Med H
,Chapter01:MentalHealthandMentalIllness
Halter:Varcarolis’Foundations ofPsychiatricMentalHealthNursing:AClinical Approach,
@ @
@8th Edition
@
MULTIPLECHOICE
1. Astaffnursecompletesorientationtoapsychiatricunit.Thisnursemayexpectanadvanced
@practice @ nurse @to @perform @which @additional @ intervention? @a. Conduct @ mental @ health
@assessments.
b. Prescribepsychotropicmedication.
c. Establishtherapeuticrelationships.
d. Individualizenursingcareplans.
ANS:B
Inmoststates,prescriptiveprivilegesaregrantedtomaster’s-preparednursepractitionersand
@clinicalnursespecialistswhohavetakenspecialcoursesonprescribingmedication.Thenurse @prepared
@at @the @basic @ level @ is @permitted @to @perform @ mental @ health @assessments, @establish
@relationships, @and @provide @ individualized @care @ planning.
PTS:1DIF:CognitiveLevel:Understand(Comprehension)REF:Page1-23TOP:
@Nursing @Process: @ Implementation
MSC:ClientNeeds:Safe,EffectiveCareEnvironment
2. Anursingstudentexpressesconcernsthatmentalhealthnurses“losealltheirclinicalnursing
@skills.” @Select @the @best @response @by @the @mental @health @nurse.
a. “Psychiatricnursespracticeinsaferenvironmentsthanotherspecialties.Nurse-to-patient
ratios @must @be @better @because @of @the @nature @of @the @patients’problems.”
@
b. “Psychiatricnursesusecomplexcommunicationskillsaswellascriticalthinkingtosolve
@ multidimensional @problems. @I @ am @challenged @ by @those @ situations.”
c. “That’samisconception.Psychiatricnursesfrequentlyusehightechnologymonitoring
@equipment @and @ manage @complex @ intravenous @therapies.”
d. “Psychiatricnursesdonothavetodealwithasmuchpainandsufferingasmedical–
@surgical @ nurses @do. @That @appeals @to @me.”
ANS:B
The @practice @of @psychiatric @nursing @requires @a @different @set @of @skills @than @medical–
surgical @nursing, @though @thereis @substantial @overlap. @Psychiatricnurses @must @be @able @to
@help @patients @with @ medical @ as @ well @as @ mental @ health @problems, @reflecting @the @ holistic
@perspective @these @ nursesmusthave.Nurse–
patientratiosandworkloadsinpsychiatricsettingshaveincreased, @just @like @other @specialties.
@Psychiatric @ nursing @ involves @clinical @practice, @not @just @documentation. @Psychosocial
@pain @and @ suffering @are @ as @real @as @physical @pain @ and @suffering.
PTS:1 DIF:CognitiveLevel:Apply(Application)
REF: @Pages @1-2, @21 TOP:NursingProcess:Implementation
@MSC: @Client @Needs: @Safe, @Effective @Care @Environment
Med H
, 3. WhenanewbillintroducedinCongressreducesfundingforcareofpersonsdiagnosedwith
mentalillness,agroupofnurseswriteletterstotheirelectedrepresentativesinoppositionto the
legislation. Which role have the nurses fulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-basedpractice
ANS:C
An advocate defends or asserts another’s cause, particularly when the other person lacks the
ability to do that for self. Examples of individual advocacy include helping patients
understandtheirrightsormakedecisions.Onacommunityscale,advocacyincludespolitical
activity, public speaking, and publication in the interest of improving the human condition.
Sincefundingisnecessarytodeliverqualityprogrammingforpersonswithmentalillness,the letter-
writing campaign advocates for that cause on behalf of patients who are unable to articulate
their own needs.
PTS:1DIF:CognitiveLevel:Understand(Comprehension)REF:Page1-26TOP:
Nursing Process: Evaluation
MSC:ClientNeeds:Safe,EffectiveCareEnvironment
4. Afamilyhasalonghistoryofconflictedrelationshipsamongthemembers.Whichfamily
member’s comment best reflects a mentally healthy perspective?
a. “I’vemademistakesbut everyoneelseinthisfamilyhas also.”
b. “Irememberjoyandmutualrespectfromourearlyyearstogether.”
c. “Iwillmakesomechangesinmybehavior forthegoodofthefamily.”
d. “It’sbestformetomoveawayfrommyfamily.Thingswillneverchange.”
ANS:C
The correct response demonstrates the best evidence of a healthy recognition of the
importance of relationships. Mental health includes rational thinking, communication skills,
learning,emotionalgrowth,resilience,andself-esteem.Recallingjoyfromearlierinlifemay
behealthy,butthecorrectresponseshowsahigherlevelofmentalhealth.Theotherincorrect
responses show blaming and avoidance.
PTS:1 DIF:CognitiveLevel:Analyze(Analysis)
REF: Pages 1-2, 3, 32 (Figure 1-1) TOP: Nursing Process: Assessment MSC:
Client Needs: Psychosocial Integrity
5. Whichassessmentfindingmostclearlyindicatesthatapatientmaybeexperiencingamental
illness? The patient
a. reportsoccasionalsleeplessnessandanxiety.
b. reportsaconsistentlysad,discouraged, andhopeless mood.
c. isabletodescribethedifferencebetween“asif”and“forreal.”
d. perceivesdifficultymakingadecisionaboutwhethertochange jobs.
Med H
, ANS:B
The @correct @response @describes @a @mood @alteration, @which @reflects @mental @illness. @The
@distractersdescribebehaviorsthatarementallyhealthyorwithintheusualscopeofhuman
@experience.
PTS:1 DIF:CognitiveLevel:Apply(Application)
REF: @Pages @1-2 @to @4 TOP:NursingProcess:Assessment
@MSC: @Client @Needs: @Psychosocial @ Integrity
6. Whichfindingbestindicatesthatthegoal“Demonstratementallyhealthybehavior”was
@achieved @ for @an @ adult @patient? @The @patient
a. seesselfascapableofachievingidealsandmeetingdemands.
b. behaveswithoutconsideringtheconsequencesofpersonalactions.
c. aggressivelymeetsownneedswithoutconsideringtherightsofothers.
d. seekshelpfromotherswhenassumingresponsibilityformajorareasofownlife.
ANS:A
Thecorrectresponsedescribesanadaptive,healthybehavior.Thedistractersdescribe @maladaptive
@behaviors.
PTS:1 DIF:CognitiveLevel:Apply(Application)
REF: @Pages @1-2 @to @4 TOP:NursingProcess:Evaluation
@MSC: @Client @Needs: @Psychosocial @Integrity
7. Anurse @encounters @an @unfamiliar @psychiatric @disorder @on @a @new @patient’s @admission @form.
@Whichresourceshouldthenurseconsulttodeterminecriteriausedtoestablishthisdiagnosis? a.
InternationalStatisticalClassificationofDiseasesandRelatedHealthProblems
@(ICD-10)
b. TheANA’sPsychiatric-MentalHealthNursingScopeandStandardsofPractice
c. DiagnosticandStatisticalManualofMental @Disorders(DSM-V)
d. Abehavioralhealthreferencemanual
ANS:C
TheDSM-Vgivesthecriteriausedtodiagnoseeachmentaldisorder.Itistheofficialguideline @for
@diagnosing @psychiatric @disorders. @The @distracters @ may @ not @contain @diagnostic @criteria
@ for @a @psychiatric @ illness.
PTS:1 DIF:CognitiveLevel:Apply(Application)
REF: @Pages @1-18, @19 TOP:NursingProcess:Assessment
@MSC: @Client @Needs: @Safe, @Effective @Care @Environment
8. Anursewantstofindadescriptionofdiagnosticcriteriaforanxietydisorders.Whichresource @would
@have @the @ most @complete @ information?
a. NursingOutcomesClassification(NOC)
b. DSM-V
c. TheANA’sPsychiatric-MentalHealthNursingScopeandStandardsofPractice d.ICD-10
Med H
,Chapter01:MentalHealthandMentalIllness
Halter:Varcarolis’Foundations ofPsychiatricMentalHealthNursing:AClinical Approach,
@ @
@8th Edition
@
MULTIPLECHOICE
1. Astaffnursecompletesorientationtoapsychiatricunit.Thisnursemayexpectanadvanced
@practice @ nurse @to @perform @which @additional @ intervention? @a. Conduct @ mental @ health
@assessments.
b. Prescribepsychotropicmedication.
c. Establishtherapeuticrelationships.
d. Individualizenursingcareplans.
ANS:B
Inmoststates,prescriptiveprivilegesaregrantedtomaster’s-preparednursepractitionersand
@clinicalnursespecialistswhohavetakenspecialcoursesonprescribingmedication.Thenurse @prepared
@at @the @basic @ level @ is @permitted @to @perform @ mental @ health @assessments, @establish
@relationships, @and @provide @ individualized @care @ planning.
PTS:1DIF:CognitiveLevel:Understand(Comprehension)REF:Page1-23TOP:
@Nursing @Process: @ Implementation
MSC:ClientNeeds:Safe,EffectiveCareEnvironment
2. Anursingstudentexpressesconcernsthatmentalhealthnurses“losealltheirclinicalnursing
@skills.” @Select @the @best @response @by @the @mental @health @nurse.
a. “Psychiatricnursespracticeinsaferenvironmentsthanotherspecialties.Nurse-to-patient
ratios @must @be @better @because @of @the @nature @of @the @patients’problems.”
@
b. “Psychiatricnursesusecomplexcommunicationskillsaswellascriticalthinkingtosolve
@ multidimensional @problems. @I @ am @challenged @ by @those @ situations.”
c. “That’samisconception.Psychiatricnursesfrequentlyusehightechnologymonitoring
@equipment @and @ manage @complex @ intravenous @therapies.”
d. “Psychiatricnursesdonothavetodealwithasmuchpainandsufferingasmedical–
@surgical @ nurses @do. @That @appeals @to @me.”
ANS:B
The @practice @of @psychiatric @nursing @requires @a @different @set @of @skills @than @medical–
surgical @nursing, @though @thereis @substantial @overlap. @Psychiatricnurses @must @be @able @to
@help @patients @with @ medical @ as @ well @as @ mental @ health @problems, @reflecting @the @ holistic
@perspective @these @ nursesmusthave.Nurse–
patientratiosandworkloadsinpsychiatricsettingshaveincreased, @just @like @other @specialties.
@Psychiatric @ nursing @ involves @clinical @practice, @not @just @documentation. @Psychosocial
@pain @and @ suffering @are @ as @real @as @physical @pain @ and @suffering.
PTS:1 DIF:CognitiveLevel:Apply(Application)
REF: @Pages @1-2, @21 TOP:NursingProcess:Implementation
@MSC: @Client @Needs: @Safe, @Effective @Care @Environment
Med H
, 3. WhenanewbillintroducedinCongressreducesfundingforcareofpersonsdiagnosedwith
mentalillness,agroupofnurseswriteletterstotheirelectedrepresentativesinoppositionto the
legislation. Which role have the nurses fulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-basedpractice
ANS:C
An advocate defends or asserts another’s cause, particularly when the other person lacks the
ability to do that for self. Examples of individual advocacy include helping patients
understandtheirrightsormakedecisions.Onacommunityscale,advocacyincludespolitical
activity, public speaking, and publication in the interest of improving the human condition.
Sincefundingisnecessarytodeliverqualityprogrammingforpersonswithmentalillness,the letter-
writing campaign advocates for that cause on behalf of patients who are unable to articulate
their own needs.
PTS:1DIF:CognitiveLevel:Understand(Comprehension)REF:Page1-26TOP:
Nursing Process: Evaluation
MSC:ClientNeeds:Safe,EffectiveCareEnvironment
4. Afamilyhasalonghistoryofconflictedrelationshipsamongthemembers.Whichfamily
member’s comment best reflects a mentally healthy perspective?
a. “I’vemademistakesbut everyoneelseinthisfamilyhas also.”
b. “Irememberjoyandmutualrespectfromourearlyyearstogether.”
c. “Iwillmakesomechangesinmybehavior forthegoodofthefamily.”
d. “It’sbestformetomoveawayfrommyfamily.Thingswillneverchange.”
ANS:C
The correct response demonstrates the best evidence of a healthy recognition of the
importance of relationships. Mental health includes rational thinking, communication skills,
learning,emotionalgrowth,resilience,andself-esteem.Recallingjoyfromearlierinlifemay
behealthy,butthecorrectresponseshowsahigherlevelofmentalhealth.Theotherincorrect
responses show blaming and avoidance.
PTS:1 DIF:CognitiveLevel:Analyze(Analysis)
REF: Pages 1-2, 3, 32 (Figure 1-1) TOP: Nursing Process: Assessment MSC:
Client Needs: Psychosocial Integrity
5. Whichassessmentfindingmostclearlyindicatesthatapatientmaybeexperiencingamental
illness? The patient
a. reportsoccasionalsleeplessnessandanxiety.
b. reportsaconsistentlysad,discouraged, andhopeless mood.
c. isabletodescribethedifferencebetween“asif”and“forreal.”
d. perceivesdifficultymakingadecisionaboutwhethertochange jobs.
Med H
, ANS:B
The @correct @response @describes @a @mood @alteration, @which @reflects @mental @illness. @The
@distractersdescribebehaviorsthatarementallyhealthyorwithintheusualscopeofhuman
@experience.
PTS:1 DIF:CognitiveLevel:Apply(Application)
REF: @Pages @1-2 @to @4 TOP:NursingProcess:Assessment
@MSC: @Client @Needs: @Psychosocial @ Integrity
6. Whichfindingbestindicatesthatthegoal“Demonstratementallyhealthybehavior”was
@achieved @ for @an @ adult @patient? @The @patient
a. seesselfascapableofachievingidealsandmeetingdemands.
b. behaveswithoutconsideringtheconsequencesofpersonalactions.
c. aggressivelymeetsownneedswithoutconsideringtherightsofothers.
d. seekshelpfromotherswhenassumingresponsibilityformajorareasofownlife.
ANS:A
Thecorrectresponsedescribesanadaptive,healthybehavior.Thedistractersdescribe @maladaptive
@behaviors.
PTS:1 DIF:CognitiveLevel:Apply(Application)
REF: @Pages @1-2 @to @4 TOP:NursingProcess:Evaluation
@MSC: @Client @Needs: @Psychosocial @Integrity
7. Anurse @encounters @an @unfamiliar @psychiatric @disorder @on @a @new @patient’s @admission @form.
@Whichresourceshouldthenurseconsulttodeterminecriteriausedtoestablishthisdiagnosis? a.
InternationalStatisticalClassificationofDiseasesandRelatedHealthProblems
@(ICD-10)
b. TheANA’sPsychiatric-MentalHealthNursingScopeandStandardsofPractice
c. DiagnosticandStatisticalManualofMental @Disorders(DSM-V)
d. Abehavioralhealthreferencemanual
ANS:C
TheDSM-Vgivesthecriteriausedtodiagnoseeachmentaldisorder.Itistheofficialguideline @for
@diagnosing @psychiatric @disorders. @The @distracters @ may @ not @contain @diagnostic @criteria
@ for @a @psychiatric @ illness.
PTS:1 DIF:CognitiveLevel:Apply(Application)
REF: @Pages @1-18, @19 TOP:NursingProcess:Assessment
@MSC: @Client @Needs: @Safe, @Effective @Care @Environment
8. Anursewantstofindadescriptionofdiagnosticcriteriaforanxietydisorders.Whichresource @would
@have @the @ most @complete @ information?
a. NursingOutcomesClassification(NOC)
b. DSM-V
c. TheANA’sPsychiatric-MentalHealthNursingScopeandStandardsofPractice d.ICD-10
Med H
