A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced
practice nurse to perform which additional intervention?
a. Conduct mental health assessments.
b. Prescribe psychotropic medication.
c. Establish therapeutic relationships
VARCAROLIS FOUNDATIONS OF PSYCHIATRIC MENTAL HEALTH NURSING 8TH EDITION HALTER TEST BANK
Chapter 01: Mental Health and Mental Illness
Ha e : Va ca F da f P c a c Me a Hea N g: A C ca
Approach, 8th Edition
MULTIPLE CHOICE
1. A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced
practice nurse to perform which additional intervention?
a. Conduct mental health assessments.
b. Prescribe psychotropic medication.
c. Establish therapeutic relationships.
d. Individualize nursing care plans.
ANS: B
I a e , e c i i e i i ege a e g a ed a e -prepared nurse practitioners and
clinical nurse specialists 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.
2. A i g de e e e c ce ha e a hea h e e a hei c i ica i g
i . Select the best response by the mental health nurse.
a. P chia ic e ac ice i NURSINGTB.COM
afe e i e ha he ecia ie .
Nurse-to- a ie a i be be e beca e f he a e f he a ie
be .
b. P chia ic e ec e communication skills as well as critical thinking
e idi e i a b e . I a cha e ged b h e i a i .
c. Tha a i c ce i . P chia ic e fe e e high ech g
monitoring equipment and manage complex intravenous he a ie .
d. P chia ic e d ha e dea i h a ch ai a d ffe i g a
medical gica e d . Tha a ea e.
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.
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 to
the legislation. Which role have the nurses fulfilled?
NURSINGTB.COM
, VARCAROLIS FOUNDATIONS OF PSYCHIATRIC MENTAL HEALTH NURSING 8TH EDITION HALTER TEST BANK
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based practice
ANS: C
A ad ca e defe d a e a he ca e, a ic a he he he e ac he
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.
4. A family has a long history of conflicted relationships among the members. Which family
e be c e be ef ec a e a hea h e ec i e?
a. I e ade i a e b e e e e e i hi fa i ha a .
b. I e e be a d a e ec f ea ea ge he .
c. I i a e e cha ge i beha i f he g d f he fa i .
d. I be f e ea a f fa i . Thi g i e e cha ge.
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,
NURSINGTB.COM
learning, emotional growth, resilience, and self-esteem. Recalling joy from earlier in life may
be 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 patient may be experiencing a mental
illness? The patient
a. reports occasional sleeplessness and anxiety.
b. reports a consistently sad, discouraged, and hopeless mood.
c. is able to describe the diffe e ce be ee a if a d f ea .
d. 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.
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