Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical Approach, 8th Edition Test Bank (BRAND NEW)

Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nu
x x x x x x x



rsing: A Clinical Approach, 8th Edition Test Bank
x x x x x x x




Chapter 01: Mental Health and Mental Illness
x x x x x x




Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A ClinicalAppro
x x x x x x x x x x


ach, 8th Edition
x x




MULTIPLExCHOICE

1. Axstaffxnursexcompletesxorientationxtoxaxpsychiatricxunit.xThisxnursexmayxexpectxanxadvancedxp
racticexnursextoxperformxwhichxadditionalxintervention?xa.
Conductxmentalxhealthxassessments.
b. Prescribexpsychotropicxmedication.
c. Establishxtherapeuticxrelationships.
d. Individualizexnursingxcarexplans.
ANS:xB
Inxmostxstates,xprescriptivexprivilegesxarexgrantedxtoxmaster’s-
preparedxnursexpractitionersxandxclinicalxnursexspecialistsxwhoxhavextakenxspecialxcoursesxonxpresc
ribingxmedication.xThexnursexpreparedxatxthexbasicxlevelxisxpermittedxtoxperformxmentalxhealthxass
essments,xestablishxrelationships,xandxprovidexindividualizedxcarexplanning.

PTS:x1xDIF:xCognitivexLevel:xUnderstandx(Comprehension)xREF:xPagex1-
23xTOP:xNursingxProcess:xImplementation
MSC:xClientxNeeds:xSafe,xEffectivexCarexEnvironment

2. Axnursingxstudentxexpressesxconcernsxthatxmentalxhealthxnursesx“losexallxtheirxclinicalxnursingxs
kills.”xSelectxthexbestxresponsexbyxthexmentalxhealthxnurse.
a. “Psychiatricxnursesxpracticexinxsaferxenvironmentsxthanxotherxspecialties.xNurse-to-
patientxratiosxmustxbexbetterxbecausexofxthexnaturexofxthexpatients’xproblems.”
b. “Psychiatricxnursesxusexcomplexxcommunicationxskillsxasxwellxasxcriticalxthinkingxtoxsolvex
multidimensionalxproblems.xIxamxchallengedxbyxthosexsituations.”
c. “That’sxaxmisconception.xPsychiatricxnursesxfrequentlyxusexhighxtechnologyxmonitoringxe
quipmentxandxmanagexcomplexxintravenousxtherapies.”
d. “Psychiatricxnursesxdoxnotxhavextoxdealxwithxasxmuchxpainxandxsufferingxasxmedical–
xsurgicalxnursesxdo.xThatxappealsxtoxme.”


ANS:xB
Thexpracticexofxpsychiatricxnursingxrequiresxaxdifferentxsetxofxskillsxthanxmedical–
surgicalxnursing,xthoughxtherexisxsubstantialxoverlap.xPsychiatricxnursesxmustxbexablextoxhelpxpa
tientsxwithxmedicalxasxwellxasxmentalxhealthxproblems,xreflectingxthexholisticxperspectivexthesex
nursesxmustxhave.xNurse–
patientxratiosxandxworkloadsxinxpsychiatricxsettingsxhavexincreased,xjustxlikexotherxspecialties.xPs
ychiatricxnursingxinvolvesxclinicalxpractice,xnotxjustxdocumentation.xPsychosocialxpainxandxsuff
eringxarexasxrealxasxphysicalxpainxandxsuffering.

1

,Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nu
x x x x x x x



rsing: A Clinical Approach, 8th Edition Test Bank
x x x x x x x




PTS:x1 DIF:xCognitivexLevel:xApplyx(Application)
REF:xPagesx1-2,x21
TOP:xNursingxProcess:xImplementationx
MSC:xClientxNeeds:xSafe,xEffectivexCarexEnvironment




2

,Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nu
x x x x x x x



rsing: A Clinical Approach, 8th Edition Test Bank
x x x x x x x




3. WhenxaxnewxbillxintroducedxinxCongressxreducesxfundingxforxcarexofxpersonsxdiagnosedxwithx
mentalxillness,xaxgroupxofxnursesxwritexlettersxtoxtheirxelectedxrepresentativesxinxoppositionxtoxt
hexlegislation.xWhichxrolexhavexthexnursesxfulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-basedxpractice

ANS:xC
Anxadvocatexdefendsxorxassertsxanother’sxcause,xparticularlyxwhenxthexotherxpersonxlacksxthexab
ilityxtoxdoxthatxforxself.xExamplesxofxindividualxadvocacyxincludexhelpingxpatientsxunderstandxt
heirxrightsxorxmakexdecisions.xOnxaxcommunityxscale,xadvocacyxincludesxpoliticalxactivity,xpubli
cxspeaking,xandxpublicationxinxthexinterestxofximprovingxthexhumanxcondition.
Sincexfundingxisxnecessaryxtoxdeliverxqualityxprogrammingxforxpersonsxwithxmentalxillness,xthexl
etter-
writingxcampaignxadvocatesxforxthatxcausexonxbehalfxofxpatientsxwhoxarexunablextoxarticulatexthe
irxownxneeds.

PTS:x1xDIF:xCognitivexLevel:xUnderstandx(Comprehension)xREF:xPagex1-
26xTOP:xNursingxProcess:xEvaluation
MSC:xClientxNeeds:xSafe,xEffectivexCarexEnvironment

4. Axfamilyxhasxaxlongxhistoryxofxconflictedxrelationshipsxamongxthexmembers.xWhichxfamilyx
member’sxcommentxbestxreflectsxaxmentallyxhealthyxperspective?
a. “I’vexmadexmistakesxbutxeveryonexelsexinxthisxfamilyxhasxalso.”
b. “Ixrememberxjoyxandxmutualxrespectxfromxourxearlyxyearsxtogether.”
c. “Ixwillxmakexsomexchangesxinxmyxbehaviorxforxthexgoodxofxthexfamily.”
d. “It’sxbestxforxmextoxmovexawayxfromxmyxfamily.xThingsxwillxneverxchange.”

ANS:xC
Thexcorrectxresponsexdemonstratesxthexbestxevidencexofxaxhealthyxrecognitionxofxtheximportanc
exofxrelationships.xMentalxhealthxincludesxrationalxthinking,xcommunicationxskills,xlearning,xe
motionalxgrowth,xresilience,xandxself-
esteem.xRecallingxjoyxfromxearlierxinxlifexmayxbexhealthy,xbutxthexcorrectxresponsexshowsxaxhigh
erxlevelxofxmentalxhealth.xThexotherxincorrectxresponsesxshowxblamingxandxavoidance.

PTS:x1 DIF:xCognitivexLevel:xAnalyzex(Analysis)
REF:xPagesx1-2,x3,x32x(Figurex1-1)
TOP:x Nursingx Process:x Assessmentx MSC:x
ClientxNeeds:xPsychosocialxIntegrity

5. Whichxassessmentxfindingxmostxclearlyxindicatesxthatxaxpatientxmayxbexexperiencingxaxmentalxil
lness?xThexpatient
a. reportsxoccasionalxsleeplessnessxandxanxiety.
b. reportsxaxconsistentlyxsad,xdiscouraged,xandxhopelessxmood.
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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. isxablextoxdescribexthexdifferencexbetweenx“asxif”xandx“forxreal.”
d. perceivesxdifficultyxmakingxaxdecisionxaboutxwhetherxtoxchangexjobs.




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