TEST BANK for Varcarolis' Foundations of Psychiatric Mental Health Nursing, 9th Edition by Margaret Jordan Halter All Chapters 1-36

Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nu
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rsing: A Clinical Approach, 8th Edition 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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MULTIPLEgCHOICE

1. Agstaffgnursegcompletesgorientationgtogagpsychiatricgunit.gThisgnursegmaygexpectgangadvancedgp
racticegnursegtogperformgwhichgadditionalgintervention?ga.
Conductgmentalghealthgassessments.
b. Prescribegpsychotropicgmedication.
c. Establishgtherapeuticgrelationships.
d. Individualizegnursinggcaregplans.
ANS:gB
Ingmostgstates,gprescriptivegprivilegesgareggrantedgtogmaster’s-
preparedgnursegpractitionersgandgclinicalgnursegspecialistsgwhoghavegtakengspecialgcoursesgongpresc
ribinggmedication.gThegnursegpreparedgatgthegbasicglevelgisgpermittedgtogperformgmentalghealthgass
essments,gestablishgrelationships,gandgprovidegindividualizedgcaregplanning.

PTS:g1gDIF:gCognitivegLevel:gUnderstandg(Comprehension)gREF:gPageg1-
23gTOP:gNursinggProcess:gImplementation
MSC:gClientgNeeds:gSafe,gEffectivegCaregEnvironment

2. Agnursinggstudentgexpressesgconcernsgthatgmentalghealthgnursesg“losegallgtheirgclinicalgnursinggs
kills.”gSelectgthegbestgresponsegbygthegmentalghealthgnurse.
a. “Psychiatricgnursesgpracticegingsafergenvironmentsgthangothergspecialties.gNurse-to-
patientgratiosgmustgbegbettergbecausegofgthegnaturegofgthegpatients’gproblems.”
b. “Psychiatricgnursesgusegcomplexgcommunicationgskillsgasgwellgasgcriticalgthinkinggtogsolveg
multidimensionalgproblems.gIgamgchallengedgbygthosegsituations.”
c. “That’sgagmisconception.gPsychiatricgnursesgfrequentlyguseghighgtechnologygmonitoringge
quipmentgandgmanagegcomplexgintravenousgtherapies.”
d. “Psychiatricgnursesgdognotghavegtogdealgwithgasgmuchgpaingandgsufferinggasgmedical–
gsurgicalgnursesgdo.gThatgappealsgtogme.”


ANS:gB
Thegpracticegofgpsychiatricgnursinggrequiresgagdifferentgsetgofgskillsgthangmedical–
surgicalgnursing,gthoughgtheregisgsubstantialgoverlap.gPsychiatricgnursesgmustgbegablegtoghelpgpa
tientsgwithgmedicalgasgwellgasgmentalghealthgproblems,greflectinggthegholisticgperspectivegtheseg
nursesgmustghave.gNurse–
patientgratiosgandgworkloadsgingpsychiatricgsettingsghavegincreased,gjustglikegothergspecialties.gPs
ychiatricgnursingginvolvesgclinicalgpractice,gnotgjustgdocumentation.gPsychosocialgpaingandgsuff
eringgaregasgrealgasgphysicalgpaingandgsuffering.

1

,Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nu
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rsing: A Clinical Approach, 8th Edition Test Bank
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PTS:g1 DIF:gCognitivegLevel:gApplyg(Application)
REF:gPagesg1-2,g21
TOP:gNursinggProcess:gImplementationg
MSC:gClientgNeeds:gSafe,gEffectivegCaregEnvironment




2

,Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nu
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rsing: A Clinical Approach, 8th Edition Test Bank
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3. WhengagnewgbillgintroducedgingCongressgreducesgfundinggforgcaregofgpersonsgdiagnosedgwithg
mentalgillness,gaggroupgofgnursesgwriteglettersgtogtheirgelectedgrepresentativesgingoppositiongtogt
heglegislation.gWhichgroleghavegthegnursesgfulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-basedgpractice

ANS:gC
Angadvocategdefendsgorgassertsganother’sgcause,gparticularlygwhengthegothergpersonglacksgthegab
ilitygtogdogthatgforgself.gExamplesgofgindividualgadvocacygincludeghelpinggpatientsgunderstandgt
heirgrightsgorgmakegdecisions.gOngagcommunitygscale,gadvocacygincludesgpoliticalgactivity,gpubli
cgspeaking,gandgpublicationgingtheginterestgofgimprovinggtheghumangcondition.
Sincegfundinggisgnecessarygtogdelivergqualitygprogramminggforgpersonsgwithgmentalgillness,gthegl
etter-
writinggcampaigngadvocatesgforgthatgcausegongbehalfgofgpatientsgwhogaregunablegtogarticulategthe
irgowngneeds.

PTS:g1gDIF:gCognitivegLevel:gUnderstandg(Comprehension)gREF:gPageg1-
26gTOP:gNursinggProcess:gEvaluation
MSC:gClientgNeeds:gSafe,gEffectivegCaregEnvironment

4. Agfamilyghasgaglongghistorygofgconflictedgrelationshipsgamonggthegmembers.gWhichgfamilyg
member’sgcommentgbestgreflectsgagmentallyghealthygperspective?
a. “I’vegmadegmistakesgbutgeveryonegelsegingthisgfamilyghasgalso.”
b. “Igremembergjoygandgmutualgrespectgfromgourgearlygyearsgtogether.”
c. “Igwillgmakegsomegchangesgingmygbehaviorgforgtheggoodgofgthegfamily.”
d. “It’sgbestgforgmegtogmovegawaygfromgmygfamily.gThingsgwillgnevergchange.”

ANS:gC
Thegcorrectgresponsegdemonstratesgthegbestgevidencegofgaghealthygrecognitiongofgthegimportanc
egofgrelationships.gMentalghealthgincludesgrationalgthinking,gcommunicationgskills,glearning,ge
motionalggrowth,gresilience,gandgself-
esteem.gRecallinggjoygfromgearlierginglifegmaygbeghealthy,gbutgthegcorrectgresponsegshowsgaghigh
erglevelgofgmentalghealth.gThegothergincorrectgresponsesgshowgblaminggandgavoidance.

PTS:g1 DIF:gCognitivegLevel:gAnalyzeg(Analysis)
REF:gPagesg1-2,g3,g32g(Figureg1-1)
TOP:g Nursingg Process:g Assessmentg MSC:g
ClientgNeeds:gPsychosocialgIntegrity

5. Whichgassessmentgfindinggmostgclearlygindicatesgthatgagpatientgmaygbegexperiencinggagmentalgil
lness?gThegpatient
a. reportsgoccasionalgsleeplessnessgandganxiety.
b. reportsgagconsistentlygsad,gdiscouraged,gandghopelessgmood.
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, Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nu
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rsing: A Clinical Approach, 8th Edition Test Bank
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c. isgablegtogdescribegthegdifferencegbetweeng“asgif”gandg“forgreal.”
d. perceivesgdifficultygmakinggagdecisiongaboutgwhethergtogchangegjobs.




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