Test Bank Varcarolis' Foundations of Psychiatric-
n n n n n
Mental Health Nursing A Clinical 9th Edition by Margaret J
n n n n n n n n n
ordan Halter |Test Bank|Chapter 1-36 UPDATED 2022
n n n n n n
Chapter n01:nMentalnHealthnandnMentalnIllness
Halter:nVarcarolis’nFoundations nofnPsychiatric nMentalnHealthnNursing:nAnClinicalnAppro
ach,n8thnEdition
MULTIPLEnCHOICE
1. A n staff nnursencompletesn orientationntonanpsychiatricn unit.nThisn nursen maynexpect nann advancednp
racticen nursen ton performn whichn additionaln intervention?n a.
Conduct n mentaln healthn assessm
ents.
b. Prescribenpsychotropicn medication.
c. Establishntherapeuticn relationships.
d. Individualizen nursingn caren plans.
ANS:n B
Inn most n states,n prescriptiven privilegesn aren granted n ton master‘s-
prepared n nursen practitionersn and n clinicaln nursen specialistsn whon haven takenn specialn coursesn onn prescri
bingnmedication.nThen nursen prepared n at n then basicn leveln isn permitted n ton performn mentaln healthn assess
ments,n establishn relationships,n and n providen individualized n caren planning.
PTS:n 1 nDIF:n Cognitiven Level:n Understand n (Comprehension)n REF:n Pagen 1-
23 nTOP:n Nursingn Process:n Implementation
MSC:nClientn Needs:n Safe,nEffective n CarenEnvironment
2. A nnursingnstudent nexpressesnconcernsnthat nmentalnhealthnnursesn―losenallntheirnclinicalnnursingn s
kills.‖ n Select n then best n responsen byn then mentaln healthn nurse.
a. ―Psychiatricn nursesn practicen inn safern environmentsn thann othern specialties.n Nurse-to-
patient n ratiosn must n ben bettern becausen of n then naturen of n then patients‘n problems.‖
b. ―Psychiatricnnursesnusencomplexncommunicationnskillsnasnwellnasncriticalnthinkingntonsolven
multidimensionaln problems.n I n amn challenged n byn thosen situations.‖
c. ―That‘sn an misconception.nPsychiatricnnursesnfrequentlynusenhighntechnologynmonitoringn
equipment n and n managen complexn intravenousn therapies.‖
d. ―Psychiatricnnursesndonnot nhaventondealnwithnasnmuchnpainnand nsufferingnasnmedical–
n surgicaln nursesn do.n That n appealsn ton me.‖
ANS:n B
Then practicen of n psychiatricn nursingn requiresn an different n set n of n skillsn thann medical–
surgicaln nursing,n thoughn theren isn substantialn overlap.n Psychiatricn nursesn must n ben ablen ton helpn pa
tientsn withn medicaln asn welln asn mentaln healthn problems,n reflectingn then holisticn perspectiven thesen
nursesn must nhave.n Nurse–
patient n ratiosn and nworkloadsn inn psychiatricnsettingsn havenincreased,n just n liken othern specialties.n P
1
, Test Bank Varcarolis' Foundations of Psychiatric-
n n n n n
Mental Health Nursing A Clinical 9th Edition by Margaret J
n n n n n n n n n
ordan Halter |Test Bank|Chapter 1-36 UPDATED 2022
n n n n n n
sychiatricn nursingn involvesn clinicaln practice,n not n just n documentation.n Psychosocialn painn and n suf
feringn aren asn realn asn physicaln painn and n suffering.
2
, Test Bank Varcarolis' Foundations of Psychiatric-
n n n n n
Mental Health Nursing A Clinical 9th Edition by Margaret J
n n n n n n n n n
ordan Halter |Test Bank|Chapter 1-36 UPDATED 2022
n n n n n n
PTS:n 1 DIF:nCognitiven Level:nApply n(Application)
REF:n Pagesn 1-2,n 21
TOP:nNursingnProcess:nImplementation
n MSC:n Clientn Needs:n Safe, n Effective n Care n Environment
3
, Test Bank Varcarolis' Foundations of Psychiatric-
n n n n n
Mental Health Nursing A Clinical 9th Edition by Margaret J
n n n n n n n n n
ordan Halter |Test Bank|Chapter 1-36 UPDATED 2022
n n n n n n
3. Whenn an newn billn introducedn inn Congressn reducesnfundingnforn caren ofn personsn diagnosednwithn
mentaln illness,n an groupn ofn nursesnwriten lettersn tontheirn elected n representativesn inn oppositionn ton t
hen legislation.n Whichn rolen haven then nursesn fulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based npractice
ANS:n C
Ann advocaten defendsnorn assertsn another‘sn cause,n particularlyn whenn then othern personn lacksn thenab
ilityn ton don thatn forn self.nExamplesn of nindividualnadvocacynincluden helpingn patientsnunderstandnth
eirn rightsn orn maken decisions.n Onn ancommunitynscale,n advocacynincludesn politicaln activity,n public
n speaking,n and n publicationn inn then interest n of n improvingn then humann condition.
Sincen fundingn isn necessaryntondelivern qualitynprogrammingn forn personsn withn mentaln illness,n then l
etter-
writingn campaignn advocatesn forn that ncausen onnbehalf nof npatientsnwhonaren unablen tonarticulaten the
irn ownn needs.
PTS:n 1 nDIF:n Cognitiven Level:n Understand n (Comprehension)n REF:n Pagen 1-
26 nTOP:n Nursingn Process:n Evaluation
MSC:nClientn Needs:n Safe,nEffective n CarenEnvironment
4. An familynhasn an longn historynof n conflicted n relationshipsn amongn then members.n Whichn familyn
member‘sn comment n best n reflectsn an mentallyn healthyn perspective?
a. ―I‘venmaden mistakesn but n everyonen elsen inn thisn familynhasn also.‖
b. ―I nremembernjoynand n mutualn respect n fromnourn earlynyearsntogether.‖
c. ―I nwillnmakensomenchangesninnmynbehaviornfornthengood nof nthenfamily.‖
d. ―It‘snbest n forn men ton moven awaynfromn mynfamily.nThingsn willn nevern change.‖
ANS:n C
Then correct n responsen demonstratesn then best n evidencenof nanhealthyn recognitionn ofn then importance
n of n relationships.n Mentaln healthn includesn rationaln thinking,n communicationn skills,n learning,n em
otionaln growth,n resilience,n and n self-
esteem.n Recallingn joynfromn earliern inn lifen mayn ben healthy,n but nthen correct n responsen showsn an high
ern leveln of n mentaln health.nThen othern incorrect n responsesn show n blamingn and n avoidance.
PTS:n 1 DIF:nCognitive nLevel:nAnalyze n (Analysis)
REF:n Pagesn 1-2,n 3,n 32 n (Figuren 1-1)
TOP:n Nursingn Process:nAssessmentn MSC:n
Clientn Needs:n Psychosocialn Integrity
5. Whichn assessment n findingn most n clearlynindicatesn that nanpatient nmaynbenexperiencingn an mentaln i
llness?n Then patient
a. reportsn occasionaln sleeplessnessnand nanxiety.
4
n n n n n
Mental Health Nursing A Clinical 9th Edition by Margaret J
n n n n n n n n n
ordan Halter |Test Bank|Chapter 1-36 UPDATED 2022
n n n n n n
Chapter n01:nMentalnHealthnandnMentalnIllness
Halter:nVarcarolis’nFoundations nofnPsychiatric nMentalnHealthnNursing:nAnClinicalnAppro
ach,n8thnEdition
MULTIPLEnCHOICE
1. A n staff nnursencompletesn orientationntonanpsychiatricn unit.nThisn nursen maynexpect nann advancednp
racticen nursen ton performn whichn additionaln intervention?n a.
Conduct n mentaln healthn assessm
ents.
b. Prescribenpsychotropicn medication.
c. Establishntherapeuticn relationships.
d. Individualizen nursingn caren plans.
ANS:n B
Inn most n states,n prescriptiven privilegesn aren granted n ton master‘s-
prepared n nursen practitionersn and n clinicaln nursen specialistsn whon haven takenn specialn coursesn onn prescri
bingnmedication.nThen nursen prepared n at n then basicn leveln isn permitted n ton performn mentaln healthn assess
ments,n establishn relationships,n and n providen individualized n caren planning.
PTS:n 1 nDIF:n Cognitiven Level:n Understand n (Comprehension)n REF:n Pagen 1-
23 nTOP:n Nursingn Process:n Implementation
MSC:nClientn Needs:n Safe,nEffective n CarenEnvironment
2. A nnursingnstudent nexpressesnconcernsnthat nmentalnhealthnnursesn―losenallntheirnclinicalnnursingn s
kills.‖ n Select n then best n responsen byn then mentaln healthn nurse.
a. ―Psychiatricn nursesn practicen inn safern environmentsn thann othern specialties.n Nurse-to-
patient n ratiosn must n ben bettern becausen of n then naturen of n then patients‘n problems.‖
b. ―Psychiatricnnursesnusencomplexncommunicationnskillsnasnwellnasncriticalnthinkingntonsolven
multidimensionaln problems.n I n amn challenged n byn thosen situations.‖
c. ―That‘sn an misconception.nPsychiatricnnursesnfrequentlynusenhighntechnologynmonitoringn
equipment n and n managen complexn intravenousn therapies.‖
d. ―Psychiatricnnursesndonnot nhaventondealnwithnasnmuchnpainnand nsufferingnasnmedical–
n surgicaln nursesn do.n That n appealsn ton me.‖
ANS:n B
Then practicen of n psychiatricn nursingn requiresn an different n set n of n skillsn thann medical–
surgicaln nursing,n thoughn theren isn substantialn overlap.n Psychiatricn nursesn must n ben ablen ton helpn pa
tientsn withn medicaln asn welln asn mentaln healthn problems,n reflectingn then holisticn perspectiven thesen
nursesn must nhave.n Nurse–
patient n ratiosn and nworkloadsn inn psychiatricnsettingsn havenincreased,n just n liken othern specialties.n P
1
, Test Bank Varcarolis' Foundations of Psychiatric-
n n n n n
Mental Health Nursing A Clinical 9th Edition by Margaret J
n n n n n n n n n
ordan Halter |Test Bank|Chapter 1-36 UPDATED 2022
n n n n n n
sychiatricn nursingn involvesn clinicaln practice,n not n just n documentation.n Psychosocialn painn and n suf
feringn aren asn realn asn physicaln painn and n suffering.
2
, Test Bank Varcarolis' Foundations of Psychiatric-
n n n n n
Mental Health Nursing A Clinical 9th Edition by Margaret J
n n n n n n n n n
ordan Halter |Test Bank|Chapter 1-36 UPDATED 2022
n n n n n n
PTS:n 1 DIF:nCognitiven Level:nApply n(Application)
REF:n Pagesn 1-2,n 21
TOP:nNursingnProcess:nImplementation
n MSC:n Clientn Needs:n Safe, n Effective n Care n Environment
3
, Test Bank Varcarolis' Foundations of Psychiatric-
n n n n n
Mental Health Nursing A Clinical 9th Edition by Margaret J
n n n n n n n n n
ordan Halter |Test Bank|Chapter 1-36 UPDATED 2022
n n n n n n
3. Whenn an newn billn introducedn inn Congressn reducesnfundingnforn caren ofn personsn diagnosednwithn
mentaln illness,n an groupn ofn nursesnwriten lettersn tontheirn elected n representativesn inn oppositionn ton t
hen legislation.n Whichn rolen haven then nursesn fulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based npractice
ANS:n C
Ann advocaten defendsnorn assertsn another‘sn cause,n particularlyn whenn then othern personn lacksn thenab
ilityn ton don thatn forn self.nExamplesn of nindividualnadvocacynincluden helpingn patientsnunderstandnth
eirn rightsn orn maken decisions.n Onn ancommunitynscale,n advocacynincludesn politicaln activity,n public
n speaking,n and n publicationn inn then interest n of n improvingn then humann condition.
Sincen fundingn isn necessaryntondelivern qualitynprogrammingn forn personsn withn mentaln illness,n then l
etter-
writingn campaignn advocatesn forn that ncausen onnbehalf nof npatientsnwhonaren unablen tonarticulaten the
irn ownn needs.
PTS:n 1 nDIF:n Cognitiven Level:n Understand n (Comprehension)n REF:n Pagen 1-
26 nTOP:n Nursingn Process:n Evaluation
MSC:nClientn Needs:n Safe,nEffective n CarenEnvironment
4. An familynhasn an longn historynof n conflicted n relationshipsn amongn then members.n Whichn familyn
member‘sn comment n best n reflectsn an mentallyn healthyn perspective?
a. ―I‘venmaden mistakesn but n everyonen elsen inn thisn familynhasn also.‖
b. ―I nremembernjoynand n mutualn respect n fromnourn earlynyearsntogether.‖
c. ―I nwillnmakensomenchangesninnmynbehaviornfornthengood nof nthenfamily.‖
d. ―It‘snbest n forn men ton moven awaynfromn mynfamily.nThingsn willn nevern change.‖
ANS:n C
Then correct n responsen demonstratesn then best n evidencenof nanhealthyn recognitionn ofn then importance
n of n relationships.n Mentaln healthn includesn rationaln thinking,n communicationn skills,n learning,n em
otionaln growth,n resilience,n and n self-
esteem.n Recallingn joynfromn earliern inn lifen mayn ben healthy,n but nthen correct n responsen showsn an high
ern leveln of n mentaln health.nThen othern incorrect n responsesn show n blamingn and n avoidance.
PTS:n 1 DIF:nCognitive nLevel:nAnalyze n (Analysis)
REF:n Pagesn 1-2,n 3,n 32 n (Figuren 1-1)
TOP:n Nursingn Process:nAssessmentn MSC:n
Clientn Needs:n Psychosocialn Integrity
5. Whichn assessment n findingn most n clearlynindicatesn that nanpatient nmaynbenexperiencingn an mentaln i
llness?n Then patient
a. reportsn occasionaln sleeplessnessnand nanxiety.
4
