Chapter 01: Mental Health and Mental Illness ANS: C
Halter: Varcarolis’ Foundations of Psychiatric-Mental Health Nursing: A Clinical An advocate defends or asserts another’s cause, particularly when the other person lacks the
Approach, 9th Edition 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
MULTIPLE CHOICE funding is necessary to deliver quality programming for persons with mental illness, the letter-
writing campaign advocates for that cause on behalf of clients who are unable to articulate
1. The scope of practiced for an advanced nurse practitioner would include which intervention? their own needs.
a. Conducting a mental health assessment.
b. Prescribing psychotropic medication. PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
c. Establishing a therapeutic relationship. TOP: Nursing Process: Evaluation MSC: Client Needs: Safe, Effective Care Environment
d. Individualizing a nursing care plan.
4. A family has a long history of conflicted relationships among the members. Which family
ANS: B
In most states, prescriptive privileges are granted to master’s-prepared nurse practitioners and member’s comment best reflects a mentally healthy perspective?
a.“I’ve made mistakes but everyone else in this family has also.”
clinical nurse specialists who have taken special courses on prescribing medication. The nurse
b.“I remember joy and mutual respect from our early years together.”
prepared at the basic level is permitted to perform mental health assessments, establish
c.“I will make some changes in my behavior for the good of the family.”
relationships, and provide individualized care planning.
d.“It’s best for me to move away from my family. Things will never change.”
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) ANS: C
TOP: Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment The correct response demonstrates the best evidence of a healthy recognition of the
importance of relationships. Mental health includes rational thinking, communication skills,
2. A nursing student expresses concerns that mental health nurses “lose all their clinical nursing learning, emotional growth, resilience, and self-esteem. Recalling joy from earlier in life may
skills.” Select the best response by the mental health nurse. be healthy, but the correct response shows a higher level of mental health. The other incorrect
a. “Psychiatric nurses practice in safer environments than other specialties. Nurse-to-
responses show blaming and avoidance.
client ratios must be better because of the nature of the clients’ problems.”
b. “Psychiatric nurses use complex communication skills as well as critical thinking PTS: 1 DIF: Cognitive Level: Analyze (Analysis)
to solve multidimensional problems. I am challenged by those situations.” TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
c. “That’s a misconception. Psychiatric nurses frequently use high technology
monitoring equipment and manage complex intravenous therapies.” 5. Which assessment finding most clearly indicates that a client may be experiencing a mental
d. “Psychiatric nurses do not have to deal with as much pain and suffering as illness?
medical–surgical nurses do. That appeals to me.” a. reporting occasional sleeplessness and anxiety.
b. reporting a consistently sad, discouraged, and hopeless mood.
ANS: B
c. being able to describe the difference between “as if” and “for real.”
The practice of psychiatric nursing requires a different set of skills than medical–surgical
d. experiencing difficulty making a decision about whether to change jobs.
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 ANS: B
must have. Nurse–client ratios and workloads in psychiatric settings have increased, just like The correct response describes a mood alteration, which reflects mental illness. The distracters
other specialties. Psychiatric nursing involves clinical practice, not just documentation. describe behaviors that are mentally healthy or within the usual scope of human experience.
Psychosocial pain and suffering are as real as physical pain and suffering.
PTS: 1 DIF: Cognitive Level: Apply (Application)
PTS: 1 DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
TOP: Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment
6. Which finding best indicates that the goal “Demonstrate mentally healthy behavior” was
3. When a new bill introduced in Congress reduces funding for care of persons diagnosed with achieved for an adult client?
mental illness, a group of nurses write letters to their elected representatives in opposition to a. being willing to work towards achieving ideals and meeting demands.
the legislation. Which role have the nurses fulfilled? b. behaving without considering the consequences of personal actions.
a. Recovery c. aggressively meeting personal needs without considering the rights of others.
b. Attending d. seeking help from others to avoid assuming responsibility for major areas of own
c. Advocacy life.
d. Evidence-based practice
, ANS: A Resilience is closely associated with the process of adapting and helps people facing tragedies,
Mental health is a state of well-being in which individuals reach their own potential, cope loss, trauma, and severe stress. It is the ability and capacity for people to secure the resources
with the normal stresses of life, work productively, and contribute to the community. Mental they need to support their well-being. Repression and protracted grief are unhealthy. Living in
health provides people with the capacity for rational thinking, communication skills, learning, a shelter for 2 years shows a failure to move forward after a tragedy. See related audience
emotional growth, resilience, and self-esteem. The correct response describes an adaptive, response question.
healthy behavior. The distracters describe maladaptive behaviors.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
PTS: 1 DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
TOP: Nursing Process: Evaluation MSC: Client Needs: Psychosocial Integrity
10. The relationship of the North American Nursing Diagnosis Association (NANDA) is to
7. A nurse encounters an unfamiliar psychiatric disorder on a new client’s admission form. clinical judgment as Nursing Interventions Classification (NIC) is to what?
Which resource should the nurse consult to determine criteria used to establish this diagnosis? a. client outcomes.
a. International Statistical Classification of Diseases and Related Health Problems b. nursing actions.
(ICD-10) c. diagnosis.
b. The ANA’s Psychiatric-Mental Health Nursing Scope and Standards of Practice d. symptoms.
c. Diagnostic and Statistical Manual of Mental Disorders (DSM-V)
d. A behavioral health reference manual ANS: B
Analogies show parallel relationships. NANDA, the North American Nursing Diagnosis
ANS: C Association, identifies diagnostic statements regarding human responses to actual or potential
The DSM-V gives the criteria used to diagnose each mental disorder. It is the official guideline health problems. These statements represent clinical judgments. NIC (Nursing Interventions
for diagnosing psychiatric disorders. The distracters may not contain diagnostic criteria for a Classification) identifies actions provided by nurses that enhance client outcomes. Nursing
psychiatric illness. care activities may be direct or indirect.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Assessment MSC: Client Needs: Safe, Effective Care Environment TOP: Nursing Process: Evaluation MSC: Client Needs: Safe, Effective Care Environment
8. A nurse wants to find a description of diagnostic criteria for anxiety disorders. Which resource 11. An adult says, “Most of the time I’m happy and feel good about myself. I have learned that
would have the most complete information? what I get out of something is proportional to the effort I put into it.” Which number on this
a. Nursing Outcomes Classification (NOC) mental health continuum should the nurse select?
b. DSM-V
c. The ANA’s Psychiatric-Mental Health Nursing Scope and Standards of Practice Mental Illness Mental Health
d. ICD-10 12345
a. 1
ANS: B
b. 2
The DSM-V details the diagnostic criteria for psychiatric clinical conditions. It is the official
c. 3
guideline for diagnosing psychiatric disorders. The other references are good resources but do
d. 4
not define the diagnostic criteria.
e. 5
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) ANS: E
TOP: Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment 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
9. Which individual behavior demonstrates resilience?
does not mean that a person is always happy.
a. Repress stressors associated with a divorce.
b. Continuing to grieve the death of a spouse for 5 years. PTS: 1 DIF: Cognitive Level: Apply (Application)
c. Continuing to live in a shelter for 2 years after the home is destroyed by fire. TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
d. Taking a temporary job to maintain financial stability after loss of a permanent
job. 12. Which disorder is an example of a culture-bound syndrome?
a. Epilepsy
ANS: D
b. Schizophrenia
c. Running amok
d. Major depressive disorder
Halter: Varcarolis’ Foundations of Psychiatric-Mental Health Nursing: A Clinical An advocate defends or asserts another’s cause, particularly when the other person lacks the
Approach, 9th Edition 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
MULTIPLE CHOICE funding is necessary to deliver quality programming for persons with mental illness, the letter-
writing campaign advocates for that cause on behalf of clients who are unable to articulate
1. The scope of practiced for an advanced nurse practitioner would include which intervention? their own needs.
a. Conducting a mental health assessment.
b. Prescribing psychotropic medication. PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
c. Establishing a therapeutic relationship. TOP: Nursing Process: Evaluation MSC: Client Needs: Safe, Effective Care Environment
d. Individualizing a nursing care plan.
4. A family has a long history of conflicted relationships among the members. Which family
ANS: B
In most states, prescriptive privileges are granted to master’s-prepared nurse practitioners and member’s comment best reflects a mentally healthy perspective?
a.“I’ve made mistakes but everyone else in this family has also.”
clinical nurse specialists who have taken special courses on prescribing medication. The nurse
b.“I remember joy and mutual respect from our early years together.”
prepared at the basic level is permitted to perform mental health assessments, establish
c.“I will make some changes in my behavior for the good of the family.”
relationships, and provide individualized care planning.
d.“It’s best for me to move away from my family. Things will never change.”
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) ANS: C
TOP: Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment The correct response demonstrates the best evidence of a healthy recognition of the
importance of relationships. Mental health includes rational thinking, communication skills,
2. A nursing student expresses concerns that mental health nurses “lose all their clinical nursing learning, emotional growth, resilience, and self-esteem. Recalling joy from earlier in life may
skills.” Select the best response by the mental health nurse. be healthy, but the correct response shows a higher level of mental health. The other incorrect
a. “Psychiatric nurses practice in safer environments than other specialties. Nurse-to-
responses show blaming and avoidance.
client ratios must be better because of the nature of the clients’ problems.”
b. “Psychiatric nurses use complex communication skills as well as critical thinking PTS: 1 DIF: Cognitive Level: Analyze (Analysis)
to solve multidimensional problems. I am challenged by those situations.” TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
c. “That’s a misconception. Psychiatric nurses frequently use high technology
monitoring equipment and manage complex intravenous therapies.” 5. Which assessment finding most clearly indicates that a client may be experiencing a mental
d. “Psychiatric nurses do not have to deal with as much pain and suffering as illness?
medical–surgical nurses do. That appeals to me.” a. reporting occasional sleeplessness and anxiety.
b. reporting a consistently sad, discouraged, and hopeless mood.
ANS: B
c. being able to describe the difference between “as if” and “for real.”
The practice of psychiatric nursing requires a different set of skills than medical–surgical
d. experiencing difficulty making a decision about whether to change jobs.
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 ANS: B
must have. Nurse–client ratios and workloads in psychiatric settings have increased, just like The correct response describes a mood alteration, which reflects mental illness. The distracters
other specialties. Psychiatric nursing involves clinical practice, not just documentation. describe behaviors that are mentally healthy or within the usual scope of human experience.
Psychosocial pain and suffering are as real as physical pain and suffering.
PTS: 1 DIF: Cognitive Level: Apply (Application)
PTS: 1 DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
TOP: Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment
6. Which finding best indicates that the goal “Demonstrate mentally healthy behavior” was
3. When a new bill introduced in Congress reduces funding for care of persons diagnosed with achieved for an adult client?
mental illness, a group of nurses write letters to their elected representatives in opposition to a. being willing to work towards achieving ideals and meeting demands.
the legislation. Which role have the nurses fulfilled? b. behaving without considering the consequences of personal actions.
a. Recovery c. aggressively meeting personal needs without considering the rights of others.
b. Attending d. seeking help from others to avoid assuming responsibility for major areas of own
c. Advocacy life.
d. Evidence-based practice
, ANS: A Resilience is closely associated with the process of adapting and helps people facing tragedies,
Mental health is a state of well-being in which individuals reach their own potential, cope loss, trauma, and severe stress. It is the ability and capacity for people to secure the resources
with the normal stresses of life, work productively, and contribute to the community. Mental they need to support their well-being. Repression and protracted grief are unhealthy. Living in
health provides people with the capacity for rational thinking, communication skills, learning, a shelter for 2 years shows a failure to move forward after a tragedy. See related audience
emotional growth, resilience, and self-esteem. The correct response describes an adaptive, response question.
healthy behavior. The distracters describe maladaptive behaviors.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
PTS: 1 DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
TOP: Nursing Process: Evaluation MSC: Client Needs: Psychosocial Integrity
10. The relationship of the North American Nursing Diagnosis Association (NANDA) is to
7. A nurse encounters an unfamiliar psychiatric disorder on a new client’s admission form. clinical judgment as Nursing Interventions Classification (NIC) is to what?
Which resource should the nurse consult to determine criteria used to establish this diagnosis? a. client outcomes.
a. International Statistical Classification of Diseases and Related Health Problems b. nursing actions.
(ICD-10) c. diagnosis.
b. The ANA’s Psychiatric-Mental Health Nursing Scope and Standards of Practice d. symptoms.
c. Diagnostic and Statistical Manual of Mental Disorders (DSM-V)
d. A behavioral health reference manual ANS: B
Analogies show parallel relationships. NANDA, the North American Nursing Diagnosis
ANS: C Association, identifies diagnostic statements regarding human responses to actual or potential
The DSM-V gives the criteria used to diagnose each mental disorder. It is the official guideline health problems. These statements represent clinical judgments. NIC (Nursing Interventions
for diagnosing psychiatric disorders. The distracters may not contain diagnostic criteria for a Classification) identifies actions provided by nurses that enhance client outcomes. Nursing
psychiatric illness. care activities may be direct or indirect.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Assessment MSC: Client Needs: Safe, Effective Care Environment TOP: Nursing Process: Evaluation MSC: Client Needs: Safe, Effective Care Environment
8. A nurse wants to find a description of diagnostic criteria for anxiety disorders. Which resource 11. An adult says, “Most of the time I’m happy and feel good about myself. I have learned that
would have the most complete information? what I get out of something is proportional to the effort I put into it.” Which number on this
a. Nursing Outcomes Classification (NOC) mental health continuum should the nurse select?
b. DSM-V
c. The ANA’s Psychiatric-Mental Health Nursing Scope and Standards of Practice Mental Illness Mental Health
d. ICD-10 12345
a. 1
ANS: B
b. 2
The DSM-V details the diagnostic criteria for psychiatric clinical conditions. It is the official
c. 3
guideline for diagnosing psychiatric disorders. The other references are good resources but do
d. 4
not define the diagnostic criteria.
e. 5
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) ANS: E
TOP: Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment 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
9. Which individual behavior demonstrates resilience?
does not mean that a person is always happy.
a. Repress stressors associated with a divorce.
b. Continuing to grieve the death of a spouse for 5 years. PTS: 1 DIF: Cognitive Level: Apply (Application)
c. Continuing to live in a shelter for 2 years after the home is destroyed by fire. TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
d. Taking a temporary job to maintain financial stability after loss of a permanent
job. 12. Which disorder is an example of a culture-bound syndrome?
a. Epilepsy
ANS: D
b. Schizophrenia
c. Running amok
d. Major depressive disorder
