfulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-basedbpractice
ANS:bC
Anbadvocatebdefendsborbassertsbanother‘sbcause,bparticularlybwhenbthebotherbpersonblacksbtheba
bilitybtobdobthatbforbself.bExamplesbofbindividualbadvocacybincludebhelpingbpatientsbunderstandb
theirbrightsborbmakebdecisions.bOnbabcommunitybscale,badvocacybincludesbpoliticalbactivity,bpub
licbspeaking,bandbpublicationbinbthebinterestbofbimprovingbthebhumanbcondition.
Sincebfundingbisbnecessarybtobdeliverbqualitybprogrammingbforbpersonsbwithbmentalbillness,bthebl
etter-
writingbcampaignbadvocatesbforbthatbcausebonbbehalfbofbpatientsbwhobarebunablebtobarticulatebthe
irbownbneeds.
PTS:b1bDIF:bCognitivebLevel:bUnderstandb(Comprehension)bREF:bPageb1-
26bTOP:bNursingbProcess:bEvaluation
MSC:bClientbNeeds:bSafe,bEffectivebCarebEnvironment
4. Abfamilybhasbablongbhistorybofbconflictedbrelationshipsbamongbthebmembers.bWhichbfamilyb
member‘sbcommentbbestbreflectsbabmentallybhealthybperspective?
a. ―I‘vebmadebmistakesbbutbeveryonebelsebinbthisbfamilybhasbalso.‖
b. ―Ib rememberb joyb andb mutualb respectb fromb ourb earlyb yearsb together.‖
c. ―Ibwillbmakebsomebchangesbinbmybbehaviorbforbthebgoodbofbthebfamily.‖
d. ―It‘sbbestbforbmebtobmovebawaybfrombmybfamily.bThingsbwillbneverbchange.‖
ANS:bC
Thebcorrectbresponsebdemonstratesbthebbestbevidencebofbabhealthybrecognitionbofbthebimportanc
ebofbrelationships.bMentalbhealthbincludesbrationalbthinking,bcommunicationbskills,blearning,be
motionalbgrowth,bresilience,bandbself-
esteem.bRecallingbjoybfrombearlierbinblifebmaybbebhealthy,bbutbthebcorrectbresponsebshowsbabhigh
erblevelbofbmentalbhealth.bThebotherbincorrectbresponsesbshowbblamingbandbavoidance.
PTS:b1 DIF:bCognitivebLevel:bAnalyzeb(Analysis)
REF:bPagesb1-2,b3,b32b(Figureb1-1)
TOP:b Nursingb Process:b Assessmentb MSC:b
ClientbNeeds:bPsychosocialbIntegrity
5. Whichbassessmentbfindingbmostbclearlybindicatesbthatbabpatientbmaybbebexperiencingbabmentalbil
lness?bThebpatient
a. reportsboccasionalbsleeplessnessbandbanxiety.
4
b b b b b
Mental Health Nursing A Clinical 9th Edition by Margaret J
b b b b b b b b b
ordanHalter |Test Bank|Chapter 1-36 UPDATED 2024
b b b b b b
Chapter 01: Mental Health and Mental Illness
b b b b b b
Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A ClinicalApproach
b b b b b b b b b b
, 8th Edition
b b
MULTIPLEbCHOICE
1. Abstaffbnursebcompletesborientationbtobabpsychiatricbunit.bThisbnursebmaybexpectbanbadvancedbp
racticebnursebtobperformbwhichbadditionalbintervention?ba.
Conductbmentalbhealthbassessments.
b. Prescribebpsychotropicbmedication.
c. Establishbtherapeuticbrelationships.
d. Individualizebnursingbcarebplans.
ANS:bB
Inbmostbstates,bprescriptivebprivilegesbarebgrantedbtobmaster‘s-
preparedbnursebpractitionersbandbclinicalbnursebspecialistsbwhobhavebtakenbspecialbcoursesbonbpre
scribingbmedication.bThebnursebpreparedbatbthebbasicblevelbisbpermittedbtobperformbmentalbhealthb
assessments,bestablishbrelationships,bandbprovidebindividualizedbcarebplanning.
PTS:b1bDIF:bCognitivebLevel:bUnderstandb(Comprehension)bREF:bPageb1-
23bTOP:bNursingbProcess:bImplementation
MSC:bClientbNeeds:bSafe,bEffectivebCarebEnvironment
2. Abnursingbstudentbexpressesbconcernsbthatbmentalbhealthbnursesb―loseballbtheirbclinicalbnursingbs
kills.‖bSelectbthebbestbresponsebbybthebmentalbhealthbnurse.
a. ―Psychiatricbnursesbpracticebinbsaferbenvironmentsbthanbotherbspecialties.bNurse-to-
patientbratiosbmustbbebbetterbbecausebofbthebnaturebofbthebpatients‘bproblems.‖
b. ―Psychiatricbnursesbusebcomplexbcommunicationbskillsbasbwellbasbcriticalbthinkingbtobsolveb
multidimensionalbproblems.bIbambchallengedbbybthosebsituations.‖
c. ―That‘sbabmisconception.bPsychiatricbnursesbfrequentlybusebhighbtechnologybmonitoringb
equipmentbandbmanagebcomplexbintravenousbtherapies.‖
d. ―Psychiatricbnursesbdobnotbhavebtobdealbwithbasbmuchbpainbandbsufferingbasbmedical–
bsurgicalbnursesbdo.bThatbappeals btobme.‖
ANS:bB
Thebpracticebofbpsychiatricbnursingbrequiresbabdifferentbsetbofbskillsbthanbmedical–
surgicalbnursing,bthoughbtherebisbsubstantialboverlap.bPsychiatricbnursesbmustbbebablebtobhelpbp
atientsbwithbmedicalbasbwellbasbmentalbhealthbproblems,breflectingbthebholisticbperspectivebthese
bnursesbmustbhave.bNurse–
patientbratiosbandbworkloadsbinbpsychiatricbsettingsbhavebincreased,bjustblikebotherbspecialties.bP
sychiatricbnursingbinvolvesbclinicalbpractice,bnotbjustbdocumentation.bPsychosocialbpainbandbsu
1
, Test Bank Varcarolis' Foundations of Psychiatric-
b b b b b
Mental Health Nursing A Clinical 9th Edition by Margaret J
b b b b b b b b b
ordanHalter |Test Bank|Chapter 1-36 UPDATED 2024
b b b b b b
fferingbarebasbrealbasbphysicalbpainbandbsuffering.
2
, Test Bank Varcarolis' Foundations of Psychiatric-
b b b b b
Mental Health Nursing A Clinical 9th Edition by Margaret J
b b b b b b b b b
ordanHalter |Test Bank|Chapter 1-36 UPDATED 2024
b b b b b b
PTS:b1 DIF:bCognitivebLevel:bApplyb(Application)
REF:bPagesb1-2,b21
TOP:bNursingbProcess:bImplementationb
MSC:bClientbNeeds:bSafe,bEffectivebCarebEnvironment
3
, Test Bank Varcarolis' Foundations of Psychiatric-
b b b b b
Mental Health Nursing A Clinical 9th Edition by Margaret J
b b b b b b b b b
ordanHalter |Test Bank|Chapter 1-36 UPDATED 2024
b b b b b b
3. WhenbabnewbbillbintroducedbinbCongressbreducesbfundingbforbcarebofbpersonsbdiagnosedbwithb
mentalbillness,babgroupbofbnursesbwriteblettersbtobtheirbelectedbrepresentativesbinboppositionbtobt
heblegislation.bWhichbrolebhavebthebnursesbfulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-basedbpractice
ANS:bC
Anbadvocatebdefendsborbassertsbanother‘sbcause,bparticularlybwhenbthebotherbpersonblacksbtheba
bilitybtobdobthatbforbself.bExamplesbofbindividualbadvocacybincludebhelpingbpatientsbunderstandb
theirbrightsborbmakebdecisions.bOnbabcommunitybscale,badvocacybincludesbpoliticalbactivity,bpub
licbspeaking,bandbpublicationbinbthebinterestbofbimprovingbthebhumanbcondition.
Sincebfundingbisbnecessarybtobdeliverbqualitybprogrammingbforbpersonsbwithbmentalbillness,bthebl
etter-
writingbcampaignbadvocatesbforbthatbcausebonbbehalfbofbpatientsbwhobarebunablebtobarticulatebthe
irbownbneeds.
PTS:b1bDIF:bCognitivebLevel:bUnderstandb(Comprehension)bREF:bPageb1-
26bTOP:bNursingbProcess:bEvaluation
MSC:bClientbNeeds:bSafe,bEffectivebCarebEnvironment
4. Abfamilybhasbablongbhistorybofbconflictedbrelationshipsbamongbthebmembers.bWhichbfamilyb
member‘sbcommentbbestbreflectsbabmentallybhealthybperspective?
a. ―I‘vebmadebmistakesbbutbeveryonebelsebinbthisbfamilybhasbalso.‖
b. ―Ib rememberb joyb andb mutualb respectb fromb ourb earlyb yearsb together.‖
c. ―Ibwillbmakebsomebchangesbinbmybbehaviorbforbthebgoodbofbthebfamily.‖
d. ―It‘sbbestbforbmebtobmovebawaybfrombmybfamily.bThingsbwillbneverbchange.‖
ANS:bC
Thebcorrectbresponsebdemonstratesbthebbestbevidencebofbabhealthybrecognitionbofbthebimportanc
ebofbrelationships.bMentalbhealthbincludesbrationalbthinking,bcommunicationbskills,blearning,be
motionalbgrowth,bresilience,bandbself-
esteem.bRecallingbjoybfrombearlierbinblifebmaybbebhealthy,bbutbthebcorrectbresponsebshowsbabhigh
erblevelbofbmentalbhealth.bThebotherbincorrectbresponsesbshowbblamingbandbavoidance.
PTS:b1 DIF:bCognitivebLevel:bAnalyzeb(Analysis)
REF:bPagesb1-2,b3,b32b(Figureb1-1)
TOP:b Nursingb Process:b Assessmentb MSC:b
ClientbNeeds:bPsychosocialbIntegrity
5. Whichbassessmentbfindingbmostbclearlybindicatesbthatbabpatientbmaybbebexperiencingbabmentalbil
lness?bThebpatient
a. reportsboccasionalbsleeplessnessbandbanxiety.
4