TEST BANK FOR
VARCAROLIS’ ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING: A COMMUNICATION
APPROACH TO EVIDENCE-BASED CARE 5TH EDITION
BY CHYLLIA D FOSBRE MSN RN PMHNP-BC (AUTHOR) COMPLETE CHAPTER 1-28
,Table Of Contents
Chapter 01: Science And The Therapeutic Use Of Self In Psychiatric Mental Health Nursing ................. 3
Chapter 02: Mental Health And Mental Illness ...................................................................................... 10
Chapter 03: Theories And Therapies ...................................................................................................... 18
Chapter 04: Biological Basis For Understanding Psychopharmacology .................................................. 32
Chapter 05: Settings For Psychiatric Care ............................................................................................... 45
Chapter 06: Legal And Ethical Basis For Practice .................................................................................... 55
Chapter 07: The Nursing Process In Psychiatric-Mental Health Nursing ................................................ 68
Chapter 08: Communication Skills: Medium For All Nursing Practice .................................................... 81
Chapter 09: Therapeutic Relationships And The Clinical Interview ........................................................ 91
Chapter 10: Trauma And Stress-Related Disorders And Dissociative Disorders .................................. 105
Chapter 11: Anxiety, Anxiety Disorders, And Obsessive-Compulsive And Related Disorders.............. 116
Chapter 12: Somatic Symptom Disorders ............................................................................................. 134
Chapter 13: Personality Disorders ........................................................................................................ 148
Chapter 14: Eating Disorders ................................................................................................................ 162
Chapter 15: Mood Disorders: Depression ............................................................................................ 175
Chapter 16: Bipolar Spectrum Disorders .............................................................................................. 191
Chapter 17: Schizophrenia Spectrum Disorders And Other Psychotic Disorders ................................. 207
Chapter 18: Neurocognitive Disorders ................................................................................................. 226
Chapter 19: Substance-Related And Addictive Disorders ..................................................................... 239
Chapter 20: Crisis And Mass Disaster ................................................................................................... 259
Chapter 21: Child, Partner, And Elder Violence .................................................................................... 272
Chapter 22: Sexual Violence ................................................................................................................. 285
Chapter 23: Suicidal Thoughts And Behaviors ...................................................................................... 296
Chapter 24: Anger, Aggression, And Violence ...................................................................................... 310
Chapter 25: Care For The Dying And Those Who Grieve ...................................................................... 324
Chapter 26: Children And Adolescents ................................................................................................. 338
Chapter 27: Adults ................................................................................................................................ 351
Chapter 28: Older Adults ...................................................................................................................... 366
,Chapter 01: Science And The Therapeutic Use Of Self In Psychiatric Mental Health Nursing
Varcarolis: Essentials Of Psychiatric Mental Health Nursing: A Communication Approach To Evidence-
Based Care, 5e
MULTIPLE CHOICE
1. Which Outcome, Focused On Recovery, Would Be Expected In The Plan Of Care For A Patient
Living In The Community And Diagnosed With Serious And Persistent Mental Illness? Within 3 Months,
The Patient Will Demonstrate What Behavior?
A. Denying Suicidal Ideation
B. Reporting A Sense Of Well-Being
C. Taking Medications As Prescribed
D. Attending Clinic Appointments On Time
ANSWER:> B
Recovery Emphasizes Managing Symptoms, Reducing Psychosocial Disability, And Improving 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) TOP: Nursing Process: Outcomes Identification MSC:
NCLEX: Health Promotion And Maintenance
2. A Patient Is Hospitalized For Depression And Suicidal Ideation After Their Spouse Asks For A
Divorce. Select The Nurse’s Most Caring Comment.
A. “Let’s Discuss Healthy Means Of Coping When You Have Suicidal Feelings.”
B. “I Understand Why You’re So Depressed. When I Got Divorced, I Was Devastated Too.”
C. “You Should Forget About Your Marriage And Move On With Your Life.”
D. “How Did You Get So Depressed That Hospitalization Was Necessary?”
ANSWER:> A
The Nurse’s 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 For
Therapeutic Interventions.
DIF: Cognitive Level: Application (Applying)
, TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
3. In The Shift-Change Report, An Off-Going Nurse Criticizes A Patient Who Wears Extremely Heavy
Makeup. Which Comment By The Nurse Who Receives The Report Best Demonstrates Advocacy?
A. “This Is A Psychiatric Hospital, So We Expect Our Patients To Behave Bizarrely.”
B. “Let’s 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.”
ANSWER:> 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 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 Conflict. Nurses Must Show Compassion For Each Other.
DIF: Cognitive Level: Application (Applying)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
4. A Nurse Assesses A Newly Admitted Patient Diagnosed With Major Depressive Disorder. Which
Statement Is An Example Of “Attending”?
A. “We All Have Stress In Life. Being In A Psychiatric Hospital Is Not The End Of The World.”
B. “Tell Me Why You Felt You Had To Be Hospitalized To Receive Treatment For Your Depression.”
C. “You Will Feel Better After We Get Some Antidepressant Medication Started For You.”
D. “I’d Like To Sit With You For A While, So You May Feel More Comfortable Talking With Me.”
ANSWER:> D
Attending Is A Technique That Demonstrates The Nurse’s Commitment To The Relationship And Reduces
Feelings Of Isolation. This Technique Shows Respect For The Patient And Demonstrates Caring.
Generalizations, Probing, And False Reassurances Are Nontherapeutic.
DIF: Cognitive Level: Application (Applying)
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
VARCAROLIS’ ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING: A COMMUNICATION
APPROACH TO EVIDENCE-BASED CARE 5TH EDITION
BY CHYLLIA D FOSBRE MSN RN PMHNP-BC (AUTHOR) COMPLETE CHAPTER 1-28
,Table Of Contents
Chapter 01: Science And The Therapeutic Use Of Self In Psychiatric Mental Health Nursing ................. 3
Chapter 02: Mental Health And Mental Illness ...................................................................................... 10
Chapter 03: Theories And Therapies ...................................................................................................... 18
Chapter 04: Biological Basis For Understanding Psychopharmacology .................................................. 32
Chapter 05: Settings For Psychiatric Care ............................................................................................... 45
Chapter 06: Legal And Ethical Basis For Practice .................................................................................... 55
Chapter 07: The Nursing Process In Psychiatric-Mental Health Nursing ................................................ 68
Chapter 08: Communication Skills: Medium For All Nursing Practice .................................................... 81
Chapter 09: Therapeutic Relationships And The Clinical Interview ........................................................ 91
Chapter 10: Trauma And Stress-Related Disorders And Dissociative Disorders .................................. 105
Chapter 11: Anxiety, Anxiety Disorders, And Obsessive-Compulsive And Related Disorders.............. 116
Chapter 12: Somatic Symptom Disorders ............................................................................................. 134
Chapter 13: Personality Disorders ........................................................................................................ 148
Chapter 14: Eating Disorders ................................................................................................................ 162
Chapter 15: Mood Disorders: Depression ............................................................................................ 175
Chapter 16: Bipolar Spectrum Disorders .............................................................................................. 191
Chapter 17: Schizophrenia Spectrum Disorders And Other Psychotic Disorders ................................. 207
Chapter 18: Neurocognitive Disorders ................................................................................................. 226
Chapter 19: Substance-Related And Addictive Disorders ..................................................................... 239
Chapter 20: Crisis And Mass Disaster ................................................................................................... 259
Chapter 21: Child, Partner, And Elder Violence .................................................................................... 272
Chapter 22: Sexual Violence ................................................................................................................. 285
Chapter 23: Suicidal Thoughts And Behaviors ...................................................................................... 296
Chapter 24: Anger, Aggression, And Violence ...................................................................................... 310
Chapter 25: Care For The Dying And Those Who Grieve ...................................................................... 324
Chapter 26: Children And Adolescents ................................................................................................. 338
Chapter 27: Adults ................................................................................................................................ 351
Chapter 28: Older Adults ...................................................................................................................... 366
,Chapter 01: Science And The Therapeutic Use Of Self In Psychiatric Mental Health Nursing
Varcarolis: Essentials Of Psychiatric Mental Health Nursing: A Communication Approach To Evidence-
Based Care, 5e
MULTIPLE CHOICE
1. Which Outcome, Focused On Recovery, Would Be Expected In The Plan Of Care For A Patient
Living In The Community And Diagnosed With Serious And Persistent Mental Illness? Within 3 Months,
The Patient Will Demonstrate What Behavior?
A. Denying Suicidal Ideation
B. Reporting A Sense Of Well-Being
C. Taking Medications As Prescribed
D. Attending Clinic Appointments On Time
ANSWER:> B
Recovery Emphasizes Managing Symptoms, Reducing Psychosocial Disability, And Improving 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) TOP: Nursing Process: Outcomes Identification MSC:
NCLEX: Health Promotion And Maintenance
2. A Patient Is Hospitalized For Depression And Suicidal Ideation After Their Spouse Asks For A
Divorce. Select The Nurse’s Most Caring Comment.
A. “Let’s Discuss Healthy Means Of Coping When You Have Suicidal Feelings.”
B. “I Understand Why You’re So Depressed. When I Got Divorced, I Was Devastated Too.”
C. “You Should Forget About Your Marriage And Move On With Your Life.”
D. “How Did You Get So Depressed That Hospitalization Was Necessary?”
ANSWER:> A
The Nurse’s 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 For
Therapeutic Interventions.
DIF: Cognitive Level: Application (Applying)
, TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
3. In The Shift-Change Report, An Off-Going Nurse Criticizes A Patient Who Wears Extremely Heavy
Makeup. Which Comment By The Nurse Who Receives The Report Best Demonstrates Advocacy?
A. “This Is A Psychiatric Hospital, So We Expect Our Patients To Behave Bizarrely.”
B. “Let’s 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.”
ANSWER:> 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 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 Conflict. Nurses Must Show Compassion For Each Other.
DIF: Cognitive Level: Application (Applying)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
4. A Nurse Assesses A Newly Admitted Patient Diagnosed With Major Depressive Disorder. Which
Statement Is An Example Of “Attending”?
A. “We All Have Stress In Life. Being In A Psychiatric Hospital Is Not The End Of The World.”
B. “Tell Me Why You Felt You Had To Be Hospitalized To Receive Treatment For Your Depression.”
C. “You Will Feel Better After We Get Some Antidepressant Medication Started For You.”
D. “I’d Like To Sit With You For A While, So You May Feel More Comfortable Talking With Me.”
ANSWER:> D
Attending Is A Technique That Demonstrates The Nurse’s Commitment To The Relationship And Reduces
Feelings Of Isolation. This Technique Shows Respect For The Patient And Demonstrates Caring.
Generalizations, Probing, And False Reassurances Are Nontherapeutic.
DIF: Cognitive Level: Application (Applying)
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
