Test Bank Varcarolis' Foundations of Psychiatric-
c c c c c
Mental Health Nursing A Clinical 9th Edition by Margaret J
c c c c c c c c c
ordanHalter |Test Bank|Chapter 1-36 UPDATED 2022
c c c c c c
Chapter 01: Mental Health and Mental Illness
c c c c c c
Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A ClinicalApproach,
c c c c c c c c c c c
8th Edition
c
MULTIPLEcCHOICE
1. Acstaffcnurseccompletescorientationctocacpsychiatriccunit.cThiscnursecmaycexpectcancadvancedcpr
acticecnursectocperformcwhichcadditionalcintervention?ca.
Conductcmentalchealthcassessments.
b. Prescribecpsychotropiccmedication.
c. Establishctherapeuticcrelationships.
d. Individualizecnursingccarecplans.
ANS:cB
Incmostcstates,cprescriptivecprivilegescarecgrantedctocmaster‘s-
preparedcnursecpractitionerscandcclinicalcnursecspecialistscwhochavectakencspecialccoursesconcpre
scribingcmedication.cThecnursecpreparedcatcthecbasicclevelciscpermittedctocperformcmentalchealthc
assessments,cestablishcrelationships,candcprovidecindividualizedccarecplanning.
PTS:c1cDIF:cCognitivecLevel:cUnderstandc(Comprehension)cREF:cPagec1-
23cTOP:cNursingcProcess:cImplementation
MSC:cClientcNeeds:cSafe,cEffectivecCarecEnvironment
2. Acnursingcstudentcexpressescconcernscthatcmentalchealthcnursesc―losecallctheircclinicalcnursingcsk
ills.‖cSelectcthecbestcresponsecbycthecmentalchealthcnurse.
a. ―Psychiatriccnursescpracticecincsafercenvironmentscthancothercspecialties.cNurse-to-
patientcratioscmustcbecbettercbecausecofcthecnaturecofcthecpatients‘cproblems.‖
b. ―Psychiatriccnursescuseccomplexccommunicationcskillscascwellcasccriticalcthinkingctocsolvec
multidimensionalcproblems.cIcamcchallengedcbycthosecsituations.‖
c. ―That‘scacmisconception.cPsychiatriccnursescfrequentlycusechighctechnologycmonitoringce
quipmentcandcmanageccomplexcintravenousctherapies.‖
d. ―Psychiatriccnursescdocnotchavectocdealcwithcascmuchcpaincandcsufferingcascmedical–
csurgical cnursescdo.cThatcappealsctocme.‖
ANS:cB
Thecpracticecofcpsychiatriccnursingcrequirescacdifferentcsetcofcskillscthancmedical–
surgicalcnursing,cthoughcthereciscsubstantialcoverlap.cPsychiatriccnursescmustcbecablectochelpcpa
tientscwithcmedicalcascwellcascmentalchealthcproblems,creflectingcthecholisticcperspectivecthesecn
ursescmustchave.cNurse–
patientcratioscandcworkloadscincpsychiatriccsettingschavecincreased,cjustclikecothercspecialties.cPs
ychiatriccnursingcinvolvescclinicalcpractice,cnotcjustcdocumentation.cPsychosocialcpaincandcsuff
1
, Test Bank Varcarolis' Foundations of Psychiatric-
c c c c c
Mental Health Nursing A Clinical 9th Edition by Margaret J
c c c c c c c c c
ordanHalter |Test Bank|Chapter 1-36 UPDATED 2022
c c c c c c
eringcarecascrealcascphysicalcpaincandcsuffering.
2
, Test Bank Varcarolis' Foundations of Psychiatric-
c c c c c
Mental Health Nursing A Clinical 9th Edition by Margaret J
c c c c c c c c c
ordanHalter |Test Bank|Chapter 1-36 UPDATED 2022
c c c c c c
PTS:c1 DIF:cCognitivecLevel:cApplyc(Application)
REF:cPagesc1-2,c21
TOP:cNursingcProcess:cImplementationc
MSC:cClientcNeeds:cSafe,cEffectivecCarecEnvironment
3
, Test Bank Varcarolis' Foundations of Psychiatric-
c c c c c
Mental Health Nursing A Clinical 9th Edition by Margaret J
c c c c c c c c c
ordanHalter |Test Bank|Chapter 1-36 UPDATED 2022
c c c c c c
3. WhencacnewcbillcintroducedcincCongresscreducescfundingcforccarecofcpersonscdiagnosedcwithcm
entalcillness,cacgroupcofcnursescwriteclettersctoctheircelectedcrepresentativescincoppositionctocthecl
egislation.cWhichcrolechavecthecnursescfulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-basedcpractice
ANS:cC
Ancadvocatecdefendscorcassertscanother‘sccause,cparticularlycwhencthecothercpersonclackscthecab
ilityctocdocthatcforcself.cExamplescofcindividualcadvocacycincludechelpingcpatientscunderstandcth
eircrightscorcmakecdecisions.cOncaccommunitycscale,cadvocacycincludescpoliticalcactivity,cpublicc
speaking,candcpublicationcincthecinterestcofcimprovingcthechumanccondition.
Sincecfundingciscnecessaryctocdelivercqualitycprogrammingcforcpersonscwithcmentalcillness,cthecle
tter-
writingccampaigncadvocatescforcthatccauseconcbehalfcofcpatientscwhocarecunablectocarticulatecthei
rcowncneeds.
PTS:c1cDIF:cCognitivecLevel:cUnderstandc(Comprehension)cREF:cPagec1-
26cTOP:cNursingcProcess:cEvaluation
MSC:cClientcNeeds:cSafe,cEffectivecCarecEnvironment
4. Acfamilychascaclongchistorycofcconflictedcrelationshipscamongcthecmembers.cWhichcfamilycm
ember‘sccommentcbestcreflectscacmentallychealthycperspective?
a. ―I‘vecmadecmistakescbutceveryonecelsecincthiscfamilychascalso.‖
b. ―Ic rememberc joyc andc mutualc respectc fromc ourc earlyc yearsc together.‖
c. ―Icwillcmakecsomecchangescincmycbehaviorcforcthecgoodcofcthecfamily.‖
d. ―It‘scbestcforcmectocmovecawaycfromcmycfamily.cThingscwillcnevercchange.‖
ANS:cC
Theccorrectcresponsecdemonstratescthecbestcevidencecofcachealthycrecognitioncofcthecimportancec
ofcrelationships.cMentalchealthcincludescrationalcthinking,ccommunicationcskills,clearning,cemot
ionalcgrowth,cresilience,candcself-
esteem.cRecallingcjoycfromcearliercinclifecmaycbechealthy,cbutctheccorrectcresponsecshowscachighe
rclevelcofcmentalchealth.cThecothercincorrectcresponsescshowcblamingcandcavoidance.
PTS:c1 DIF:cCognitivecLevel:cAnalyzec(Analysis)
REF:cPagesc1-2,c3,c32c(Figurec1-1)
TOP:c Nursingc Process:c Assessmentc MSC:c
ClientcNeeds:cPsychosocialcIntegrity
5. Whichcassessmentcfindingcmostcclearlycindicatescthatcacpatientcmaycbecexperiencingcacmentalcill
ness?cThecpatient
a. reportscoccasionalcsleeplessnesscandcanxiety.
4
c c c c c
Mental Health Nursing A Clinical 9th Edition by Margaret J
c c c c c c c c c
ordanHalter |Test Bank|Chapter 1-36 UPDATED 2022
c c c c c c
Chapter 01: Mental Health and Mental Illness
c c c c c c
Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A ClinicalApproach,
c c c c c c c c c c c
8th Edition
c
MULTIPLEcCHOICE
1. Acstaffcnurseccompletescorientationctocacpsychiatriccunit.cThiscnursecmaycexpectcancadvancedcpr
acticecnursectocperformcwhichcadditionalcintervention?ca.
Conductcmentalchealthcassessments.
b. Prescribecpsychotropiccmedication.
c. Establishctherapeuticcrelationships.
d. Individualizecnursingccarecplans.
ANS:cB
Incmostcstates,cprescriptivecprivilegescarecgrantedctocmaster‘s-
preparedcnursecpractitionerscandcclinicalcnursecspecialistscwhochavectakencspecialccoursesconcpre
scribingcmedication.cThecnursecpreparedcatcthecbasicclevelciscpermittedctocperformcmentalchealthc
assessments,cestablishcrelationships,candcprovidecindividualizedccarecplanning.
PTS:c1cDIF:cCognitivecLevel:cUnderstandc(Comprehension)cREF:cPagec1-
23cTOP:cNursingcProcess:cImplementation
MSC:cClientcNeeds:cSafe,cEffectivecCarecEnvironment
2. Acnursingcstudentcexpressescconcernscthatcmentalchealthcnursesc―losecallctheircclinicalcnursingcsk
ills.‖cSelectcthecbestcresponsecbycthecmentalchealthcnurse.
a. ―Psychiatriccnursescpracticecincsafercenvironmentscthancothercspecialties.cNurse-to-
patientcratioscmustcbecbettercbecausecofcthecnaturecofcthecpatients‘cproblems.‖
b. ―Psychiatriccnursescuseccomplexccommunicationcskillscascwellcasccriticalcthinkingctocsolvec
multidimensionalcproblems.cIcamcchallengedcbycthosecsituations.‖
c. ―That‘scacmisconception.cPsychiatriccnursescfrequentlycusechighctechnologycmonitoringce
quipmentcandcmanageccomplexcintravenousctherapies.‖
d. ―Psychiatriccnursescdocnotchavectocdealcwithcascmuchcpaincandcsufferingcascmedical–
csurgical cnursescdo.cThatcappealsctocme.‖
ANS:cB
Thecpracticecofcpsychiatriccnursingcrequirescacdifferentcsetcofcskillscthancmedical–
surgicalcnursing,cthoughcthereciscsubstantialcoverlap.cPsychiatriccnursescmustcbecablectochelpcpa
tientscwithcmedicalcascwellcascmentalchealthcproblems,creflectingcthecholisticcperspectivecthesecn
ursescmustchave.cNurse–
patientcratioscandcworkloadscincpsychiatriccsettingschavecincreased,cjustclikecothercspecialties.cPs
ychiatriccnursingcinvolvescclinicalcpractice,cnotcjustcdocumentation.cPsychosocialcpaincandcsuff
1
, Test Bank Varcarolis' Foundations of Psychiatric-
c c c c c
Mental Health Nursing A Clinical 9th Edition by Margaret J
c c c c c c c c c
ordanHalter |Test Bank|Chapter 1-36 UPDATED 2022
c c c c c c
eringcarecascrealcascphysicalcpaincandcsuffering.
2
, Test Bank Varcarolis' Foundations of Psychiatric-
c c c c c
Mental Health Nursing A Clinical 9th Edition by Margaret J
c c c c c c c c c
ordanHalter |Test Bank|Chapter 1-36 UPDATED 2022
c c c c c c
PTS:c1 DIF:cCognitivecLevel:cApplyc(Application)
REF:cPagesc1-2,c21
TOP:cNursingcProcess:cImplementationc
MSC:cClientcNeeds:cSafe,cEffectivecCarecEnvironment
3
, Test Bank Varcarolis' Foundations of Psychiatric-
c c c c c
Mental Health Nursing A Clinical 9th Edition by Margaret J
c c c c c c c c c
ordanHalter |Test Bank|Chapter 1-36 UPDATED 2022
c c c c c c
3. WhencacnewcbillcintroducedcincCongresscreducescfundingcforccarecofcpersonscdiagnosedcwithcm
entalcillness,cacgroupcofcnursescwriteclettersctoctheircelectedcrepresentativescincoppositionctocthecl
egislation.cWhichcrolechavecthecnursescfulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-basedcpractice
ANS:cC
Ancadvocatecdefendscorcassertscanother‘sccause,cparticularlycwhencthecothercpersonclackscthecab
ilityctocdocthatcforcself.cExamplescofcindividualcadvocacycincludechelpingcpatientscunderstandcth
eircrightscorcmakecdecisions.cOncaccommunitycscale,cadvocacycincludescpoliticalcactivity,cpublicc
speaking,candcpublicationcincthecinterestcofcimprovingcthechumanccondition.
Sincecfundingciscnecessaryctocdelivercqualitycprogrammingcforcpersonscwithcmentalcillness,cthecle
tter-
writingccampaigncadvocatescforcthatccauseconcbehalfcofcpatientscwhocarecunablectocarticulatecthei
rcowncneeds.
PTS:c1cDIF:cCognitivecLevel:cUnderstandc(Comprehension)cREF:cPagec1-
26cTOP:cNursingcProcess:cEvaluation
MSC:cClientcNeeds:cSafe,cEffectivecCarecEnvironment
4. Acfamilychascaclongchistorycofcconflictedcrelationshipscamongcthecmembers.cWhichcfamilycm
ember‘sccommentcbestcreflectscacmentallychealthycperspective?
a. ―I‘vecmadecmistakescbutceveryonecelsecincthiscfamilychascalso.‖
b. ―Ic rememberc joyc andc mutualc respectc fromc ourc earlyc yearsc together.‖
c. ―Icwillcmakecsomecchangescincmycbehaviorcforcthecgoodcofcthecfamily.‖
d. ―It‘scbestcforcmectocmovecawaycfromcmycfamily.cThingscwillcnevercchange.‖
ANS:cC
Theccorrectcresponsecdemonstratescthecbestcevidencecofcachealthycrecognitioncofcthecimportancec
ofcrelationships.cMentalchealthcincludescrationalcthinking,ccommunicationcskills,clearning,cemot
ionalcgrowth,cresilience,candcself-
esteem.cRecallingcjoycfromcearliercinclifecmaycbechealthy,cbutctheccorrectcresponsecshowscachighe
rclevelcofcmentalchealth.cThecothercincorrectcresponsescshowcblamingcandcavoidance.
PTS:c1 DIF:cCognitivecLevel:cAnalyzec(Analysis)
REF:cPagesc1-2,c3,c32c(Figurec1-1)
TOP:c Nursingc Process:c Assessmentc MSC:c
ClientcNeeds:cPsychosocialcIntegrity
5. Whichcassessmentcfindingcmostcclearlycindicatescthatcacpatientcmaycbecexperiencingcacmentalcill
ness?cThecpatient
a. reportscoccasionalcsleeplessnesscandcanxiety.
4
