FOUNDATION OF MENTALHEALTH CARE
9th EDITION.MORRISON-VALFRE TEST
BANK.
NURSING IV-MENTAL HEALTH NURSING.
Studocu is not sponsored or endorsed by any college or university
Foundations of Mental Health Care 9th Edition Morrison-Valfre
Test Bank
Chapter 1. The History of Mental Health Care & Chapter 2. Current
Mental Health Care
MULTIPLE CHOICE
• A staff nurse completes orientation to a psychiatric unit. This nurse may expect an
advanced practice nurse to perform which additional intervention?
• Conduct mental health assessments. c. Establish therapeutic relationships.
• Prescribe psychotropic medication. d. Individualize nursing care plans.
ANS: B
,In most states, prescriptive privileges are granted to master’s-prepared nurse practitioners
who have taken special courses on prescribing medication. The nurse prepared at the basic
level is permitted to perform mental health assessments, establish relationships, and provide
individualized care planning.
• When a nursing student expresses concerns about how mental health nurses “lose all
their nursing skills,” the best response by the mental health nurse is:
“Psychiatric nurses practice in safer environments than other specialties. Nurse-to-patient
• ratios must be better because of the nature of the patients’ problems.”
“Psychiatric
nurses use complex communication skills as well as critical thinking to solve
• multidimensional problems. I am challenged by those situations.”
“That’s
a misconception. Psychiatric nurses frequently use high technology monitoring
• equipment and manage complex intravenous therapies.”
“Psychiatricnurses do not have to deal with as much pain and suffering as medical-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 there is substantial overlap. Psychiatric nurses must be able to help patients
with medical as well as mental health problems, reflecting the holistic perspective these
nurses must have.
Nurse-patient ratios and workloads in psychiatric settings have increased, 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: Cognitive Level: Apply (Application)
REF: Page 10 | Page 13-14 TOP: Nursing Process:
Implementation MSC: Client Needs: Safe, Effective Care
Environment
• When a new bill introduced in Congress reduces funding for care of persons with
mental illness, a group of nurses writes letters to their elected representatives in
opposition to the legislation. Which role have the nurses fulfilled?
• Recovery c. Advocacy
• Attending d. Evidence-based practice
,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
understand their rights or make decisions. On a community scale, advocacy includes political
activity, public speaking, and publication in the interest of improving the human condition.
Since funding is necessary to deliver quality programming for persons with mental illness,
the letter- writing campaign advocates for that cause on behalf of patients who are unable to
articulate their own needs.
PTS: 1 DIF: Cognitive Level: Understand
(Comprehension) REF: Page 16 TOP: Nursing Process:
Implementation MSC:
Client Needs: Safe, Effective Care Environment
• Which comment best indicates that a patient perceived the nurse was caring? “My nurse:
• always asks me which type of juice I want to help me swallow my medication.”
• explained my treatment plan to me and asked for my ideas about how to make it
better.” spends time listening to me talk about my problems. That helps me feel
like I am not
• alone.”
told me that if I take all the medicines the doctor prescribes, then I will get discharged
• sooner.”
ANS: C
Caring evidences empathetic understanding as well as competency. It helps change pain and
suffering into a shared experience, creating a human connection that alleviates feelings of
isolation. The distracters give examples of statements that demonstrate advocacy or giving
advice.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Page 7 |Page 10 TOP: Nursing Process:
Evaluation MSC: Client Needs: Psychosocial
Integrity
, • Which assessment finding most clearly indicates that a patient may be experiencing a
mental illness? The patient:
• reports occasional sleeplessness and anxiety.
• reports a consistently sad, discouraged, and hopeless mood.
• is able to describe the difference between “as if” and “for real.”
• perceives difficulty making a decision about whether to change jobs.
ANS: B
The correct response describes a mood alteration, which reflects mental illness. The
distracters describe behaviors that are mentally healthy or within the usual scope of human
experience.
PTS: 1 DIF: Cognitive Level: Apply
(Application) REF: Page 2-3 TOP: Nursing
Process: Assessment MSC: Client Needs:
Psychosocial Integrity
• Which finding best indicates that the goal “Demonstrate mentally healthy behavior”
was achieved? A patient:
• sees self as capable of achieving ideals and meeting demands.
• behaves without considering the consequences of personal actions.
• aggressively meets own needs without considering the rights of others.
• seeks help from others when assuming responsibility for major areas of own life.
ANS: A
The correct response describes an adaptive, healthy behavior. The distracters describe
maladaptive behaviors.
Page 2-3 TOP: Nursing Process: Evaluation MSC:
Client Needs: Psychosocial Integrity
9th EDITION.MORRISON-VALFRE TEST
BANK.
NURSING IV-MENTAL HEALTH NURSING.
Studocu is not sponsored or endorsed by any college or university
Foundations of Mental Health Care 9th Edition Morrison-Valfre
Test Bank
Chapter 1. The History of Mental Health Care & Chapter 2. Current
Mental Health Care
MULTIPLE CHOICE
• A staff nurse completes orientation to a psychiatric unit. This nurse may expect an
advanced practice nurse to perform which additional intervention?
• Conduct mental health assessments. c. Establish therapeutic relationships.
• Prescribe psychotropic medication. d. Individualize nursing care plans.
ANS: B
,In most states, prescriptive privileges are granted to master’s-prepared nurse practitioners
who have taken special courses on prescribing medication. The nurse prepared at the basic
level is permitted to perform mental health assessments, establish relationships, and provide
individualized care planning.
• When a nursing student expresses concerns about how mental health nurses “lose all
their nursing skills,” the best response by the mental health nurse is:
“Psychiatric nurses practice in safer environments than other specialties. Nurse-to-patient
• ratios must be better because of the nature of the patients’ problems.”
“Psychiatric
nurses use complex communication skills as well as critical thinking to solve
• multidimensional problems. I am challenged by those situations.”
“That’s
a misconception. Psychiatric nurses frequently use high technology monitoring
• equipment and manage complex intravenous therapies.”
“Psychiatricnurses do not have to deal with as much pain and suffering as medical-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 there is substantial overlap. Psychiatric nurses must be able to help patients
with medical as well as mental health problems, reflecting the holistic perspective these
nurses must have.
Nurse-patient ratios and workloads in psychiatric settings have increased, 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: Cognitive Level: Apply (Application)
REF: Page 10 | Page 13-14 TOP: Nursing Process:
Implementation MSC: Client Needs: Safe, Effective Care
Environment
• When a new bill introduced in Congress reduces funding for care of persons with
mental illness, a group of nurses writes letters to their elected representatives in
opposition to the legislation. Which role have the nurses fulfilled?
• Recovery c. Advocacy
• Attending d. Evidence-based practice
,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
understand their rights or make decisions. On a community scale, advocacy includes political
activity, public speaking, and publication in the interest of improving the human condition.
Since funding is necessary to deliver quality programming for persons with mental illness,
the letter- writing campaign advocates for that cause on behalf of patients who are unable to
articulate their own needs.
PTS: 1 DIF: Cognitive Level: Understand
(Comprehension) REF: Page 16 TOP: Nursing Process:
Implementation MSC:
Client Needs: Safe, Effective Care Environment
• Which comment best indicates that a patient perceived the nurse was caring? “My nurse:
• always asks me which type of juice I want to help me swallow my medication.”
• explained my treatment plan to me and asked for my ideas about how to make it
better.” spends time listening to me talk about my problems. That helps me feel
like I am not
• alone.”
told me that if I take all the medicines the doctor prescribes, then I will get discharged
• sooner.”
ANS: C
Caring evidences empathetic understanding as well as competency. It helps change pain and
suffering into a shared experience, creating a human connection that alleviates feelings of
isolation. The distracters give examples of statements that demonstrate advocacy or giving
advice.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Page 7 |Page 10 TOP: Nursing Process:
Evaluation MSC: Client Needs: Psychosocial
Integrity
, • Which assessment finding most clearly indicates that a patient may be experiencing a
mental illness? The patient:
• reports occasional sleeplessness and anxiety.
• reports a consistently sad, discouraged, and hopeless mood.
• is able to describe the difference between “as if” and “for real.”
• perceives difficulty making a decision about whether to change jobs.
ANS: B
The correct response describes a mood alteration, which reflects mental illness. The
distracters describe behaviors that are mentally healthy or within the usual scope of human
experience.
PTS: 1 DIF: Cognitive Level: Apply
(Application) REF: Page 2-3 TOP: Nursing
Process: Assessment MSC: Client Needs:
Psychosocial Integrity
• Which finding best indicates that the goal “Demonstrate mentally healthy behavior”
was achieved? A patient:
• sees self as capable of achieving ideals and meeting demands.
• behaves without considering the consequences of personal actions.
• aggressively meets own needs without considering the rights of others.
• seeks help from others when assuming responsibility for major areas of own life.
ANS: A
The correct response describes an adaptive, healthy behavior. The distracters describe
maladaptive behaviors.
Page 2-3 TOP: Nursing Process: Evaluation MSC:
Client Needs: Psychosocial Integrity
