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
,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: 1DIF: 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 dpractice dof dpsychiatric dnursing drequires da ddifferent dset dof dskills dthan dmedical–surgical dnursing, dthough
dthere dis dsubstantial doverlap. dPsychiatric dnurses dmust dbe dable dto dhelp dclients dwith dmedical das dwell das
dmental dhealth dproblems, dreflecting dthe dholistic dperspective dthese dnurses dmust dhave. dNurse–client dratios dand
dworkloads din dpsychiatric dsettings dhave dincreased, djust dlike dother dspecialties. dPsychiatric dnursing dinvolves
dclinical dpractice, dnot djust ddocumentation.
Psychosocial dpain dand dsuffering dare das dreal das dphysical dpain dand dsuffering.
PTS: d d d1 DIF: Cognitive dLevel: dApply d(Application)
TOP: d d dNursing dProcess: dImplementation MSC: dClient dNeeds: dSafe, dEffective dCare dEnvironment
3. When da dnew dbill dintroduced din dCongress dreduces dfunding dfor dcare dof dpersons ddiagnosed dwith
dmental dillness, da dgroup dof dnurses dwrite dletters dto dtheir delected drepresentatives din dopposition dto dthe
dlegislation. dWhich drole dhave dthe dnurses dfulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based dpractice
d
ANSWER: dC
An dadvocate ddefends dor dasserts danother’s dcause, dparticularly dwhen dthe dother dperson dlacks dthe dability dto ddo
dthat dfor dself. dExamples dof dindividual dadvocacy dinclude dhelping dclients dunderstand dtheir drights dor dmake
ddecisions. dOn da dcommunity dscale, dadvocacy dincludes dpolitical dactivity, dpublic dspeaking, dand dpublication din
dthe dinterest dof dimproving dthe dhuman dcondition. dSince dfunding dis dnecessary dto ddeliver dquality
, dprogramming dfor dpersons dwith dmental dillness, dthe dletter- dwriting dcampaign dadvocates dfor dthat dcause don
dbehalf dof dclients dwho dare dunable dto darticulate dtheir down dneeds.
PTS: d d d1 DIF: Cognitive dLevel: dUnderstand d(Comprehension)
TOP: d d dNursing dProcess: dEvaluation MSC: dClient dNeeds: dSafe, dEffective dCare dEnvironment
4. A dfamily dhas da dlong dhistory dof dconflicted drelationships damong dthe dmembers. dWhich dfamily
dmember’s dcomment dbest dreflects da dmentally dhealthy dperspective?
a. “I’ve dmade dmistakes dbut deveryone delse din dthis dfamily dhas dalso.”
b. “I dremember djoy dand dmutual drespect dfrom dour dearly dyears dtogether.”
c. “I dwill dmake dsome dchanges din dmy dbehavior dfor dthe dgood dof dthe dfamily.”
d. “It’s dbest dfor dme dto dmove daway dfrom dmy dfamily. dThings dwill dnever dchange.”
ANSWER: dC
The dcorrect dresponse ddemonstrates dthe dbest devidence dof da dhealthy drecognition dof dthe dimportance dof
drelationships. dMental dhealth dincludes drational dthinking, dcommunication dskills, dlearning, demotional dgrowth,
dresilience, dand dself-esteem. dRecalling djoy dfrom dearlier din dlife dmay dbe dhealthy, dbut dthe dcorrect dresponse
dshows da dhigher dlevel dof dmental dhealth. dThe dother dincorrect dresponses dshow dblaming dand davoidance.
PTS: d d d1 DIF: Cognitive dLevel: dAnalyze d(Analysis)
TOP: dNursing dProcess: dAssessment MSC: dClient dNeeds: dPsychosocial dIntegrity
5. Which dassessment dfinding dmost dclearly dindicates dthat da dclient dmay dbe dexperiencing da dmental
dillness?
a. reporting doccasional dsleeplessness dand danxiety.
b. reporting da dconsistently dsad, ddiscouraged, dand dhopeless dmood.
c. being dable dto ddescribe dthe ddifference dbetween d“as dif” dand d“for dreal.”
d. experiencing ddifficulty dmaking da ddecision dabout dwhether dto dchange djobs.
ANSWER: dB
The dcorrect dresponse ddescribes da dmood dalteration, dwhich dreflects dmental dillness. dThe ddistracters ddescribe
dbehaviors dthat dare dmentally dhealthy dor dwithin dthe dusual dscope dof dhuman dexperience.
PTS: d d d1 DIF: Cognitive dLevel: dApply d(Application)
TOP: dNursing dProcess: dAssessment MSC: dClient dNeeds: dPsychosocial dIntegrity
6. Which dfinding dbest dindicates dthat dthe dgoal d“Demonstrate dmentally dhealthy dbehavior” dwas dachieved
dfor dan dadult dclient?
a. being dwilling dto dwork dtowards dachieving dideals dand dmeeting ddemands.
b. behaving dwithout dconsidering dthe dconsequences dof dpersonal dactions.
c. aggressively dmeeting dpersonal dneeds dwithout dconsidering dthe drights dof dothers.
d. seeking dhelp dfrom dothers dto davoid dassuming dresponsibility dfor dmajor dareas dof down dlife.
d
ANSWER: dA
Mental dhealth dis da dstate dof dwell-being din dwhich dindividuals dreach dtheir down dpotential, dcope dwith dthe
dnormal dstresses dof dlife, dwork dproductively, dand dcontribute dto dthe dcommunity. dMental dhealth dprovides
dpeople dwith dthe dcapacity dfor drational dthinking, dcommunication dskills, dlearning, demotional dgrowth,
dresilience, dand dself-esteem. dThe dcorrect dresponse ddescribes dan dadaptive, dhealthy dbehavior. dThe ddistracters
ddescribe dmaladaptive dbehaviors.
PTS: d d d1 DIF: Cognitive dLevel: dApply d(Application)
TOP: d d dNursing dProcess: dEvaluation MSC: dClient dNeeds: dPsychosocial dIntegrity
7. A dnurse dencounters dan dunfamiliar dpsychiatric ddisorder don da dnew dclient’s dadmission dform. dWhich
dresource dshould dthe dnurse dconsult dto ddetermine dcriteria dused dto destablish dthis ddiagnosis?
a. International dStatistical dClassification dof dDiseases dand dRelated dHealth dProblems d(ICD-10)
b. The dANA’s dPsychiatric-Mental dHealth dNursing dScope dand dStandards dof dPractice
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
,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: 1DIF: 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 dpractice dof dpsychiatric dnursing drequires da ddifferent dset dof dskills dthan dmedical–surgical dnursing, dthough
dthere dis dsubstantial doverlap. dPsychiatric dnurses dmust dbe dable dto dhelp dclients dwith dmedical das dwell das
dmental dhealth dproblems, dreflecting dthe dholistic dperspective dthese dnurses dmust dhave. dNurse–client dratios dand
dworkloads din dpsychiatric dsettings dhave dincreased, djust dlike dother dspecialties. dPsychiatric dnursing dinvolves
dclinical dpractice, dnot djust ddocumentation.
Psychosocial dpain dand dsuffering dare das dreal das dphysical dpain dand dsuffering.
PTS: d d d1 DIF: Cognitive dLevel: dApply d(Application)
TOP: d d dNursing dProcess: dImplementation MSC: dClient dNeeds: dSafe, dEffective dCare dEnvironment
3. When da dnew dbill dintroduced din dCongress dreduces dfunding dfor dcare dof dpersons ddiagnosed dwith
dmental dillness, da dgroup dof dnurses dwrite dletters dto dtheir delected drepresentatives din dopposition dto dthe
dlegislation. dWhich drole dhave dthe dnurses dfulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based dpractice
d
ANSWER: dC
An dadvocate ddefends dor dasserts danother’s dcause, dparticularly dwhen dthe dother dperson dlacks dthe dability dto ddo
dthat dfor dself. dExamples dof dindividual dadvocacy dinclude dhelping dclients dunderstand dtheir drights dor dmake
ddecisions. dOn da dcommunity dscale, dadvocacy dincludes dpolitical dactivity, dpublic dspeaking, dand dpublication din
dthe dinterest dof dimproving dthe dhuman dcondition. dSince dfunding dis dnecessary dto ddeliver dquality
, dprogramming dfor dpersons dwith dmental dillness, dthe dletter- dwriting dcampaign dadvocates dfor dthat dcause don
dbehalf dof dclients dwho dare dunable dto darticulate dtheir down dneeds.
PTS: d d d1 DIF: Cognitive dLevel: dUnderstand d(Comprehension)
TOP: d d dNursing dProcess: dEvaluation MSC: dClient dNeeds: dSafe, dEffective dCare dEnvironment
4. A dfamily dhas da dlong dhistory dof dconflicted drelationships damong dthe dmembers. dWhich dfamily
dmember’s dcomment dbest dreflects da dmentally dhealthy dperspective?
a. “I’ve dmade dmistakes dbut deveryone delse din dthis dfamily dhas dalso.”
b. “I dremember djoy dand dmutual drespect dfrom dour dearly dyears dtogether.”
c. “I dwill dmake dsome dchanges din dmy dbehavior dfor dthe dgood dof dthe dfamily.”
d. “It’s dbest dfor dme dto dmove daway dfrom dmy dfamily. dThings dwill dnever dchange.”
ANSWER: dC
The dcorrect dresponse ddemonstrates dthe dbest devidence dof da dhealthy drecognition dof dthe dimportance dof
drelationships. dMental dhealth dincludes drational dthinking, dcommunication dskills, dlearning, demotional dgrowth,
dresilience, dand dself-esteem. dRecalling djoy dfrom dearlier din dlife dmay dbe dhealthy, dbut dthe dcorrect dresponse
dshows da dhigher dlevel dof dmental dhealth. dThe dother dincorrect dresponses dshow dblaming dand davoidance.
PTS: d d d1 DIF: Cognitive dLevel: dAnalyze d(Analysis)
TOP: dNursing dProcess: dAssessment MSC: dClient dNeeds: dPsychosocial dIntegrity
5. Which dassessment dfinding dmost dclearly dindicates dthat da dclient dmay dbe dexperiencing da dmental
dillness?
a. reporting doccasional dsleeplessness dand danxiety.
b. reporting da dconsistently dsad, ddiscouraged, dand dhopeless dmood.
c. being dable dto ddescribe dthe ddifference dbetween d“as dif” dand d“for dreal.”
d. experiencing ddifficulty dmaking da ddecision dabout dwhether dto dchange djobs.
ANSWER: dB
The dcorrect dresponse ddescribes da dmood dalteration, dwhich dreflects dmental dillness. dThe ddistracters ddescribe
dbehaviors dthat dare dmentally dhealthy dor dwithin dthe dusual dscope dof dhuman dexperience.
PTS: d d d1 DIF: Cognitive dLevel: dApply d(Application)
TOP: dNursing dProcess: dAssessment MSC: dClient dNeeds: dPsychosocial dIntegrity
6. Which dfinding dbest dindicates dthat dthe dgoal d“Demonstrate dmentally dhealthy dbehavior” dwas dachieved
dfor dan dadult dclient?
a. being dwilling dto dwork dtowards dachieving dideals dand dmeeting ddemands.
b. behaving dwithout dconsidering dthe dconsequences dof dpersonal dactions.
c. aggressively dmeeting dpersonal dneeds dwithout dconsidering dthe drights dof dothers.
d. seeking dhelp dfrom dothers dto davoid dassuming dresponsibility dfor dmajor dareas dof down dlife.
d
ANSWER: dA
Mental dhealth dis da dstate dof dwell-being din dwhich dindividuals dreach dtheir down dpotential, dcope dwith dthe
dnormal dstresses dof dlife, dwork dproductively, dand dcontribute dto dthe dcommunity. dMental dhealth dprovides
dpeople dwith dthe dcapacity dfor drational dthinking, dcommunication dskills, dlearning, demotional dgrowth,
dresilience, dand dself-esteem. dThe dcorrect dresponse ddescribes dan dadaptive, dhealthy dbehavior. dThe ddistracters
ddescribe dmaladaptive dbehaviors.
PTS: d d d1 DIF: Cognitive dLevel: dApply d(Application)
TOP: d d dNursing dProcess: dEvaluation MSC: dClient dNeeds: dPsychosocial dIntegrity
7. A dnurse dencounters dan dunfamiliar dpsychiatric ddisorder don da dnew dclient’s dadmission dform. dWhich
dresource dshould dthe dnurse dconsult dto ddetermine dcriteria dused dto destablish dthis ddiagnosis?
a. International dStatistical dClassification dof dDiseases dand dRelated dHealth dProblems d(ICD-10)
b. The dANA’s dPsychiatric-Mental dHealth dNursing dScope dand dStandards dof dPractice
