TEST BANK For Varcarolis' Foundations of Psychiatric-
Mental Health Nursing, 9th Edition
by Margaret Jordan Halter Chapters 1 - 36 | Complete
,TABLE OF CONTENTS
Chapter 01 Mental Health and Mental Illness 2
Chapter 02 Theories and Therapies Approach 12
Chapter 03 Psychobiology and Psychopharmacology 25
Chapter 04 Treatment Settings 37
Chapter 05 Cultural Implications 50
Chapter 06 Legal and Ethical Considerations 61
Chapter 07 The Nursing Process and Standards of Care 72
Chapter 08 Therapeutic Relationships 83
Chapter 09 Therapeutic Communication 94
Chapter 10 Stress Responses and Stress Management 103
Chapter 11 Childhood and Neurodevelopmental Disorders 113
Chapter 12 Schizophrenia Spectrum Disorders 123
Chapter 13 Bipolar and Related Disorders 137
Chapter 14 Depressive Disorders 150
Chapter 15 Anxiety and Obsessive-Compulsive Disorders 162
Chapter 16 Trauma, Stressor-Related, and Dissociative Disorders 175
Chapter 17 Somatic Symptom Disorders 187
Chapter 18 Eating and Feeding Disorders 197
Chapter 19 Sleep–Wake Disorders 207
Chapter 20 Sexual Dysfunctions, Gender Dysphoria, and Paraphilic Disorders 216
Chapter 21 Impulse Control Disorders 226
Chapter 22 Substance-Related and Addictive Disorders 236
Chapter 23 Neurocognitive Disorders 248
Chapter 24 Personality Disorders 259
Chapter 25 Suicide and Nonsuicidal Self-Injury 270
Chapter 26 Crisis and Disaster 280
Chapter 27 Anger, Aggression, and Violence 290
Chapter 28 Child, Older Adult, and Intimate Partner Violence 300
Chapter 29 Sexual Assault 309
Chapter 30 Dying, Death, and Grieving 318
Chapter 31 Older Adults 326
Chapter 32 Serious Mental Illness 338
Chapter 33 Forensic Nursing 351
Chapter 34 Therapeutic Groups 360
Chapter 35 Family Interventions 371
Chapter 36 Integrative Care 382
Chapter 01: Mental Health and Mental Illness
Halter: Varcarolis’ Foundations of Psychiatric-Mental Health Nursing: A Clinical
, Test Bank - Varcarolis' Foundations of Psychiatric Mental Health Nursing, 9e
Approach, 9th Edition
MULTIPLE CHOICE
1. The scope of practiced for an advanced nurse practitioner would include which intervention?
a. Conducting a mental health assessment.
b. Prescribing psychotropic medication.
c. Establishing a therapeutic relationship.
d. Individualizing a nursing care plan.
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.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
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-
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
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.”
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 clients
with medical as well as mental health problems, reflecting the holistic perspective these nurses
must have. Nurse–client 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)
TOP: Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment
2|Page
, Test Bank - Varcarolis' Foundations of Psychiatric Mental Health Nursing, 9e
3. When va vnew vbill vintroduced vin vCongress vreduces vfunding vfor vcare vof vpersons
vdiagnosed vwith vmental villness, va vgroup vof vnurses vwrite vletters vto vtheir velected
vrepresentatives vin vopposition vto vthe vlegislation. vWhich vrole vhave vthe vnurses vfulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based v practice
ANSWER: v C
An vadvocate vdefends vor vasserts vanother’s vcause, vparticularly vwhen vthe vother vperson
vlacks vthe vability vto vdo vthat vfor vself. vExamples vof vindividual vadvocacy vinclude
vhelping vclients vunderstand vtheir vrights vor vmake vdecisions. vOn va vcommunity vscale,
vadvocacy vincludes vpolitical vactivity, vpublic vspeaking, vand vpublication vin vthe vinterest
vof vimproving vthe vhuman vcondition. vSince vfunding vis vnecessary vto vdeliver vquality
vprogramming vfor vpersons vwith vmental villness, vthe vletter-vwriting v campaign v advocates
v for v that v cause v on v behalf v of v clients v who v are v unable v to v articulate vtheir vown
vneeds.
PTS: v v v 1 DIF: Cognitive v Level: v Understand v (Comprehension)
TOP: v v v Nursing v Process: v Evaluation MSC: v Client v Needs: v Safe, v Effective v Care v Environment
4. A vfamily vhas va vlong vhistory vof vconflicted vrelationships vamong vthe vmembers.
vWhich vfamilyvmember’s vcomment vbest vreflects va vmentally vhealthy vperspective?
a. “I’ve vmade vmistakes vbut veveryone velse vin vthis vfamily vhas valso.”
b. “I vremember vjoy v and vmutual v respect vfrom vour vearly vyears v together.”
c. “I vwill vmake vsome vchanges vin vmy vbehavior vfor vthe vgood vof vthe vfamily.”
d. “It’s vbest vfor vme vto vmove vaway vfrom v my vfamily. vThings v will vnever vchange.”
ANSWER: v C
The vcorrect vresponse vdemonstrates vthe vbest vevidence vof va vhealthy vrecognition vof vthe
vimportance vof vrelationships. vMental vhealth vincludes vrational vthinking, vcommunication
vskills, vlearning, vemotional vgrowth, vresilience, vand vself-esteem. vRecalling vjoy vfrom
vearlier vin vlife vmayvbe vhealthy, vbut vthe vcorrect vresponse vshows va vhigher vlevel vof
vmental vhealth. vThe vother vincorrectvresponses vshow vblaming vand vavoidance.
PTS: v v v 1 DIF: Cognitive v Level: vAnalyze v (Analysis)
TOP: v Nursing v Process: vAssessment MSC: v Client v Needs: v Psychosocial v Integrity
5. Which vassessment vfinding vmost vclearly vindicates vthat va vclient vmay vbe vexperiencing
3|Page
Mental Health Nursing, 9th Edition
by Margaret Jordan Halter Chapters 1 - 36 | Complete
,TABLE OF CONTENTS
Chapter 01 Mental Health and Mental Illness 2
Chapter 02 Theories and Therapies Approach 12
Chapter 03 Psychobiology and Psychopharmacology 25
Chapter 04 Treatment Settings 37
Chapter 05 Cultural Implications 50
Chapter 06 Legal and Ethical Considerations 61
Chapter 07 The Nursing Process and Standards of Care 72
Chapter 08 Therapeutic Relationships 83
Chapter 09 Therapeutic Communication 94
Chapter 10 Stress Responses and Stress Management 103
Chapter 11 Childhood and Neurodevelopmental Disorders 113
Chapter 12 Schizophrenia Spectrum Disorders 123
Chapter 13 Bipolar and Related Disorders 137
Chapter 14 Depressive Disorders 150
Chapter 15 Anxiety and Obsessive-Compulsive Disorders 162
Chapter 16 Trauma, Stressor-Related, and Dissociative Disorders 175
Chapter 17 Somatic Symptom Disorders 187
Chapter 18 Eating and Feeding Disorders 197
Chapter 19 Sleep–Wake Disorders 207
Chapter 20 Sexual Dysfunctions, Gender Dysphoria, and Paraphilic Disorders 216
Chapter 21 Impulse Control Disorders 226
Chapter 22 Substance-Related and Addictive Disorders 236
Chapter 23 Neurocognitive Disorders 248
Chapter 24 Personality Disorders 259
Chapter 25 Suicide and Nonsuicidal Self-Injury 270
Chapter 26 Crisis and Disaster 280
Chapter 27 Anger, Aggression, and Violence 290
Chapter 28 Child, Older Adult, and Intimate Partner Violence 300
Chapter 29 Sexual Assault 309
Chapter 30 Dying, Death, and Grieving 318
Chapter 31 Older Adults 326
Chapter 32 Serious Mental Illness 338
Chapter 33 Forensic Nursing 351
Chapter 34 Therapeutic Groups 360
Chapter 35 Family Interventions 371
Chapter 36 Integrative Care 382
Chapter 01: Mental Health and Mental Illness
Halter: Varcarolis’ Foundations of Psychiatric-Mental Health Nursing: A Clinical
, Test Bank - Varcarolis' Foundations of Psychiatric Mental Health Nursing, 9e
Approach, 9th Edition
MULTIPLE CHOICE
1. The scope of practiced for an advanced nurse practitioner would include which intervention?
a. Conducting a mental health assessment.
b. Prescribing psychotropic medication.
c. Establishing a therapeutic relationship.
d. Individualizing a nursing care plan.
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.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
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-
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
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.”
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 clients
with medical as well as mental health problems, reflecting the holistic perspective these nurses
must have. Nurse–client 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)
TOP: Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment
2|Page
, Test Bank - Varcarolis' Foundations of Psychiatric Mental Health Nursing, 9e
3. When va vnew vbill vintroduced vin vCongress vreduces vfunding vfor vcare vof vpersons
vdiagnosed vwith vmental villness, va vgroup vof vnurses vwrite vletters vto vtheir velected
vrepresentatives vin vopposition vto vthe vlegislation. vWhich vrole vhave vthe vnurses vfulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based v practice
ANSWER: v C
An vadvocate vdefends vor vasserts vanother’s vcause, vparticularly vwhen vthe vother vperson
vlacks vthe vability vto vdo vthat vfor vself. vExamples vof vindividual vadvocacy vinclude
vhelping vclients vunderstand vtheir vrights vor vmake vdecisions. vOn va vcommunity vscale,
vadvocacy vincludes vpolitical vactivity, vpublic vspeaking, vand vpublication vin vthe vinterest
vof vimproving vthe vhuman vcondition. vSince vfunding vis vnecessary vto vdeliver vquality
vprogramming vfor vpersons vwith vmental villness, vthe vletter-vwriting v campaign v advocates
v for v that v cause v on v behalf v of v clients v who v are v unable v to v articulate vtheir vown
vneeds.
PTS: v v v 1 DIF: Cognitive v Level: v Understand v (Comprehension)
TOP: v v v Nursing v Process: v Evaluation MSC: v Client v Needs: v Safe, v Effective v Care v Environment
4. A vfamily vhas va vlong vhistory vof vconflicted vrelationships vamong vthe vmembers.
vWhich vfamilyvmember’s vcomment vbest vreflects va vmentally vhealthy vperspective?
a. “I’ve vmade vmistakes vbut veveryone velse vin vthis vfamily vhas valso.”
b. “I vremember vjoy v and vmutual v respect vfrom vour vearly vyears v together.”
c. “I vwill vmake vsome vchanges vin vmy vbehavior vfor vthe vgood vof vthe vfamily.”
d. “It’s vbest vfor vme vto vmove vaway vfrom v my vfamily. vThings v will vnever vchange.”
ANSWER: v C
The vcorrect vresponse vdemonstrates vthe vbest vevidence vof va vhealthy vrecognition vof vthe
vimportance vof vrelationships. vMental vhealth vincludes vrational vthinking, vcommunication
vskills, vlearning, vemotional vgrowth, vresilience, vand vself-esteem. vRecalling vjoy vfrom
vearlier vin vlife vmayvbe vhealthy, vbut vthe vcorrect vresponse vshows va vhigher vlevel vof
vmental vhealth. vThe vother vincorrectvresponses vshow vblaming vand vavoidance.
PTS: v v v 1 DIF: Cognitive v Level: vAnalyze v (Analysis)
TOP: v Nursing v Process: vAssessment MSC: v Client v Needs: v Psychosocial v Integrity
5. Which vassessment vfinding vmost vclearly vindicates vthat va vclient vmay vbe vexperiencing
3|Page
