Written by students who passed Immediately available after payment Read online or as PDF Wrong document? Swap it for free 4.6 TrustPilot
logo-home
Exam (elaborations)

Varcarolis' Foundations of Psychiatric-Mental Health Nursing: A Clinical Approach (9th Edition) – Test Bank – Complete Exam Material

Rating
-
Sold
1
Pages
793
Grade
A+
Uploaded on
16-04-2026
Written in
2025/2026

This document contains a comprehensive test bank for Varcarolis' Foundations of Psychiatric-Mental Health Nursing: A Clinical Approach (9th Edition). It includes exam-style questions and answers covering psychiatric nursing principles, mental health disorders, therapeutic communication, and clinical care approaches. The material is ideal for nursing students preparing for exams and strengthening their understanding of psychiatric-mental health nursing concepts.

Show more Read less
Institution
EBooks / Textbooks/ Test Bank
Course
EBooks / Textbooks/ Test bank

Content preview

file:///C:/Users/user/Downloads/Varcarolis'%20Foundations%20of%20Psychiatric-Mental%20Health%20Nursing%20A%20Clinical%20Approach%209th%20Edition.pdf
file:///C:/Users/user/Downloads/Varcarolis'%20Foundations%20of%20Psychiatric-Mental%20Health%20Nursing%20A%20Clinical%20Approach%209th%20Edition.p




Chapter 1: Mental Health and Mental Illness

Varcarolis’ Foundations of Psychiatric Mental Health Nursing A Clinical Approach 9th Edition

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.
b. Prescribe psychotropic medication.
c. Establish therapeutic relationships.
d. Individualize nursing care plans.
CORRECT ANSWER: B
In most states, prescriptive privileges are granted to master’s 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.

SCORES: 1 DIF: Cognitive Level: Understand (Comprehension) Reference: p.g 1 23
TOP: Nursing Process: Implementation
MSC: Client Needs: Safe, Effective Care Environment

2) A nursing student expresses concerns that mental health nurses lose all their clinical nursing skills
. Select the best response by the mental health nurse.
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. That’s a misconception. Psychiatric nurses frequently use high technology monitoring
equipment and manage complex intravenous therapies .
d. Psychiatric nurses do not have to deal with as much pain and suffering as medical–
surgical nurses do. That appeals to me .
CORRECT ANSWER: 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.
SCORES: 1 DIF: Cognitive Level: Apply (Application)
Reference: PG: 1 2, 21 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 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

CORRECT ANSWER: C




e:///C:/Users/user/Downloads/Varcarolis'%20Foundations%20of%20Psychiatric-Mental%20Health%20Nursing%20A%20Clinical%20Approach%209th%20Edition.pdf
file:///C:/Users/user/Downloads/Varcarolis'%20Foundations%20of%20Psychiatric-Mental%20Health%20Nursing%20A%20Clinical%20Approach%209th%20Edition.pdf
file:///C:/Users/user/Downloads/Varcarolis'%20Foundations%20of%20Psychiatric-Mental%20Health%20Nursing%20A%20Clinical%20Approach%209th%20Edition.p

, file:///C:/Users/user/Downloads/Varcarolis'%20Foundations%20of%20Psychiatric-Mental%20Health%20Nursing%20A%20Clinical%20Approach%209th%20Edition.pdf
file:///C:/Users/user/Downloads/Varcarolis'%20Foundations%20of%20Psychiatric-Mental%20Health%20Nursing%20A%20Clinical%20Approach%209th%20Edition.p




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.

SCORES: 1 DIF: Cognitive Level: Understand (Comprehension) Reference: p.g 1 26 TOP:
Nursing Process: Evaluation
MSC: Client Needs: Safe, Effective Care Environment

4) A family has a long history of conflicted relationships among the members. Which family member’s
comment best reflects a mentally healthy perspective?
a. I’ve made mistakes but everyone else in this family has also .
b. I remember joy and mutual respect from our early years together .
c. I will make some changes in my behavior for the good of the family .
d. It’s best for me to move away from my family. Things will never change .

CORRECT ANSWER: 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.

SCORES: 1 DIF: Cognitive Level: Analyze (Analysis)
Reference: PG: 1 2, 3, 32 (Figure 1 1) TOP: Nursing Process: Assessment MSC: Client
Needs: Psychosocial Integrity

5) Which assessment finding most clearly indicates that a patient may be experiencing a mental illness? The
patient
a. Reports occasional sleeplessness and anxiety.
b. Reports a consistently sad, discouraged, and hopeless mood.
c. Is able to describe the difference between as if‖ and for real .
d. Perceives difficulty making a decision about whether to change jobs.
CORRECT ANSWER: B
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.

SCORES: 1 DIF: Cognitive Level: Apply (Application)
Reference: PG: 1 2 to 4 TOP: Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity

6) Which finding best indicates that the goal “Demonstrate mentally healthy behavior‖ was achieved for an
adult patient? The patient
a. Sees self as capable of achieving ideals and meeting demands.
b. Behaves without considering the consequences of personal actions.
c. Aggressively meets own needs without considering the rights of others.
d. Seeks help from others when assuming responsibility for major areas of own life.

CORRECT ANSWER: A
The correct response describes an adaptive, healthy behavior. The distracters describe maladaptive
behaviors.

SCORES: 1 DIF: Cognitive Level: Apply (Application)




e:///C:/Users/user/Downloads/Varcarolis'%20Foundations%20of%20Psychiatric-Mental%20Health%20Nursing%20A%20Clinical%20Approach%209th%20Edition.pdf
file:///C:/Users/user/Downloads/Varcarolis'%20Foundations%20of%20Psychiatric-Mental%20Health%20Nursing%20A%20Clinical%20Approach%209th%20Edition.pdf
file:///C:/Users/user/Downloads/Varcarolis'%20Foundations%20of%20Psychiatric-Mental%20Health%20Nursing%20A%20Clinical%20Approach%209th%20Edition.p

, file:///C:/Users/user/Downloads/Varcarolis'%20Foundations%20of%20Psychiatric-Mental%20Health%20Nursing%20A%20Clinical%20Approach%209th%20Edition.pdf
file:///C:/Users/user/Downloads/Varcarolis'%20Foundations%20of%20Psychiatric-Mental%20Health%20Nursing%20A%20Clinical%20Approach%209th%20Edition.p




Reference: PG: 1 2 to 4 TOP: Nursing Process: Evaluation
MSC: Client Needs: Psychosocial Integrity

7) A nurse encounters an unfamiliar psychiatric disorder on a new patient’s 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)
a. The ANA‟s Psychiatric Mental Health Nursing Scope and Standards of Practice
b. Diagnostic and Statistical Manual of Mental Disorders (DSM V)
c. A behavioral health reference manual


CORRECT ANSWER: 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.

SCORES: 1 DIF: Cognitive Level: Apply (Application)
Reference: PG: 1 18, 19 TOP: Nursing Process: Assessment
MSC: Client Needs: Safe, Effective Care Environment
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
c. The ANA‟s Psychiatric Mental Health Nursing Scope and Standards of Practice d. ICD 10
CORRECT ANSWER: B
The DSM V details the diagnostic criteria for psychiatric clinical conditions. It is the official guideline for
diagnosing psychiatric disorders. The other references are good resources but do not define the diagnostic
criteria.

SCORES: 1 DIF: Cognitive Level: Understand (Comprehension)
Reference: PG: 1 18, 19 TOP: Nursing Process: Implementation
MSC: Client Needs: Safe, Effective Care Environment

9) Which individual is demonstrating the highest level of resilience? One who
a. Is able to repress stressors.
b. Becomes depressed after the death of a spouse.
c. Lives in a shelter for 2 years after the home is destroyed by fire.
d. Takes a temporary job to maintain financial stability after loss of a permanent job.

CORRECT ANSWER: D
Resilience is closely associated with the process of adapting and helps people facing tragedies, loss,
trauma, and severe stress. It is the ability and capacity for people to secure the resources they need to
support their well being. Repression and depression are unhealthy.
Living in a shelter for 2 years shows a failure to move forward after a tragedy. See related audience
response question.

SCORES: 1 DIF: Cognitive
Level: Apply (Application) Reference: PG: 1 5, 6
TOP: Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity




e:///C:/Users/user/Downloads/Varcarolis'%20Foundations%20of%20Psychiatric-Mental%20Health%20Nursing%20A%20Clinical%20Approach%209th%20Edition.pdf
file:///C:/Users/user/Downloads/Varcarolis'%20Foundations%20of%20Psychiatric-Mental%20Health%20Nursing%20A%20Clinical%20Approach%209th%20Edition.pdf
file:///C:/Users/user/Downloads/Varcarolis'%20Foundations%20of%20Psychiatric-Mental%20Health%20Nursing%20A%20Clinical%20Approach%209th%20Edition.p

, file:///C:/Users/user/Downloads/Varcarolis'%20Foundations%20of%20Psychiatric-Mental%20Health%20Nursing%20A%20Clinical%20Approach%209th%20Edition.pdf
file:///C:/Users/user/Downloads/Varcarolis'%20Foundations%20of%20Psychiatric-Mental%20Health%20Nursing%20A%20Clinical%20Approach%209th%20Edition.p




10) Complete this analogy. NANDA: clinical judgment: NIC: a)
Patient outcomes.
a. Nursing actions.
b. Diagnosis.
c. Symptoms.


CORRECT ANSWER: B
Analogies show parallel relationships. NANDA, the North American Nursing Diagnosis
Association, identifies diagnostic statements regarding human responses to actual or potential
health problems. These statements represent clinical judgments. NIC (Nursing Interventions
Classification) identifies actions provided by nurses that enhance patient outcomes. Nursing care
activities may be direct or indirect.
SCORES: 1 DIF: Cognitive Level: Analyze (Analysis)
Reference: PG: 1 21, 22 TOP: Nursing Process: Evaluation
MSC: Client Needs: Safe, Effective Care Environment

11) An adult says, Most of the time I’m happy and feel good about myself. I have learned that
What I get out of something is proportional to the effort I put into it . Which number on this
mental health continuum should the nurse select?
Ment al Illness Mental Health
1 2 3 4 5

A. 1
B. 2
C. 3
D. 4
E. 5

CORRECT ANSWER: E
The adult is generally happy and has an adequate self concept. The statement indicates the adult
is reality oriented, works effectively, and has control over own behavior. Mental health does not
mean that a person is always happy.

SCORES: 1 DIF: Cognitive Level: Apply (Application)
Reference: PG: 1 2, 3, 32 (Figure 1 1) TOP: Nursing Process: Assessment MSC:
Client Needs: Psychosocial Integrity

12) Which disorder is an example of a culture bound syndrome?
a. Epilepsy
b. Schizophrenia
c. Running amok
d. Major depressive disorder

CORRECT ANSWER: C
Culture bound syndromes occur in specific sociocultural contexts and are easily recognized by
people in those cultures. A syndrome recognized in parts of Southeast Asia is running amok,
in which a person (usually a male) runs around engaging in furious, almost indiscriminate
violent behavior.




e:///C:/Users/user/Downloads/Varcarolis'%20Foundations%20of%20Psychiatric-Mental%20Health%20Nursing%20A%20Clinical%20Approach%209th%20Edition.pdf
file:///C:/Users/user/Downloads/Varcarolis'%20Foundations%20of%20Psychiatric-Mental%20Health%20Nursing%20A%20Clinical%20Approach%209th%20Edition.pdf
file:///C:/Users/user/Downloads/Varcarolis'%20Foundations%20of%20Psychiatric-Mental%20Health%20Nursing%20A%20Clinical%20Approach%209th%20Edition.p

Written for

Institution
EBooks / Textbooks/ Test bank
Course
EBooks / Textbooks/ Test bank

Document information

Uploaded on
April 16, 2026
File latest updated on
May 20, 2026
Number of pages
793
Written in
2025/2026
Type
Exam (elaborations)
Contains
Questions & answers
$3.49
Get access to the full document:

Wrong document? Swap it for free Within 14 days of purchase and before downloading, you can choose a different document. You can simply spend the amount again.
Written by students who passed
Immediately available after payment
Read online or as PDF

Get to know the seller
Seller avatar
bigjosk

Get to know the seller

Seller avatar
bigjosk Ebooks or Textbooks
View profile
Follow You need to be logged in order to follow users or courses
Sold
1
Member since
2 months
Number of followers
0
Documents
26
Last sold
3 weeks ago

0.0

0 reviews

5
0
4
0
3
0
2
0
1
0

Why students choose Stuvia

Created by fellow students, verified by reviews

Quality you can trust: written by students who passed their tests and reviewed by others who've used these notes.

Didn't get what you expected? Choose another document

No worries! You can instantly pick a different document that better fits what you're looking for.

Pay as you like, start learning right away

No subscription, no commitments. Pay the way you're used to via credit card and download your PDF document instantly.

Student with book image

“Bought, downloaded, and aced it. It really can be that simple.”

Alisha Student

Working on your references?

Create accurate citations in APA, MLA and Harvard with our free citation generator.

Working on your references?

Frequently asked questions