Foundations of Psychiatric Mental Health Nursing: A Clinical Ap
m m m m m m m m
proach, 8th Edition
m m
MULTIPLEmCHOICE
4. Whichmassessment mfindingmmost mclearlymindicatesmthat mampatient mmaymbemexperiencingmammen
talmillness?mThempatient
a. reportsmoccasionalmsleeplessnessmand manxiety.
b. reportsmamconsistentlymsad,mdiscouraged,mand mhopelessmmood.
c. ismablemtomdescribemthemdifferencembetweenm“asmif”mand m“formreal.”
d. perceivesmdifficultymmakingmamdecisionmabout mwhethermtomchangemjobs.
ANS:mB
Themcorrect mresponsemdescribesmammood malteration,mwhichmreflectsmmental millness. mThemdistrac
tersmdescribembehaviorsmthat maremmentallymhealthymormwithinmthemusualmscopemof mhumanmexperi
ence.
PTS:m1 DIF:mCognitive mLevel:mApply m(Application)
REF:mPagesm1-2 mto m4
TOP:mNursingmProcess:mAssessmen
tmMSC:mClientmNeeds:mPsychosocialmIntegrity
5. Whichmfindingmbest mindicatesmthat mthemgoalm“Demonstratemmentallymhealthymbehavior”mw
asmachieved mformanmadult mpatient?mThempatient
a. seesmself masmcapablemof machievingmidealsmand mmeetingmdemands.
b. behavesmwithout mconsideringmthemconsequencesmof mpersonalmactions.
c. aggressivelymmeetsmownmneedsmwithout mconsideringmthemrightsmof mothers.
d. seeksmhelpmfrommothersmwhenmassumingmresponsibilitymformmajor mareasmof mownmlife.
ANS:mA
Themcorrect mresponsemdescribesmanmadaptive,mhealthymbehavior.mThemdistractersmdescribemmala
daptivembehaviors.
PTS:m1 DIF:mCognitive mLevel:mApply m(Application)
REF:mPagesm1-2 mto m4
TOP:mNursingmProcess:mEvaluatio
n mMSC:mClientmNeeds:mPsychosocialmIntegrity
1. A mstaff mnursemcompletesmorientationmtomampsychiatricmunit.mThismnursemmaymexpect manmadvanc
ed mpracticemnursemtomperformmwhichmadditionalmintervention?ma.m Conduct mmentalmhealth
assessments.
b. Prescribempsychotropicmmedication.
1
,c. Establishmtherapeuticmrelationships.
d. Individualizemnursingmcaremplans.
2
, ANS:mB
Inmmost mstates,mprescriptivemprivilegesmaremgranted mtommaster’s-
prepared mnursempractitionersmand mclinicalmnursemspecialistsmwhomhavemtakenmspecialmcoursesmonmpre
scribingmmedication.mThemnursemprepared mat mthembasicmlevelm ismpermitted mtomperformmmentalmhealth
massessments,mestablishmrelationships,mand mprovidemindividualized mcaremplanning.
PTS:m1 mDIF:mCognitivemLevel:mUnderstand m(Comprehension)mREF:mPagem1-
23 mTOP:mNursingmProcess:mImplementation
MSC:mClientmNeeds:mSafe,mEffective mCaremEnvironment
2. A mnursingmstudent mexpressesmconcernsmthat mmentalmhealthmnursesm“losemallmtheirmclinicalmnursi
ngmskills.”mSelect mthembest mresponsembymthemmentalmhealthmnurse.
a. “Psychiatricmnursesmpracticeminmsafermenvironmentsmthanmothermspecialties.mNurse-to-
patient mratiosmmust mbembettermbecausemof mthemnaturemof mthempatients’mproblems.”
b. “Psychiatricmnursesmusemcomplexmcommunicationmskillsmasmwellmasmcriticalmthinkingmtomsol
vemmultidimensionalmproblems.mI mammchallenged mbymthosemsituations.”
c. “That’smammisconception.mPsychiatricmnursesmfrequentlymusemhighmtechnologymmonitorin
gmequipment mand mmanagemcomplexmintravenousmtherapies.”
d. “Psychiatricmnursesmdomnot mhavemtomdealmwithmasmmuchmpainmand msufferingmasmmedic
al–msurgicalmnursesmdo.mThat mappealsmtomme.”
ANS:mB
Thempracticemof mpsychiatricmnursingmrequiresmamdifferent mset mof mskillsmthanmmedical–
surgicalmnursing,mthoughmtheremismsubstantialmoverlap. mPsychiatricmnursesmmust mbemablemtomhel
pmpatientsmwithmmedicalmasmwellmasmmentalmhealthmproblems,m reflectingmthemholisticmperspectiv
emthesemnursesmmust mhave.mNurse–
patient mratiosmand mworkloadsminmpsychiatricmsettingsmhavemincreased,mjust mlikemothermspecialtie
s.mPsychiatricmnursingminvolvesmclinical mpractice, mnot mjust mdocumentation.mPsychosocial mpainm
and msufferingmaremasmrealmasmphysicalmpainmand msuffering.
PTS:m1 DIF:mCognitive mLevel:mApply m(Application)
REF:mPagesm1-2,m21
TOP:mNursingmProcess:mImplementatio
n mMSC:mClientmNeeds:mSafe,mEffective mCaremEnvironment
3. Whenmamnew mbillm introduced minmCongressmreducesmfundingmformcaremof mpersonsmdiagnosed mw
ithmmentalmillness,mamgroupmof mnursesmwritemlettersmtomtheirmelected mrepresentativesminmopposit
ionmtomthemlegislation.mWhichmrolemhavemthemnursesmfulfilled?ma.mRecovery
b. Attending
c. Advocacy
d. Evidence-based mpractice
ANS:mC
Anmadvocatemdefendsmormassertsmanother’smcause,mparticularlymwhenmthemothermpersonmlacksmth
emabilitymtomdomthat mformself.mExamplesmof mindividualmadvocacymincludemhelpingmpatientsmunde
rstand mtheirmrightsmormmakemdecisions.mOnmamcommunitymscale,madvocacymincludesmpoliticalmac
tivity,mpublicmspeaking,mand mpublicationminmtheminterest mof mimprovingmthemhumanmcondition.
3
, Sincemfundingmismnecessarymtomdelivermqualitymprogrammingmformpersonsmwithmmental millness,m the
4
m m m m m m m m
proach, 8th Edition
m m
MULTIPLEmCHOICE
4. Whichmassessment mfindingmmost mclearlymindicatesmthat mampatient mmaymbemexperiencingmammen
talmillness?mThempatient
a. reportsmoccasionalmsleeplessnessmand manxiety.
b. reportsmamconsistentlymsad,mdiscouraged,mand mhopelessmmood.
c. ismablemtomdescribemthemdifferencembetweenm“asmif”mand m“formreal.”
d. perceivesmdifficultymmakingmamdecisionmabout mwhethermtomchangemjobs.
ANS:mB
Themcorrect mresponsemdescribesmammood malteration,mwhichmreflectsmmental millness. mThemdistrac
tersmdescribembehaviorsmthat maremmentallymhealthymormwithinmthemusualmscopemof mhumanmexperi
ence.
PTS:m1 DIF:mCognitive mLevel:mApply m(Application)
REF:mPagesm1-2 mto m4
TOP:mNursingmProcess:mAssessmen
tmMSC:mClientmNeeds:mPsychosocialmIntegrity
5. Whichmfindingmbest mindicatesmthat mthemgoalm“Demonstratemmentallymhealthymbehavior”mw
asmachieved mformanmadult mpatient?mThempatient
a. seesmself masmcapablemof machievingmidealsmand mmeetingmdemands.
b. behavesmwithout mconsideringmthemconsequencesmof mpersonalmactions.
c. aggressivelymmeetsmownmneedsmwithout mconsideringmthemrightsmof mothers.
d. seeksmhelpmfrommothersmwhenmassumingmresponsibilitymformmajor mareasmof mownmlife.
ANS:mA
Themcorrect mresponsemdescribesmanmadaptive,mhealthymbehavior.mThemdistractersmdescribemmala
daptivembehaviors.
PTS:m1 DIF:mCognitive mLevel:mApply m(Application)
REF:mPagesm1-2 mto m4
TOP:mNursingmProcess:mEvaluatio
n mMSC:mClientmNeeds:mPsychosocialmIntegrity
1. A mstaff mnursemcompletesmorientationmtomampsychiatricmunit.mThismnursemmaymexpect manmadvanc
ed mpracticemnursemtomperformmwhichmadditionalmintervention?ma.m Conduct mmentalmhealth
assessments.
b. Prescribempsychotropicmmedication.
1
,c. Establishmtherapeuticmrelationships.
d. Individualizemnursingmcaremplans.
2
, ANS:mB
Inmmost mstates,mprescriptivemprivilegesmaremgranted mtommaster’s-
prepared mnursempractitionersmand mclinicalmnursemspecialistsmwhomhavemtakenmspecialmcoursesmonmpre
scribingmmedication.mThemnursemprepared mat mthembasicmlevelm ismpermitted mtomperformmmentalmhealth
massessments,mestablishmrelationships,mand mprovidemindividualized mcaremplanning.
PTS:m1 mDIF:mCognitivemLevel:mUnderstand m(Comprehension)mREF:mPagem1-
23 mTOP:mNursingmProcess:mImplementation
MSC:mClientmNeeds:mSafe,mEffective mCaremEnvironment
2. A mnursingmstudent mexpressesmconcernsmthat mmentalmhealthmnursesm“losemallmtheirmclinicalmnursi
ngmskills.”mSelect mthembest mresponsembymthemmentalmhealthmnurse.
a. “Psychiatricmnursesmpracticeminmsafermenvironmentsmthanmothermspecialties.mNurse-to-
patient mratiosmmust mbembettermbecausemof mthemnaturemof mthempatients’mproblems.”
b. “Psychiatricmnursesmusemcomplexmcommunicationmskillsmasmwellmasmcriticalmthinkingmtomsol
vemmultidimensionalmproblems.mI mammchallenged mbymthosemsituations.”
c. “That’smammisconception.mPsychiatricmnursesmfrequentlymusemhighmtechnologymmonitorin
gmequipment mand mmanagemcomplexmintravenousmtherapies.”
d. “Psychiatricmnursesmdomnot mhavemtomdealmwithmasmmuchmpainmand msufferingmasmmedic
al–msurgicalmnursesmdo.mThat mappealsmtomme.”
ANS:mB
Thempracticemof mpsychiatricmnursingmrequiresmamdifferent mset mof mskillsmthanmmedical–
surgicalmnursing,mthoughmtheremismsubstantialmoverlap. mPsychiatricmnursesmmust mbemablemtomhel
pmpatientsmwithmmedicalmasmwellmasmmentalmhealthmproblems,m reflectingmthemholisticmperspectiv
emthesemnursesmmust mhave.mNurse–
patient mratiosmand mworkloadsminmpsychiatricmsettingsmhavemincreased,mjust mlikemothermspecialtie
s.mPsychiatricmnursingminvolvesmclinical mpractice, mnot mjust mdocumentation.mPsychosocial mpainm
and msufferingmaremasmrealmasmphysicalmpainmand msuffering.
PTS:m1 DIF:mCognitive mLevel:mApply m(Application)
REF:mPagesm1-2,m21
TOP:mNursingmProcess:mImplementatio
n mMSC:mClientmNeeds:mSafe,mEffective mCaremEnvironment
3. Whenmamnew mbillm introduced minmCongressmreducesmfundingmformcaremof mpersonsmdiagnosed mw
ithmmentalmillness,mamgroupmof mnursesmwritemlettersmtomtheirmelected mrepresentativesminmopposit
ionmtomthemlegislation.mWhichmrolemhavemthemnursesmfulfilled?ma.mRecovery
b. Attending
c. Advocacy
d. Evidence-based mpractice
ANS:mC
Anmadvocatemdefendsmormassertsmanother’smcause,mparticularlymwhenmthemothermpersonmlacksmth
emabilitymtomdomthat mformself.mExamplesmof mindividualmadvocacymincludemhelpingmpatientsmunde
rstand mtheirmrightsmormmakemdecisions.mOnmamcommunitymscale,madvocacymincludesmpoliticalmac
tivity,mpublicmspeaking,mand mpublicationminmtheminterest mof mimprovingmthemhumanmcondition.
3
, Sincemfundingmismnecessarymtomdelivermqualitymprogrammingmformpersonsmwithmmental millness,m the
4
