,Test nBank n-nVarcarolis' nFoundations nof nPsychiatric nMentalnHealthnNursing n(8thnEdition) 1
Table of Contents
n n
Tablenof n Contents 1
Chaptern01:nMentalnHealthn andnMentalnIllnessnCha 2
ptern02:nTheoriesnandnTherapies 14
Chaptern03:nPsychobiology nandnPsychopharm acology nChapte 30
rn04:nTreatmentnSettings 45
Chaptern 05:n Culturaln Implications 62
Chaptern 06:n Legaln andn Ethicaln Considerations 78
Chaptern07:nThenNursingnProcessn andnStandardsn of nCarenCha 92
ptern08:nTherapeutic nRelationships 106
Chaptern 09:n Therapeutic n Communication 120
Chaptern10:nStressnResponsesnandnStressnManagementnChap 132
tern11:nChildhoodnandnNeurodevelopm entalnDisordersnChapte 144
rn12:nSchizophrenianSpectrum nDisorders 157
Chaptern13:nBipolarnandnRelatednDisordersnChapte 175
rn14:nDepressivenDisorders 192
Chaptern 15:n Anxiety n andn Obsessive- 207
Compulsiven DisordersnChaptern 16:n Trauma,nStressor- 223
Related,nandnDissociativenDisordersnChaptern17:nSomatic nSymptom n 237
Disorders 250
Chaptern18:nEatingnandnFeedingnDisordersnChapte 264
rn19:nSleep-WakenDisorders 276
Chaptern20:nSexualnDysfunctions,nGendernDysphoria,nandnParaphiliasnC 288
haptern21:nImpulsenControlnDisorders 299
Chaptern22:nSubstancenRelatedn andnAddictivenDisordersnChap 315
tern23:nNeurocognitivenDisorders 329
Chaptern 24:n Personality n Disorders 344
Chaptern25:nSuicidenandnNonsuicidalnSelf- 357
Injury nChaptern26:nCrisisnandnDisaster 370
Chaptern 27:n Anger,n Aggression,n andn Violence 383
Chaptern28:nChild,nOldernAdult,nandnIntimatenPartnernViolencenChapt 394
ern29:nSexualnAssault 405
Chaptern30:nDying,nDeath,nandnGrievingnChapte 415
rn31:nOldernAdults 431
Chaptern32:nSeriousnMentalnIllnessnC 447
haptern33:nForensic nNursingnChaptern 458
34:nTherapeutic nGroupsnChaptern 35:n 472
Family nInterventionsnChaptern36:nInte 485
grativenCare
,Test nBank n-nVarcarolis' nFoundations nof nPsychiatric nMentalnHealthnNursing n(8thnEdition) 2
Chapter 01: Mental Health and Mental Illness
n n n n n n
MULTIPLEn CHOICE
1. An staffn nursen completesn orientationn ton an psychiatricn unit. n Thisn nursen mayn expectn ann advancedn practicen nursen t
on performn whichn additionaln intervention?
a. Conductn mentaln healthn assessments. c. Establishn therapeuticn relationships.
b. Prescriben psychotropicn medication. d. Individualizen nursingn caren plans.
ANS:n B
Inn mostn states, n prescriptiven privilegesn aren grantedn ton masters-
preparedn nursen practitionersn whon haven takenn specialn coursesn onnprescribingn medication. nThen nursen preparedn atn then
basicn leveln isn permittedn ton performnmentaln healthn assessments, n establishn relationships, n andn providen individualizedn ca
ren planning.
PTS:n 1n DIF:n Cognitiven Level:n Understandn (Comprehension) n R
EF:n 15n TOP:n Nursingn Process:n Implementation
MSC:n Clientn Needs:n Safe, n Effectiven Caren Environment
2. Whenn an nursingn studentn expressesn concernsn aboutn hown mentaln healthn nursesn losen alln theirnnursingnskills, n then be
stn responsen byn then mentaln healthn nursen is:
a. Psychiatricn nursesn practicen inn safern environmentsn thann othern specialties. n Nurse-to-
patientn ratiosn mustn ben bettern becausen ofn then naturen ofn then patientsn problems.
b. Psychiatricn nursesn usen complexn communicationn skillsn asn welln asn criticaln thinkingnton solvenm
ultidimensionaln problems. n In amn challengedn byn thosen situations.
c. Thatsn an misconception. n Psychiatricn nursesn frequentlyn usen highn technologyn monitoringn equipmentnandn m
anagen complexn intravenousn therapies.
d. Psychiatricn nursesn don notn haven ton dealn withn asn muchn painn andn sufferingn asn medical-
surgicaln nursesn do. n Thatn appealsn ton me.
ANS:n B
Then practicen ofn psychiatricn nursingn requiresn an differentn setn ofn skillsn thann medical-
surgicaln nursing, n thoughn theren isn substantialn overlap. nPsychiatricn nursesn mustn benablen tonhelpn patientsn withn medical
n asn welln asn mentaln healthn problems, n reflectingn then holisticn perspectiven thesen nursesn mustn have. n Nurse-
patientn ratiosn andn workloadsn inn psychiatricn settingsn haven increased, n justnliken othern specialties. n Psychiatricn nursingn i
nvolvesn clinicaln practice, n notn justn documentation. n Psychosocialn painn andn sufferingnarenasn realn asn physicaln painnandns
uffering.
PTS:n 1n DIF:n Cognitiven Level:n Applyn (Application) n RE
F:n 10n TOP:n Nursingn Process:n Implementationn MSC:n
Clientn Needs:n Safe, n Effectiven Caren Environment
3. Whenn an newn billn introducedn inn Congressn reducesn fundingn forn caren ofn personsn withn mentaln illness, n an groupn of
, Test nBank n-nVarcarolis' nFoundations nof nPsychiatric nMentalnHealthnNursing n(8thnEdition) 3
nursesn writesn lettersn ton theirn electedn representativesn inn oppositionn ton thenlegislation. nWhichn rolenhaven thennursesn fulfil
led?
a. Recovery c. Advocacy
b. Attending d. Evidence-basedn practice
ANS:n C
Ann advocaten defendsn orn assertsn anothersn cause, n particularlyn whenn then othern personn lacksn then abilityn ton don thatn
forn self. n Examplesn ofnindividualnadvocacyn includen helpingn patientsnunderstandn theirnrightsn orn maken decisions. n O
nn an communityn scale, n advocacyn includesn politicaln activity, npublicn speaking, nandn publicationn innthen interestn ofnimp
rovingn then humann condition. n Sincen fundingnisn necessaryn ton delivern qualitynprogrammingn fornpersonsn withn mentaln
illness, n then letter-
n writingn campaignn advocatesn for n thatn causen onn behalf n of n patientsn whon aren unablen ton articulaten their n ownn needs.
PTS:n 1n DIF:n Cognitiven Level:n Understandn (Comprehension) n R
EF:n 16n TOP:n Nursingn Process:n Implementation
MSC:n Clientn Needs:n Safe, n Effectiven Caren Environment
4. Whichn commentn bestn indicatesn thatn an patientn perceivedn then nursen wasn caring?n Myn nurse:
a. alwaysn asksn men whichn typen ofn juicen In wantn ton helpn men swallown myn medication.
b. explainedn myn treatmentn plann ton men andn askedn forn myn ideasn aboutn hown ton maken itn better.
c. spendsn timen listeningn ton men talkn aboutn myn problems. n Thatn helpsn men feeln liken In amn notn alone.
d. toldn men thatn ifn In taken alln then medicinesn then doctorn prescribes, n thenn In willn getn dischargedn sooner.
ANS:n C
Caringn evidencesn empatheticn understandingn asn welln asn competency. n Itn helpsn changen painn andnsufferingn inton an sh
aredn experience, n creatingn an humann connectionn thatnalleviatesn feelingsn ofnisolation. nThen distractersn given examples
n of n statementsn thatn demonstraten advocacyn or n givingn advice.
PTS:n 1n DIF:n Cognitiven Level:n Applyn (Application) n RE
F:n 7n TOP:n Nursingn Process:n Evaluation
MSC:n Clientn Needs:n Psychosocialn Integrity
5. Whichn assessmentn findingn mostn clearlyn indicatesn thatn an patientn mayn ben experiencingnan mentaln illness?n Then pa
tient:
a. reportsn occasionaln sleeplessnessn andn anxiety.
b. reportsn an consistentlyn sad, n discouraged, n andn hopelessn mood.
c. isn ablen ton describen then differencen betweenn asn ifn andn forn real.
Table of Contents
n n
Tablenof n Contents 1
Chaptern01:nMentalnHealthn andnMentalnIllnessnCha 2
ptern02:nTheoriesnandnTherapies 14
Chaptern03:nPsychobiology nandnPsychopharm acology nChapte 30
rn04:nTreatmentnSettings 45
Chaptern 05:n Culturaln Implications 62
Chaptern 06:n Legaln andn Ethicaln Considerations 78
Chaptern07:nThenNursingnProcessn andnStandardsn of nCarenCha 92
ptern08:nTherapeutic nRelationships 106
Chaptern 09:n Therapeutic n Communication 120
Chaptern10:nStressnResponsesnandnStressnManagementnChap 132
tern11:nChildhoodnandnNeurodevelopm entalnDisordersnChapte 144
rn12:nSchizophrenianSpectrum nDisorders 157
Chaptern13:nBipolarnandnRelatednDisordersnChapte 175
rn14:nDepressivenDisorders 192
Chaptern 15:n Anxiety n andn Obsessive- 207
Compulsiven DisordersnChaptern 16:n Trauma,nStressor- 223
Related,nandnDissociativenDisordersnChaptern17:nSomatic nSymptom n 237
Disorders 250
Chaptern18:nEatingnandnFeedingnDisordersnChapte 264
rn19:nSleep-WakenDisorders 276
Chaptern20:nSexualnDysfunctions,nGendernDysphoria,nandnParaphiliasnC 288
haptern21:nImpulsenControlnDisorders 299
Chaptern22:nSubstancenRelatedn andnAddictivenDisordersnChap 315
tern23:nNeurocognitivenDisorders 329
Chaptern 24:n Personality n Disorders 344
Chaptern25:nSuicidenandnNonsuicidalnSelf- 357
Injury nChaptern26:nCrisisnandnDisaster 370
Chaptern 27:n Anger,n Aggression,n andn Violence 383
Chaptern28:nChild,nOldernAdult,nandnIntimatenPartnernViolencenChapt 394
ern29:nSexualnAssault 405
Chaptern30:nDying,nDeath,nandnGrievingnChapte 415
rn31:nOldernAdults 431
Chaptern32:nSeriousnMentalnIllnessnC 447
haptern33:nForensic nNursingnChaptern 458
34:nTherapeutic nGroupsnChaptern 35:n 472
Family nInterventionsnChaptern36:nInte 485
grativenCare
,Test nBank n-nVarcarolis' nFoundations nof nPsychiatric nMentalnHealthnNursing n(8thnEdition) 2
Chapter 01: Mental Health and Mental Illness
n n n n n n
MULTIPLEn CHOICE
1. An staffn nursen completesn orientationn ton an psychiatricn unit. n Thisn nursen mayn expectn ann advancedn practicen nursen t
on performn whichn additionaln intervention?
a. Conductn mentaln healthn assessments. c. Establishn therapeuticn relationships.
b. Prescriben psychotropicn medication. d. Individualizen nursingn caren plans.
ANS:n B
Inn mostn states, n prescriptiven privilegesn aren grantedn ton masters-
preparedn nursen practitionersn whon haven takenn specialn coursesn onnprescribingn medication. nThen nursen preparedn atn then
basicn leveln isn permittedn ton performnmentaln healthn assessments, n establishn relationships, n andn providen individualizedn ca
ren planning.
PTS:n 1n DIF:n Cognitiven Level:n Understandn (Comprehension) n R
EF:n 15n TOP:n Nursingn Process:n Implementation
MSC:n Clientn Needs:n Safe, n Effectiven Caren Environment
2. Whenn an nursingn studentn expressesn concernsn aboutn hown mentaln healthn nursesn losen alln theirnnursingnskills, n then be
stn responsen byn then mentaln healthn nursen is:
a. Psychiatricn nursesn practicen inn safern environmentsn thann othern specialties. n Nurse-to-
patientn ratiosn mustn ben bettern becausen ofn then naturen ofn then patientsn problems.
b. Psychiatricn nursesn usen complexn communicationn skillsn asn welln asn criticaln thinkingnton solvenm
ultidimensionaln problems. n In amn challengedn byn thosen situations.
c. Thatsn an misconception. n Psychiatricn nursesn frequentlyn usen highn technologyn monitoringn equipmentnandn m
anagen complexn intravenousn therapies.
d. Psychiatricn nursesn don notn haven ton dealn withn asn muchn painn andn sufferingn asn medical-
surgicaln nursesn do. n Thatn appealsn ton me.
ANS:n B
Then practicen ofn psychiatricn nursingn requiresn an differentn setn ofn skillsn thann medical-
surgicaln nursing, n thoughn theren isn substantialn overlap. nPsychiatricn nursesn mustn benablen tonhelpn patientsn withn medical
n asn welln asn mentaln healthn problems, n reflectingn then holisticn perspectiven thesen nursesn mustn have. n Nurse-
patientn ratiosn andn workloadsn inn psychiatricn settingsn haven increased, n justnliken othern specialties. n Psychiatricn nursingn i
nvolvesn clinicaln practice, n notn justn documentation. n Psychosocialn painn andn sufferingnarenasn realn asn physicaln painnandns
uffering.
PTS:n 1n DIF:n Cognitiven Level:n Applyn (Application) n RE
F:n 10n TOP:n Nursingn Process:n Implementationn MSC:n
Clientn Needs:n Safe, n Effectiven Caren Environment
3. Whenn an newn billn introducedn inn Congressn reducesn fundingn forn caren ofn personsn withn mentaln illness, n an groupn of
, Test nBank n-nVarcarolis' nFoundations nof nPsychiatric nMentalnHealthnNursing n(8thnEdition) 3
nursesn writesn lettersn ton theirn electedn representativesn inn oppositionn ton thenlegislation. nWhichn rolenhaven thennursesn fulfil
led?
a. Recovery c. Advocacy
b. Attending d. Evidence-basedn practice
ANS:n C
Ann advocaten defendsn orn assertsn anothersn cause, n particularlyn whenn then othern personn lacksn then abilityn ton don thatn
forn self. n Examplesn ofnindividualnadvocacyn includen helpingn patientsnunderstandn theirnrightsn orn maken decisions. n O
nn an communityn scale, n advocacyn includesn politicaln activity, npublicn speaking, nandn publicationn innthen interestn ofnimp
rovingn then humann condition. n Sincen fundingnisn necessaryn ton delivern qualitynprogrammingn fornpersonsn withn mentaln
illness, n then letter-
n writingn campaignn advocatesn for n thatn causen onn behalf n of n patientsn whon aren unablen ton articulaten their n ownn needs.
PTS:n 1n DIF:n Cognitiven Level:n Understandn (Comprehension) n R
EF:n 16n TOP:n Nursingn Process:n Implementation
MSC:n Clientn Needs:n Safe, n Effectiven Caren Environment
4. Whichn commentn bestn indicatesn thatn an patientn perceivedn then nursen wasn caring?n Myn nurse:
a. alwaysn asksn men whichn typen ofn juicen In wantn ton helpn men swallown myn medication.
b. explainedn myn treatmentn plann ton men andn askedn forn myn ideasn aboutn hown ton maken itn better.
c. spendsn timen listeningn ton men talkn aboutn myn problems. n Thatn helpsn men feeln liken In amn notn alone.
d. toldn men thatn ifn In taken alln then medicinesn then doctorn prescribes, n thenn In willn getn dischargedn sooner.
ANS:n C
Caringn evidencesn empatheticn understandingn asn welln asn competency. n Itn helpsn changen painn andnsufferingn inton an sh
aredn experience, n creatingn an humann connectionn thatnalleviatesn feelingsn ofnisolation. nThen distractersn given examples
n of n statementsn thatn demonstraten advocacyn or n givingn advice.
PTS:n 1n DIF:n Cognitiven Level:n Applyn (Application) n RE
F:n 7n TOP:n Nursingn Process:n Evaluation
MSC:n Clientn Needs:n Psychosocialn Integrity
5. Whichn assessmentn findingn mostn clearlyn indicatesn thatn an patientn mayn ben experiencingnan mentaln illness?n Then pa
tient:
a. reportsn occasionaln sleeplessnessn andn anxiety.
b. reportsn an consistentlyn sad, n discouraged, n andn hopelessn mood.
c. isn ablen ton describen then differencen betweenn asn ifn andn forn real.
