TEST BANK: ESSENTIALS OF PSYCHIATRIC MENTAL
HEALTH NURSING 3RD EDITION BY VARCAROLIS
Chapter 20: Crisis and Mass Disaster
Test Bank: Essentials of Psychiatric Mental Chapter 21: Child, Partner, and Elder Violence
Health Nursing (3rd Edition by Varcarolis) Chapter 22: Sexual Violence
Table of Contents Chapter 23: Suicidal Thoughts and Behavior
Chapter 24: Anger, Aggression, and Violence
Table of Contents
Chapter 25: Care for the Dying and Those Who Grieve
Chapter 01: Practicing the Science and the Art of Psychiatric Nursing
Chapter 26: Children and Adolescents
Chapter 02: Mental Health and Mental Illness
Chapter 27: Adults
Chapter 03: Theories and Therapies
Chapter 28: Older Adults
Chapter 04: Biological Basis for Understanding Psychopharmacology
Chapter 05: Settings for Psychiatric Care
Chapter 06: Legal and Ethical Basis for Practice
Chapter 07: Nursing Process and QSEN: The Foundation for Safe and Effective Care
Chapter 08: Communication Skills: Medium for All Nursing Practice
Chapter 09: Therapeutic Relationships and the Clinical Interview
Chapter 10: Trauma and Stress-Related Disorders
Chapter 11: Anxiety, Anxiety Disorders, and Obsessive-Compulsive Disorders
Chapter 12: Somatic System Disorders and Dissociative Disorders
Chapter 13: Personality Disorders
Chapter 14: Eating Disorders
Chapter 15: Mood Disorders: Depression
Chapter 16: Bipolar Spectrum Disorders
Chapter 17: Schizophrenia Spectrum Disorders and Other Psychotic Disorders
Chapter 18: Neurocognitive Disorders
Chapter 19: Substance-Related and Addictive Disorders
, Chapter 11: Anxiety, Anxiety Disorders, and Obsessive-Compulsive Disorders
Test Bank: Essentials of Psychiatric Mental Health Nursing (3rd Edition by Varcarolis) 1
74
Table of Contents
Chapter 12: Somatic System Disorders and Dissociative Disorders
Table of Contents
85
1
Chapter 13: Personality Disorders
Chapter 01: Practicing the Science and the Art of Psychiatric Nursing
94
2
Chapter 14: Eating Disorders
Chapter 02: Mental Health and Mental Il ness
103
7
Chapter 15: Mood Disorders: Depression
Chapter 03: Theories and Therapies
111
12
Chapter 16: Bipolar Spectrum Disorders
Chapter 04: Biological Basis for Understanding Psychopharmacology
121
20
Chapter 17: Schizophrenia Spectrum Disorders and Other Psychotic Disorders
Chapter 05: Settings for Psychiatric Care
131
28
Chapter 18: Neurocognitive Disorders
Chapter 06: Legal and Ethical Basis for Practice
142
35
Chapter 19: Substance-Related and Addictive Disorders
Chapter 07: Nursing Process and QSEN: The Foundation for Safe and Effective Care
151
43
Chapter 20: Crisis and Mass Disaster
Chapter 08: Communication Skil s: Medium for Al Nursing Practice
163
51
Chapter 21: Child, Partner, and Elder Violence
Chapter 09: Therapeutic Relationships and the Clinical Interview
171
58
Chapter 22: Sexual Violence
Chapter 10: Trauma and Stress-Related Disorders
179
67
Chapter 23: Suicidal Thoughts and Behavior
,186
Chapter 24: Anger, Aggression, and Violence Test Bank: Essentials of Psychiatric Mental Health Nursing (3rd Edition by Varcarolis) 2
195 Chapter 01: Practicing the Science and the Art of Psychiatric Nursing MULTIPLE
CHOICE
Chapter 25: Care for the Dying and Those Who Grieve
1. Which outcome, focused on recovery, would be expected in the plan of care for a patient
204 living in the community and diagnosed with serious and persistent mental illness? Within 3
months, the patient will: a. deny suicidal ideation.
Chapter 26: Children and Adolescents
b. report a sense of well-being.
213
c. take medications as prescribed.
Chapter 27: Adults
d. attend clinic appointments on time.
221
ANS: B
Chapter 28: Older Adults
Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving
230 role performance.
The goal of recovery is to empower the individual with mental illness to achieve a sense of
meaning and satisfaction in life and to function at the highest possible level of wellness. The
incorrect options focus on the classic medical model rather than recovery.
DIF: Cognitive Level: Application (Applying) REF: 2
TOP: Nursing Process: Outcomes Identification
MSC: NCLEX: Health Promotion and Maintenance
2. In the shift-change report, an off-going nurse criticizes a patient who wears heavy
makeup. Which comment by the nurse who receives the report best demonstrates
advocacy?
a. This is a psychiatric hospital. Craziness is what we are all about.
b. Lets all show acceptance of this patient by wearing lots of makeup too.
c. Your comments are inconsiderate and inappropriate. Keep the report objective.
d. Our patients need our help to learn behaviors that will help them get along in society.
ANS: D
Accepting patients needs for self-expression and seeking to teach skills that will contribute
to their well-being demonstrate respect and are important parts of advocacy. The on-
, coming nurse needs to take action to ensure that others are not prejudiced against the DIF: Cognitive Level: Application (Applying) REF: 6
patient. Humor can be appropriate within the privacy of a shift report but not at the
expense of respect for patients. Judging the off-going nurse in a critical way will create TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity 5. A patient
conflict. shows the nurse an article from the Internet about a health problem. Which characteristic
of the web sites address most alerts the nurse that the site may have biased and prejudiced
Nurses must show compassion for each other. information?
DIF: Cognitive Level: Application (Applying) REF: 8 a. Address ends in .org.
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment 3. A b. Address ends in .com.
nurse assesses a newly admitted patient diagnosed with major depressive disorder. Which
statement is an example of attending? c. Address ends in .gov.
a. We all have stress in life. Being in a psychiatric hospital isnt the end of the world. d. Address ends in .net.
b. Tell me why you felt you had to be hospitalized to receive treatment for your depression. ANS: B
c. You will feel better after we get some antidepressant medication started for you. Financial influences on a site are a clue that the information may be biased. .com at the end
of the address indicates that the site is a commercial one. .gov indicates that the site is
d. Id like to sit with you a while so you may feel more comfortable talking with me. maintained by a government entity.
ANS: D .org indicates that the site is nonproprietary; the site may or may not have reliable
information, but it does not profit from its activities. .net can have multiple meanings.
Attending is a technique that demonstrates the nurses commitment to the relationship and
reduces feelings of isolation. This technique shows respect for the patient and DIF: Cognitive Level: Comprehension (Understanding) REF: 5
demonstrates caring. Generalizations, probing, and false reassurances are non-therapeutic.
TOP: Nursing Process: Evaluation MSC: NCLEX: Health Promotion and Maintenance 6. A
DIF: Cognitive Level: Application (Applying) REF: 8 nurse says, When I was in school, I learned to call upset patients by name to get their
attention; however, I read a descriptive research study that says that this approach does not
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity 4. A patient is work. I plan to stop calling patients by name. Which statement is the best appraisal of this
hospitalized for depression and suicidal ideation after their spouse asks for a divorce. Select nurses comment?
the nurses most caring comment.
a. One descriptive research study rarely provides enough evidence to change practice.
a. Lets discuss some means of coping other than suicide when you have these feelings.
b. Staff nurses apply new research findings only with the help from clinical nurse
b. I understand why youre so depressed. When I got divorced, I was devastated too. specialists.
c. You should forget about your marriage and move on with your life. c. New research findings should be incorporated into clinical algorithms before using them
in practice.
d. How did you get so depressed that hospitalization was necessary?
d. The nurse misinterpreted the results of the study. Classic tenets of practice do not
Test Bank: Essentials of Psychiatric Mental Health Nursing (3rd Edition by Varcarolis) 3 change.
ANS: A ANS: A
The nurses communication should evidence caring and a commitment to work with the
patient. This commitment lets the patient know the nurse will help. Probing and advice are
not helpful or therapeutic interventions.
HEALTH NURSING 3RD EDITION BY VARCAROLIS
Chapter 20: Crisis and Mass Disaster
Test Bank: Essentials of Psychiatric Mental Chapter 21: Child, Partner, and Elder Violence
Health Nursing (3rd Edition by Varcarolis) Chapter 22: Sexual Violence
Table of Contents Chapter 23: Suicidal Thoughts and Behavior
Chapter 24: Anger, Aggression, and Violence
Table of Contents
Chapter 25: Care for the Dying and Those Who Grieve
Chapter 01: Practicing the Science and the Art of Psychiatric Nursing
Chapter 26: Children and Adolescents
Chapter 02: Mental Health and Mental Illness
Chapter 27: Adults
Chapter 03: Theories and Therapies
Chapter 28: Older Adults
Chapter 04: Biological Basis for Understanding Psychopharmacology
Chapter 05: Settings for Psychiatric Care
Chapter 06: Legal and Ethical Basis for Practice
Chapter 07: Nursing Process and QSEN: The Foundation for Safe and Effective Care
Chapter 08: Communication Skills: Medium for All Nursing Practice
Chapter 09: Therapeutic Relationships and the Clinical Interview
Chapter 10: Trauma and Stress-Related Disorders
Chapter 11: Anxiety, Anxiety Disorders, and Obsessive-Compulsive Disorders
Chapter 12: Somatic System Disorders and Dissociative Disorders
Chapter 13: Personality Disorders
Chapter 14: Eating Disorders
Chapter 15: Mood Disorders: Depression
Chapter 16: Bipolar Spectrum Disorders
Chapter 17: Schizophrenia Spectrum Disorders and Other Psychotic Disorders
Chapter 18: Neurocognitive Disorders
Chapter 19: Substance-Related and Addictive Disorders
, Chapter 11: Anxiety, Anxiety Disorders, and Obsessive-Compulsive Disorders
Test Bank: Essentials of Psychiatric Mental Health Nursing (3rd Edition by Varcarolis) 1
74
Table of Contents
Chapter 12: Somatic System Disorders and Dissociative Disorders
Table of Contents
85
1
Chapter 13: Personality Disorders
Chapter 01: Practicing the Science and the Art of Psychiatric Nursing
94
2
Chapter 14: Eating Disorders
Chapter 02: Mental Health and Mental Il ness
103
7
Chapter 15: Mood Disorders: Depression
Chapter 03: Theories and Therapies
111
12
Chapter 16: Bipolar Spectrum Disorders
Chapter 04: Biological Basis for Understanding Psychopharmacology
121
20
Chapter 17: Schizophrenia Spectrum Disorders and Other Psychotic Disorders
Chapter 05: Settings for Psychiatric Care
131
28
Chapter 18: Neurocognitive Disorders
Chapter 06: Legal and Ethical Basis for Practice
142
35
Chapter 19: Substance-Related and Addictive Disorders
Chapter 07: Nursing Process and QSEN: The Foundation for Safe and Effective Care
151
43
Chapter 20: Crisis and Mass Disaster
Chapter 08: Communication Skil s: Medium for Al Nursing Practice
163
51
Chapter 21: Child, Partner, and Elder Violence
Chapter 09: Therapeutic Relationships and the Clinical Interview
171
58
Chapter 22: Sexual Violence
Chapter 10: Trauma and Stress-Related Disorders
179
67
Chapter 23: Suicidal Thoughts and Behavior
,186
Chapter 24: Anger, Aggression, and Violence Test Bank: Essentials of Psychiatric Mental Health Nursing (3rd Edition by Varcarolis) 2
195 Chapter 01: Practicing the Science and the Art of Psychiatric Nursing MULTIPLE
CHOICE
Chapter 25: Care for the Dying and Those Who Grieve
1. Which outcome, focused on recovery, would be expected in the plan of care for a patient
204 living in the community and diagnosed with serious and persistent mental illness? Within 3
months, the patient will: a. deny suicidal ideation.
Chapter 26: Children and Adolescents
b. report a sense of well-being.
213
c. take medications as prescribed.
Chapter 27: Adults
d. attend clinic appointments on time.
221
ANS: B
Chapter 28: Older Adults
Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving
230 role performance.
The goal of recovery is to empower the individual with mental illness to achieve a sense of
meaning and satisfaction in life and to function at the highest possible level of wellness. The
incorrect options focus on the classic medical model rather than recovery.
DIF: Cognitive Level: Application (Applying) REF: 2
TOP: Nursing Process: Outcomes Identification
MSC: NCLEX: Health Promotion and Maintenance
2. In the shift-change report, an off-going nurse criticizes a patient who wears heavy
makeup. Which comment by the nurse who receives the report best demonstrates
advocacy?
a. This is a psychiatric hospital. Craziness is what we are all about.
b. Lets all show acceptance of this patient by wearing lots of makeup too.
c. Your comments are inconsiderate and inappropriate. Keep the report objective.
d. Our patients need our help to learn behaviors that will help them get along in society.
ANS: D
Accepting patients needs for self-expression and seeking to teach skills that will contribute
to their well-being demonstrate respect and are important parts of advocacy. The on-
, coming nurse needs to take action to ensure that others are not prejudiced against the DIF: Cognitive Level: Application (Applying) REF: 6
patient. Humor can be appropriate within the privacy of a shift report but not at the
expense of respect for patients. Judging the off-going nurse in a critical way will create TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity 5. A patient
conflict. shows the nurse an article from the Internet about a health problem. Which characteristic
of the web sites address most alerts the nurse that the site may have biased and prejudiced
Nurses must show compassion for each other. information?
DIF: Cognitive Level: Application (Applying) REF: 8 a. Address ends in .org.
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment 3. A b. Address ends in .com.
nurse assesses a newly admitted patient diagnosed with major depressive disorder. Which
statement is an example of attending? c. Address ends in .gov.
a. We all have stress in life. Being in a psychiatric hospital isnt the end of the world. d. Address ends in .net.
b. Tell me why you felt you had to be hospitalized to receive treatment for your depression. ANS: B
c. You will feel better after we get some antidepressant medication started for you. Financial influences on a site are a clue that the information may be biased. .com at the end
of the address indicates that the site is a commercial one. .gov indicates that the site is
d. Id like to sit with you a while so you may feel more comfortable talking with me. maintained by a government entity.
ANS: D .org indicates that the site is nonproprietary; the site may or may not have reliable
information, but it does not profit from its activities. .net can have multiple meanings.
Attending is a technique that demonstrates the nurses commitment to the relationship and
reduces feelings of isolation. This technique shows respect for the patient and DIF: Cognitive Level: Comprehension (Understanding) REF: 5
demonstrates caring. Generalizations, probing, and false reassurances are non-therapeutic.
TOP: Nursing Process: Evaluation MSC: NCLEX: Health Promotion and Maintenance 6. A
DIF: Cognitive Level: Application (Applying) REF: 8 nurse says, When I was in school, I learned to call upset patients by name to get their
attention; however, I read a descriptive research study that says that this approach does not
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity 4. A patient is work. I plan to stop calling patients by name. Which statement is the best appraisal of this
hospitalized for depression and suicidal ideation after their spouse asks for a divorce. Select nurses comment?
the nurses most caring comment.
a. One descriptive research study rarely provides enough evidence to change practice.
a. Lets discuss some means of coping other than suicide when you have these feelings.
b. Staff nurses apply new research findings only with the help from clinical nurse
b. I understand why youre so depressed. When I got divorced, I was devastated too. specialists.
c. You should forget about your marriage and move on with your life. c. New research findings should be incorporated into clinical algorithms before using them
in practice.
d. How did you get so depressed that hospitalization was necessary?
d. The nurse misinterpreted the results of the study. Classic tenets of practice do not
Test Bank: Essentials of Psychiatric Mental Health Nursing (3rd Edition by Varcarolis) 3 change.
ANS: A ANS: A
The nurses communication should evidence caring and a commitment to work with the
patient. This commitment lets the patient know the nurse will help. Probing and advice are
not helpful or therapeutic interventions.
