Varcarolis Ch 1; Mental Health & Mental Illness Co
Varcarolis Ch 1; Mental Health & Mental Illness Co
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Varcarolis Ch 1; Mental Health & Mental Illness Complete Guide
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Varcarolis Ch 1; Mental Health & Mental Illness Co
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Varcarolis Ch 1; Mental Health & Mental Illness Co
Varcarolis Ch 1; Mental Health & Mental Illness Complete Guide
Question 1:
A new staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced
practice nurse to perform which additional interventions? - a. Conduct mental health assessments - b. Establish therapeut...
Varcarolis Ch 1; Mental Health & Mental Illness Complete Guide
Question 1:
A new staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced
practice nurse to perform which additional interventions?
- a. Conduct mental health assessments
- b. Establish therapeutic relationships
- c. Individualize nursing care plans
- d. Prescribe psychotropic medication
Answer: d. Prescribe psychotropic medication
Feedback: Prescriptive privileges are given to master’s-prepared nurse practitioners who have specific
training in prescribing. Basic-level nurses can conduct assessments, establish relationships, and create
care plans, but they do not have prescribing authority.
---
Question 2:
Two nursing students discuss their career plans after graduation. One student wants to enter psychiatric
nursing. The other asks, "Why would you want to be a psychiatric nurse? The only thing they do is talk.
You'll lose all your skills." Select the best response.
- a. "Psychiatric nurses practice in safer environments than other specialties. Nurse-to-patient ratios
must be better because of the nature of the patients' problems."
- b. "Psychiatric nurses use complex communication skills as well as critical thinking to solve
multidimensional problems. I am challenged by those situations."
- c. "I think I will be good in the mental health field. I did not like clinical rotations in school, so I do not
want to continue them after I graduate."
- d. "Psychiatric nurses do not have to deal with as much pain and suffering as medical-surgical nurses
do. That appeals to me."
Answer: b. "Psychiatric nurses use complex communication skills as well as critical thinking to solve
multidimensional problems. I am challenged by those situations."
,Feedback: This response highlights the unique skills and challenges present in psychiatric nursing,
emphasizing critical thinking and communication over the misconception that this field lacks technical
skills.
---
Question 3:
A new bill introduced in Congress would reduce funding for care of persons with mental illness. Groups
of nurses write letters to their elected representatives in opposition to the legislation. Which role have
the nurses fulfilled?
- a. Advocacy
- b. Attending
- c. Recovery
- d. Evidence-based practice
Answer: a. Advocacy
Feedback: Advocacy involves defending or asserting the cause of others who may not have the ability to
do so themselves. The nurses’ actions to write letters against the funding cuts serve as a form of
advocacy for patients needing mental health care.
---
Question 4:
An informal group of patients discusses their perceptions of nursing care. Which comment best indicates
a patient perceived the nurse was caring?
- a. "My nurse always asks me which type of juice I want to help me swallow my medication."
- b. "My nurse explained my treatment plan to me and asked for my ideas about how to make it better."
- c. "My nurse told me that if I take all the medicines the doctor prescribes, then I will get discharged
soon."
- d. "My nurse spends time listening to me talk about my problems. That helps me feel like I'm not
alone."
, Answer: d. "My nurse spends time listening to me talk about my problems. That helps me feel like I'm
not alone."
Feedback: This response reflects a sense of caring and empathetic connection, which enhances the
therapeutic relationship and alleviates feelings of isolation.
---
Question 5:
Which finding best indicates that a patient has a mental illness?
- a. Responds to rules, routines, and customs of a group.
- b. Reports mood is consistently sad, discouraged, and hopeless.
- c. Performs tasks attempted within the limits set by own abilities.
- d. Is able to see the difference between the "as if" and the "for real."
Answer: b. Reports mood is consistently sad, discouraged, and hopeless.
Feedback: This statement reflects a significant mood distortion indicative of mental illness. The other
options describe behaviors associated with mental wellness.
---
Question 6:
Which finding best indicates that the goal "Demonstrate mentally healthy behavior" was achieved? A
patient:
- a. Sees self as approaching ideals and capable of meeting demands.
- b. Seeks others to assume responsibility for major areas of own life.
- c. Behaves without considering the consequences of personal actions.
- d. Aggressively meets own needs without considering the rights of others.
Answer: a. Sees self as approaching ideals and capable of meeting demands.
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