Nursing A Clinical 9th Edition by Margaret Jordan Halter |Test
Bank|Chapter 1-36 UPDATED 2022
Chapter9301:93Mental93Health93and93Mental93Illness
Halter:93Varcarolis’93Foundations93of93Psychiatric93Mental93Health93Nursing:93A93Clinical
93Approach,938th93Edition
MULTIPLE93CHOICE
1. A93staff93nurse93completes93orientation93to93a93psychiatric93unit.93This93nurse93may93expect93
an93advanced93practice93nurse93to93perform93which93additional93intervention?93a.
Conduct93mental93health93asse
ssments.
b. Prescribe93psychotropic93medication.
c. Establish93therapeutic93relationships.
d. Individualize93nursing93care93plans.
ANS:93B
In93most93states,93prescriptive93privileges93are93granted93to93master‘s-
prepared93nurse93practitioners93and93clinical93nurse93specialists93who93have93taken93special93cours
es93on93prescribing93medication.93The93nurse93prepared93at93the93basic93level93is93permitted93to93p
erform93mental93health93assessments,93establish93relationships,93and93provide93individualized93car
e93planning.
PTS:93193DIF:93Cognitive93Level:93Understand93(Comprehension)93REF:93Page931-
2393TOP:93Nursing93Process:93Implementation
MSC:93Client93Needs:93Safe,93Effective93Care93Environment
2. A93nursing93student93expresses93concerns93that93mental93health93nurses93―lose93all93their93clini
cal93nursing93skills.‖93Select93the93best93response93by93the93mental93health93nurse.
a. ―Psychiatric93nurses93practice93in93safer93environments93than93other93specialties.93Nurse-
to-
patient93ratios93must93be93better93because93of93the93nature93of93the93patients‘93problems.‖
b. ―Psychiatric93nurses93use93complex93communication93skills93as93well93as93critical93thinkin
g93to93solve93multidimensional93problems.93I93am93challenged93by93those93situations.‖
c. ―That‘s93a93misconception.93Psychiatric93nurses93frequently93use93high93technology93m
onitoring93equipment93and93manage93complex93intravenous93therapies.‖
d. ―Psychiatric93nurses93do93not93have93to93deal93with93as93much93pain93and93suffering93
as93medical–93surgical93nurses93do.93That93appeals93to93me.‖
ANS:93B
1
,The93practice93of93psychiatric93nursing93requires93a93different93set93of93skills93than93medical–
surgical93nursing,93though93there93is93substantial93overlap.93Psychiatric93nurses93must93be93a
ble93to93help93patients93with93medical93as93well93as93mental93health93problems,93reflecting93t
he93holistic93perspective93these93nurses93must93have.93Nurse–
patient93ratios93and93workloads93in93psychiatric93settings93have93increased,93just93like93other93
specialties.93Psychiatric93nursing93involves93clinical93practice,93not93just93documentation.93Ps
ychosocial93pain93and93suffering93are93as93real93as93physical93pain93and93suffering.
2
, PTS:931 DIF:93Cognitive93Level:93Apply93(Application)
REF:93Pages931-2,9321
TOP:93Nursing93Process:93Implementat
ion93MSC:93Client93Needs:93Safe,93Effective93Care93Environment
3
, Test Bank Varcarolis' Foundations of Psychiatric-Mental
Health Nursing A Clinical 9th Edition by Margaret Jordan
Halter |Test Bank|Chapter 1-36 UPDATED 2022
3. When93a93new93bill93introduced93in93Congress93reduces93funding93for93care93of93persons93di
agnosed93with93mental93illness,93a93group93of93nurses93write93letters93to93their93elected93repr
esentatives93in93opposition93to93the93legislation.93Which93role93have93the93nurses93fulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based93practice
ANS:93C
An93advocate93defends93or93asserts93another‘s93cause,93particularly93when93the93other93perso
n93lacks93the93ability93to93do93that93for93self.93Examples93of93individual93advocacy93include93
helping93patients93understand93their93rights93or93make93decisions.93On93a93community93scale,9
3advocacy93includes93political93activity,93public93speaking,93and93publication93in93the93interes
t93of93improving93the93human93condition.
Since93funding93is93necessary93to93deliver93quality93programming93for93persons93with93mental9
3illness,93the93letter-
writing93campaign93advocates93for93that93cause93on93behalf93of93patients93who93are93unable93
to93articulate93their93own93needs.
PTS:93193DIF:93Cognitive93Level:93Understand93(Comprehension)93REF:93Page931-
2693TOP:93Nursing93Process:93Evaluation
MSC:93Client93Needs:93Safe,93Effective93Care93Environment
4. A93family93has93a93long93history93of93conflicted93relationships93among93the93members.93W
hich93family93member‘s93comment93best93reflects93a93mentally93healthy93perspective?
a. ―I‘ve93made93mistakes93but93everyone93else93in93this93family93has93also.‖
b. ―I93remember93joy93and93mutual93respect93from93our93early93years93together.‖
c. ―I93will93make93some93changes93in93my93behavior93for93the93good93of93the93family.‖
d. ―It‘s93best93for93me93to93move93away93from93my93family.93Things93will93never93change.‖
ANS:93C
The93correct93response93demonstrates93the93best93evidence93of93a93healthy93recognition93of93t
he93importance93of93relationships.93Mental93health93includes93rational93thinking,93communic
ation93skills,93learning,93emotional93growth,93resilience,93and93self-
esteem.93Recalling93joy93from93earlier93in93life93may93be93healthy,93but93the93correct93respons
e93shows93a93higher93level93of93mental93health.93The93other93incorrect93responses93show93bla
ming93and93avoidance.
PTS:931 DIF:93Cognitive93Level:93Analyze93(Analysis)
REF:93Pages931-2,933,933293(Figure931-1)
TOP:93Nursing93Process:93Assessment93
MSC:93Client93Needs:93Psychosocial93Integrity
5. Which93assessment93finding93most93clearly93indicates93that93a93patient93may93be93experienci
4