Test Bank for Varcarolis' Foundations of Psychiatric-Mental Health Nursing a Clinical Approach 9th Edition by Margaret Jordan Halter (STUVIA)
Test Bank for Varcarolis' Foundations of Psychiatric-Mental Health Nursing a Clinical Approach 9th Edition by Margaret Jordan Halter
ALL NEEDED TO PASS
Test Bank Varcarolis' Foundations of Psychiatric-Mental
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HealthNursingAClinical9thEditionbyMargaretJordan
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Halter|TestBank|Chapter1-36UPDATED2022 b b b b b b
Chapter 01: Mental Health and Mental Illness
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Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical
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Approach, 8th Edition
b b b
MULTIPLECHOICE b
1. A staffnursecompletes orientation to a psychiatric unit. This nursemay expect an advanced
b b b b b b b b b b b b b b
practice nurse to perform which additional intervention? a.
b b Conduct mental health b b b b b b b b
assessments.
b
b. Prescribepsychotropic medication. b b
c. Establishtherapeutic relationships. b b
d. Individualize nursing careplans. b b b
ANS: B b
In most states, prescriptive privileges are granted to master‘s-prepared nurse practitioners and
b b b b b b b b b b b
clinical nursespecialists who have taken special courses on prescribing medication.The nurse
b b b b b b b b b b b b b
prepared at the basic level is permitted to perform mental health assessments, establish
b b b b b b b b b b b b b
relationships, and provide individualized care planning.
b b b b b b
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-23TOP:
b b b b b b b b b b
Nursing Process: Implementation
b b b
MSC: Client Needs: Safe,Effective Care Environment
b b b b b b
2. Anursingstudentexpressesconcernsthatmentalhealthnurses―losealltheirclinicalnursing
b b b b b b b b b b b b
skills.‖ Select the best response bythe mental health nurse.
b b b b b b b b b b
a. ―Psychiatric nurses practice in safer environments than other specialties. Nurse-to-patient b b b b b b b b b
ratios must be better because of the nature of the patients‘problems.‖
b b b b b b b b b b b b
b. ―Psychiatric nurses use complex communication skills as well as critical thinking to solve b b b b b b b b b b b b
multidimensional problems. Iam challenged bythose situations.‖
b b b b b b b b
c. ―That‘s a misconception. Psychiatric nurses frequentlyuse high technologymonitoring b b b b b b b b b
equipment and manage complex intravenous therapies.‖
b b b b b b
d. ―Psychiatric nurses do not haveto deal with as much pain and suffering as medical– b b b b b b b b b b b b b b
surgical nurses do. That appeals to me.‖
b b b b b b b
ANS: B b
The practice of psychiatric nursing requires a different set of skills than medical–surgical
b b b b b b b b b b b b
nursing, though there is substantial overlap. Psychiatric nurses must be able to help patientswith
b b b b b b b b b b b b b b b
medical as well as mental health problems, reflecting the holistic perspective these nurses must
b b b b b b b b b b b b b b
have.Nurse–patient ratios and workloads in psychiatricsettings have increased, just like other
b b b b b b b b b b b b b
specialties. Psychiatric nursing involves clinical practice, not just documentation. Psychosocial
b b b b b b b b b b
pain and suffering areas real as physical pain and suffering.
b b b b b b b b b b b
1
,Test Bank Varcarolis' Foundations of Psychiatric-Mental
b b b b b
HealthNursingAClinical9thEditionbyMargaretJordan
b b b b b b b b b
Halter|TestBank|Chapter1-36UPDATED2022
b b b b b b
PTS: 1 b DIF: Cognitive Level:Apply (Application)
b b b b
REF: Pages 1-2, 21
b b b TOP: NursingProcess: Implementation b b b
MSC: Client Needs: Safe, Effective Care Environment
b b b b b b b
2
, Test Bank Varcarolis' Foundations of Psychiatric-Mental
b b b b b
HealthNursingAClinical9thEditionbyMargaretJordan
b b b b b b b b b
Halter|TestBank|Chapter1-36UPDATED2022 b b b b b b
3. When a new bill introduced in Congress reduces funding for care of persons diagnosed with
b b b b b b b b b b b b b b
mental illness, a group of nurses write letters to their elected representatives in opposition tothe
b b b b b b b b b b b b b b b b
legislation. Which role have the nurses fulfilled?
b b b b b b b
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based practice b
ANS: C b
An advocate defends or asserts another‘s cause, particularly when the other person lacks the
b b b b b b b b b b b b b
ability to do that for self. Examples of individual advocacy include helping patients understand
b b b b b b b b b b b b b b
their rights or make decisions. On a communityscale, advocacy includes politicalactivity, public
b b b b b b b b b b b b b b
speaking, and publication in the interest of improvingthe human condition.
b b b b b b b b b b b
Since fundingis necessaryto deliver qualityprogramming for persons with mental illness, the
b b b b b b b b b b b b b
letter-writing campaign advocates for that cause on behalf of patients who are unable to
b b b b b b b b b b b b b b
articulate their own needs.
b b b b
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-26TOP:
b b b b b b b b b b
Nursing Process: Evaluation
b b b
MSC: Client Needs: Safe,Effective Care Environment
b b b b b b
4. A familyhas along historyof conflicted relationships among the members. Which family
b b b b b b b b b b b b b
member‘s comment best reflects a mentallyhealthy perspective?
b b b b b b b b
a. ―I‘ve made mistakes but everyone else in this familyhas also.‖ b b b b b b b b b b
b. ―I remember joy and mutual respect from our early years together.‖
b b b b b b b b b b
c. ―Iwillmakesomechangesinmybehavior forthe goodofthefamily.‖
b b b b b b b b b b b b b
d. ―It‘s best for me to move awayfrom myfamily.Things will never change.‖
b b b b b b b b b b b b b
ANS: C b
The correct response demonstrates the best evidence of a healthy recognition of the importance of
b b b b b b b b b b b b b b
relationships. Mental health includes rational thinking, communication skills,learning,
b b b b b b b b b
emotional growth, resilience, and self-esteem. Recalling joy from earlier in life maybe healthy,
b b b b b b b b b b b b b
but the correct response shows a higher level of mental health. The other incorrectresponses
b b b b b b b b b b b b b b
show blaming and avoidance.
b b b b
PTS: 1 DIF: Cognitive Level:Analyze (Analysis)
b b b b b
REF: Pages 1-2, 3, 32 (Figure 1-1)
b TOP: Nursing Process: b b b b b b b
AssessmentMSC:Client Needs: Psychosocial Integrity
b b b b b
5. Which assessment findingmost clearlyindicates that a patient maybe experiencing a mental
b b b b b b b b b b b b b
illness? The patient
b b b
a. reportsoccasional sleeplessnessandanxiety. b b b b
b. reports a consistentlysad, discouraged, and hopeless mood. b b b b b b b
c. is able to describe the difference between ―as if‖ and ―for real.‖
b b b b b b b b b b b
3
, Test Bank Varcarolis' Foundations of Psychiatric-Mental
b b b b b
HealthNursingAClinical9thEditionbyMargaretJordan
b b b b b b b b b
Halter|TestBank|Chapter1-36UPDATED2022
b b b b b b
d. perceives difficultymaking a decision about whether to change jobs.
b b b b b b b b b
4
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