Updated/Latest Varcarolis' Foundations of Psychiatric-Mental Health Nursing A Clinical Approach 9th Edition Margaret Jordan Halter Test Bank Complete Chapters 1–36 Comprehensive Psychiatric Mental Health Nursing Questions Answers Rationales NCLEX R

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, 9th Edition
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MULTIPLE CHOICE TL
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1. The scope of practiced for an advanced nurse practitioner would include which intervention?
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a. Conducting a mental health assessment. TL
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b. Prescribing psychotropic medication. TL
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c. Establishing a therapeutic relationship. F TL TL
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d. Individualizing a nursing care plan. FTL TL
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ANS: F T L B
In most states, prescriptive privileges are granted to master’s-prepared nurse practitioners
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Fand clinical nurse specialists who have taken special courses on prescribing medication.
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FThe nurse prepared at the basic level is permitted to perform mental health assessments,
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Festablish relationships, and provide individualized care planning.
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PTS: F T L F T L 1 DIF: Cognitive Level: Understand (Comprehension) TL
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TOP: F T L Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment TL
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2. A nursing student expresses concerns that mental health nurses “lose all their clinical
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F nursing skills.” Select the best response by the mental health nurse. F TL F TL F TL F TL F TL F TL F TL F TL F TL F TL



a. “Psychiatric nurses practice in safer environments than other specialties. Nurse- F TL F TL TL
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to-client ratios must be better because of the nature of the clients’ problems.” F TL F TL F TL F TL F TL F TL F TL F TL F TL F TL F TL TL
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b. “Psychiatric nurses use complex communication skills as well as critical F TL F TL TL
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thinking to solve multidimensional problems. I am challenged by those
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c. “That’s a misconception. Psychiatric nurses frequently use high TL
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technology monitoring equipment and manage complex intravenous
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therapies.” F TL



d. “Psychiatric nurses do not have to deal with as much pain and suffering F TL TL
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as medical–surgical nurses do. That appeals to me.”
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ANS: F T L B
The practice of psychiatric nursing requires a different set of skills than medical–surgical
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Fnursing, though there is substantial overlap. Psychiatric nurses must be able to help
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Fclients with medical as well as mental health problems, reflecting the holistic perspective
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Fthese nurses must have. Nurse–client ratios and workloads in psychiatric settings have
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Fincreased, just like other specialties. Psychiatric nursing involves clinical practice, not just
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Fdocumentation.
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Psychosocial pain and suffering are as real as physical pain and suffering. TL
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PTS: F T L F T L 1 DIF: Cognitive Level: Apply (Application) TL
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TOP: F T L Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment TL
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3. When a new bill introduced in Congress reduces funding for care of persons diagnosed
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Fwith mental illness, a group of nurses write letters to their elected representatives in
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Fopposition to the legislation. Which role have the nurses fulfilled?
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a. Recovery
b. Attending
c. Advocacy
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, ANS: F T L C
An advocate defends or asserts another’s cause, particularly when the other person lacks
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the ability to do that for self. Examples of individual advocacy include helping clients
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understand their rights or make decisions. On a community scale, advocacy includes
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political activity, public speaking, and publication in the interest of improving the human
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condition. Since funding is necessary to deliver quality programming for persons with
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mental illness, the letter-writing campaign advocates for that cause on behalf of clients
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who are unable to articulate their own needs.
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PTS: F T L F T L 1 DIF: Cognitive Level: Understand (Comprehension) TL
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TOP: F T L Nursing Process: Evaluation MSC: Client Needs: Safe, Effective Care Environment F TL F TL F T L TL
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4. A family has a long history of conflicted relationships among the members. Which
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Ffamily member’s comment best reflects a mentally healthy perspective?
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a. “I’ve made mistakes but everyone else in this family has also.” F TL F TL TL
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b. “I remember joy and mutual respect from our early years together.”
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c. “I will make some changes in my behavior for the good of the family.”
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d. “It’s best for me to move away from my family. Things will never change.”
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ANS: F T L C
The correct response demonstrates the best evidence of a healthy recognition of the
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Fimportance of relationships. Mental health includes rational thinking, communication
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Fskills, learning, emotional growth, resilience, and self-esteem. Recalling joy from earlier
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in life may be healthy, but the correct response shows a higher level of mental health. The
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other incorrect responses show blaming and avoidance.
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PTS: F T L F T L 1 DIF: Cognitive Level: Analyze (Analysis) TL
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TOP: F T L Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity TL
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5. Which assessment finding most clearly indicates that a client may be experiencing a
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Fmental illness?
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a. reporting occasional sleeplessness and anxiety. TL
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b. reporting a consistently sad, discouraged, and hopeless mood. TL
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c. being able to describe the difference between “as if” and “for real.” F TL F TL TL
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d. experiencing difficulty making a decision about whether to change jobs. F TL F TL TL
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ANS: F T L B
The correct response describes a mood alteration, which reflects mental illness. The
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distracters describe behaviors that are mentally healthy or within the usual scope of
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Fhuman experience.
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PTS: F T L F T L 1 DIF: Cognitive Level: Apply (Application) TL
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TOP: F T L Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity TL
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6. Which finding best indicates that the goal “Demonstrate mentally healthy behavior”
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Fwas achieved for an adult client?
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a. being willing to work towards achieving ideals and meeting demands. F TL F TL F TL TL
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b. behaving without considering the consequences of personal actions. TL
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c. aggressively meeting personal needs without considering the rights of others. TL
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d. seeking help from others to avoid assuming responsibility for major areas of TL
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own life. TL
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, ANS: F T L A
Mental health is a state of well-being in which individuals reach their own potential,
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cope with the normal stresses of life, work productively, and contribute to the
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community. Mental health provides people with the capacity for rational thinking,
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communication skills, learning, emotional growth, resilience, and self-esteem. The correct
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response describes an adaptive, healthy behavior. The distracters describe maladaptive
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behaviors.
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PTS: F T L F T L 1 DIF: Cognitive Level: Apply (Application) TL
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TOP: F T L Nursing Process: Evaluation MSC: Client Needs: Psychosocial Integrity F TL F TL F T L TL
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7. A nurse encounters an unfamiliar psychiatric disorder on a new client’s admission form.
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F Which resource should the nurse consult to determine criteria used to establish this
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diagnosis?
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a. International Statistical Classification of Diseases and Related Health Problems TL
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(ICD-10) F TL



b. The ANA’s Psychiatric-Mental Health Nursing Scope and Standards of Practice
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c. Diagnostic and Statistical Manual of Mental Disorders (DSM-V) F TL TL
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d. A behavioral health reference manual
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ANS: F T L C
The DSM-V gives the criteria used to diagnose each mental disorder. It is the official
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guideline for diagnosing psychiatric disorders. The distracters may not contain diagnostic
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Fcriteria for a psychiatric illness.
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PTS: F T L F T L 1 DIF: Cognitive Level: Understand (Comprehension) TL
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TOP: F T L Nursing Process: Assessment MSC: Client Needs: Safe, Effective Care Environment TL
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8. A nurse wants to find a description of diagnostic criteria for anxiety disorders. Which
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Fresource would have the most complete information?
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a. Nursing Outcomes Classification (NOC) TL
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b. DSM-V
c. The ANA’s Psychiatric-Mental Health Nursing Scope and Standards of Practice
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d. ICD-10
ANS: F T L B
The DSM-V details the diagnostic criteria for psychiatric clinical conditions. It is the
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Fofficial guideline for diagnosing psychiatric disorders. The other references are good
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resources but do not define the diagnostic criteria.
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PTS: F T L F T L 1 DIF: Cognitive Level: Understand (Comprehension) TL
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TOP: F T L Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment F TL F TL F T L TL
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9. Which individual behavior demonstrates resilience?
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a. Repress stressors associated with a divorce. TL
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b. Continuing to grieve the death of a spouse for 5 years. F TL TL
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c. Continuing to live in a shelter for 2 years after the home is destroyed by fire. F TL F TL TL
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d. Taking a temporary job to maintain financial stability after loss of a TL
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ANS: F T L D

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tragedies, loss, trauma, and severe stress. It is the ability and capacity for people to
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Fsecure the resources they need to support their well-being. Repression and protracted
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Fgrief are unhealthy. Living in a shelter for 2 years shows a failure to move forward after
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Fa tragedy. See related audience response question.
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PTS: F T L F T L 1 DIF: Cognitive Level: Understand (Comprehension) TL
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TOP: F T L Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity TL
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10. The relationship of the North American Nursing Diagnosis Association (NANDA) is
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F to clinical judgment as Nursing Interventions Classification (NIC) is to what?
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a. client outcomes. TL
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b. nursing actions. TL
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c. diagnosis.
d. symptoms.
ANS: F T L B
Analogies show parallel relationships. NANDA, the North American Nursing Diagnosis F TL F TL F TL F TL F TL F TL TL
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Association, identifies diagnostic statements regarding human responses to actual or
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potential health problems. These statements represent clinical judgments. NIC (Nursing
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Interventions Classification) identifies actions provided by nurses that enhance client
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outcomes. Nursing care activities may be direct or indirect.
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PTS: F T L F T L 1 DIF: Cognitive Level: Understand (Comprehension) TL
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TOP: F T L Nursing Process: Evaluation MSC: Client Needs: Safe, Effective Care Environment F TL TL
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11. An adult says, “Most of the time I’m happy and feel good about myself. I have learned
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F that what I get out of something is proportional to the effort I put into it.” Which
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Mental Illness Mental Health TL
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a. 1
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c. 3
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e. 5
ANS: F T L E
The adult is generally happy and has an adequate self-concept. The statement indicates the
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Fadult is reality-oriented, works effectively, and has control over own behavior. Mental health
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Fdoes not mean that a person is always happy.
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PTS: F T L F T L 1 DIF: Cognitive Level: Apply (Application) TL
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TOP: F T L Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity TL
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12. Which disorder is an example of a culture-bound syndrome? TL
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a. Epilepsy
b. Schizophrenia
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d. Major depressive disorder TL
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