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roach, 8th Edition Varcarolis’ COMPLETE TEST BANK
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,Foundations of Psychiatric Mental Health Nursing: A ClinicalApp
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roach, 8th Edition Varcarolis’ COMPLETE TEST BANK
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Chapter 01: Mental Health and Mental Illness
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Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A ClinicalAppro
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ach, 8th Edition
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MULTIPLEFCHOICE
1. AFstaffFnurseFcompletesForientationFtoFaFpsychiatricFunit.FThisFnurseFmayFexpectFanFadvancedF
practiceFnurseFtoFperformFwhichFadditionalFintervention?Fa.
ConductFmentalFhealthFassessments.
b. PrescribeFpsychotropicFmedication.
c. EstablishFtherapeuticFrelationships.
d. IndividualizeFnursingFcareFplans.
ANS:FB
InFmostFstates,FprescriptiveFprivilegesFareFgrantedFtoFmaster’s-
preparedFnurseFpractitionersFandFclinicalFnurseFspecialistsFwhoFhaveFtakenFspecialFcoursesFonFpres
cribingFmedication.FTheFnurseFpreparedFatFtheFbasicFlevelFisFpermittedFtoFperformFmentalFhealthFas
sessments,FestablishFrelationships,FandFprovideFindividualizedFcareFplanning.
PTS:F1FDIF:FCognitiveFLevel:FUnderstandF(Comprehension)FREF:FPageF1-
23FTOP:FNursingFProcess:FImplementation
MSC:FClientFNeeds:FSafe,FEffectiveFCareFEnvironment
2. AFnursingFstudentFexpressesFconcernsFthatFmentalFhealthFnursesF“loseFallFtheirFclinicalFnursingF
skills.”FSelectFtheFbestFresponseFbyFtheFmentalFhealthFnurse.
a. “PsychiatricFnursesFpracticeFinFsaferFenvironmentsFthanFotherFspecialties.FNurse-to-
patientFratiosFmustFbeFbetterFbecauseFofFtheFnatureFofFtheFpatients’Fproblems.”
b. “PsychiatricFnursesFuseFcomplexFcommunicationFskillsFasFwellFasFcriticalFthinkingFtoFsolveF
multidimensionalFproblems.FIFamFchallengedFbyFthoseFsituations.”
c. “That’sFaFmisconception.FPsychiatricFnursesFfrequentlyFuseFhighFtechnologyFmonitoringF
equipmentFandFmanageFcomplexFintravenousFtherapies.”
d. “PsychiatricFnursesFdoFnotFhaveFtoFdealFwithFasFmuchFpainFandFsufferingFasFmedical–
surgicalFnursesFdo.FThatFappealsFtoFme.”
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,Foundations of Psychiatric Mental Health Nursing: A ClinicalApp
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roach, 8th Edition Varcarolis’ COMPLETE TEST BANK
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ANS:FB
TheFpracticeFofFpsychiatricFnursingFrequiresFaFdifferentFsetFofFskillsFthanFmedical–
surgicalFnursing,FthoughFthereFisFsubstantialFoverlap.FPsychiatricFnursesFmustFbeFableFtoFhelpFp
atientsFwithFmedicalFasFwellFasFmentalFhealthFproblems,FreflectingFtheFholisticFperspectiveFthes
eFnursesFmustFhave.FNurse–
patientFratiosFandFworkloadsFinFpsychiatricFsettingsFhaveFincreased,FjustFlikeFotherFspecialties.FP
sychiatricFnursingFinvolvesFclinicalFpractice,FnotFjustFdocumentation.FPsychosocialFpainFandFsu
fferingFareFasFrealFasFphysicalFpainFandFsuffering.
PTS:F1 DIF:FCognitiveFLevel:FApplyF(Application)
REF:FPagesF1-2,F21
TOP:FNursingFProcess:FImplementationF
MSC:FClientFNeeds:FSafe,FEffectiveFCareFEnvironment
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, Foundations of Psychiatric Mental Health Nursing: A ClinicalApp
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roach, 8th Edition Varcarolis’ COMPLETE TEST BANK
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3. WhenFaFnewFbillFintroducedFinFCongressFreducesFfundingFforFcareFofFpersonsFdiagnosedFwithF
mentalFillness,FaFgroupFofFnursesFwriteFlettersFtoFtheirFelectedFrepresentativesFinFoppositionFtoFt
heFlegislation.FWhichFroleFhaveFtheFnursesFfulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-basedFpractice
ANS:FC
AnFadvocateFdefendsForFassertsFanother’sFcause,FparticularlyFwhenFtheFotherFpersonFlacksFtheFa
bilityFtoFdoFthatFforFself.FExamplesFofFindividualFadvocacyFincludeFhelpingFpatientsFunderstand
FtheirFrights ForFmakeFdecisions.FOnFaFcommunityFscale,FadvocacyFincludesFpoliticalFactivity,Fpu
blicFspeaking,FandFpublicationFinFtheFinterestFofFimprovingFtheFhumanFcondition.
SinceFfundingFisFnecessaryFtoFdeliverFqualityFprogrammingFforFpersonsFwithFmentalFillness,FtheFl
etter-
writingFcampaignFadvocatesFforFthatFcauseFonFbehalfFofFpatientsFwhoFareFunableFtoFarticulateFth
eirFownFneeds.
PTS:F1FDIF:FCognitiveFLevel:FUnderstandF(Comprehension)FREF:FPageF1-
26FTOP:FNursingFProcess:FEvaluation
MSC:FClientFNeeds:FSafe,FEffectiveFCareFEnvironment
4. AFfamilyFhasFaFlongFhistoryFofFconflictedFrelationshipsFamongFtheFmembers.FWhichFfamilyF
member’sFcommentFbestFreflectsFaFmentallyFhealthyFperspective?
a. “I’veFmadeFmistakesFbutFeveryoneFelseFinFthisFfamilyFhasFalso.”
b. “IFrememberFjoyFandFmutualFrespectFfromFourFearlyFyearsFtogether.”
c. “IFwillFmakeFsomeFchangesFinFmyFbehaviorFforFtheFgoodFofFtheFfamily.”
d. “It’sFbestFforFmeFtoFmoveFawayFfromFmyFfamily.FThingsFwillFneverFchange.”
ANS:FC
TheFcorrectFresponseFdemonstratesFtheFbestFevidenceFofFaFhealthyFrecognitionFofFtheFimportanc
eFofFrelationships.FMentalFhealthFincludesFrationalFthinking,FcommunicationFskills,Flearning,Fe
motionalFgrowth,Fresilience,FandFself-
esteem.FRecallingFjoyFfromFearlierFinFlifeFmayFbeFhealthy,FbutFtheFcorrectFresponseFshowsFaFhig
herFlevelFofFmentalFhealth.FTheFotherFincorrectFresponsesFshowFblamingFandFavoidance.
PTS:F1 DIF:FCognitiveFLevel:FAnalyzeF(Analysis)
REF:FPagesF1-2,F3,F32F(FigureF1-1)
TOP:F NursingF Process:F AssessmentF MSC:F
ClientFNeeds:FPsychosocialFIntegrity
5. WhichFassessmentFfindingFmostFclearlyFindicatesFthatFaFpatientFmayFbeFexperiencingFaFmentalFi
llness?FTheFpatient
a. reportsFoccasionalFsleeplessnessFandFanxiety.
b. reportsFaFconsistentlyFsad,Fdiscouraged,FandFhopelessFmood.
c. isFableFtoFdescribeFtheFdifferenceFbetweenF“asFif”FandF“forFreal.”
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