Test Bank Varcarolis' Foundations of Psychiatric Mental Health Nursing A Clinical 9th Edition by Margaret Jordan Halter (Chapter 136) with Question and Answers and rationale 1

Test Bank Varcarolis' Foundations of Psychiatric-
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Mental Health Nursing A Clinical 9th Edition by Margaret J
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ordan Halter |Test Bank|Chapter 1-36 UPDATED 2022
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Chapterg01:gMentalgHealthgandgMentalgIllness

Halter:gVarcarolis’gFoundationsgofgPsychiatricgMentalgHealthgNursing:gAgClinicalgAppr
oach,g8thgEdition


MULTIPLEgCHOICE

1. Agstaffgnursegcompletesgorientationgtogagpsychiatricgunit.gThisgnursegmaygexpectgangadvance
dgpracticegnursegtogperformgwhichgadditionalgintervention?ga.
Conductgmentalghealthgassess
ments.
b. Prescribegpsychotropicgmedication.
c. Establishgtherapeuticgrelationships.
d. Individualizegnursinggcaregplans.
ANS:gB
Ingmostgstates,gprescriptivegprivilegesgareggrantedgtogmaster‘s-
preparedgnursegpractitionersgandgclinicalgnursegspecialistsgwhoghavegtakengspecialgcoursesgongpres
cribinggmedication.gThegnursegpreparedgatgthegbasicglevelgisgpermittedgtogperformgmentalghealthga
ssessments,gestablishgrelationships,gandgprovidegindividualizedgcaregplanning.

PTS:g1gDIF:gCognitivegLevel:gUnderstandg(Comprehension)gREF:gPageg1-
23gTOP:gNursinggProcess:gImplementation
MSC:gClientgNeeds:gSafe,gEffectivegCaregEnvironment

2. Agnursinggstudentgexpressesgconcernsgthatgmentalghealthgnursesg―losegallgtheirgclinicalgnursin
ggskills.‖gSelectgthegbestgresponsegbygthegmentalghealthgnurse.
a. ―Psychiatricgnursesgpracticegingsafergenvironmentsgthangothergspecialties.gNurse-to-
patientgratiosgmustgbegbettergbecausegofgthegnaturegofgthegpatients‘gproblems.‖
b. ―Psychiatricgnursesgusegcomplexgcommunicationgskillsgasgwellgasgcriticalgthinkinggtogsolv
egmultidimensionalgproblems.gIgamgchallengedgbygthosegsituations.‖
c. ―That‘sgagmisconception.gPsychiatricgnursesgfrequentlyguseghighgtechnologygmonitorin
ggequipmentgandgmanagegcomplexgintravenousgtherapies.‖
d. ―Psychiatricgnursesgdognotghavegtogdealgwithgasgmuchgpaingandgsufferinggasgmedical
–gsurgicalgnursesgdo.gThatgappealsgtogme.‖
ANS:gB
Thegpracticegofgpsychiatricgnursinggrequiresgagdifferentgsetgofgskillsgthangmedical–
surgicalgnursing,gthoughgtheregisgsubstantialgoverlap.gPsychiatricgnursesgmustgbegablegtoghelp
gpatientsgwithgmedicalgasgwellgasgmentalghealthgproblems,greflectinggthegholisticgperspectivegt

hesegnursesgmustghave.gNurse–
patientgratiosgandgworkloadsgingpsychiatricgsettingsghavegincreased,gjustglikegothergspecialties.
1

, Test Bank Varcarolis' Foundations of Psychiatric-
g g g g g


Mental Health Nursing A Clinical 9th Edition by Margaret J
g g g g g g g g g


ordan Halter |Test Bank|Chapter 1-36 UPDATED 2022
g g g g g g

gPsychiatricgnursingginvolvesgclinicalgpractice,gnotgjustgdocumentation.gPsychosocialgpaingan
dgsufferinggaregasgrealgasgphysicalgpaingandgsuffering.




2

, Test Bank Varcarolis' Foundations of Psychiatric-
g g g g g


Mental Health Nursing A Clinical 9th Edition by Margaret J
g g g g g g g g g


ordan Halter |Test Bank|Chapter 1-36 UPDATED 2022
g g g g g g


PTS:g1 DIF:gCognitivegLevel:gApplyg(Application)
REF:gPagesg1-2,g21
TOP:gNursinggProcess:gImplementatio
ngMSC:gClientgNeeds:gSafe,gEffectivegCaregEnvironment




3

, Test Bank Varcarolis' Foundations of Psychiatric-
g g g g g


Mental Health Nursing A Clinical 9th Edition by Margaret J
g g g g g g g g g


ordan Halter |Test Bank|Chapter 1-36 UPDATED 2022
g g g g g g



3. WhengagnewgbillgintroducedgingCongressgreducesgfundinggforgcaregofgpersonsgdiagnosedgwit
hgmentalgillness,gaggroupgofgnursesgwriteglettersgtogtheirgelectedgrepresentativesgingoppositio
ngtogtheglegislation.gWhichgroleghavegthegnursesgfulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-basedgpractice

ANS:gC
Angadvocategdefendsgorgassertsganother‘sgcause,gparticularlygwhengthegothergpersonglacksgthe
gabilitygtogdogthatgforgself.gExamplesgofgindividualgadvocacygincludeghelpinggpatientsgunderst

andgtheirgrightsgorgmakegdecisions.gOngagcommunitygscale,gadvocacygincludesgpoliticalgactivit
y,gpublicgspeaking,gandgpublicationgingtheginterestgofgimprovinggtheghumangcondition.
Sincegfundinggisgnecessarygtogdelivergqualitygprogramminggforgpersonsgwithgmentalgillness,gth
egletter-
writinggcampaigngadvocatesgforgthatgcausegongbehalfgofgpatientsgwhogaregunablegtogarticulateg
theirgowngneeds.

PTS:g1gDIF:gCognitivegLevel:gUnderstandg(Comprehension)gREF:gPageg1-
26gTOP:gNursinggProcess:gEvaluation
MSC:gClientgNeeds:gSafe,gEffectivegCaregEnvironment

4. Agfamilyghasgaglongghistorygofgconflictedgrelationshipsgamonggthegmembers.gWhichgfamil
ygmember‘sgcommentgbestgreflectsgagmentallyghealthygperspective?
a. ―I‘vegmadegmistakesgbutgeveryonegelsegingthisgfamilyghasgalso.‖
b. ―Igremembergjoygandgmutualgrespectgfromgourgearlygyearsgtogether.‖
c. ―Igwillgmakegsomegchangesgingmygbehaviorgforgtheggoodgofgthegfamily.‖
d. ―It‘sgbestgforgmegtogmovegawaygfromgmygfamily.gThingsgwillgnevergchange.‖

ANS:gC
Thegcorrectgresponsegdemonstratesgthegbestgevidencegofgaghealthygrecognitiongofgthegimporta
ncegofgrelationships.gMentalghealthgincludesgrationalgthinking,gcommunicationgskills,glearnin
g,gemotionalggrowth,gresilience,gandgself-
esteem.gRecallinggjoygfromgearlierginglifegmaygbeghealthy,gbutgthegcorrectgresponsegshowsgaghi
gherglevelgofgmentalghealth.gThegothergincorrectgresponsesgshowgblaminggandgavoidance.

PTS:g1 DIF:gCognitivegLevel:gAnalyzeg(Analysis)
REF:gPagesg1-2,g3,g32g(Figureg1-1)
TOP:gNursinggProcess:gAssessmentgMSC
:gClientgNeeds:gPsychosocialgIntegrity

5. Whichgassessmentgfindinggmostgclearlygindicatesgthatgagpatientgmaygbegexperiencinggagment
algillness?gThegpatient
a. reportsgoccasionalgsleeplessnessgandganxiety.
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