Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nu
u u u u u u u
rsing: A Clinical Approach, 8th Edition Test Bank u u u u u u u
Chapter 01: Mental Health and Mental Illness
u u u u u u
Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A ClinicalApproa
u u u u u u u u u u
ch, 8th Edition
u u
MULTIPLE CHOICE u
1. A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advancedpr
u u u u u u u u u u u u u u u
actice nurse to perform which additional intervention? a.
u u u u u u u
Conduct mental health assessments. u u u
b. Prescribe psychotropic medication. u u
c. Establish therapeutic relationships. u u
d. Individualize nursing care plans. u u u
ANS: B u
In most states, prescriptive privileges are granted to master’s-
u u u u u u u u
prepared nurse practitioners andclinical nurse specialists who have taken special courses on prescr
u u u u u u u u u u u u u
ibing medication. The nurseprepared at the basic level is permitted to perform mental health assess
u u u u u u u u u u u u u u u
ments, establish relationships, and provide individualized care planning.
u u u u u u u
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-
u u u u u u u u u
23 TOP:Nursing Process: Implementation
u u u u
MSC: Client Needs: Safe, Effective Care Environment
u u u u u u
2. A nursing student expresses concerns that mental health nurses “lose all their clinical nursingski
u u u u u u u u u u u u u u
lls.” Select the best response by the mental health nurse.
u u u u u u u u u
a. “Psychiatric nurses practice in safer environments than other specialties. Nurse-to- u u u u u u u u u
patientratios must be better because of the nature of the patients’ problems.”
u u u u u u u u u u u u
b. “Psychiatric nurses use complex communication skills as well as critical thinking to solvem u u u u u u u u u u u u u
ultidimensional problems. I am challenged by those situations.” u u u u u u u
c. “That’s a misconception. Psychiatric nurses frequently use high technology monitoringe
u u u u u u u u u u
quipment and manage complex intravenous therapies.” u u u u u
d. “Psychiatric nurses do not have to deal with as much pain and suffering as medical– u u u u u u u u u u u u u u
surgical nurses do. That appeals to me.”
u u u u u u u
ANS: B u
The practice of psychiatric nursing requires a different set of skills than medical–
u u u u u u u u u u u u
surgical nursing, though there is substantial overlap. Psychiatric nurses must be able to help pati
u u u u u u u u u u u u u u
ents with medical as well as mental health problems, reflecting the holistic perspective these nur
u u u u u u u u u u u u u u
ses must have. Nurse–
u u u
patient ratios and workloads in psychiatric settings have increased,just like other specialties. Psy
u u u u u u u u u u u u u
chiatric nursing involves clinical practice, not just documentation. Psychosocial pain and sufferi
u u u u u u u u u u u
ng are as real as physical pain and suffering.
u u u u u u u u
1
,Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nu
u u u u u u u
rsing: A Clinical Approach, 8th Edition Test Bank
u u u u u u u
PTS: 1 u DIF: Cognitive Level: Apply (Application)
u u u u
REF: Pages 1-2, 21
u u u
TOP: Nursing Process: Implementation
u u u u
MSC: Client Needs: Safe, Effective Care Environment
u u u u u u
2
,Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nu
u u u u u u u
rsing: A Clinical Approach, 8th Edition Test Bank u u u u u u u
3. When a new bill introduced in Congress reduces funding for care of persons diagnosed withme
u u u u u u u u u u u u u u u
ntal illness, a group of nurses write letters to their elected representatives in opposition tothe le
u u u u u u u u u u u u u u u u
gislation. Which role have the nurses fulfilled?u u u u u u
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based practice u
ANS: C u
An advocate defends or asserts another’s cause, particularly when the other person lacks the abil
u u u u u u u u u u u u u u
ity to do that for self. Examples of individual advocacy include helping patients understand their
u u u u u u u u u u u u u u
urights or make decisions. On a community scale, advocacy includes politicalactivity, public spe
u u u u u u u u u u u u u
aking, and publication in the interest of improving the human condition.
u u u u u u u u u u
Since funding is necessary to deliver quality programming for persons with mental illness, thelet
u u u u u u u u u u u u u u
ter-
writing campaign advocates for that cause on behalf of patients who are unable to articulate their
u u u u u u u u u u u u u u u u
own needs. u
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-
u u u u u u u u u
26 TOP:Nursing Process: Evaluation
u u u u
MSC: Client Needs: Safe, Effective Care Environment
u u u u u u
4. A family has a long history of conflicted relationships among the members. Which familym
u u u u u u u u u u u u u u
ember’s comment best reflects a mentally healthy perspective?
u u u u u u u
a. “I’ve made mistakes but everyone else in this family has also.”
u u u u u u u u u u
b. “I remember joy and mutual respect from our early years together.”
u u u u u u u u u u
c. “I will make some changes in my behavior for the good of the family.”
u u u u u u u u u u u u u
d. “It’s best for me to move away from my family. Things will never change.”
u u u u u u u u u u u u u
ANS: C u
The correct response demonstrates the best evidence of a healthy recognition of the importance
u u u u u u u u u u u u u u
of relationships. Mental health includes rational thinking, communication skills, learning, emot
u u u u u u u u u u
ional growth, resilience, and self-
u u u u
esteem. Recalling joy from earlier in life maybe healthy, but the correct response shows a higher
u u u u u u u u u u u u u u u u u
level of mental health. The other incorrectresponses show blaming and avoidance.
u u u u u u u u u u u
PTS: 1 u DIF: Cognitive Level: Analyze (Analysis) u u u u
REF: Pages 1-2, 3, 32 (Figure 1-1)
u u u u u u
TOP: Nursing Process: Assessment MSC: u u u u u
Client Needs: Psychosocial Integrity
u u u
5. Which assessment finding most clearly indicates that a patient may be experiencing a mentalill
u u u u u u u u u u u u u u
ness? The patient
u u
a. reports occasional sleeplessness and anxiety. u u u u
b. reports a consistently sad, discouraged, and hopeless mood.
u u u u u u u
3
, Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nu
u u u u u u u
rsing: A Clinical Approach, 8th Edition Test Bank
u u u u u u u
c. is able to describe the difference between “as if” and “for real.”
u u u u u u u u u u u
d. perceives difficulty making a decision about whether to change jobs.
u u u u u u u u u
4
u u u u u u u
rsing: A Clinical Approach, 8th Edition Test Bank u u u u u u u
Chapter 01: Mental Health and Mental Illness
u u u u u u
Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A ClinicalApproa
u u u u u u u u u u
ch, 8th Edition
u u
MULTIPLE CHOICE u
1. A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advancedpr
u u u u u u u u u u u u u u u
actice nurse to perform which additional intervention? a.
u u u u u u u
Conduct mental health assessments. u u u
b. Prescribe psychotropic medication. u u
c. Establish therapeutic relationships. u u
d. Individualize nursing care plans. u u u
ANS: B u
In most states, prescriptive privileges are granted to master’s-
u u u u u u u u
prepared nurse practitioners andclinical nurse specialists who have taken special courses on prescr
u u u u u u u u u u u u u
ibing medication. The nurseprepared at the basic level is permitted to perform mental health assess
u u u u u u u u u u u u u u u
ments, establish relationships, and provide individualized care planning.
u u u u u u u
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-
u u u u u u u u u
23 TOP:Nursing Process: Implementation
u u u u
MSC: Client Needs: Safe, Effective Care Environment
u u u u u u
2. A nursing student expresses concerns that mental health nurses “lose all their clinical nursingski
u u u u u u u u u u u u u u
lls.” Select the best response by the mental health nurse.
u u u u u u u u u
a. “Psychiatric nurses practice in safer environments than other specialties. Nurse-to- u u u u u u u u u
patientratios must be better because of the nature of the patients’ problems.”
u u u u u u u u u u u u
b. “Psychiatric nurses use complex communication skills as well as critical thinking to solvem u u u u u u u u u u u u u
ultidimensional problems. I am challenged by those situations.” u u u u u u u
c. “That’s a misconception. Psychiatric nurses frequently use high technology monitoringe
u u u u u u u u u u
quipment and manage complex intravenous therapies.” u u u u u
d. “Psychiatric nurses do not have to deal with as much pain and suffering as medical– u u u u u u u u u u u u u u
surgical nurses do. That appeals to me.”
u u u u u u u
ANS: B u
The practice of psychiatric nursing requires a different set of skills than medical–
u u u u u u u u u u u u
surgical nursing, though there is substantial overlap. Psychiatric nurses must be able to help pati
u u u u u u u u u u u u u u
ents with medical as well as mental health problems, reflecting the holistic perspective these nur
u u u u u u u u u u u u u u
ses must have. Nurse–
u u u
patient ratios and workloads in psychiatric settings have increased,just like other specialties. Psy
u u u u u u u u u u u u u
chiatric nursing involves clinical practice, not just documentation. Psychosocial pain and sufferi
u u u u u u u u u u u
ng are as real as physical pain and suffering.
u u u u u u u u
1
,Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nu
u u u u u u u
rsing: A Clinical Approach, 8th Edition Test Bank
u u u u u u u
PTS: 1 u DIF: Cognitive Level: Apply (Application)
u u u u
REF: Pages 1-2, 21
u u u
TOP: Nursing Process: Implementation
u u u u
MSC: Client Needs: Safe, Effective Care Environment
u u u u u u
2
,Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nu
u u u u u u u
rsing: A Clinical Approach, 8th Edition Test Bank u u u u u u u
3. When a new bill introduced in Congress reduces funding for care of persons diagnosed withme
u u u u u u u u u u u u u u u
ntal illness, a group of nurses write letters to their elected representatives in opposition tothe le
u u u u u u u u u u u u u u u u
gislation. Which role have the nurses fulfilled?u u u u u u
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based practice u
ANS: C u
An advocate defends or asserts another’s cause, particularly when the other person lacks the abil
u u u u u u u u u u u u u u
ity to do that for self. Examples of individual advocacy include helping patients understand their
u u u u u u u u u u u u u u
urights or make decisions. On a community scale, advocacy includes politicalactivity, public spe
u u u u u u u u u u u u u
aking, and publication in the interest of improving the human condition.
u u u u u u u u u u
Since funding is necessary to deliver quality programming for persons with mental illness, thelet
u u u u u u u u u u u u u u
ter-
writing campaign advocates for that cause on behalf of patients who are unable to articulate their
u u u u u u u u u u u u u u u u
own needs. u
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-
u u u u u u u u u
26 TOP:Nursing Process: Evaluation
u u u u
MSC: Client Needs: Safe, Effective Care Environment
u u u u u u
4. A family has a long history of conflicted relationships among the members. Which familym
u u u u u u u u u u u u u u
ember’s comment best reflects a mentally healthy perspective?
u u u u u u u
a. “I’ve made mistakes but everyone else in this family has also.”
u u u u u u u u u u
b. “I remember joy and mutual respect from our early years together.”
u u u u u u u u u u
c. “I will make some changes in my behavior for the good of the family.”
u u u u u u u u u u u u u
d. “It’s best for me to move away from my family. Things will never change.”
u u u u u u u u u u u u u
ANS: C u
The correct response demonstrates the best evidence of a healthy recognition of the importance
u u u u u u u u u u u u u u
of relationships. Mental health includes rational thinking, communication skills, learning, emot
u u u u u u u u u u
ional growth, resilience, and self-
u u u u
esteem. Recalling joy from earlier in life maybe healthy, but the correct response shows a higher
u u u u u u u u u u u u u u u u u
level of mental health. The other incorrectresponses show blaming and avoidance.
u u u u u u u u u u u
PTS: 1 u DIF: Cognitive Level: Analyze (Analysis) u u u u
REF: Pages 1-2, 3, 32 (Figure 1-1)
u u u u u u
TOP: Nursing Process: Assessment MSC: u u u u u
Client Needs: Psychosocial Integrity
u u u
5. Which assessment finding most clearly indicates that a patient may be experiencing a mentalill
u u u u u u u u u u u u u u
ness? The patient
u u
a. reports occasional sleeplessness and anxiety. u u u u
b. reports a consistently sad, discouraged, and hopeless mood.
u u u u u u u
3
, Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nu
u u u u u u u
rsing: A Clinical Approach, 8th Edition Test Bank
u u u u u u u
c. is able to describe the difference between “as if” and “for real.”
u u u u u u u u u u u
d. perceives difficulty making a decision about whether to change jobs.
u u u u u u u u u
4
