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Test Bank for Varcarolis' Foundations of Psychiatric-Mental Health Nursing 9th Edition by Margaret Jordan Halter (COMPLETE CHAPTER 1-36 LATEST UPDATE)

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Test Bank
For
Varcarolis' Foundations of Psychiatric-Mental
Health Nursing 9thEdition
By Margaret Jordan Halter

(COMPLETE CHAPTER 1-36 LATEST UPDATE)

,
,Chapter 01: Mental Health and Mental Illness
Halter: Varcarolis’ Foundations of Psychiatric-Mental Health Nursing: A Clinical Approach,
9th Edition

MULTIPLE CHOICE

1. The scope of practiced for an advanced nurse practitioner would include which intervention?
a. Conducting a mental health assessment.
b. Prescribing psychotropic medication.
c. Establishing a therapeutic relationship.
d. Individualizing a nursing care plan.
CORRECT: B
In most states, prescriptive privileges are granted to master’s-prepared nurse
practitioners andclinical nurse specialists who have taken special courses on prescribing
medication. The nurseprepared at the basic level is permitted to perform mental health
assessments, establish relationships, and provide individualized care planning.

2. A nursing student expresses concerns that mental health nurses “lose all their clinical
nursingskills.” Select the best response by the mental health nurse.
a. “Psychiatric nurses practice in safer environments than other specialties.
Nurse-to-client ratios must be better because of the nature of the clients’
problems.”
b. “Psychiatric nurses use complex communication skills as well as critical
thinkingto solve multidimensional problems. I am challenged by those
situations.”
c. “That’s a misconception. Psychiatric nurses frequently use high
technologymonitoring equipment and manage complex intravenous
therapies.”
d. “Psychiatric nurses do not have to deal with as much pain and
suffering asmedical–surgical nurses do. That appeals to me.”
CORRECT: 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
clients with medical as well as mental health problems, reflecting the holistic perspective
these nursesmust have. Nurse–client 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.

3. When a new bill introduced in Congress reduces funding for care of persons diagnosed
with mental illness, a group of nurses write letters to their elected representatives in
opposition tothe legislation. Which role have the nurses fulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based practice

, CORRECT: 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 clients
understandtheir 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 clients
who are unable to articulate their own needs.

4. A family has a long history of conflicted relationships among the members. Which
familymember’s comment best reflects a mentally healthy perspective?
a. “I’ve made mistakes but everyone else in this family has also.”
b. “I remember joy and mutual respect from our early years together.”
c. “I will make some changes in my behavior for the good of the family.”
d. “It’s best for me to move away from my family. Things will never change.”
CORRECT: 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, emotional growth, resilience, and self-esteem. Recalling joy from earlier
in life maybe healthy, but the correct response shows a higher level of mental health. The
other incorrect responses show blaming and avoidance.

5. Which assessment finding most clearly indicates that a client may be experiencing a
mentalillness?
a. reporting occasional sleeplessness and anxiety.
b. reporting a consistently sad, discouraged, and hopeless mood.
c. being able to describe the difference between “as if” and “for real.”
d. experiencing difficulty making a decision about whether to change jobs.

CORRECT: B
The correct response describes a mood alteration, which reflects mental illness. The
distractersdescribe behaviors that are mentally healthy or within the usual scope of human
experience.

6. Which finding best indicates that the goal “Demonstrate mentally healthy behavior”
wasachieved for an adult client?
a. being willing to work towards achieving ideals and meeting demands.
b. behaving without considering the consequences of personal actions.
c. aggressively meeting personal needs without considering the rights of others.
d. seeking help from others to avoid assuming responsibility for major areas of
ownlife.

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