TEST BANK
@xz
Varcarolis' Foundations of Psychiatric-Mental Health Nursing
@xz @xz @xz @xz @xz
Margaret Jordan Halter
@x z @xz
9th Edition
@xz
,Table of Contents
@xz @xz
Chapter @xz01 @xzMental @xzHealth @xzand @xzMental @xzIllness 2
Chapter @xz02 @xzTheories @xzand @xzTherapies @xzApproach 12
Chapter @xz03 @xzPsychobiology @xzand @xzPsychopharmacology 25
Chapter @xz04 @xzTreatment @xzSettings 37
Chapter @xz05 @xzCultural @xzImplications 50
Chapter @xz06 @xzLegal @xzand @xzEthical @xzConsiderations 61
Chapter @xz07 @xzThe @xzNursing @xzProcess @xzand @xzStandards @xzof @xzCare 72
Chapter @xz08 @xzTherapeutic @xzRelationships 83
Chapter @xz09 @xzTherapeutic @xzCommunication 94
Chapter @xz10 @xzStress @xzResponses @xzand @xzStress @xzManagement 103
Chapter @xz11 @xzChildhood @xzand @xzNeurodevelopmental @xzDisorders 113
Chapter @xz12 @xzSchizophrenia @xzSpectrum @xzDisorders 123
Chapter @xz13 @xzBipolar @xzand @xzRelated @xzDisorders 137
Chapter @xz14 @xzDepressive @xzDisorders 150
Chapter @xz15 @xzAnxiety @xzand @xzObsessive-Compulsive @xzDisorders 162
Chapter @xz16 @xzTrauma, @xzStressor-Related, @xzand @xzDissociative @xzDisorders 175
Chapter @xz17 @xzSomatic @xzSymptom @xzDisorders 187
Chapter @xz18 @xzEating @xzand @xzFeeding @xzDisorders 197
Chapter @xz19 @xzSleep–Wake @xzDisorders 207
Chapter @xz20 @xzSexual @xzDysfunctions, @xzGender @xzDysphoria, @xzand @xzParaphilic @xzDisorders 216
Chapter @xz21 @xzImpulse @xzControl @xzDisorders 226
Chapter @xz22 @xzSubstance-Related @xzand @xzAddictive @xzDisorders 236
Chapter @xz23 @xzNeurocognitive @xzDisorders 248
Chapter @xz24 @xzPersonality @xzDisorders 259
Chapter @xz25 @xzSuicide @xzand @xzNonsuicidal @xzSelf-Injury 270
Chapter @xz26 @xzCrisis @xzand @xzDisaster 280
Chapter @xz27 @xzAnger, @xzAggression, @xzand @xzViolence 290
Chapter @xz28 @xzChild, @xzOlder @xzAdult, @xzand @xzIntimate @xzPartner @xzViolence 300
Chapter @xz29 @xzSexual @xzAssault 309
Chapter @xz30 @xzDying, @xzDeath, @xzand @xzGrieving 318
Chapter @xz31 @xzOlder @xzAdults 326
Chapter @xz32 @xzSerious @xzMental @xzIllness 338
Chapter @xz33 @xzForensic @xzNursing 351
Chapter @xz34 @xzTherapeutic @xzGroups 360
Chapter @xz35 @xzFamily @xzInterventions 371
Chapter @xz36 @xzIntegrative @xzCare 382
, Test @xzBank @xz- @xzVarcarolis' @xzFoundations @xzof @xzPsychiatric @xzMental @xzHealth
@xzNursing, @xz9e @xz(Halter, @xz2022)
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.
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)
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.”
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 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
1 @xz| @xzP @xza
@xzg @xze
, Test @xzBank @xz- @xzVarcarolis' @xzFoundations @xzof @xzPsychiatric @xzMental @xzHealth
@xzNursing, @xz9e @xz(Halter, @xz2022)
ANS: @ x z C
An @xzadvocate @xzdefends @xzor @xzasserts @xzanother’s @xzcause, @xzparticularly @xzwhen @xzthe @xzother
@xzperson @xzlacks @xzthe @xzability @xzto @xzdo @xzthat @xzfor @xzself. @xzExamples @xzof @xzindividual
@xzadvocacy @xzinclude @xzhelping @xzclients @xzunderstand @xztheir @xzrights @xzor @xzmake @xzdecisions.
@xzOn @xza @xzcommunity @xzscale, @xzadvocacy @xzincludes @xzpolitical @xzactivity, @xzpublic @xzspeaking,
@xzand @xzpublication @xzin @xzthe @xzinterest @xzof @xzimproving @xzthe @xzhuman @xzcondition. @xzSince
@xzfunding @xzis @xznecessary @xzto @xzdeliver @xzquality @xzprogramming @xzfor @xzpersons @xzwith
@xzmental @xzillness, @xzthe @xzletter- @xzwriting @ x z campaign @xzadvocates @ x z for @xzthat @xzcause @ x z on
@xzbehalf @ x z of @ x z clients @ x z who @xzare @ x z unable @xzto @ x z articulate @xztheir @xzown @xzneeds.
PTS: @ x z @ x z 1 DIF: Cognitive @ x z Level: @ x z Understand @ x z (Comprehension)
TOP: @ x z @ x z Nursing @xz Process: @ xz Evaluation MSC: @ x z Client @ xz Needs: @xzSafe, @xzEffective @xz Care
@xz Environment
4. A @xzfamily @xzhas @xza @xzlong @xzhistory @xzof @xzconflicted @xzrelationships @xzamong @xzthe
@xz members. @xzWhich @xzfamily @xzmember’s @xzcomment @xzbest @xzreflects @xza @xzmentally
@xz healthy @xzperspective?
a. “I’ve @xzmade @xzmistakes @xzbut @xz everyone @xzelse @xzin @xzthis @xzfamily @xz has @xz also.”
b. “I @xzremember @xz joy @ xz and @xzmutual @xz respect @xzfrom @xz our @xz early @xzyears @xztogether.”
c. “I @xzwill @xzmake @xzsome @xzchanges @xzin @xzmy @xz behavior @xz for @xzthe @xz good @xzof @xzthe @xzfamily.”
d. “It’s @xzbest @xzfor @xzme @xzto @xzmove @xzaway @xzfrom @xzmy @xzfamily. @xzThings @xz will @xznever @xzchange.”
ANS: @ x z C
The @ x z correct @xzresponse @xzdemonstrates @xzthe @xzbest @xzevidence @xzof @xza @xzhealthy
@xzrecognition @ x z of @xzthe @xzimportance @xzof @xzrelationships. @xzMental @xzhealth @xzincludes
@xzrational @xzthinking, @xzcommunication @xzskills, @xzlearning, @xzemotional @xzgrowth, @xzresilience,
@xzand @xzself-esteem. @xzRecalling @xzjoy @xzfrom @xzearlier @xzin @xzlife @xzmay @xzbe @xzhealthy, @xzbut
@xzthe @xzcorrect @xzresponse @xzshows @xza @xzhigher @xzlevel @xzof @xzmental @xzhealth. @xzThe @xzother
@xzincorrect @xzresponses @xzshow @xzblaming @xzand @xzavoidance.
PTS: @ x z @ x z 1 DIF: Cognitive @ x z Level: @xzAnalyze @ xz (Analysis)
TOP: @ x z Nursing @xz Process: @xz Assessment MSC: @ x z Client @xz Needs: @ xz Psychosocial @xz Integrity
5. Which @xzassessment @xzfinding @xzmost @xzclearly @xzindicates @xzthat @xza @xzclient @xzmay @xzbe
@xz experiencing @xza @xzmental @xzillness?
a. reporting @xz occasional @xz sleeplessness @xz and @ xz anxiety.
b. reporting @ xz a @ xz consistently @xz sad, @xz discouraged, @ xz and @xzhopeless @xzmood.
c. being @xzable @xzto @xz describe @xzthe @xz difference @xz between @xz “as @xzif” @xzand @xz“for @xzreal.”
d. experiencing @xz difficulty @xzmaking @ xz a @xz decision @xzabout @xz whether @ xz to @xzchange @xz jobs.
ANS: @ x z B
The @xzcorrect @xzresponse @xzdescribes @xza @xzmood @xzalteration, @xzwhich @xzreflects @xzmental
@xzillness. @xzThe @xzdistracters @xzdescribe @xzbehaviors @ x z that @xzare @xzmentally @ x z healthy @ x z or
@xzwithin @ x z the @xzusual @xzscope @xzof @xzhuman @xzexperience.
PTS: @ x z @ x z 1 DIF: Cognitive @ xz Level: @xzApply @ x z (Application)
TOP: @ x z Nursing @xz Process: @xz Assessment MSC: @ x z Client @xz Needs: @ xz Psychosocial @xz Integrity
6. Which @xzfinding @xzbest @xzindicates @xzthat @xzthe @xzgoal @xz“Demonstrate @xzmentally @xzhealthy
@xz behavior” @xzwas @xzachieved @xzfor @xzan @xzadult @xzclient?
a. being @xzwilling @xzto @ xz work @xztowards @xz achieving @ xz ideals @xz and @xz meeting @xz demands.
b. behaving @xz without @ xz considering @xzthe @ xz consequences @xz of @ xz personal @ xz actions.
c. aggressively @xz meeting @xz personal @ xz needs @xz without @xz considering @ xz the @xz rights @ xz of @ xz others.
d. seeking @xzhelp @xzfrom @xzothers @xzto @xzavoid @xzassuming @xzresponsibility @xzfor
@xzmajor @xzareas @xzof @xzown @xzlife.
2 @xz| @xzP @xza
@xzg @xze
@xz
Varcarolis' Foundations of Psychiatric-Mental Health Nursing
@xz @xz @xz @xz @xz
Margaret Jordan Halter
@x z @xz
9th Edition
@xz
,Table of Contents
@xz @xz
Chapter @xz01 @xzMental @xzHealth @xzand @xzMental @xzIllness 2
Chapter @xz02 @xzTheories @xzand @xzTherapies @xzApproach 12
Chapter @xz03 @xzPsychobiology @xzand @xzPsychopharmacology 25
Chapter @xz04 @xzTreatment @xzSettings 37
Chapter @xz05 @xzCultural @xzImplications 50
Chapter @xz06 @xzLegal @xzand @xzEthical @xzConsiderations 61
Chapter @xz07 @xzThe @xzNursing @xzProcess @xzand @xzStandards @xzof @xzCare 72
Chapter @xz08 @xzTherapeutic @xzRelationships 83
Chapter @xz09 @xzTherapeutic @xzCommunication 94
Chapter @xz10 @xzStress @xzResponses @xzand @xzStress @xzManagement 103
Chapter @xz11 @xzChildhood @xzand @xzNeurodevelopmental @xzDisorders 113
Chapter @xz12 @xzSchizophrenia @xzSpectrum @xzDisorders 123
Chapter @xz13 @xzBipolar @xzand @xzRelated @xzDisorders 137
Chapter @xz14 @xzDepressive @xzDisorders 150
Chapter @xz15 @xzAnxiety @xzand @xzObsessive-Compulsive @xzDisorders 162
Chapter @xz16 @xzTrauma, @xzStressor-Related, @xzand @xzDissociative @xzDisorders 175
Chapter @xz17 @xzSomatic @xzSymptom @xzDisorders 187
Chapter @xz18 @xzEating @xzand @xzFeeding @xzDisorders 197
Chapter @xz19 @xzSleep–Wake @xzDisorders 207
Chapter @xz20 @xzSexual @xzDysfunctions, @xzGender @xzDysphoria, @xzand @xzParaphilic @xzDisorders 216
Chapter @xz21 @xzImpulse @xzControl @xzDisorders 226
Chapter @xz22 @xzSubstance-Related @xzand @xzAddictive @xzDisorders 236
Chapter @xz23 @xzNeurocognitive @xzDisorders 248
Chapter @xz24 @xzPersonality @xzDisorders 259
Chapter @xz25 @xzSuicide @xzand @xzNonsuicidal @xzSelf-Injury 270
Chapter @xz26 @xzCrisis @xzand @xzDisaster 280
Chapter @xz27 @xzAnger, @xzAggression, @xzand @xzViolence 290
Chapter @xz28 @xzChild, @xzOlder @xzAdult, @xzand @xzIntimate @xzPartner @xzViolence 300
Chapter @xz29 @xzSexual @xzAssault 309
Chapter @xz30 @xzDying, @xzDeath, @xzand @xzGrieving 318
Chapter @xz31 @xzOlder @xzAdults 326
Chapter @xz32 @xzSerious @xzMental @xzIllness 338
Chapter @xz33 @xzForensic @xzNursing 351
Chapter @xz34 @xzTherapeutic @xzGroups 360
Chapter @xz35 @xzFamily @xzInterventions 371
Chapter @xz36 @xzIntegrative @xzCare 382
, Test @xzBank @xz- @xzVarcarolis' @xzFoundations @xzof @xzPsychiatric @xzMental @xzHealth
@xzNursing, @xz9e @xz(Halter, @xz2022)
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.
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)
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.”
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 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
1 @xz| @xzP @xza
@xzg @xze
, Test @xzBank @xz- @xzVarcarolis' @xzFoundations @xzof @xzPsychiatric @xzMental @xzHealth
@xzNursing, @xz9e @xz(Halter, @xz2022)
ANS: @ x z C
An @xzadvocate @xzdefends @xzor @xzasserts @xzanother’s @xzcause, @xzparticularly @xzwhen @xzthe @xzother
@xzperson @xzlacks @xzthe @xzability @xzto @xzdo @xzthat @xzfor @xzself. @xzExamples @xzof @xzindividual
@xzadvocacy @xzinclude @xzhelping @xzclients @xzunderstand @xztheir @xzrights @xzor @xzmake @xzdecisions.
@xzOn @xza @xzcommunity @xzscale, @xzadvocacy @xzincludes @xzpolitical @xzactivity, @xzpublic @xzspeaking,
@xzand @xzpublication @xzin @xzthe @xzinterest @xzof @xzimproving @xzthe @xzhuman @xzcondition. @xzSince
@xzfunding @xzis @xznecessary @xzto @xzdeliver @xzquality @xzprogramming @xzfor @xzpersons @xzwith
@xzmental @xzillness, @xzthe @xzletter- @xzwriting @ x z campaign @xzadvocates @ x z for @xzthat @xzcause @ x z on
@xzbehalf @ x z of @ x z clients @ x z who @xzare @ x z unable @xzto @ x z articulate @xztheir @xzown @xzneeds.
PTS: @ x z @ x z 1 DIF: Cognitive @ x z Level: @ x z Understand @ x z (Comprehension)
TOP: @ x z @ x z Nursing @xz Process: @ xz Evaluation MSC: @ x z Client @ xz Needs: @xzSafe, @xzEffective @xz Care
@xz Environment
4. A @xzfamily @xzhas @xza @xzlong @xzhistory @xzof @xzconflicted @xzrelationships @xzamong @xzthe
@xz members. @xzWhich @xzfamily @xzmember’s @xzcomment @xzbest @xzreflects @xza @xzmentally
@xz healthy @xzperspective?
a. “I’ve @xzmade @xzmistakes @xzbut @xz everyone @xzelse @xzin @xzthis @xzfamily @xz has @xz also.”
b. “I @xzremember @xz joy @ xz and @xzmutual @xz respect @xzfrom @xz our @xz early @xzyears @xztogether.”
c. “I @xzwill @xzmake @xzsome @xzchanges @xzin @xzmy @xz behavior @xz for @xzthe @xz good @xzof @xzthe @xzfamily.”
d. “It’s @xzbest @xzfor @xzme @xzto @xzmove @xzaway @xzfrom @xzmy @xzfamily. @xzThings @xz will @xznever @xzchange.”
ANS: @ x z C
The @ x z correct @xzresponse @xzdemonstrates @xzthe @xzbest @xzevidence @xzof @xza @xzhealthy
@xzrecognition @ x z of @xzthe @xzimportance @xzof @xzrelationships. @xzMental @xzhealth @xzincludes
@xzrational @xzthinking, @xzcommunication @xzskills, @xzlearning, @xzemotional @xzgrowth, @xzresilience,
@xzand @xzself-esteem. @xzRecalling @xzjoy @xzfrom @xzearlier @xzin @xzlife @xzmay @xzbe @xzhealthy, @xzbut
@xzthe @xzcorrect @xzresponse @xzshows @xza @xzhigher @xzlevel @xzof @xzmental @xzhealth. @xzThe @xzother
@xzincorrect @xzresponses @xzshow @xzblaming @xzand @xzavoidance.
PTS: @ x z @ x z 1 DIF: Cognitive @ x z Level: @xzAnalyze @ xz (Analysis)
TOP: @ x z Nursing @xz Process: @xz Assessment MSC: @ x z Client @xz Needs: @ xz Psychosocial @xz Integrity
5. Which @xzassessment @xzfinding @xzmost @xzclearly @xzindicates @xzthat @xza @xzclient @xzmay @xzbe
@xz experiencing @xza @xzmental @xzillness?
a. reporting @xz occasional @xz sleeplessness @xz and @ xz anxiety.
b. reporting @ xz a @ xz consistently @xz sad, @xz discouraged, @ xz and @xzhopeless @xzmood.
c. being @xzable @xzto @xz describe @xzthe @xz difference @xz between @xz “as @xzif” @xzand @xz“for @xzreal.”
d. experiencing @xz difficulty @xzmaking @ xz a @xz decision @xzabout @xz whether @ xz to @xzchange @xz jobs.
ANS: @ x z B
The @xzcorrect @xzresponse @xzdescribes @xza @xzmood @xzalteration, @xzwhich @xzreflects @xzmental
@xzillness. @xzThe @xzdistracters @xzdescribe @xzbehaviors @ x z that @xzare @xzmentally @ x z healthy @ x z or
@xzwithin @ x z the @xzusual @xzscope @xzof @xzhuman @xzexperience.
PTS: @ x z @ x z 1 DIF: Cognitive @ xz Level: @xzApply @ x z (Application)
TOP: @ x z Nursing @xz Process: @xz Assessment MSC: @ x z Client @xz Needs: @ xz Psychosocial @xz Integrity
6. Which @xzfinding @xzbest @xzindicates @xzthat @xzthe @xzgoal @xz“Demonstrate @xzmentally @xzhealthy
@xz behavior” @xzwas @xzachieved @xzfor @xzan @xzadult @xzclient?
a. being @xzwilling @xzto @ xz work @xztowards @xz achieving @ xz ideals @xz and @xz meeting @xz demands.
b. behaving @xz without @ xz considering @xzthe @ xz consequences @xz of @ xz personal @ xz actions.
c. aggressively @xz meeting @xz personal @ xz needs @xz without @xz considering @ xz the @xz rights @ xz of @ xz others.
d. seeking @xzhelp @xzfrom @xzothers @xzto @xzavoid @xzassuming @xzresponsibility @xzfor
@xzmajor @xzareas @xzof @xzown @xzlife.
2 @xz| @xzP @xza
@xzg @xze
