TEST BANK VARCAROLIS' FOUNDATIONS OF PSYCHIATRIC-MENTAL HEALTH NURSING A CLINICAL 9TH
EDITION BY MARGARET JORDAN HALTER |TEST BANK| CHAPTER 1-36 UPDATED 2022/2023
,Contents
Chapter 01: Mental Health and Mental Illness .................................................... 4
Chapter 02: Theories and Therapies ................................................................. 18
Chapter 03: Psychobiology and Psychopharmacology ...................................... 40
Chapter 04: Treatment Settings ........................................................................ 59
Chapter 05: Cultural Implications ..................................................................... 80
Chapter 06: Legal and Ethical Considerations ................................................... 98
Chapter 07: The Nursing Process and Standards of Care ................................ 116
Chapter 08: Therapeutic Relationships ........................................................... 133
Chapter 09: Therapeutic Communication ....................................................... 150
Chapter 10: Stress Responses and Stress Management .................................. 164
Chapter 11: Childhood and Neurodevelopmental Disorders ........................... 179
Chapter 12: Schizophrenia Spectrum Disorders .............................................. 195
Chapter 13: Bipolar and Related Disorders ..................................................... 218
Chapter 14: Depressive Disorders ................................................................... 239
Chapter 15: Anxiety and Obsessive-Compulsive Disorders ............................. 258
Chapter 16: Trauma, Stressor-Related, and Dissociative Disorders ................. 279
Chapter 17: Somatic Symptom Disorders ....................................................... 297
Chapter 18: Eating and Feeding Disorders ...................................................... 313
Chapter 19: Sleep–Wake Disorders................................................................. 330
Chapter 20: Sexual Dysfunctions, Gender Dysphoria, and Paraphilias ............ 345
Chapter 21: Impulse Control Disorders ........................................................... 360
Chapter 22: Substance-Related and Addictive Disorders ................................ 373
Chapter 23: Neurocognitive Disorders ............................................................ 393
Chapter 24: Personality Disorders................................................................... 412
Chapter 25: Suicide and Nonmuricidal Self-Injury ........................................... 430
,Chapter 26: Crisis and Disaster ....................................................................... 445
Chapter 27: Anger, Aggression, and Violence ................................................. 461
Chapter 28: Child, Older Adult, and Intimate Partner Violence ....................... 477
Chapter 29: Sexual Assault.............................................................................. 490
Chapter 30: Dying, Death, and Grieving .......................................................... 504
Chapter 31: Older Adults ................................................................................ 517
Chapter 32: Serious Mental Illness.................................................................. 536
Chapter 33: Forensic Nursing .......................................................................... 556
Chapter 34: Therapeutic Groups ..................................................................... 570
Chapter 35: Family Interventions .................................................................... 588
Chapter 36: Integrative Care ........................................................................... 604
,Chapter 01: Mental Health and Mental Illness
MULTIPLE CHOICE
1. A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced
practice nurse to perform which additional intervention? a. Conduct mental health assessments.
b. Prescribe psychotropic medication.
c. Establish therapeutic relationships.
d. Individualize nursing care plans.
ANS: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) REF: Page 1-23 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-patient
ratios must be better because of the nature of the patients ‘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
ANS: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 patients with medical as well as
mental health problems, reflecting the holistic perspective these nurses must have. Nurse–patient 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)
REF: Pages 1-2, 21 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
ANS: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 patients 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 patients who are unable to articulate their own
needs.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-26 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.
ANS: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)
REF: Pages 1-2, 3, 32 (Figure 1-1) TOP: Nursing Process: Assessment MSC: Client Needs:
Psychosocial Integrity
5. Which assessment finding most clearly indicates that a patient may be experiencing a mental
illness? The patient
a. reports occasional sleeplessness and anxiety.
b. reports a consistently sad, discouraged, and hopeless mood.
c. is able to describe the difference between ―as if‖ and ―for real.‖
d. perceives difficulty deciding about whether to change jobs.
ANS: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)
REF: Pages 1-2 to 4 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 patient? The patient
a. sees self as capable of achieving ideals and meeting demands.
b. behaves without considering the consequences of personal actions.
c. aggressively meets own needs without considering the rights of others.
d. seeks help from others when assuming responsibility for major areas of own life.
ANS:A
The correct response describes an adaptive, healthy behavior. The distracters describe maladaptive
behaviors.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Pages 1-2 to 4 TOP: Nursing Process: Evaluation MSC: Client Needs: Psychosocial Integrity
7. A nurse encounters an unfamiliar psychiatric disorder on a new patient ‘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 behavioural health reference manual
ANS: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.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Pages 1-18, 19 TOP: Nursing Process: Assessment MSC: Client Needs: Safe, Effective Care
Environment
EDITION BY MARGARET JORDAN HALTER |TEST BANK| CHAPTER 1-36 UPDATED 2022/2023
,Contents
Chapter 01: Mental Health and Mental Illness .................................................... 4
Chapter 02: Theories and Therapies ................................................................. 18
Chapter 03: Psychobiology and Psychopharmacology ...................................... 40
Chapter 04: Treatment Settings ........................................................................ 59
Chapter 05: Cultural Implications ..................................................................... 80
Chapter 06: Legal and Ethical Considerations ................................................... 98
Chapter 07: The Nursing Process and Standards of Care ................................ 116
Chapter 08: Therapeutic Relationships ........................................................... 133
Chapter 09: Therapeutic Communication ....................................................... 150
Chapter 10: Stress Responses and Stress Management .................................. 164
Chapter 11: Childhood and Neurodevelopmental Disorders ........................... 179
Chapter 12: Schizophrenia Spectrum Disorders .............................................. 195
Chapter 13: Bipolar and Related Disorders ..................................................... 218
Chapter 14: Depressive Disorders ................................................................... 239
Chapter 15: Anxiety and Obsessive-Compulsive Disorders ............................. 258
Chapter 16: Trauma, Stressor-Related, and Dissociative Disorders ................. 279
Chapter 17: Somatic Symptom Disorders ....................................................... 297
Chapter 18: Eating and Feeding Disorders ...................................................... 313
Chapter 19: Sleep–Wake Disorders................................................................. 330
Chapter 20: Sexual Dysfunctions, Gender Dysphoria, and Paraphilias ............ 345
Chapter 21: Impulse Control Disorders ........................................................... 360
Chapter 22: Substance-Related and Addictive Disorders ................................ 373
Chapter 23: Neurocognitive Disorders ............................................................ 393
Chapter 24: Personality Disorders................................................................... 412
Chapter 25: Suicide and Nonmuricidal Self-Injury ........................................... 430
,Chapter 26: Crisis and Disaster ....................................................................... 445
Chapter 27: Anger, Aggression, and Violence ................................................. 461
Chapter 28: Child, Older Adult, and Intimate Partner Violence ....................... 477
Chapter 29: Sexual Assault.............................................................................. 490
Chapter 30: Dying, Death, and Grieving .......................................................... 504
Chapter 31: Older Adults ................................................................................ 517
Chapter 32: Serious Mental Illness.................................................................. 536
Chapter 33: Forensic Nursing .......................................................................... 556
Chapter 34: Therapeutic Groups ..................................................................... 570
Chapter 35: Family Interventions .................................................................... 588
Chapter 36: Integrative Care ........................................................................... 604
,Chapter 01: Mental Health and Mental Illness
MULTIPLE CHOICE
1. A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced
practice nurse to perform which additional intervention? a. Conduct mental health assessments.
b. Prescribe psychotropic medication.
c. Establish therapeutic relationships.
d. Individualize nursing care plans.
ANS: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) REF: Page 1-23 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-patient
ratios must be better because of the nature of the patients ‘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
ANS: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 patients with medical as well as
mental health problems, reflecting the holistic perspective these nurses must have. Nurse–patient 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)
REF: Pages 1-2, 21 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
ANS: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 patients 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 patients who are unable to articulate their own
needs.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-26 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.
ANS: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)
REF: Pages 1-2, 3, 32 (Figure 1-1) TOP: Nursing Process: Assessment MSC: Client Needs:
Psychosocial Integrity
5. Which assessment finding most clearly indicates that a patient may be experiencing a mental
illness? The patient
a. reports occasional sleeplessness and anxiety.
b. reports a consistently sad, discouraged, and hopeless mood.
c. is able to describe the difference between ―as if‖ and ―for real.‖
d. perceives difficulty deciding about whether to change jobs.
ANS: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)
REF: Pages 1-2 to 4 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 patient? The patient
a. sees self as capable of achieving ideals and meeting demands.
b. behaves without considering the consequences of personal actions.
c. aggressively meets own needs without considering the rights of others.
d. seeks help from others when assuming responsibility for major areas of own life.
ANS:A
The correct response describes an adaptive, healthy behavior. The distracters describe maladaptive
behaviors.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Pages 1-2 to 4 TOP: Nursing Process: Evaluation MSC: Client Needs: Psychosocial Integrity
7. A nurse encounters an unfamiliar psychiatric disorder on a new patient ‘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 behavioural health reference manual
ANS: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.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Pages 1-18, 19 TOP: Nursing Process: Assessment MSC: Client Needs: Safe, Effective Care
Environment
