Test Bank
Varcarolis' Foundations Of Psychiatric- Mental Health Nursing
9th Edition Chapter 1-36 | Complete Guide Newest Version 2022
,Table Of Contents
Chapter 01: Mental Health And Mental Illness........................................................................... 4
Chapter 02: Theories And Therapies ........................................................................................ 19
Chapter 03: Psychobiology And Psychopharmacology ............................................................. 39
Chapter 04: Treatment Settings ................................................................................................ 57
Chapter 05: Cultural Implications ............................................................................................. 78
Chapter 06: Legal And Ethical Considerations .......................................................................... 96
Chapter 07: The Nursing Process And Standards Of Care ...................................................... 113
Chapter 08: Therapeutic Relationships ................................................................................... 130
Chapter 09: Therapeutic Communication ............................................................................... 146
Chapter 10: Stress Responses And Stress Management ........................................................ 160
Chapter 11: Childhood And Neurodevelopmental Disorders ................................................. 174
Chapter 12: Schizophrenia Spectrum Disorders ..................................................................... 190
Chapter 13: Bipolar And Related Disorders ............................................................................ 211
Chapter 14: Depressive Disorders ........................................................................................... 232
Chapter 15: Anxiety And Obsessive-Compulsive Disorders .................................................... 250
Chapter 16: Trauma, Stressor-Related, And Dissociative Disorders ....................................... 270
Chapter 17: Somatic Symptom Disorders ............................................................................... 288
Chapter 18: Eating And Feeding Disorders ............................................................................. 303
Chapter 19: Sleep–Wake Disorders......................................................................................... 319
Chapter 20: Sexual Dysfunctions, Gender Dysphoria, And Paraphilic Disorders .................... 334
Chapter 21: Impulse Control Disorders................................................................................... 349
Chapter 22: Substance-Related And Addictive Disorders ....................................................... 365
Chapter 23: Neurocognitive Disorders.................................................................................... 384
Chapter 24: Personality Disorders .......................................................................................... 401
Chapter 25: Suicide And Nonsuicidal Self-Injury .................................................................... 419
Chapter 26: Crisis And Disaster ............................................................................................... 434
Chapter 27: Anger, Aggression, And Violence ........................................................................ 449
Chapter 28: Child, Older Adult, And Intimate Partner Violence ............................................. 465
,Chapter 29: Sexual Assault ...................................................................................................... 480
Chapter 30: Dying, Death, And Grieving ................................................................................. 494
Chapter 31: Older Adults ........................................................................................................ 506
Chapter 32: Serious Mental Illness ......................................................................................... 525
Chapter 33: Forensic Nursing .................................................................................................. 544
Chapter 34: Therapeutic Groups ............................................................................................. 558
Chapter 35: Family Interventions ............................................................................................ 574
Chapter 36: Integrative Care ................................................................................................... 591
,Chapter 01: Mental Health And Mental Illness
Halter: Varcarolis’ Foundations Of Psychiatric-Mental Health Nursing: A Clinical 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
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
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
Incorrect Responses 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
Mental Illness?
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
Distracters Describe 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 Finding Best Indicates That The Goal “Demonstrate Mentally Healthy Behavior”
Was Achieved For An Adult Client?
A. Being Willing To Work Towards Achieving Ideals And Meeting Demands.
B. Behaving Without Considering The Consequences Of Personal Actions.
C. Aggressively Meeting Personal Needs Without Considering The Rights Of Others.
D. Seeking Help From Others To Avoid Assuming Responsibility For Major Areas Of Own
Life.
ANSWER: A
Mental Health Is A State Of Well-Being In Which Individuals Reach Their Own Potential, Cope
With The Normal Stresses Of Life, Work Productively, And Contribute To The Community.
Mental Health Provides People With The Capacity For Rational Thinking, Communication Skills,
Learning, Emotional Growth, Resilience, And Self-Esteem. The Correct Response Describes An
Adaptive, Healthy Behavior. The Distracters Describe Maladaptive Behaviors.
PTS: 1 DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Evaluation MSC: Client Needs: Psychosocial Integrity
7. A Nurse Encounters An Unfamiliar Psychiatric Disorder On A New Client’s Admission
Form. Which Resource Should The Nurse Consult To Determine Criteria Used To Establish This
Diagnosis?
A. International Statistical Classification Of Diseases And Related Health Problems (ICD-10)
B. The ANA’s Psychiatric-Mental Health Nursing Scope And Standards Of Practice
C. Diagnostic And Statistical Manual Of Mental Disorders (DSM-V)
D. A Behavioral Health Reference Manual
ANSWER: C
The DSM-V Gives The Criteria Used To Diagnose Each Mental Disorder. It Is The Official Guideline
For Diagnosing Psychiatric Disorders. The Distracters May Not Contain Diagnostic Criteria For A
Psychiatric Illness.
Varcarolis' Foundations Of Psychiatric- Mental Health Nursing
9th Edition Chapter 1-36 | Complete Guide Newest Version 2022
,Table Of Contents
Chapter 01: Mental Health And Mental Illness........................................................................... 4
Chapter 02: Theories And Therapies ........................................................................................ 19
Chapter 03: Psychobiology And Psychopharmacology ............................................................. 39
Chapter 04: Treatment Settings ................................................................................................ 57
Chapter 05: Cultural Implications ............................................................................................. 78
Chapter 06: Legal And Ethical Considerations .......................................................................... 96
Chapter 07: The Nursing Process And Standards Of Care ...................................................... 113
Chapter 08: Therapeutic Relationships ................................................................................... 130
Chapter 09: Therapeutic Communication ............................................................................... 146
Chapter 10: Stress Responses And Stress Management ........................................................ 160
Chapter 11: Childhood And Neurodevelopmental Disorders ................................................. 174
Chapter 12: Schizophrenia Spectrum Disorders ..................................................................... 190
Chapter 13: Bipolar And Related Disorders ............................................................................ 211
Chapter 14: Depressive Disorders ........................................................................................... 232
Chapter 15: Anxiety And Obsessive-Compulsive Disorders .................................................... 250
Chapter 16: Trauma, Stressor-Related, And Dissociative Disorders ....................................... 270
Chapter 17: Somatic Symptom Disorders ............................................................................... 288
Chapter 18: Eating And Feeding Disorders ............................................................................. 303
Chapter 19: Sleep–Wake Disorders......................................................................................... 319
Chapter 20: Sexual Dysfunctions, Gender Dysphoria, And Paraphilic Disorders .................... 334
Chapter 21: Impulse Control Disorders................................................................................... 349
Chapter 22: Substance-Related And Addictive Disorders ....................................................... 365
Chapter 23: Neurocognitive Disorders.................................................................................... 384
Chapter 24: Personality Disorders .......................................................................................... 401
Chapter 25: Suicide And Nonsuicidal Self-Injury .................................................................... 419
Chapter 26: Crisis And Disaster ............................................................................................... 434
Chapter 27: Anger, Aggression, And Violence ........................................................................ 449
Chapter 28: Child, Older Adult, And Intimate Partner Violence ............................................. 465
,Chapter 29: Sexual Assault ...................................................................................................... 480
Chapter 30: Dying, Death, And Grieving ................................................................................. 494
Chapter 31: Older Adults ........................................................................................................ 506
Chapter 32: Serious Mental Illness ......................................................................................... 525
Chapter 33: Forensic Nursing .................................................................................................. 544
Chapter 34: Therapeutic Groups ............................................................................................. 558
Chapter 35: Family Interventions ............................................................................................ 574
Chapter 36: Integrative Care ................................................................................................... 591
,Chapter 01: Mental Health And Mental Illness
Halter: Varcarolis’ Foundations Of Psychiatric-Mental Health Nursing: A Clinical 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
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
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
Incorrect Responses 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
Mental Illness?
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
Distracters Describe 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 Finding Best Indicates That The Goal “Demonstrate Mentally Healthy Behavior”
Was Achieved For An Adult Client?
A. Being Willing To Work Towards Achieving Ideals And Meeting Demands.
B. Behaving Without Considering The Consequences Of Personal Actions.
C. Aggressively Meeting Personal Needs Without Considering The Rights Of Others.
D. Seeking Help From Others To Avoid Assuming Responsibility For Major Areas Of Own
Life.
ANSWER: A
Mental Health Is A State Of Well-Being In Which Individuals Reach Their Own Potential, Cope
With The Normal Stresses Of Life, Work Productively, And Contribute To The Community.
Mental Health Provides People With The Capacity For Rational Thinking, Communication Skills,
Learning, Emotional Growth, Resilience, And Self-Esteem. The Correct Response Describes An
Adaptive, Healthy Behavior. The Distracters Describe Maladaptive Behaviors.
PTS: 1 DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Evaluation MSC: Client Needs: Psychosocial Integrity
7. A Nurse Encounters An Unfamiliar Psychiatric Disorder On A New Client’s Admission
Form. Which Resource Should The Nurse Consult To Determine Criteria Used To Establish This
Diagnosis?
A. International Statistical Classification Of Diseases And Related Health Problems (ICD-10)
B. The ANA’s Psychiatric-Mental Health Nursing Scope And Standards Of Practice
C. Diagnostic And Statistical Manual Of Mental Disorders (DSM-V)
D. A Behavioral Health Reference Manual
ANSWER: C
The DSM-V Gives The Criteria Used To Diagnose Each Mental Disorder. It Is The Official Guideline
For Diagnosing Psychiatric Disorders. The Distracters May Not Contain Diagnostic Criteria For A
Psychiatric Illness.
