Test bank Varcarolis' Foundations of Psychiatric-
m m m m m
MentalHealth Nursing9th
m m Edition Test Bank Complete
m m m
1
, Chapter 01: Mental Health and Mental Illness
m m m m m m
Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical Approa
m m m m m m m m m m
ch, 8th Edition
m m
MULTIPLEmCHOICE
1. Amstaffmnursemcompletesmorientationmtomampsychiatricmunit.mThismnursemmaymexpectm anmadvanc
edmpracticemnursemtomperformmwhichmadditionalmintervention?ma.
Conductmmentalmhealthmassessments.
b. Prescribempsychotropicmmedication.
c. Establishmtherapeuticmrelationships.
d. Individualizemnursingmcaremplans.
ANS:mB
Inmmostmstates,mprescriptivemprivilegesmaremgrantedmtommaster‘s-
preparedmnursempractitionersmandmclinicalmnursemspecialistsmwhomhavemtakenmspecialmcoursesmon
mprescribingmmedication.mThemnursem preparedmatmthembasicmlevelmismpermittedmtomperformmmenta
lmhealthmassessments,mestablishmrelationships,mandmprovidemindividualizedmcaremplanning.
PTS:m1mDIF:mCognitivemLevel:mUnderstandm(Comprehension)mREF:mPagem1-
23mTOP:mNursingmProcess:mImplementation
MSC:mClientmNeeds:mSafe,mEffectivemCaremEnvironment
2. Amnursingmstudentmexpressesmconcernsmthatmmentalmhealthmnursesm―losemallmtheirmclinicalmnursi
ngmskills.‖mSelectmthembestm responsembymthemmentalmhealthmnurse.
a. ―Psychiatricmnursesmpracticeminmsafermenvironmentsmthanmothermspecialties.mNurse-to-
patientmratiosmmustm bembettermbecausemofmthemnaturemofmthempatients‘mproblems.‖
b. ―Psychiatricmnursesmusemcomplexmcommunicationmskillsmasmwellmasmcriticalmthinkingmtomsol
vemmultidimensionalmproblems.m Imammchallengedmbymthosemsituations.‖
c. ―That‘smammisconception.mPsychiatricmnursesmfrequentlymusemhighmtechnologymmonitorin
gmequipmentm andmmanagemcomplexm intravenousmtherapies.‖
d. ―Psychiatricmnursesmdomnotmhavemtomdealmwithmasmmuchmpainmandmsufferingmasmmedic
al–msurgicalmnursesmdo.mThatm appealsmtom me.‖
ANS:mB
Thempracticemofmpsychiatricmnursingmrequiresmamdifferentmsetmofmskillsmthanmmedical–
surgicalmnursing,mthoughmtheremismsubstantialmoverlap.mPsychiatricmnursesmmustmbemablemtomh
elpmpatientsmwithmmedicalmasmwellmasmmentalmhealthmproblems,mreflectingmthemholisticmperspe
ctivemthesemnursesmmustmhave.mNurse–
patientmratiosmandmworkloadsminmpsychiatricmsettingsmhavemincreased,mjustm likemothermspecialti
es.mPsychiatricmnursingminvolvesmclinicalmpractice,mnotmjustmdocumentation.mPsychosocialmpa
inmandmsufferingmaremasmrealmasmphysicalmpainmandmsuffering.
2
,TestmBankmVarcarolis'mFoundationsmofmPsychiatric-
MentalmHealthmNursingmAmClinicalm9thmEditionm|TestmBankmC|Chapterm1-36
PTS:m1 DIF:mCognitivemLevel:mApplym(Application)
REF:mPagesm1-2,m21
TOP:mNursingmProcess:mImplementatio
nmMSC:mClientmNeeds:mSafe,mEffectivemCaremEnvironment
3
, 3. WhenmamnewmbillmintroducedminmCongressmreducesmfundingmformcaremofmpersonsmdiagnosedmw
ithmmentalmillness,mamgroupmofmnursesmwritemlettersmtomtheirmelectedmrepresentativesminmopposit
ionmtomthemlegislation.mWhichmrolemhavemthemnursesmfulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-basedmpractice
ANS:mC
Anmadvocatemdefendsmormassertsmanother‘smcause,mparticularlymwhenmthemothermpersonmlacksmth
emabilitymtomdomthatmformself.mExamplesmofmindividualmadvocacymincludemhelpingmpatientsmunde
rstandmtheirmrightsmormmakemdecisions.mOnmamcommunitymscale,madvocacymincludesmpoliticalmact
ivity,mpublicmspeaking,m andmpublicationminmtheminterestmofmimprovingmthemhumanmcondition.
Sincemfundingmismnecessarymtomdelivermqualitymprogrammingmformpersonsmwithmmentalmillness,mt
hemletter-
writingmcampaignmadvocatesmformthatmcausemonmbehalfmofmpatientsmwhomaremunablemtomarticulat
emtheirmownmneeds.
PTS:m1mDIF:mCognitivemLevel:mUnderstandm(Comprehension)mREF:mPagem1-
26mTOP:mNursingmProcess:mEvaluation
MSC:mClientmNeeds:mSafe,mEffectivemCaremEnvironment
4. Amfamilymhasmamlongmhistorymofmconflictedmrelationshipsmamongmthemmembers.mWhichmfam
ilymmember‘smcommentm bestm reflectsmammentallymhealthymperspective?
a. ―I‘vemmadem mistakesmbutm everyonemelseminmthismfamilymhasmalso.‖
b. ―Im rememberm joymandm mutualm respectm fromm ourm earlym yearsm together.‖
c. ―Im willm makem somem changesm inm mymbehaviorm form them goodm ofm them family.‖
d. ―It‘smbestmformmemtommovemawaymfrommmymfamily.mThingsmwillmnevermchange.‖
ANS:mC
Themcorrectmresponsemdemonstratesmthembestmevidencemofmamhealthymrecognitionmofmthemimport
ancemofmrelationships.mMentalmhealthmincludesmrationalmthinking,mcommunicationmskills,mlearni
ng,memotionalmgrowth,mresilience,mandmself-
esteem.mRecallingmjoymfrommearlierminmlifemmaymbemhealthy,mbutmthemcorrectmresponsemshowsmam
highermlevelmofmmentalmhealth.mThemothermincorrectmresponsesmshowmblamingmandmavoidance.
PTS:m1 DIF:mCognitivemLevel:mAnalyzem(Analysis)
REF:mPagesm1-2,m3,m32m(Figurem1-1)
TOP:m Nursingm Process:m Assessmentm MS
C:mClientmNeeds:mPsychosocialmIntegrity
5. Whichmassessmentmfindingmmostm clearlymindicatesmthatm ampatientm maymbemexperiencingmammen
talmillness?mThempatient
a. reportsmoccasionalmsleeplessnessmandmanxiety.
4
m m m m m
MentalHealth Nursing9th
m m Edition Test Bank Complete
m m m
1
, Chapter 01: Mental Health and Mental Illness
m m m m m m
Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical Approa
m m m m m m m m m m
ch, 8th Edition
m m
MULTIPLEmCHOICE
1. Amstaffmnursemcompletesmorientationmtomampsychiatricmunit.mThismnursemmaymexpectm anmadvanc
edmpracticemnursemtomperformmwhichmadditionalmintervention?ma.
Conductmmentalmhealthmassessments.
b. Prescribempsychotropicmmedication.
c. Establishmtherapeuticmrelationships.
d. Individualizemnursingmcaremplans.
ANS:mB
Inmmostmstates,mprescriptivemprivilegesmaremgrantedmtommaster‘s-
preparedmnursempractitionersmandmclinicalmnursemspecialistsmwhomhavemtakenmspecialmcoursesmon
mprescribingmmedication.mThemnursem preparedmatmthembasicmlevelmismpermittedmtomperformmmenta
lmhealthmassessments,mestablishmrelationships,mandmprovidemindividualizedmcaremplanning.
PTS:m1mDIF:mCognitivemLevel:mUnderstandm(Comprehension)mREF:mPagem1-
23mTOP:mNursingmProcess:mImplementation
MSC:mClientmNeeds:mSafe,mEffectivemCaremEnvironment
2. Amnursingmstudentmexpressesmconcernsmthatmmentalmhealthmnursesm―losemallmtheirmclinicalmnursi
ngmskills.‖mSelectmthembestm responsembymthemmentalmhealthmnurse.
a. ―Psychiatricmnursesmpracticeminmsafermenvironmentsmthanmothermspecialties.mNurse-to-
patientmratiosmmustm bembettermbecausemofmthemnaturemofmthempatients‘mproblems.‖
b. ―Psychiatricmnursesmusemcomplexmcommunicationmskillsmasmwellmasmcriticalmthinkingmtomsol
vemmultidimensionalmproblems.m Imammchallengedmbymthosemsituations.‖
c. ―That‘smammisconception.mPsychiatricmnursesmfrequentlymusemhighmtechnologymmonitorin
gmequipmentm andmmanagemcomplexm intravenousmtherapies.‖
d. ―Psychiatricmnursesmdomnotmhavemtomdealmwithmasmmuchmpainmandmsufferingmasmmedic
al–msurgicalmnursesmdo.mThatm appealsmtom me.‖
ANS:mB
Thempracticemofmpsychiatricmnursingmrequiresmamdifferentmsetmofmskillsmthanmmedical–
surgicalmnursing,mthoughmtheremismsubstantialmoverlap.mPsychiatricmnursesmmustmbemablemtomh
elpmpatientsmwithmmedicalmasmwellmasmmentalmhealthmproblems,mreflectingmthemholisticmperspe
ctivemthesemnursesmmustmhave.mNurse–
patientmratiosmandmworkloadsminmpsychiatricmsettingsmhavemincreased,mjustm likemothermspecialti
es.mPsychiatricmnursingminvolvesmclinicalmpractice,mnotmjustmdocumentation.mPsychosocialmpa
inmandmsufferingmaremasmrealmasmphysicalmpainmandmsuffering.
2
,TestmBankmVarcarolis'mFoundationsmofmPsychiatric-
MentalmHealthmNursingmAmClinicalm9thmEditionm|TestmBankmC|Chapterm1-36
PTS:m1 DIF:mCognitivemLevel:mApplym(Application)
REF:mPagesm1-2,m21
TOP:mNursingmProcess:mImplementatio
nmMSC:mClientmNeeds:mSafe,mEffectivemCaremEnvironment
3
, 3. WhenmamnewmbillmintroducedminmCongressmreducesmfundingmformcaremofmpersonsmdiagnosedmw
ithmmentalmillness,mamgroupmofmnursesmwritemlettersmtomtheirmelectedmrepresentativesminmopposit
ionmtomthemlegislation.mWhichmrolemhavemthemnursesmfulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-basedmpractice
ANS:mC
Anmadvocatemdefendsmormassertsmanother‘smcause,mparticularlymwhenmthemothermpersonmlacksmth
emabilitymtomdomthatmformself.mExamplesmofmindividualmadvocacymincludemhelpingmpatientsmunde
rstandmtheirmrightsmormmakemdecisions.mOnmamcommunitymscale,madvocacymincludesmpoliticalmact
ivity,mpublicmspeaking,m andmpublicationminmtheminterestmofmimprovingmthemhumanmcondition.
Sincemfundingmismnecessarymtomdelivermqualitymprogrammingmformpersonsmwithmmentalmillness,mt
hemletter-
writingmcampaignmadvocatesmformthatmcausemonmbehalfmofmpatientsmwhomaremunablemtomarticulat
emtheirmownmneeds.
PTS:m1mDIF:mCognitivemLevel:mUnderstandm(Comprehension)mREF:mPagem1-
26mTOP:mNursingmProcess:mEvaluation
MSC:mClientmNeeds:mSafe,mEffectivemCaremEnvironment
4. Amfamilymhasmamlongmhistorymofmconflictedmrelationshipsmamongmthemmembers.mWhichmfam
ilymmember‘smcommentm bestm reflectsmammentallymhealthymperspective?
a. ―I‘vemmadem mistakesmbutm everyonemelseminmthismfamilymhasmalso.‖
b. ―Im rememberm joymandm mutualm respectm fromm ourm earlym yearsm together.‖
c. ―Im willm makem somem changesm inm mymbehaviorm form them goodm ofm them family.‖
d. ―It‘smbestmformmemtommovemawaymfrommmymfamily.mThingsmwillmnevermchange.‖
ANS:mC
Themcorrectmresponsemdemonstratesmthembestmevidencemofmamhealthymrecognitionmofmthemimport
ancemofmrelationships.mMentalmhealthmincludesmrationalmthinking,mcommunicationmskills,mlearni
ng,memotionalmgrowth,mresilience,mandmself-
esteem.mRecallingmjoymfrommearlierminmlifemmaymbemhealthy,mbutmthemcorrectmresponsemshowsmam
highermlevelmofmmentalmhealth.mThemothermincorrectmresponsesmshowmblamingmandmavoidance.
PTS:m1 DIF:mCognitivemLevel:mAnalyzem(Analysis)
REF:mPagesm1-2,m3,m32m(Figurem1-1)
TOP:m Nursingm Process:m Assessmentm MS
C:mClientmNeeds:mPsychosocialmIntegrity
5. Whichmassessmentmfindingmmostm clearlymindicatesmthatm ampatientm maymbemexperiencingmammen
talmillness?mThempatient
a. reportsmoccasionalmsleeplessnessmandmanxiety.
4
