Test Bank Varcarolis' Foundations of Psychiatric-Mental Health Nursing: A Clinical Approach, 10th Edition. By Margaret Jordan Halter – Comprehensive Psychiatric Nursing NCLEX® Practice Resource/ Latest 2026 edition

,Chapter 01: Mental Health and Mental Illness
@Z @Z @Z @Z @Z @Z


Halter: Varcarolis’ Foundations of Psychiatric-
@Z @Z @Z @Z


Mental Health Nursing: A Clinical Approach, 10th Edition
@Z @Z @Z @Z @Z @Z @Z




MULTIPLE CHOICE @Z




1. The scope of practiced for an advanced nurse practitioner would include which interve
@Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z


ntion?
a. Conducting a mental health assessment. @Z @Z @Z @Z


b. Prescribing psychotropic medication. @Z @Z


c. Establishing a therapeutic relationship. @Z @Z @Z


d. Individualizing a nursing care plan. @Z @Z @Z @Z




CORRECT ANS: @Z @ Z B
In most states, prescriptive privileges are granted to master’s-
@Z @Z @Z @Z @Z @Z @Z @Z


prepared nurse practitioners and clinical nurse specialists who have taken special course
@Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z


s on prescribing medication. The nurse prepared at the basic level is permitted to perf
@Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z


orm mental health assessments, establish relationships, and provide individualized care
@Z @Z @Z @Z @Z @Z @Z @Z @Z @Z


planning.

2. A nursing student expresses concerns that mental health nurses “lose all their clinical
@Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z


nursing skills.” Select the best response by the mental health nurse.
@Z @Z @Z @Z @Z @Z @Z @Z @Z @Z


a. “Psychiatric nurses practice in safer environments than other specialties. Nur
@Z @Z @Z @Z @Z @Z @Z @Z @Z


se-to-
client ratios must be better because of the nature of the clients’ problems.
@Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z


”
b. “Psychiatric nurses use complex communication skills as well as critical thi
@Z @Z @Z @Z @Z @Z @Z @Z @Z @Z


nking to solve multidimensional problems. I am challenged by those situat
@Z @Z @Z @Z @Z @Z @Z @Z @Z @Z


ions.”
c. “That’s a misconception. Psychiatric nurses frequently use high techno
@Z @Z @Z @Z @Z @Z @Z @Z


logy monitoring equipment and manage complex intravenous therapie
@Z @Z @Z @Z @Z @Z @Z


s.”
d. “Psychiatric nurses do not have to deal with as much pain and suff
@Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z


ering as medical–surgical nurses do. That appeals to me.”
@Z @Z @Z @Z @Z @Z @Z @Z




CORRECT ANS: @Z @ Z B
The practice of psychiatric nursing requires a different set of skills than medical–
@Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z


surgical nursing, though there is substantial overlap. Psychiatric nurses must be able to
@Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z


@Zhelp clients with medical as well as mental health problems, reflecting the holistic pe
@Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z


rspective these nurses must have. Nurse–
@Z @Z @Z @Z @Z


client ratios and workloads in psychiatric settings have increased, just like other specia
@Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z


lties. Psychiatric nursing involves clinical practice, not just documentation.
@Z @Z @Z @Z @Z @Z @Z @Z


Psychosocial pain and suffering are as real as physical pain and suffering.
@Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z




3. When a new bill introduced in Congress reduces funding for care of persons diagno
@Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z


sed with mental illness, a group of nurses write letters to their elected representative
@Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z


s in opposition to the legislation. Which role have the nurses fulfilled?
@Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z


a. Recovery
b. Attending
c. Advocacy
d. Evidence-based practice @Z



CORRECT ANS: @Z @ Z C
An advocate defends or asserts another’s cause, particularly when the other person lac
@Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z

,ks the ability to do that for self. Examples of individual advocacy include helping cli
@Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z


ents understand their rights or make decisions. On a community scale, advocacy inclu
@Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z


des political activity, public speaking, and publication in the interest of improving the
@Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @


Zhuman condition. Since funding is necessary to deliver quality programming for person
@Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z


s with mental illness, the letter-
@Z @Z @Z @Z @Z


@Zwriting campaign advocates for that cause on behalf of clients who are unable to art
@Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z


iculate their own needs.
@Z @Z @Z

, 4. A family has a long history of conflicted relationships among the members. Which
@Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z


family member’s comment best reflects a mentally healthy perspective?
@Z @Z @Z @Z @Z @Z @Z @Z @Z


a. “I’ve made mistakes but everyone else in this family has also.”
@Z @Z @Z @Z @Z @Z @Z @Z @Z @Z


b. “I remember joy and mutual respect from our early years together.”
@Z @Z @Z @Z @Z @Z @Z @Z @Z @Z


c. “I will make some changes in my behavior for the good of the family.”
@Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z


d. “It’s best for me to move away from my family. Things will never change.”
@Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z




CORRECT ANS: @Z @ Z C
The correct response demonstrates the best evidence of a healthy recognition of the i
@Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z


mportance of relationships. Mental health includes rational thinking, communication sk
@Z @Z @Z @Z @Z @Z @Z @Z @Z


ills, learning, emotional growth, resilience, and self-
@Z @Z @Z @Z @Z @Z


esteem. Recalling joy from earlier in life may be healthy, but the correct response sh
@Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z


ows a higher level of mental health. The other incorrect responses show blaming and
@Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z


avoidance.

5. Which assessment finding most clearly indicates that a client may be experiencing a
@Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z


mental illness?
@Z @Z


a. reporting occasional sleeplessness and anxiety.
@Z @Z @Z @Z


b. reporting a consistently sad, discouraged, and hopeless mood.
@Z @Z @Z @Z @Z @Z @Z


c. being able to describe the difference between “as if” and “for real.”
@Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z


d. experiencing difficulty making a decision about whether to change jobs.
@Z @Z @Z @Z @Z @Z @Z @Z @Z




CORRECT ANS: @ Z B
The correct response describes a mood alteration, which reflects mental illness. The dist
@Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z


racters describe behaviors that are mentally healthy or within the usual scope of huma
@Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z


n experience.
@Z




6. Which finding best indicates that the goal “Demonstrate mentally healthy behavior
@Z @Z @Z @Z @Z @Z @Z @Z @Z @Z


” was achieved for an adult client?
@Z @Z @Z @Z @Z @Z


a. being willing to work towards achieving ideals and meeting demands.
@Z @Z @Z @Z @Z @Z @Z @Z @Z


b. behaving without considering the consequences of personal actions.
@Z @Z @Z @Z @Z @Z @Z


c. aggressively meeting personal needs without considering the rights of others.
@Z @Z @Z @Z @Z @Z @Z @Z @Z


d. seeking help from others to avoid assuming responsibility for major areas
@Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z


of own life.@Z @Z



CORRECT ANS: @ Z A
Mental health is a state of well-
@Z @Z @Z @Z @Z @Z


being in which individuals reach their own potential, cope with the normal stresses o
@Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z


f life, work productively, and contribute to the community. Mental health provides pe
@Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z


ople with the capacity for rational thinking, communication skills, learning, emotional
@Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z


growth, resilience, and self-
@Z @Z @Z


esteem. The correct response describes an adaptive, healthy behavior. The distracters
@Z @Z @Z @Z @Z @Z @Z @Z @Z @Z @Z


describe maladaptive behaviors.
@Z @Z