FULL TEST BANK
TEST BANK FOR VARCAROLIS' FOUNDATIONS OF
PSYCHIATRIC-MENTAL HEALTH NURSING 9TH EDITION BY
MARGARET JORDAN HALTER
PRINTED PDF | ORIGINAL DIRECTLY FROM THE PUBLISHER |
100% VERIFIED ANSWERS | DOWNLOAD IMMEDIATELY AFTER
THE ORDER
Complete Test bank, All Chapters are
included.
, Table of Contents
Table of Contents 1
Chapter 01: Mental Health and Mental Illness 2
Chapter 02: Theories and Therapies 14
Chapter 03: Psychobiology and Psychopharmacology 30
Chapter 04: Treatment Settings 45
Chapter 05: Cultural Implications 62
Chapter 06: Legal and Ethical Considerations 78
Chapter 07: The Nursing Process and Standards of Care 92
Chapter 08: Therapeutic Relationships 106
Chapter 09: Therapeutic Communication 120
Chapter 10: Stress Responses and Stress Management 132
Chapter 11: Childhood and Neurodevelopmental Disorders 144
Chapter 12: Schizophrenia Spectrum Disorders 157
Chapter 13: Bipolar and Related Disorders 175
Chapter 14: Depressive Disorders 192
Chapter 15: Anxiety and Obsessive-Compulsive Disorders 207
Chapter 16: Trauma, Stressor-Related, and Dissociative Disorders 223
Chapter 17: Somatic Symptom Disorders 237
Chapter 18: Eating and Feeding Disorders 250
Chapter 19: Sleep-Wake Disorders 264
Chapter 20: Sexual Dysfunctions, Gender Dysphoria, and Paraphilias 276
Chapter 21: Impulse Control Disorders 288
Chapter 22: Substance Related and Addictive Disorders 299
Chapter 23: Neurocognitive Disorders 315
Chapter 24: Personality Disorders 329
Chapter 25: Suicide and Nonsuicidal Self-Injury 344
Chapter 26: Crisis and Disaster 357
Chapter 27: Anger, Aggression, and Violence 370
Chapter 28: Child, Older Adult, and Intimate Partner Violence 383
Chapter 29: Sexual Assault 394
Chapter 30: Dying, Death, and Grieving 405
Chapter 31: Older Adults 415
Chapter 32: Serious Mental Illness 431
Chapter 33: Forensic Nursing 447
Chapter 34: Therapeutic Groups 458
Chapter 35: Family Interventions 472
Chapter 36: Integrative Care 485
,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 relationships.
b. Prescribe psychotropic medication. d. Individualize nursing care plans.
ANSWER: B
In most states, prescriptive privileges are granted to masters-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: 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,
thebest response by the mental health NURSE is:
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. Thats a misconception. Psychiatric NURSEs frequently use high technology monitoring equipment
andmanage 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.
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.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: 10 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
ANSWER: C
An advocate defends or asserts anothers 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: 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 sooner.
ANSWER: 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)
REF: 7 TOP: Nursing Process: Evaluation
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.
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.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: 2 TOP: Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity
6. Which finding best indicates that the goal Demonstrate mentally healthy behavior was achieved? A 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.
ANSWER: A
The correct response describes an adaptive, healthy behavior. The distracters describe maladaptive behaviors.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: 2 TOP: Nursing Process: Evaluation
MSC: Client Needs: Psychosocial Integrity
7. A NURSE encounters an unfamiliar psychiatric disorder on a new patients 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. Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
c. A behavioral health reference manual
d. Wikipedia
ANSWER: B
The DSM-5 gives the criteria used to diagnose each mental disorder. The distracters may not contain diagnostic
criteria for a psychiatric illness.
PTS: 1 DIF: Cognitive Level: Apply (Application)
,REF: 3 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. Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
c. The ANAs Psychiatric-Mental Health Nursing Scope and Standards of Practice
d. International Statistical Classification of Diseases and Related Health Problems (ICD-10)
ANSWER: B
The DSM-5 details the diagnostic criteria for psychiatric clinical conditions. The other references are good
resources but do not define the diagnostic criteria.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 10 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 two years after the home is destroyed by fire.
d. takes a temporary job to maintain financial stability after loss of a permanent job.
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 two years shows a failure to move
forward after a tragedy. See related audience response question.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: 3 TOP: Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity
10. Complete this analogy. NANDA: clinical judgment: NIC:
a. patient outcomes c. diagnosis
,b. nursing actions d. symptoms
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.
PTS: 1 DIF: Cognitive Level: Analyze (Analysis)
REF: 13 TOP: Nursing Process: Evaluation
MSC: Client Needs: Safe, Effective Care Environment
11. A college student said, Most of the time Im 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?
Mental Illness Mental
Health
1 2 3 4 5
a. 1
b. 2
c. 3
d. 4
e. 5
ANSW
ER: E
The student is happy and has an adequate self-concept. The student is reality-oriented, works effectively, and
has control over own behavior. Mental health does not mean that a person is always happy.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: 2 TOP: Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity
12. Which disorder is a culture-bound syndrome?
a. Epilepsy c. Running amok
b. Schizophrenia d. Major depression
,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.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 5 TOP: Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity
13. The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) classifies:
a. deviant behaviors. c. people with mental disorders.
b. present disability or distress. d. mental disorders people have.
ANSWER: D
The DSM-5 classifies disorders people have rather than people themselves. The terminology of the tool reflects
this distinction by referring to individuals with a disorder rather than as a schizophrenic or alcoholic, for
example. Deviant behavior is not generally considered a mental disorder. Present disability or distress is only
one aspect of the diagnosis.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 10 TOP: Nursing Process: Implementation
MSC: Client Needs: Safe, Effective Care Environment
14. A citizen at a community health fair asks the NURSE, What is the most prevalent mental disorder in
theUnited States? Select the NURSEs best response.
a. Schizophrenia c. Dissociative fugue
b. Bipolar disorder d. Alzheimers disease
ANSWER: D
The 12-month prevalence for Alzheimers disease is 10% for persons older than 65 and 50% for persons older
than 85. The prevalence of schizophrenia is 1.1% per year. The prevalence of bipolar disorder is 2.6%.
Dissociative fugue is a rare disorder. See related audience response question.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 9 TOP: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
15. In the majority culture of the United States, which individual has the greatest risk to be labeled mentally
ill? One who:
a. describes hearing Gods voice speaking.
,b. is usually pessimistic but strives to meet personal goals.
c. is wealthy and gives away $20 bills to needy individuals.
d. always has an optimistic viewpoint about life and having own needs met.
ANSWER: A
The question asks about risk. Hearing voices is generally associated with mental illness, but in charismatic
religious groups, hearing the voice of God or a prophet is a desirable event. Cultural norms vary, which makes
it more difficult to make an accurate diagnosis. The individuals described in the other options are less likely to
be labeled mentally ill.
PTS: 1 DIF: Cognitive Level: Analyze (Analysis)
REF: 4 TOP: Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity
16. A patients relationships are intense and unstable. The patient initially idealizes the significant other and
then devalues him or her, resulting in frequent feelings of emptiness. This patient will benefit from
interventions to develop which aspect of mental health?
a. Effectiveness in work c. Productive activities
b. Communication skills d. Fulfilling relationships
ANSWER: D
The information given centers on relationships with others that are described as intense and unstable. The
relationships of mentally healthy individuals are stable, satisfying, and socially integrated. Data are not present
to describe work effectiveness, communication skills, or activities.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 2 TOP: Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity
17. Which belief will best support a NURSEs efforts to provide patient advocacy during a
multidisciplinary patient care planning session?
a. All mental illnesses are culturally determined.
b. Schizophrenia and bipolar disorder are cross-cultural disorders.
c. Symptoms of mental disorders are unchanged from culture to culture.
d. Assessment findings in mental disorders reflect a persons cultural patterns.
, ANSWER: D
A NURSE who understands that a patients symptoms are influenced by culture will be able to advocate for the
patient to a greater degree than a NURSE who believes that culture is of little relevance. The distracters are
untrue statements.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: 4 TOP: Nursing Process: Implementation
MSC: Client Needs: Psychosocial Integrity
18. A NURSE is part of a multidisciplinary team working with groups of depressed patients. Half the patients
receive supportive interventions and antidepressant medication. The other half receives only medication. The
team measures outcomes for each group. Which type of study is evident?
a. Incidence c. Co-morbidity
b. Prevalence d. Clinical epidemiology
ANSWER: D
Clinical epidemiology is a broad field that addresses studies of the natural history (or what happens if there is
no treatment and the problem is left to run its course) of an illness, studies of diagnostic screening tests, and
observational and experimental studies of interventions used to treat people with the illness or symptoms.
Prevalence refers to numbers of new cases. Co-morbidity refers to having more than one mental disorder at a
time.Incidence refers to the number of new cases of mental disorders in a healthy population within a given
period. See related audience response question.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 9 TOP: Nursing Process: Evaluation
MSC: Client Needs: Safe, Effective Care Environment
19. The spouse of a patient diagnosed with schizophrenia says, I dont understand how events from childhood
have anything to do with this disabling illness. Which response by the NURSE will best help the spouse
understand the cause of this disorder?
a. Psychological stress is the basis of most mental disorders.
b. This illness results from developmental factors rather than stress.
c. Research shows that this condition more likely has a biological basis.
d. It must be frustrating for you that your spouse is sick so much of the time.
ANSWER: C
Many of the most prevalent and disabling mental disorders have strong biological influences. Genetics are only
one part of biological factors. Empathy does not address increasing the spouses level of knowledge about the
cause of the disorder. The other distracters are not established facts.
PTS: 1 DIF: Cognitive Level: Apply (Application)
TEST BANK FOR VARCAROLIS' FOUNDATIONS OF
PSYCHIATRIC-MENTAL HEALTH NURSING 9TH EDITION BY
MARGARET JORDAN HALTER
PRINTED PDF | ORIGINAL DIRECTLY FROM THE PUBLISHER |
100% VERIFIED ANSWERS | DOWNLOAD IMMEDIATELY AFTER
THE ORDER
Complete Test bank, All Chapters are
included.
, Table of Contents
Table of Contents 1
Chapter 01: Mental Health and Mental Illness 2
Chapter 02: Theories and Therapies 14
Chapter 03: Psychobiology and Psychopharmacology 30
Chapter 04: Treatment Settings 45
Chapter 05: Cultural Implications 62
Chapter 06: Legal and Ethical Considerations 78
Chapter 07: The Nursing Process and Standards of Care 92
Chapter 08: Therapeutic Relationships 106
Chapter 09: Therapeutic Communication 120
Chapter 10: Stress Responses and Stress Management 132
Chapter 11: Childhood and Neurodevelopmental Disorders 144
Chapter 12: Schizophrenia Spectrum Disorders 157
Chapter 13: Bipolar and Related Disorders 175
Chapter 14: Depressive Disorders 192
Chapter 15: Anxiety and Obsessive-Compulsive Disorders 207
Chapter 16: Trauma, Stressor-Related, and Dissociative Disorders 223
Chapter 17: Somatic Symptom Disorders 237
Chapter 18: Eating and Feeding Disorders 250
Chapter 19: Sleep-Wake Disorders 264
Chapter 20: Sexual Dysfunctions, Gender Dysphoria, and Paraphilias 276
Chapter 21: Impulse Control Disorders 288
Chapter 22: Substance Related and Addictive Disorders 299
Chapter 23: Neurocognitive Disorders 315
Chapter 24: Personality Disorders 329
Chapter 25: Suicide and Nonsuicidal Self-Injury 344
Chapter 26: Crisis and Disaster 357
Chapter 27: Anger, Aggression, and Violence 370
Chapter 28: Child, Older Adult, and Intimate Partner Violence 383
Chapter 29: Sexual Assault 394
Chapter 30: Dying, Death, and Grieving 405
Chapter 31: Older Adults 415
Chapter 32: Serious Mental Illness 431
Chapter 33: Forensic Nursing 447
Chapter 34: Therapeutic Groups 458
Chapter 35: Family Interventions 472
Chapter 36: Integrative Care 485
,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 relationships.
b. Prescribe psychotropic medication. d. Individualize nursing care plans.
ANSWER: B
In most states, prescriptive privileges are granted to masters-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: 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,
thebest response by the mental health NURSE is:
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. Thats a misconception. Psychiatric NURSEs frequently use high technology monitoring equipment
andmanage 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.
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.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: 10 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
ANSWER: C
An advocate defends or asserts anothers 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: 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 sooner.
ANSWER: 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)
REF: 7 TOP: Nursing Process: Evaluation
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.
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.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: 2 TOP: Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity
6. Which finding best indicates that the goal Demonstrate mentally healthy behavior was achieved? A 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.
ANSWER: A
The correct response describes an adaptive, healthy behavior. The distracters describe maladaptive behaviors.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: 2 TOP: Nursing Process: Evaluation
MSC: Client Needs: Psychosocial Integrity
7. A NURSE encounters an unfamiliar psychiatric disorder on a new patients 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. Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
c. A behavioral health reference manual
d. Wikipedia
ANSWER: B
The DSM-5 gives the criteria used to diagnose each mental disorder. The distracters may not contain diagnostic
criteria for a psychiatric illness.
PTS: 1 DIF: Cognitive Level: Apply (Application)
,REF: 3 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. Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
c. The ANAs Psychiatric-Mental Health Nursing Scope and Standards of Practice
d. International Statistical Classification of Diseases and Related Health Problems (ICD-10)
ANSWER: B
The DSM-5 details the diagnostic criteria for psychiatric clinical conditions. The other references are good
resources but do not define the diagnostic criteria.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 10 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 two years after the home is destroyed by fire.
d. takes a temporary job to maintain financial stability after loss of a permanent job.
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 two years shows a failure to move
forward after a tragedy. See related audience response question.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: 3 TOP: Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity
10. Complete this analogy. NANDA: clinical judgment: NIC:
a. patient outcomes c. diagnosis
,b. nursing actions d. symptoms
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.
PTS: 1 DIF: Cognitive Level: Analyze (Analysis)
REF: 13 TOP: Nursing Process: Evaluation
MSC: Client Needs: Safe, Effective Care Environment
11. A college student said, Most of the time Im 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?
Mental Illness Mental
Health
1 2 3 4 5
a. 1
b. 2
c. 3
d. 4
e. 5
ANSW
ER: E
The student is happy and has an adequate self-concept. The student is reality-oriented, works effectively, and
has control over own behavior. Mental health does not mean that a person is always happy.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: 2 TOP: Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity
12. Which disorder is a culture-bound syndrome?
a. Epilepsy c. Running amok
b. Schizophrenia d. Major depression
,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.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 5 TOP: Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity
13. The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) classifies:
a. deviant behaviors. c. people with mental disorders.
b. present disability or distress. d. mental disorders people have.
ANSWER: D
The DSM-5 classifies disorders people have rather than people themselves. The terminology of the tool reflects
this distinction by referring to individuals with a disorder rather than as a schizophrenic or alcoholic, for
example. Deviant behavior is not generally considered a mental disorder. Present disability or distress is only
one aspect of the diagnosis.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 10 TOP: Nursing Process: Implementation
MSC: Client Needs: Safe, Effective Care Environment
14. A citizen at a community health fair asks the NURSE, What is the most prevalent mental disorder in
theUnited States? Select the NURSEs best response.
a. Schizophrenia c. Dissociative fugue
b. Bipolar disorder d. Alzheimers disease
ANSWER: D
The 12-month prevalence for Alzheimers disease is 10% for persons older than 65 and 50% for persons older
than 85. The prevalence of schizophrenia is 1.1% per year. The prevalence of bipolar disorder is 2.6%.
Dissociative fugue is a rare disorder. See related audience response question.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 9 TOP: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
15. In the majority culture of the United States, which individual has the greatest risk to be labeled mentally
ill? One who:
a. describes hearing Gods voice speaking.
,b. is usually pessimistic but strives to meet personal goals.
c. is wealthy and gives away $20 bills to needy individuals.
d. always has an optimistic viewpoint about life and having own needs met.
ANSWER: A
The question asks about risk. Hearing voices is generally associated with mental illness, but in charismatic
religious groups, hearing the voice of God or a prophet is a desirable event. Cultural norms vary, which makes
it more difficult to make an accurate diagnosis. The individuals described in the other options are less likely to
be labeled mentally ill.
PTS: 1 DIF: Cognitive Level: Analyze (Analysis)
REF: 4 TOP: Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity
16. A patients relationships are intense and unstable. The patient initially idealizes the significant other and
then devalues him or her, resulting in frequent feelings of emptiness. This patient will benefit from
interventions to develop which aspect of mental health?
a. Effectiveness in work c. Productive activities
b. Communication skills d. Fulfilling relationships
ANSWER: D
The information given centers on relationships with others that are described as intense and unstable. The
relationships of mentally healthy individuals are stable, satisfying, and socially integrated. Data are not present
to describe work effectiveness, communication skills, or activities.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 2 TOP: Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity
17. Which belief will best support a NURSEs efforts to provide patient advocacy during a
multidisciplinary patient care planning session?
a. All mental illnesses are culturally determined.
b. Schizophrenia and bipolar disorder are cross-cultural disorders.
c. Symptoms of mental disorders are unchanged from culture to culture.
d. Assessment findings in mental disorders reflect a persons cultural patterns.
, ANSWER: D
A NURSE who understands that a patients symptoms are influenced by culture will be able to advocate for the
patient to a greater degree than a NURSE who believes that culture is of little relevance. The distracters are
untrue statements.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: 4 TOP: Nursing Process: Implementation
MSC: Client Needs: Psychosocial Integrity
18. A NURSE is part of a multidisciplinary team working with groups of depressed patients. Half the patients
receive supportive interventions and antidepressant medication. The other half receives only medication. The
team measures outcomes for each group. Which type of study is evident?
a. Incidence c. Co-morbidity
b. Prevalence d. Clinical epidemiology
ANSWER: D
Clinical epidemiology is a broad field that addresses studies of the natural history (or what happens if there is
no treatment and the problem is left to run its course) of an illness, studies of diagnostic screening tests, and
observational and experimental studies of interventions used to treat people with the illness or symptoms.
Prevalence refers to numbers of new cases. Co-morbidity refers to having more than one mental disorder at a
time.Incidence refers to the number of new cases of mental disorders in a healthy population within a given
period. See related audience response question.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 9 TOP: Nursing Process: Evaluation
MSC: Client Needs: Safe, Effective Care Environment
19. The spouse of a patient diagnosed with schizophrenia says, I dont understand how events from childhood
have anything to do with this disabling illness. Which response by the NURSE will best help the spouse
understand the cause of this disorder?
a. Psychological stress is the basis of most mental disorders.
b. This illness results from developmental factors rather than stress.
c. Research shows that this condition more likely has a biological basis.
d. It must be frustrating for you that your spouse is sick so much of the time.
ANSWER: C
Many of the most prevalent and disabling mental disorders have strong biological influences. Genetics are only
one part of biological factors. Empathy does not address increasing the spouses level of knowledge about the
cause of the disorder. The other distracters are not established facts.
PTS: 1 DIF: Cognitive Level: Apply (Application)
