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
, Test Bank - Varcarolis' Foundations of Psychiatric Mental Health Nursing, 9e
Chapter 01: Mental Health and Mental Illness
Halter: Varcarolis’ Foundations of Psychiatric-Mental Health Nursing: A ClinicalApproach,
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
andclinical nurse specialists who have taken special courses on prescribing medication. The
nurseprepared 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
nursingskills.” 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
technologymonitoring equipment and manage complex intravenous
therapies.”
d. “Psychiatric nurses do not have to deal with as much pain and suffering
asmedical–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
1|Page
,Test Bank - Varcarolis' Foundations of Psychiatric Mental Health Nursing, 9e
nursesmust 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
3. When a new bill introduced in Congress reduces funding for care of persons diagnosed with
mental illness, a group of nurses write letters to their elected representatives in opposition
to the legislation. Which role have the nurses fulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based practice
2|Page
,Test Bank - Varcarolis' Foundations of Psychiatric Mental Health Nursing, 9e
ANSWER: C
An advocate defends or asserts another’s cause, particularly when the other person lacks the
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
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 their own needs.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Evaluation MSC: Client Needs: Safe, Effective Care Environment
4. A family has a long history of conflicted relationships among the members. Which family
member’s comment best reflects a mentally healthy perspective?
a. “I’ve made mistakes but everyone else in this family has also.”
b. “I remember joy and mutual respect from our early years together.”
c. “I will make some changes in my behavior for the good of the family.”
d. “It’s best for me to move away from my family. Things will never change.”
ANSWER: C
The correct response demonstrates the best evidence of a healthy recognition of the
importance of relationships. Mental health includes rational thinking, communication skills,
learning, emotional growth, resilience, and self-esteem. Recalling joy from earlier in life may
be healthy, but the correct response shows a higher level of mental health. The other
incorrectresponses show blaming and avoidance.
PTS: 1 DIF: Cognitive Level: Analyze (Analysis)
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
5. Which assessment finding most clearly indicates that a client may be experiencing a
mentalillness?
a. reporting occasional sleeplessness and anxiety.
b. reporting a consistently sad, discouraged, and hopeless mood.
c. being able to describe the difference between “as if” and “for real.”
d. experiencing difficulty making a decision about whether to change jobs.
ANSWER: B
The correct response describes a mood alteration, which reflects mental illness. The
3|Page
,Test Bank - Varcarolis' Foundations of Psychiatric Mental Health Nursing, 9e
distractersdescribe behaviors that are mentally healthy or within the usual scope of human
experience.
PTS: 1 DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
6. Which tfinding tbest tindicates tthat tthe tgoal t“Demonstrate tmentally thealthy tbehavior”
twastachieved tfor tan tadult tclient?
a. being twilling tto twork ttowards tachieving tideals tand tmeeting tdemands.
b. behaving twithout tconsidering tthe tconsequences tof tpersonal tactions.
c. aggressively tmeeting tpersonal tneeds twithout tconsidering tthe trights tof tothers.
d. seeking thelp tfrom tothers tto tavoid tassuming tresponsibility tfor tmajor tareas tof
towntlife.
4|Page
, Test Bank - Varcarolis' Foundations of Psychiatric Mental Health Nursing, 9e
ANSWER: t A
Mental t health t is t a t state t of t well-being t in t which t individuals t reach t their t own
t potential, t cope twith tthe tnormal tstresses tof tlife, twork tproductively, tand tcontribute tto
tthe tcommunity. tMental thealth tprovides tpeople twith tthe tcapacity tfor trational tthinking,
tcommunication tskills, tlearning,temotional tgrowth, tresilience, tand tself-esteem. tThe tcorrect
tresponse tdescribes tan tadaptive, thealthy tbehavior. tThe tdistracters tdescribe tmaladaptive
tbehaviors.
PTS: t t t 1 DIF: Cognitive tLevel: tApply t(Application)
TOP: t t tNursing tProcess: tEvaluation MSC: t Client tNeeds: tPsychosocial tIntegrity
7. A tnurse tencounters tan tunfamiliar tpsychiatric tdisorder ton ta tnew tclient’s tadmission tform.
tWhich tresource tshould t the tnurse tconsult tto tdetermine tcriteria tused tto t establish tthis
tdiagnosis?
a. International tStatistical tClassification tof tDiseases tand tRelated tHealth
tProblemst(ICD-10)
b. The tANA’s tPsychiatric-Mental tHealth tNursing tScope tand tStandards tof tPractice
c. Diagnostic tand tStatistical tManual tof tMental tDisorders t(DSM-V)
d. A tbehavioral thealth treference tmanual
ANSWER: t C
The tDSM-V tgives tthe tcriteria tused tto tdiagnose teach tmental tdisorder. tIt tis tthe tofficial
tguidelinetfor tdiagnosing tpsychiatric tdisorders. tThe tdistracters tmay tnot tcontain tdiagnostic
tcriteria tfor ta tpsychiatric tillness.
PTS: t t t 1 DIF: Cognitive tLevel: tUnderstand t(Comprehension)
TOP: t Nursing tProcess: tAssessment MSC: t Client t Needs: tSafe, tEffective tCare tEnvironment
8. A tnurse twants tto tfind ta tdescription tof tdiagnostic tcriteria tfor tanxiety tdisorders. tWhich
tresourcetwould thave tthe tmost tcomplete tinformation?
a. Nursing tOutcomes tClassification t(NOC)
b. DSM-V
c. The tANA’s tPsychiatric-Mental tHealth tNursing tScope tand tStandards tof tPractice
d. ICD-10
ANSWER: t B
The tDSM-V tdetails tthe tdiagnostic tcriteria tfor tpsychiatric tclinical tconditions. tIt tis tthe
tofficial tguideline tfor tdiagnosing tpsychiatric tdisorders. tThe tother treferences tare tgood
5|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
, Test Bank - Varcarolis' Foundations of Psychiatric Mental Health Nursing, 9e
Chapter 01: Mental Health and Mental Illness
Halter: Varcarolis’ Foundations of Psychiatric-Mental Health Nursing: A ClinicalApproach,
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
andclinical nurse specialists who have taken special courses on prescribing medication. The
nurseprepared 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
nursingskills.” 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
technologymonitoring equipment and manage complex intravenous
therapies.”
d. “Psychiatric nurses do not have to deal with as much pain and suffering
asmedical–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
1|Page
,Test Bank - Varcarolis' Foundations of Psychiatric Mental Health Nursing, 9e
nursesmust 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
3. When a new bill introduced in Congress reduces funding for care of persons diagnosed with
mental illness, a group of nurses write letters to their elected representatives in opposition
to the legislation. Which role have the nurses fulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based practice
2|Page
,Test Bank - Varcarolis' Foundations of Psychiatric Mental Health Nursing, 9e
ANSWER: C
An advocate defends or asserts another’s cause, particularly when the other person lacks the
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
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 their own needs.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Evaluation MSC: Client Needs: Safe, Effective Care Environment
4. A family has a long history of conflicted relationships among the members. Which family
member’s comment best reflects a mentally healthy perspective?
a. “I’ve made mistakes but everyone else in this family has also.”
b. “I remember joy and mutual respect from our early years together.”
c. “I will make some changes in my behavior for the good of the family.”
d. “It’s best for me to move away from my family. Things will never change.”
ANSWER: C
The correct response demonstrates the best evidence of a healthy recognition of the
importance of relationships. Mental health includes rational thinking, communication skills,
learning, emotional growth, resilience, and self-esteem. Recalling joy from earlier in life may
be healthy, but the correct response shows a higher level of mental health. The other
incorrectresponses show blaming and avoidance.
PTS: 1 DIF: Cognitive Level: Analyze (Analysis)
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
5. Which assessment finding most clearly indicates that a client may be experiencing a
mentalillness?
a. reporting occasional sleeplessness and anxiety.
b. reporting a consistently sad, discouraged, and hopeless mood.
c. being able to describe the difference between “as if” and “for real.”
d. experiencing difficulty making a decision about whether to change jobs.
ANSWER: B
The correct response describes a mood alteration, which reflects mental illness. The
3|Page
,Test Bank - Varcarolis' Foundations of Psychiatric Mental Health Nursing, 9e
distractersdescribe behaviors that are mentally healthy or within the usual scope of human
experience.
PTS: 1 DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
6. Which tfinding tbest tindicates tthat tthe tgoal t“Demonstrate tmentally thealthy tbehavior”
twastachieved tfor tan tadult tclient?
a. being twilling tto twork ttowards tachieving tideals tand tmeeting tdemands.
b. behaving twithout tconsidering tthe tconsequences tof tpersonal tactions.
c. aggressively tmeeting tpersonal tneeds twithout tconsidering tthe trights tof tothers.
d. seeking thelp tfrom tothers tto tavoid tassuming tresponsibility tfor tmajor tareas tof
towntlife.
4|Page
, Test Bank - Varcarolis' Foundations of Psychiatric Mental Health Nursing, 9e
ANSWER: t A
Mental t health t is t a t state t of t well-being t in t which t individuals t reach t their t own
t potential, t cope twith tthe tnormal tstresses tof tlife, twork tproductively, tand tcontribute tto
tthe tcommunity. tMental thealth tprovides tpeople twith tthe tcapacity tfor trational tthinking,
tcommunication tskills, tlearning,temotional tgrowth, tresilience, tand tself-esteem. tThe tcorrect
tresponse tdescribes tan tadaptive, thealthy tbehavior. tThe tdistracters tdescribe tmaladaptive
tbehaviors.
PTS: t t t 1 DIF: Cognitive tLevel: tApply t(Application)
TOP: t t tNursing tProcess: tEvaluation MSC: t Client tNeeds: tPsychosocial tIntegrity
7. A tnurse tencounters tan tunfamiliar tpsychiatric tdisorder ton ta tnew tclient’s tadmission tform.
tWhich tresource tshould t the tnurse tconsult tto tdetermine tcriteria tused tto t establish tthis
tdiagnosis?
a. International tStatistical tClassification tof tDiseases tand tRelated tHealth
tProblemst(ICD-10)
b. The tANA’s tPsychiatric-Mental tHealth tNursing tScope tand tStandards tof tPractice
c. Diagnostic tand tStatistical tManual tof tMental tDisorders t(DSM-V)
d. A tbehavioral thealth treference tmanual
ANSWER: t C
The tDSM-V tgives tthe tcriteria tused tto tdiagnose teach tmental tdisorder. tIt tis tthe tofficial
tguidelinetfor tdiagnosing tpsychiatric tdisorders. tThe tdistracters tmay tnot tcontain tdiagnostic
tcriteria tfor ta tpsychiatric tillness.
PTS: t t t 1 DIF: Cognitive tLevel: tUnderstand t(Comprehension)
TOP: t Nursing tProcess: tAssessment MSC: t Client t Needs: tSafe, tEffective tCare tEnvironment
8. A tnurse twants tto tfind ta tdescription tof tdiagnostic tcriteria tfor tanxiety tdisorders. tWhich
tresourcetwould thave tthe tmost tcomplete tinformation?
a. Nursing tOutcomes tClassification t(NOC)
b. DSM-V
c. The tANA’s tPsychiatric-Mental tHealth tNursing tScope tand tStandards tof tPractice
d. ICD-10
ANSWER: t B
The tDSM-V tdetails tthe tdiagnostic tcriteria tfor tpsychiatric tclinical tconditions. tIt tis tthe
tofficial tguideline tfor tdiagnosing tpsychiatric tdisorders. tThe tother treferences tare tgood
5|Page
