{"id":114833,"date":"2023-08-23T04:14:22","date_gmt":"2023-08-23T04:14:22","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=114833"},"modified":"2023-08-23T04:14:24","modified_gmt":"2023-08-23T04:14:24","slug":"test-bank-complete-varcarolis-foundations-of-psychiatric-mental-health-nursing-a-clinical-9th-edition","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/23\/test-bank-complete-varcarolis-foundations-of-psychiatric-mental-health-nursing-a-clinical-9th-edition\/","title":{"rendered":"Test Bank Complete Varcarolis’ Foundations of Psychiatric-Mental Health Nursing A Clinical 9th Edition"},"content":{"rendered":"\n
    \n
  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.
    ANS: B
    In most states, prescriptive privileges are granted to master\u2019s-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.
    PTS: 1 DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process:
    Implementation MSC: Client Needs: Safe, Effective Care Environment<\/li>\n\n\n\n
  2. A nursing student expresses concerns that mental health nurses \u201close all their clinical
    nursing skills.\u201d Select the best response by the mental health nurse.
    a. \u201cPsychiatric nurses practice in safer environments than other specialties. Nurse-toclient
    ratios must be better because of the nature of the clients\u2019 problems.\u201d
    b. \u201cPsychiatric nurses use complex communication skills as well as critical thinking to solve
    multidimensional problems. I am challenged by those situations.\u201d
    c. \u201cThat\u2019s a misconception. Psychiatric nurses frequently use high technology monitoring
    equipment and manage complex intravenous therapies.\u201d
    d. \u201cPsychiatric nurses do not have to deal with as much pain and suffering as medical\u2013
    surgical nurses do. That appeals to me.\u201d
    ANS: B
    The practice of psychiatric nursing requires a different set of skills than medical\u2013surgical
    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
    nurses must have. Nurse\u2013client 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) TOP: Nursing Process:
    Implementation MSC: Client Needs: Safe, Effective Care Environment
    2 \/ 4
    3<\/li>\n\n\n\n
  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?
    a. Recovery
    b. Attending
    c. Advocacy
    d. Evidence-based practice
    ANS: C
    An advocate defends or asserts another\u2019s cause, particularly when the other person lacks the
    ability to do that for self. Examples of individual advocacy include helping clients 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
    letterwriting campaign advocates for that cause on behalf of clients who are unable to
    articulate their own needs.
    PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
    TOP: Nursing Process: Evaluation MSC: Client Needs: Safe, Effective Care Environment<\/li>\n\n\n\n
  4. A family has a long history of conflicted relationships among the members. Which family
    member\u2019s comment best reflects a mentally healthy perspective?
    a. \u201cI\u2019ve made mistakes but everyone else in this family has also.\u201d
    b. \u201cI remember joy and mutual respect from our early years together.\u201d
    c. \u201cI will make some changes in my behavior for the good of the family.\u201d
    d. \u201cIt\u2019s best for me to move away from my family. Things will never change.\u201d
    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,
    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.
    PTS: 1 DIF: Cognitive Level: Analyze (Analysis)
    TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity<\/li>\n\n\n\n
  5. Which assessment finding most clearly indicates that a client may be experiencing a mental
    illness?
    a. reporting occasional sleeplessness and anxiety.
    b. reporting a consistently sad, discouraged, and hopeless mood.
    c. being able to describe the difference between \u201cas if\u201d and \u201cfor real.\u201d
    d. experiencing difficulty making a decision about whether to change jobs.
    ANS: B
    3 \/ 4
    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.
    PTS: 1 DIF: Cognitive Level: Apply (Application)
    TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity<\/li>\n\n\n\n
  6. Which finding best indicates that the goal \u201cDemonstrate mentally healthy behavior\u201d was
    achieved 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 own
    life.
    ANS: A
    Mental health is a state of well-being in which individuals reach their own potential, cope
    with the normal stresses of life, work productively, and contribute to the community. Mental
    health provides people with the capacity for rational thinking, communication skills, learning,
    emotional growth, resilience, and self-esteem. The correct response describes an adaptive,
    healthy behavior. The distracters describe maladaptive behaviors.
    PTS: 1 DIF: Cognitive Level: Apply (Application)
    TOP: Nursing Process: Evaluation MSC: Client Needs: Psychosocial Integrity<\/li>\n\n\n\n
  7. A nurse encounters an unfamiliar psychiatric disorder on a new client\u2019s admission form.
    Which resource should the nurse consult to determine criteria used to establish this
    diagnosis?
    a. International Statistical Classification of Diseases and Related Health Problems
    (ICD-10)
    b. The ANA\u2019s Psychiatric-Mental Health Nursing Scope and Standards of Practice
    c. Diagnostic and Statistical Manual of Mental Disorders (DSM-V)
    d. A behavioral health reference manual
    ANS: C
    The DSM-V gives the criteria used to diagnose each mental disorder. It is the official guideline
    for diagnosing psychiatric disorders. The distracters may not contain diagnostic criteria for a
    psychiatric illness.
    PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
    TOP: Nursing Process: Assessment MSC: Client Needs: Safe, Effective Care Environment<\/li>\n\n\n\n
  8. A nurse wants to find a description of diagnostic criteria for anxiety disorders. Which
    resource would have the most complete information?
    a. Nursing Outcomes Classification (NOC)
    b. DSM-V<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-114833","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/114833","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=114833"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/114833\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=114833"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=114833"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=114833"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}