TEST BANK
m
,Chapterm01:mMentalmHealthmandmMentalmIllness
MULTIPLEmCHOICE
1. Amstaffmnursemcompletesmorientationmtomampsychiatricmunit.mThismnursemmaymexpectmanmadva
ncedmpracticemnursemtomperformmwhichmadditionalmintervention?ma.
Conductmmentalmhealthmassess
ments.
b. Prescribempsychotropicmmedication.
c. Establishmtherapeuticmrelationships.
d. Individualizemnursingmcaremplans.
ANS:mB
Inmmostmstates,mprescriptivemprivilegesmaremgrantedmtommaster’s-
preparedmnursempractitionersmandmclinicalmnursemspecialistsmwhomhavemtakenmspecialmcoursesm
onmprescribingmmedication.mThemnursempreparedmatmthembasicmlevelmismpermittedmtomperformm
mentalmhealthmassessments,mestablishmrelationships,mandmprovidemindividualizedmcaremplannin
g.
PTS:m1mDIF:mCognitivemLevel:mUnderstandm(Comprehension)mREF:mPagem1-
23mTOP:mNursingmProcess:mImplementation
MSC:mClientmNeeds:mSafe,mEffectivemCaremEnvironment
2. Amnursingmstudentmexpressesmconcernsmthatmmentalmhealthmnursesm“losemallmtheirmclinicalmnur
singmskills.”mSelectmthembestmresponsembymthemmentalmhealthmnurse.
a. “Psychiatricmnursesmpracticeminmsafermenvironmentsmthanmothermspecialties.mNurse-to-
patientmratiosmmustmbembettermbecausemofmthemnaturemofmthempatients’mproblems.”
b. “Psychiatricmnursesmusemcomplexmcommunicationmskillsmasmwellmasmcriticalmthinkingmtoms
olvemmultidimensionalmproblems.mImammchallengedmbymthosemsituations.”
c. “That’smammisconception.mPsychiatricmnursesmfrequentlymusemhighmtechnologymmonitor
ingmequipmentmandmmanagemcomplexmintravenousmtherapies.”
d. “Psychiatricmnursesmdomnotmhavemtomdealmwithmasmmuchmpainmandmsufferingmasmmed
ical–msurgicalmnursesmdo.mThatmappealsmtomme.”
ANS:mB
Thempracticemofmpsychiatricmnursingmrequiresmamdifferentmsetmofmskillsmthanmmedical–
surgicalmnursing,mthoughmtheremismsubstantialmoverlap.mPsychiatricmnursesmmustmbemablemtomh
elpmpatientsmwithmmedicalmasmwellmasmmentalmhealthmproblems,mreflectingmthemholisticmperspe
ctivemthesemnursesmmustmhave.mNurse–
patientmratiosmandmworkloadsminmpsychiatricmsettingsmhavemincreased,mjustmlikemothermspecialti
es.mPsychiatricmnursingminvolvesmclinicalmpractice,mnotmjustmdocumentation.mPsychosocialmpai
nmandmsufferingmaremasmrealmasmphysicalmpainmandmsuffering.
PTS:m1 DIF:mCognitivemLevel:mApplym(Application)
REF:mPagesm1-2,m21
TOP:mNursingmProcess:mImplementatio
nmMSC:mClientmNeeds:mSafe,mEffectivemCaremEnvironment
, 3. WhenmamnewmbillmintroducedminmCongressmreducesmfundingmformcaremofmpersonsmdiagnosedm
withmmentalmillness,mamgroupmofmnursesmwritemlettersmtomtheirmelectedmrepresentativesminmop
positionmtomthemlegislation.mWhichmrolemhavemthemnursesmfulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-basedmpractice
ANS:mC
Anmadvocatemdefendsmormassertsmanother’smcause,mparticularlymwhenmthemothermpersonmlacksm
themabilitymtomdomthatmformself.mExamplesmofmindividualmadvocacymincludemhelpingmpatientsmu
nderstandmtheirmrightsmormmakemdecisions.mOnmamcommunitymscale,madvocacymincludesmpolitic
almactivity,mpublicmspeaking,mandmpublicationminmtheminterestmofmimprovingmthemhumanmcondi
tion.
Sincemfundingmismnecessarymtomdelivermqualitymprogrammingmformpersonsmwithmmentalmillness
,mthemletter-
writingmcampaignmadvocatesmformthatmcausemonmbehalfmofmpatientsmwhomaremunablemtomarticul
atemtheirmownmneeds.
PTS:m1mDIF:mCognitivemLevel:mUnderstandm(Comprehension)mREF:mPagem1-
26mTOP:mNursingmProcess:mEvaluation
MSC:mClientmNeeds:mSafe,mEffectivemCaremEnvironment
4. Amfamilymhasmamlongmhistorymofmconflictedmrelationshipsmamongmthemmembers.mWhichmfa
milymmember’smcommentmbestmreflectsmammentallymhealthymperspective?
a. “I’vemmademmistakesmbutmeveryonemelseminmthismfamilymhasmalso.”
b. “Imremembermjoymandmmutualmrespectmfrommourmearlymyearsmtogether.”
c. “Imwillmmakemsomemchangesminmmymbehaviormformthemgoodmofmthemfamily.”
d. “It’smbestmformmemtommovemawaymfrommmymfamily.mThingsmwillmnevermchange.”
ANS:mC
Themcorrectmresponsemdemonstratesmthembestmevidencemofmamhealthymrecognitionmofmthemimpo
rtancemofmrelationships.mMentalmhealthmincludesmrationalmthinking,mcommunicationmskills,mlea
rning,memotionalmgrowth,mresilience,mandmself-
esteem.mRecallingmjoymfrommearlierminmlifemmaymbemhealthy,mbutmthemcorrectmresponsemshowsm
amhighermlevelmofmmentalmhealth.mThemothermincorrectmresponsesmshowmblamingmandmavoidanc
e.
PTS:m1 DIF:mCognitivemLevel:mAnalyzem(Analysis)
REF:mPagesm1-2,m3,m32m(Figurem1-1)
TOP:mNursingmProcess:mAssessmentmMSC
:mClientmNeeds:mPsychosocialmIntegrity
5. Whichmassessmentmfindingmmostmclearlymindicatesmthatmampatientmmaymbemexperiencingmamm
entalmillness?mThempatient
a. reportsmoccasionalmsleeplessnessmandmanxiety.
b. reportsmamconsistentlymsad,mdiscouraged,mandmhopelessmmood.
c. ismablemtomdescribemthemdifferencembetweenm“asmif”mandm“formreal.”
d. perceivesmdifficultymmakingmamdecisionmaboutmwhethermtomchangemjobs.
, ANS:mB
Themcorrectmresponsemdescribesmammoodmalteration,mwhichmreflectsmmentalmillness.mThemdistr
actersmdescribembehaviorsmthatmaremmentallymhealthymormwithinmthemusualmscopemofmhumanme
xperience.
PTS:m1 DIF:mCognitivemLevel:mApplym(Application)
REF:mPagesm1-2mtom4
TOP:mNursingmProcess:mAssessme
ntmMSC:mClientmNeeds:mPsychosocialmIntegrity
6. Whichmfindingmbestmindicatesmthatmthemgoalm“Demonstratemmentallymhealthymbehavior”m
wasmachievedmformanmadultmpatient?mThempatient
a. seesmselfmasmcapablemofmachievingmidealsmandmmeetingmdemands.
b. behavesmwithoutmconsideringmthemconsequencesmofmpersonalmactions.
c. aggressivelymmeetsmownmneedsmwithoutmconsideringmthemrightsmofmothers.
d. seeksmhelpmfrommothersmwhenmassumingmresponsibilitymformmajormareasmofmownmlife.
ANS:mA
Themcorrectmresponsemdescribesmanmadaptive,mhealthymbehavior.mThemdistractersmdescribemmala
daptivembehaviors.
PTS:m1 DIF:mCognitivemLevel:mApplym(Application)
REF:mPagesm1-2mtom4
TOP:mNursingmProcess:mEvaluatio
nmMSC:mClientmNeeds:mPsychosocialmIntegrity
7. Amnursemencountersmanmunfamiliarmpsychiatricmdisordermonmamnewmpatient’smadmissionmform.m
Whichmresourcemshouldmthemnursemconsultmtomdeterminemcriteriamusedmtomestablishmthismdiagnosi
s?ma.
InternationalmStatisticalmClassificationmofmDiseasesmandmRelatedmHealthmProble
msm(ICD-10)
b. ThemANA’smPsychiatric-MentalmHealthmNursingmScopemandmStandardsmofmPractice
c. DiagnosticmandmStatisticalmManualmofmMentalmDisordersm(DSM-V)
d. Ambehavioralmhealthmreferencemmanual
ANS:mC
ThemDSM-
Vmgivesmthemcriteriamusedmtomdiagnosemeachmmentalmdisorder.mItmismthemofficialmguidelinemformdi
agnosingmpsychiatricmdisorders.mThemdistractersmmaymnotmcontainmdiagnosticmcriteriamformamps
ychiatricmillness.
PTS:m1 DIF:mCognitivemLevel:mApplym(Application)
REF:mPagesm1-18,m19
TOP:mNursingmProcess:mAssessme
ntmMSC:mClientmNeeds:mSafe,mEffectivemCaremEnvironment
8. Amnursemwantsmtomfindmamdescriptionmofmdiagnosticmcriteriamformanxietymdisorders.mWhichmres
ourcemwouldmhavemthemmostmcompleteminformation?
a. NursingmOutcomesmClassificationm(NOC)
b. DSM-V
c. ThemANA’smPsychiatric-MentalmHealthmNursingmScopemandmStandardsmofmPracticemd.mICD-
10
m
,Chapterm01:mMentalmHealthmandmMentalmIllness
MULTIPLEmCHOICE
1. Amstaffmnursemcompletesmorientationmtomampsychiatricmunit.mThismnursemmaymexpectmanmadva
ncedmpracticemnursemtomperformmwhichmadditionalmintervention?ma.
Conductmmentalmhealthmassess
ments.
b. Prescribempsychotropicmmedication.
c. Establishmtherapeuticmrelationships.
d. Individualizemnursingmcaremplans.
ANS:mB
Inmmostmstates,mprescriptivemprivilegesmaremgrantedmtommaster’s-
preparedmnursempractitionersmandmclinicalmnursemspecialistsmwhomhavemtakenmspecialmcoursesm
onmprescribingmmedication.mThemnursempreparedmatmthembasicmlevelmismpermittedmtomperformm
mentalmhealthmassessments,mestablishmrelationships,mandmprovidemindividualizedmcaremplannin
g.
PTS:m1mDIF:mCognitivemLevel:mUnderstandm(Comprehension)mREF:mPagem1-
23mTOP:mNursingmProcess:mImplementation
MSC:mClientmNeeds:mSafe,mEffectivemCaremEnvironment
2. Amnursingmstudentmexpressesmconcernsmthatmmentalmhealthmnursesm“losemallmtheirmclinicalmnur
singmskills.”mSelectmthembestmresponsembymthemmentalmhealthmnurse.
a. “Psychiatricmnursesmpracticeminmsafermenvironmentsmthanmothermspecialties.mNurse-to-
patientmratiosmmustmbembettermbecausemofmthemnaturemofmthempatients’mproblems.”
b. “Psychiatricmnursesmusemcomplexmcommunicationmskillsmasmwellmasmcriticalmthinkingmtoms
olvemmultidimensionalmproblems.mImammchallengedmbymthosemsituations.”
c. “That’smammisconception.mPsychiatricmnursesmfrequentlymusemhighmtechnologymmonitor
ingmequipmentmandmmanagemcomplexmintravenousmtherapies.”
d. “Psychiatricmnursesmdomnotmhavemtomdealmwithmasmmuchmpainmandmsufferingmasmmed
ical–msurgicalmnursesmdo.mThatmappealsmtomme.”
ANS:mB
Thempracticemofmpsychiatricmnursingmrequiresmamdifferentmsetmofmskillsmthanmmedical–
surgicalmnursing,mthoughmtheremismsubstantialmoverlap.mPsychiatricmnursesmmustmbemablemtomh
elpmpatientsmwithmmedicalmasmwellmasmmentalmhealthmproblems,mreflectingmthemholisticmperspe
ctivemthesemnursesmmustmhave.mNurse–
patientmratiosmandmworkloadsminmpsychiatricmsettingsmhavemincreased,mjustmlikemothermspecialti
es.mPsychiatricmnursingminvolvesmclinicalmpractice,mnotmjustmdocumentation.mPsychosocialmpai
nmandmsufferingmaremasmrealmasmphysicalmpainmandmsuffering.
PTS:m1 DIF:mCognitivemLevel:mApplym(Application)
REF:mPagesm1-2,m21
TOP:mNursingmProcess:mImplementatio
nmMSC:mClientmNeeds:mSafe,mEffectivemCaremEnvironment
, 3. WhenmamnewmbillmintroducedminmCongressmreducesmfundingmformcaremofmpersonsmdiagnosedm
withmmentalmillness,mamgroupmofmnursesmwritemlettersmtomtheirmelectedmrepresentativesminmop
positionmtomthemlegislation.mWhichmrolemhavemthemnursesmfulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-basedmpractice
ANS:mC
Anmadvocatemdefendsmormassertsmanother’smcause,mparticularlymwhenmthemothermpersonmlacksm
themabilitymtomdomthatmformself.mExamplesmofmindividualmadvocacymincludemhelpingmpatientsmu
nderstandmtheirmrightsmormmakemdecisions.mOnmamcommunitymscale,madvocacymincludesmpolitic
almactivity,mpublicmspeaking,mandmpublicationminmtheminterestmofmimprovingmthemhumanmcondi
tion.
Sincemfundingmismnecessarymtomdelivermqualitymprogrammingmformpersonsmwithmmentalmillness
,mthemletter-
writingmcampaignmadvocatesmformthatmcausemonmbehalfmofmpatientsmwhomaremunablemtomarticul
atemtheirmownmneeds.
PTS:m1mDIF:mCognitivemLevel:mUnderstandm(Comprehension)mREF:mPagem1-
26mTOP:mNursingmProcess:mEvaluation
MSC:mClientmNeeds:mSafe,mEffectivemCaremEnvironment
4. Amfamilymhasmamlongmhistorymofmconflictedmrelationshipsmamongmthemmembers.mWhichmfa
milymmember’smcommentmbestmreflectsmammentallymhealthymperspective?
a. “I’vemmademmistakesmbutmeveryonemelseminmthismfamilymhasmalso.”
b. “Imremembermjoymandmmutualmrespectmfrommourmearlymyearsmtogether.”
c. “Imwillmmakemsomemchangesminmmymbehaviormformthemgoodmofmthemfamily.”
d. “It’smbestmformmemtommovemawaymfrommmymfamily.mThingsmwillmnevermchange.”
ANS:mC
Themcorrectmresponsemdemonstratesmthembestmevidencemofmamhealthymrecognitionmofmthemimpo
rtancemofmrelationships.mMentalmhealthmincludesmrationalmthinking,mcommunicationmskills,mlea
rning,memotionalmgrowth,mresilience,mandmself-
esteem.mRecallingmjoymfrommearlierminmlifemmaymbemhealthy,mbutmthemcorrectmresponsemshowsm
amhighermlevelmofmmentalmhealth.mThemothermincorrectmresponsesmshowmblamingmandmavoidanc
e.
PTS:m1 DIF:mCognitivemLevel:mAnalyzem(Analysis)
REF:mPagesm1-2,m3,m32m(Figurem1-1)
TOP:mNursingmProcess:mAssessmentmMSC
:mClientmNeeds:mPsychosocialmIntegrity
5. Whichmassessmentmfindingmmostmclearlymindicatesmthatmampatientmmaymbemexperiencingmamm
entalmillness?mThempatient
a. reportsmoccasionalmsleeplessnessmandmanxiety.
b. reportsmamconsistentlymsad,mdiscouraged,mandmhopelessmmood.
c. ismablemtomdescribemthemdifferencembetweenm“asmif”mandm“formreal.”
d. perceivesmdifficultymmakingmamdecisionmaboutmwhethermtomchangemjobs.
, ANS:mB
Themcorrectmresponsemdescribesmammoodmalteration,mwhichmreflectsmmentalmillness.mThemdistr
actersmdescribembehaviorsmthatmaremmentallymhealthymormwithinmthemusualmscopemofmhumanme
xperience.
PTS:m1 DIF:mCognitivemLevel:mApplym(Application)
REF:mPagesm1-2mtom4
TOP:mNursingmProcess:mAssessme
ntmMSC:mClientmNeeds:mPsychosocialmIntegrity
6. Whichmfindingmbestmindicatesmthatmthemgoalm“Demonstratemmentallymhealthymbehavior”m
wasmachievedmformanmadultmpatient?mThempatient
a. seesmselfmasmcapablemofmachievingmidealsmandmmeetingmdemands.
b. behavesmwithoutmconsideringmthemconsequencesmofmpersonalmactions.
c. aggressivelymmeetsmownmneedsmwithoutmconsideringmthemrightsmofmothers.
d. seeksmhelpmfrommothersmwhenmassumingmresponsibilitymformmajormareasmofmownmlife.
ANS:mA
Themcorrectmresponsemdescribesmanmadaptive,mhealthymbehavior.mThemdistractersmdescribemmala
daptivembehaviors.
PTS:m1 DIF:mCognitivemLevel:mApplym(Application)
REF:mPagesm1-2mtom4
TOP:mNursingmProcess:mEvaluatio
nmMSC:mClientmNeeds:mPsychosocialmIntegrity
7. Amnursemencountersmanmunfamiliarmpsychiatricmdisordermonmamnewmpatient’smadmissionmform.m
Whichmresourcemshouldmthemnursemconsultmtomdeterminemcriteriamusedmtomestablishmthismdiagnosi
s?ma.
InternationalmStatisticalmClassificationmofmDiseasesmandmRelatedmHealthmProble
msm(ICD-10)
b. ThemANA’smPsychiatric-MentalmHealthmNursingmScopemandmStandardsmofmPractice
c. DiagnosticmandmStatisticalmManualmofmMentalmDisordersm(DSM-V)
d. Ambehavioralmhealthmreferencemmanual
ANS:mC
ThemDSM-
Vmgivesmthemcriteriamusedmtomdiagnosemeachmmentalmdisorder.mItmismthemofficialmguidelinemformdi
agnosingmpsychiatricmdisorders.mThemdistractersmmaymnotmcontainmdiagnosticmcriteriamformamps
ychiatricmillness.
PTS:m1 DIF:mCognitivemLevel:mApplym(Application)
REF:mPagesm1-18,m19
TOP:mNursingmProcess:mAssessme
ntmMSC:mClientmNeeds:mSafe,mEffectivemCaremEnvironment
8. Amnursemwantsmtomfindmamdescriptionmofmdiagnosticmcriteriamformanxietymdisorders.mWhichmres
ourcemwouldmhavemthemmostmcompleteminformation?
a. NursingmOutcomesmClassificationm(NOC)
b. DSM-V
c. ThemANA’smPsychiatric-MentalmHealthmNursingmScopemandmStandardsmofmPracticemd.mICD-
10
