TEST BANK
VARCAROLIS' FOUNDATIONS OF
PSYCHIATRIC MENTAL HEALTH NURSING
8TH EDITION
BY MARGARET JORDAN
,Test Bank - Varcarolis' Foundations of Psychiatric Mental Health Nursing (8th Edition) 1
Table of Contents
j j
Tablej ofj Contents 1
Chapterj 01:j Mentalj Healthj andj Mentalj Illnessj Chapt 2
erj02:j Theories jandj Therapies 14
Chapterj 03:j Psychobiologyj andj Psychopharmacologyj Chapterj 30
04:j Treatmentj Settings 45
Chapterj 05:j Culturalj Implications 62
Chapterj 06:j Legalj andj Ethicalj Considerations 78
Chapterj 07:j Thej Nursingj Processj andj Standards j ofj Carej Chapte 92
rj 08:j Therapeutic j Relationships 106
Chapterj 09:j Therapeutic j Communication 120
Chapterj 10:j StressjResponsesj andj Stressj Managementj Chapte 132
rj 11:j Childhoodj andj Neurodevelopmentalj Disorders jChapterj 12:j 144
Schizophreniaj Spectrumj Disorders 157
Chapterj 13:j Bipolarj andj Relatedj DisordersjChapterj 175
14:j Depressivej Disorders 192
Chapterj 15:j Anxietyj andj Obsessive- 207
Compulsivej Disordersj Chapterj 16:j Trauma,j Stressor- 223
Related,j andj Dissociativej Disordersj Chapterj 17:j Somaticj Symptomj Dis 237
orders 250
Chapterj 18:j Eatingj andj Feedingj Disordersj Chapterj 1 264
9:j Sleep-Wakej Disorders 276
Chapterj 20:j Sexualj Dysfunctions,j Genderj Dysphoria,j andj Paraphilias j Cha 288
pterj 21:j Impulsej Controlj Disorders 299
Chapterj 22:j Substancej Relatedj andj Addictivej Disordersj Chapte 315
rj 23:j Neurocognitivej Disorders 329
Chapterj 24:j Personalityj Disorders 344
Chapterj 25:j Suicidej andj Nonsuicidalj Self- 357
Injuryj Chapterj 26:jCrisisj andj Disaster 370
Chapterj 27:j Anger,j Aggression,j andj Violence 383
Chapterj 28:j Child,j Olderj Adult,j andj Intimatej Partnerj Violencej Chapterj 2 394
9:j Sexualj Assault 405
Chapterj 30:j Dying,j Death,j andj Grievingj Chapterj 3 415
1:j Olderj Adults 431
Chapterj 32:j Seriousj Mentalj Illnessj Cha 447
pterj 33:j Forensicj Nursingj Chapterj 34:j T 458
herapeutic j Groupsj Chapterj 35:j Familyj 472
Interventionsj Chapterj 36:j Integrativej C 485
are
,Test Bank - Varcarolis' Foundations of Psychiatric Mental Health Nursing (8th Edition) 2
Chapter 01: Mental Health and Mental Illness
j j j j j j
MULTIPLEj CHOICE
1. Ajstaffj nursejcompletesjorientationjtojajpsychiatricjunit.j Thisjnursejmayjexpectjanj advancedjpracticejnursej tojperf
ormjwhichjadditionaljintervention?
a. Conductj mentalj healthj assessments. c. Establishj therapeuticj relationships.
b. Prescribej psychotropicj medication. d. Individualizej nursingj carej plans.
ANS:j B
Inj mostj states,j prescriptivej privilegesj arej grantedj toj masters-
preparedj nursej practitionersj whoj havej takenjspecialjcoursesjonjprescribingjmedication.j Thejnursejpreparedjatjthejbasi
cjleveljisjpermittedjtojperformjmentalj healthj assessments,jestablishjrelationships,jandjprovidejindividualizedjcarej plann
ing.
PTS:j1jDIF:jCognitivej Level:jUnderstandj(Comprehension)jRE
F:j15jTOP:jNursingjProcess:jImplementation
MSC:j Clientj Needs:j Safe,j Effectivej Carej Environment
2. Whenjaj nursingjstudentjexpressesjconcernsjaboutjhowjmentaljhealthjnursesjlosejalljtheirjnursingjskills,jthej bestjre
sponsejbyjthejmentalj healthj nursejis:
a. Psychiatricj nursesjpracticejinjsaferjenvironmentsjthanjotherjspecialties.jNurse-to-
patientjratiosjmustj bejbetterj becausejofjthejnaturejofjthejpatientsj problems.
b. Psychiatricj nursesjusejcomplexjcommunicationjskillsjasjwelljasjcriticaljthinkingjtojsolvejmulti
dimensionaljproblems.j Ijamjchallengedjbyjthosejsituations.
c. Thatsjajmisconception.jPsychiatricj nursesjfrequentlyjusejhighjtechnologyjmonitoringjequipmentjandj mana
gejcomplexjintravenousjtherapies.
d. Psychiatricj nursesjdojnotjhavejtojdealjwithjasjmuchj painjandjsufferingjasjmedical-
surgicaljnursesjdo.j Thatjappealsjtojme.
ANS:j B
Thej practicej ofj psychiatricj nursingj requiresj aj differentj setj ofj skillsj thanj medical-
surgicalj nursing,j thoughj therejisjsubstantialjoverlap.jPsychiatricj nursesjmustjbejablejtojhelpjpatientsjwithjmedicaljasjw
elljasjmentaljhealthj problems,jreflectingjthejholisticjperspectivejthesejnursesj mustjhave.jNurse-
patientjratiosjandjworkloadsjinjpsychiatricjsettingsjhavejincreased,jjustjlikejotherjspecialties.jPsychiatricjnursingjinvol
vesjclinicaljpractice,jnotjjustjdocumentation.jPsychosocialjpainjandjsufferingjarejasjrealjasjphysicaljpainjandjsuffering.
PTS:j1jDIF:jCognitivej Level:j Applyj(Application)j REF:
j 10j TOP:j Nursingj Process:j ImplementationjMSC:jClie
ntjNeeds:jSafe,jEffectivejCarejEnvironment
3. Whenj aj newj billj introducedj inj Congressj reducesj fundingj forj carej ofj personsj withj mentalj illness,j aj groupj of
, Test Bank - Varcarolis' Foundations of Psychiatric Mental Health Nursing (8th Edition) 3
nursesjwritesjlettersjtojtheirjelectedjrepresentativesjinjoppositionjtojthejlegislation.jWhichjrolejhavejthejnursesjfulfilled?
a. Recovery c. Advocacy
b. Attending d. Evidence-basedj practice
ANS:j C
Anj advocatej defendsj orj assertsj anothersj cause,j particularlyj whenj thej otherj personj lacksj thej abilityj toj doj thatjforjs
elf.jExamplesjofjindividualjadvocacyjincludejhelpingjpatientsjunderstandjtheirjrightsjorjmakejdecisions.j Onjajcom
munityjscale,jadvocacyjincludesj politicaljactivity,jpublicjspeaking,jandjpublicationjinjthejinterestjofjimprovingjthej h
umanjcondition.jSincejfundingjisjnecessaryjtojdeliverjqualityjprogrammingjforjpersonsjwithj mentaljillness,jthejletter
-jwritingjcampaignjadvocatesjforjthatjcausejonjbehalfjofjpatientsjwhojarejunablejtojarticulatejtheirjownjneeds.
PTS:j1jDIF:jCognitivej Level:jUnderstandj(Comprehension)jRE
F:j16jTOP:jNursingjProcess:jImplementation
MSC:j Clientj Needs:j Safe,j Effectivej Carej Environment
4. Whichj commentj bestj indicatesj thatj aj patientj perceivedj thej nursej wasj caring? j Myj nurse:
a. alwaysj asksj mej whichj typej ofj juicej Ij wantj toj helpj mej swallowj myj medication.
b. explainedj myj treatmentj planj toj mej andj askedj forj myj ideasj aboutj howj toj makej itj better.
c. spendsj timej listeningj toj mej talkj aboutj myj problems.j Thatj helpsj mej feelj likej Ij amj notj alone.
d. toldj mej thatj ifj Ij takej allj thej medicinesj thej doctorj prescribes,j thenj Ij willj getj dischargedj sooner.
ANS:j C
Caringjevidencesjempatheticjunderstandingjasjwelljasjcompetency.j Itjhelpsjchangej painjandjsufferingjintojajsharedj
experience,jcreatingjajhumanjconnectionjthatjalleviatesjfeelingsjofjisolation.jThejdistractersj givejexamplesjofjstate
mentsjthatjdemonstratejadvocacyjorjgivingjadvice.
PTS:j1jDIF:jCognitivej Level:j Applyj(Application)jREF:j
7jTOP:jNursingjProcess:jEvaluation
MSC:j Clientj Needs:j Psychosocialj Integrity
5. Whichjassessmentjfindingjmostjclearlyjindicatesjthatjajpatientjmayj bejexperiencingjajmentaljillness? jThejpatient
:
a. reportsj occasionalj sleeplessnessj andj anxiety.
b. reportsj aj consistentlyj sad,j discouraged,j andj hopelessj mood.
c. isj ablej toj describej thej differencej betweenj asj ifj andj forj real.
VARCAROLIS' FOUNDATIONS OF
PSYCHIATRIC MENTAL HEALTH NURSING
8TH EDITION
BY MARGARET JORDAN
,Test Bank - Varcarolis' Foundations of Psychiatric Mental Health Nursing (8th Edition) 1
Table of Contents
j j
Tablej ofj Contents 1
Chapterj 01:j Mentalj Healthj andj Mentalj Illnessj Chapt 2
erj02:j Theories jandj Therapies 14
Chapterj 03:j Psychobiologyj andj Psychopharmacologyj Chapterj 30
04:j Treatmentj Settings 45
Chapterj 05:j Culturalj Implications 62
Chapterj 06:j Legalj andj Ethicalj Considerations 78
Chapterj 07:j Thej Nursingj Processj andj Standards j ofj Carej Chapte 92
rj 08:j Therapeutic j Relationships 106
Chapterj 09:j Therapeutic j Communication 120
Chapterj 10:j StressjResponsesj andj Stressj Managementj Chapte 132
rj 11:j Childhoodj andj Neurodevelopmentalj Disorders jChapterj 12:j 144
Schizophreniaj Spectrumj Disorders 157
Chapterj 13:j Bipolarj andj Relatedj DisordersjChapterj 175
14:j Depressivej Disorders 192
Chapterj 15:j Anxietyj andj Obsessive- 207
Compulsivej Disordersj Chapterj 16:j Trauma,j Stressor- 223
Related,j andj Dissociativej Disordersj Chapterj 17:j Somaticj Symptomj Dis 237
orders 250
Chapterj 18:j Eatingj andj Feedingj Disordersj Chapterj 1 264
9:j Sleep-Wakej Disorders 276
Chapterj 20:j Sexualj Dysfunctions,j Genderj Dysphoria,j andj Paraphilias j Cha 288
pterj 21:j Impulsej Controlj Disorders 299
Chapterj 22:j Substancej Relatedj andj Addictivej Disordersj Chapte 315
rj 23:j Neurocognitivej Disorders 329
Chapterj 24:j Personalityj Disorders 344
Chapterj 25:j Suicidej andj Nonsuicidalj Self- 357
Injuryj Chapterj 26:jCrisisj andj Disaster 370
Chapterj 27:j Anger,j Aggression,j andj Violence 383
Chapterj 28:j Child,j Olderj Adult,j andj Intimatej Partnerj Violencej Chapterj 2 394
9:j Sexualj Assault 405
Chapterj 30:j Dying,j Death,j andj Grievingj Chapterj 3 415
1:j Olderj Adults 431
Chapterj 32:j Seriousj Mentalj Illnessj Cha 447
pterj 33:j Forensicj Nursingj Chapterj 34:j T 458
herapeutic j Groupsj Chapterj 35:j Familyj 472
Interventionsj Chapterj 36:j Integrativej C 485
are
,Test Bank - Varcarolis' Foundations of Psychiatric Mental Health Nursing (8th Edition) 2
Chapter 01: Mental Health and Mental Illness
j j j j j j
MULTIPLEj CHOICE
1. Ajstaffj nursejcompletesjorientationjtojajpsychiatricjunit.j Thisjnursejmayjexpectjanj advancedjpracticejnursej tojperf
ormjwhichjadditionaljintervention?
a. Conductj mentalj healthj assessments. c. Establishj therapeuticj relationships.
b. Prescribej psychotropicj medication. d. Individualizej nursingj carej plans.
ANS:j B
Inj mostj states,j prescriptivej privilegesj arej grantedj toj masters-
preparedj nursej practitionersj whoj havej takenjspecialjcoursesjonjprescribingjmedication.j Thejnursejpreparedjatjthejbasi
cjleveljisjpermittedjtojperformjmentalj healthj assessments,jestablishjrelationships,jandjprovidejindividualizedjcarej plann
ing.
PTS:j1jDIF:jCognitivej Level:jUnderstandj(Comprehension)jRE
F:j15jTOP:jNursingjProcess:jImplementation
MSC:j Clientj Needs:j Safe,j Effectivej Carej Environment
2. Whenjaj nursingjstudentjexpressesjconcernsjaboutjhowjmentaljhealthjnursesjlosejalljtheirjnursingjskills,jthej bestjre
sponsejbyjthejmentalj healthj nursejis:
a. Psychiatricj nursesjpracticejinjsaferjenvironmentsjthanjotherjspecialties.jNurse-to-
patientjratiosjmustj bejbetterj becausejofjthejnaturejofjthejpatientsj problems.
b. Psychiatricj nursesjusejcomplexjcommunicationjskillsjasjwelljasjcriticaljthinkingjtojsolvejmulti
dimensionaljproblems.j Ijamjchallengedjbyjthosejsituations.
c. Thatsjajmisconception.jPsychiatricj nursesjfrequentlyjusejhighjtechnologyjmonitoringjequipmentjandj mana
gejcomplexjintravenousjtherapies.
d. Psychiatricj nursesjdojnotjhavejtojdealjwithjasjmuchj painjandjsufferingjasjmedical-
surgicaljnursesjdo.j Thatjappealsjtojme.
ANS:j B
Thej practicej ofj psychiatricj nursingj requiresj aj differentj setj ofj skillsj thanj medical-
surgicalj nursing,j thoughj therejisjsubstantialjoverlap.jPsychiatricj nursesjmustjbejablejtojhelpjpatientsjwithjmedicaljasjw
elljasjmentaljhealthj problems,jreflectingjthejholisticjperspectivejthesejnursesj mustjhave.jNurse-
patientjratiosjandjworkloadsjinjpsychiatricjsettingsjhavejincreased,jjustjlikejotherjspecialties.jPsychiatricjnursingjinvol
vesjclinicaljpractice,jnotjjustjdocumentation.jPsychosocialjpainjandjsufferingjarejasjrealjasjphysicaljpainjandjsuffering.
PTS:j1jDIF:jCognitivej Level:j Applyj(Application)j REF:
j 10j TOP:j Nursingj Process:j ImplementationjMSC:jClie
ntjNeeds:jSafe,jEffectivejCarejEnvironment
3. Whenj aj newj billj introducedj inj Congressj reducesj fundingj forj carej ofj personsj withj mentalj illness,j aj groupj of
, Test Bank - Varcarolis' Foundations of Psychiatric Mental Health Nursing (8th Edition) 3
nursesjwritesjlettersjtojtheirjelectedjrepresentativesjinjoppositionjtojthejlegislation.jWhichjrolejhavejthejnursesjfulfilled?
a. Recovery c. Advocacy
b. Attending d. Evidence-basedj practice
ANS:j C
Anj advocatej defendsj orj assertsj anothersj cause,j particularlyj whenj thej otherj personj lacksj thej abilityj toj doj thatjforjs
elf.jExamplesjofjindividualjadvocacyjincludejhelpingjpatientsjunderstandjtheirjrightsjorjmakejdecisions.j Onjajcom
munityjscale,jadvocacyjincludesj politicaljactivity,jpublicjspeaking,jandjpublicationjinjthejinterestjofjimprovingjthej h
umanjcondition.jSincejfundingjisjnecessaryjtojdeliverjqualityjprogrammingjforjpersonsjwithj mentaljillness,jthejletter
-jwritingjcampaignjadvocatesjforjthatjcausejonjbehalfjofjpatientsjwhojarejunablejtojarticulatejtheirjownjneeds.
PTS:j1jDIF:jCognitivej Level:jUnderstandj(Comprehension)jRE
F:j16jTOP:jNursingjProcess:jImplementation
MSC:j Clientj Needs:j Safe,j Effectivej Carej Environment
4. Whichj commentj bestj indicatesj thatj aj patientj perceivedj thej nursej wasj caring? j Myj nurse:
a. alwaysj asksj mej whichj typej ofj juicej Ij wantj toj helpj mej swallowj myj medication.
b. explainedj myj treatmentj planj toj mej andj askedj forj myj ideasj aboutj howj toj makej itj better.
c. spendsj timej listeningj toj mej talkj aboutj myj problems.j Thatj helpsj mej feelj likej Ij amj notj alone.
d. toldj mej thatj ifj Ij takej allj thej medicinesj thej doctorj prescribes,j thenj Ij willj getj dischargedj sooner.
ANS:j C
Caringjevidencesjempatheticjunderstandingjasjwelljasjcompetency.j Itjhelpsjchangej painjandjsufferingjintojajsharedj
experience,jcreatingjajhumanjconnectionjthatjalleviatesjfeelingsjofjisolation.jThejdistractersj givejexamplesjofjstate
mentsjthatjdemonstratejadvocacyjorjgivingjadvice.
PTS:j1jDIF:jCognitivej Level:j Applyj(Application)jREF:j
7jTOP:jNursingjProcess:jEvaluation
MSC:j Clientj Needs:j Psychosocialj Integrity
5. Whichjassessmentjfindingjmostjclearlyjindicatesjthatjajpatientjmayj bejexperiencingjajmentaljillness? jThejpatient
:
a. reportsj occasionalj sleeplessnessj andj anxiety.
b. reportsj aj consistentlyj sad,j discouraged,j andj hopelessj mood.
c. isj ablej toj describej thej differencej betweenj asj ifj andj forj real.
