Chapter 01: Mental Health and
Mental Illness
Chapter 01: Mental Health and Mental Illness
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. c. Establish therapeutic relations
b. Prescribe psychotropic medication. d. Individualize nursing care pla
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.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: Page 15 TOP: Nursing Process: Implementation
MSC: Client Needs: Safe, Effective Care Environment
2. 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:
a.
“Psychiatric nurses practice in safer environments than other specialties. Nurse-to-patient r
better because of the nature of the patients’ problems.”
b.
“Psychiatric nurses use complex communication skills as well as critical thinking to solve m
problems. I am challenged by those situations.”
c.
“That’s a misconception. Psychiatric nurses frequently use high technology monitoring equ
manage complex intravenous therapies.”
d.
“Psychiatric nurses do not have to deal with as much pain and suffering as medical-surgica
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
3. 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?
a. Recovery c. Advocacy
b. 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
4. Which comment best indicates that a patient perceived the nurse was caring? “My
nurse:
a. always asks me which type of juice I want to help me swallow my medication.”
b. explained my treatment plan to me and asked for my ideas about how to make it better.”
c. spends time listening to me talk about my problems. That helps me feel like I am not alone
d. told me that if I take all the medicines the doctor prescribes, then I will get discharged soon
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)

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Test Bank For Varcarolis' Foundations Of Psychiatric Mental Health Nursing: A Clinical Approach, 7th Edition

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