Foundations of Psychiatric Mental Health Nursing A Clinical Approach, 8th Edition Varcarolis’ COMPLETE TEST BANK

Foundations of Psychiatric Mental Health Nursing: A ClinicalApp
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roach, 8th Edition Varcarolis’ COMPLETE TEST BANK
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1

,Foundations of Psychiatric Mental Health Nursing: A ClinicalApp
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roach, 8th Edition Varcarolis’ COMPLETE 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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MULTIPLEuCHOICE

1. Austaffunurseucompletesuorientationutouaupsychiatricuunit.uThisunurseumayuexpectuanuadvancedup
racticeunurseutouperformuwhichuadditionaluintervention?ua.
Conductumentaluhealthuassessments.
b. Prescribeupsychotropicumedication.
c. Establishutherapeuticurelationships.
d. Individualizeunursingucareuplans.
ANS:uB
Inumostustates,uprescriptiveuprivilegesuareugrantedutoumaster’s-
preparedunurseupractitionersuanduclinicalunurseuspecialistsuwhouhaveutakenuspecialucoursesuonupresc
ribingumedication.uTheunurseuprepareduatutheubasiculeveluisupermittedutouperformumentaluhealthuass
essments,uestablishurelationships,uanduprovideuindividualizeducareuplanning.

PTS:u1uDIF:uCognitiveuLevel:uUnderstandu(Comprehension)uREF:uPageu1-
23uTOP:uNursinguProcess:uImplementation
MSC:uClientuNeeds:uSafe,uEffectiveuCareuEnvironment

2. Aunursingustudentuexpressesuconcernsuthatumentaluhealthunursesu“loseuallutheiruclinicalunursingus
kills.”uSelectutheubesturesponseubyutheumentaluhealthunurse.
a. “Psychiatricunursesupracticeuinusaferuenvironmentsuthanuotheruspecialties.uNurse-to-
patienturatiosumustubeubetterubecauseuofutheunatureuofutheupatients’uproblems.”
b. “Psychiatricunursesuuseucomplexucommunicationuskillsuasuwelluasucriticaluthinkingutousolveu
multidimensionaluproblems.uIuamuchallengedubyuthoseusituations.”
c. “That’suaumisconception.uPsychiatricunursesufrequentlyuuseuhighutechnologyumonitoringue
quipmentuandumanageucomplexuintravenousutherapies.”
d. “Psychiatricunursesudounotuhaveutoudealuwithuasumuchupainuandusufferinguasumedical–
usurgicalunursesudo.uThatuappealsutoume.”


2

,Foundations of Psychiatric Mental Health Nursing: A ClinicalApp
u u u u u u u u



roach, 8th Edition Varcarolis’ COMPLETE TEST BANK
u u u u u u u

ANS:uB
Theupracticeuofupsychiatricunursingurequiresuaudifferentusetuofuskillsuthanumedical–
surgicalunursing,uthoughuthereuisusubstantialuoverlap.uPsychiatricunursesumustubeuableutouhelpupa
tientsuwithumedicaluasuwelluasumentaluhealthuproblems,ureflectingutheuholisticuperspectiveutheseu
nursesumustuhave.uNurse–
patienturatiosuanduworkloadsuinupsychiatricusettingsuhaveuincreased,ujustulikeuotheruspecialties.uPs
ychiatricunursinguinvolvesuclinicalupractice,unotujustudocumentation.uPsychosocialupainuandusuff
eringuareuasurealuasuphysicalupainuandusuffering.

PTS:u1 DIF:uCognitiveuLevel:uApplyu(Application)
REF:uPagesu1-2,u21
TOP:uNursinguProcess:uImplementationu
MSC:uClientuNeeds:uSafe,uEffectiveuCareuEnvironment




3

, Foundations of Psychiatric Mental Health Nursing: A ClinicalApp
u u u u u u u u



roach, 8th Edition Varcarolis’ COMPLETE TEST BANK
u u u u u u u


3. WhenuaunewubilluintroduceduinuCongressureducesufundinguforucareuofupersonsudiagnoseduwithu
mentaluillness,uaugroupuofunursesuwriteulettersutoutheiruelectedurepresentativesuinuoppositionutout
heulegislation.uWhichuroleuhaveutheunursesufulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-basedupractice

ANS:uC
Anuadvocateudefendsuoruassertsuanother’sucause,uparticularlyuwhenutheuotherupersonulacksutheuab
ilityutoudouthatuforuself.uExamplesuofuindividualuadvocacyuincludeuhelpingupatientsuunderstandut
heirurightsuorumakeudecisions.uOnuaucommunityuscale,uadvocacyuincludesupoliticaluactivity,upubli
cuspeaking,uandupublicationuinutheuinterestuofuimprovingutheuhumanucondition.
Sinceufundinguisunecessaryutoudeliveruqualityuprogramminguforupersonsuwithumentaluillness,utheul
etter-
writingucampaignuadvocatesuforuthatucauseuonubehalfuofupatientsuwhouareuunableutouarticulateuthe
iruownuneeds.

PTS:u1uDIF:uCognitiveuLevel:uUnderstandu(Comprehension)uREF:uPageu1-
26uTOP:uNursinguProcess:uEvaluation
MSC:uClientuNeeds:uSafe,uEffectiveuCareuEnvironment

4. Aufamilyuhasuaulonguhistoryuofuconflictedurelationshipsuamongutheumembers.uWhichufamilyu
member’sucommentubestureflectsuaumentallyuhealthyuperspective?
a. “I’veumadeumistakesubutueveryoneuelseuinuthisufamilyuhasualso.”
b. “Iurememberujoyuandumutualurespectufromuouruearlyuyearsutogether.”
c. “Iuwillumakeusomeuchangesuinumyubehavioruforutheugooduofutheufamily.”
d. “It’subestuforumeutoumoveuawayufromumyufamily.uThingsuwilluneveruchange.”

ANS:uC
Theucorrecturesponseudemonstratesutheubestuevidenceuofuauhealthyurecognitionuofutheuimportanc
euofurelationships.uMentaluhealthuincludesurationaluthinking,ucommunicationuskills,ulearning,ue
motionalugrowth,uresilience,uanduself-
esteem.uRecallingujoyufromuearlieruinulifeumayubeuhealthy,ubututheucorrecturesponseushowsuauhigh
eruleveluofumentaluhealth.uTheuotheruincorrecturesponsesushowublaminguanduavoidance.

PTS:u1 DIF:uCognitiveuLevel:uAnalyzeu(Analysis)
REF:uPagesu1-2,u3,u32u(Figureu1-1)
TOP:u Nursingu Process:u Assessmentu MSC:u
ClientuNeeds:uPsychosocialuIntegrity

5. Whichuassessmentufindingumostuclearlyuindicatesuthatuaupatientumayubeuexperiencinguaumentaluil
lness?uTheupatient
a. reportsuoccasionalusleeplessnessuanduanxiety.
b. reportsuauconsistentlyusad,udiscouraged,uanduhopelessumood.
c. isuableutoudescribeutheudifferenceubetweenu“asuif”uandu“forureal.”
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