Test Bank: Essentials of Psychiatric Mental Health Nursing 5th Edition by Varcarolis
TEST BANK
Varcarolis' Essentials of Psychiatric Mental
Health Nursing, 5th Edition by Chyllia D Fosbre
1
,Test Bank: Essentials of Psychiatric Mental Health Nursing 5th Edition by Varcarolis
Table of Contents
Chapter 01: Practicing The Science and The Art of Psychiatric Nursing ........................................................ 3
Chapter 02: Mental Health and Mental Illness .................................................................................................10
Chapter 03: Theories and Therapies ..................................................................................................................18
Chapter 04: Biological Basis for Understanding Psychopharmacology .........................................................30
Chapter 05: Settings for Psychiatric Care..........................................................................................................42
Chapter 06: Legal and Ethical Basis for Practice ..............................................................................................52
Chapter 07: Nursing Process and QSEN: The Foundation for Safe and Effective Care ..............................64
Chapter 08: Communication Skills: Medium for All Nursing Practice ...........................................................76
Chapter 09: Therapeutic Relationships and the Clinical Interview .................................................................86
Chapter 11: Anxiety, Anxiety Disorders, and Obsessive-Compulsive Disorders ......................................109
Chapter 12: Somatic System Disorders and Dissociative Disorders .............................................................126
Chapter 13: Personality Disorders ....................................................................................................................139
Chapter 14: Eating Disorders............................................................................................................................151
Chapter 15: Mood Disorders: Depression ........................................................................................................163
Chapter 16: Bipolar Spectrum Disorders.........................................................................................................177
Chapter 17: Schizophrenia Spectrum Disorders and Other Psychotic Disorders .......................................192
Chapter 18: Neurocognitive Disorders .............................................................................................................209
Chapter 19: Substance-Related and Addictive Disorders ............................................................................221
Chapter 20: Crisis and Mass Disaster ..............................................................................................................239
Chapter 21: Child, Partner, and Elder Violence ..............................................................................................251
Chapter 22: Sexual Violence..............................................................................................................................262
Chapter 23: Suicidal Thoughts and Behavior ..................................................................................................273
Chapter 24: Anger, Aggression, and Violence..................................................................................................286
Chapter 25: Care for the Dying and Those Who Grieve .................................................................................299
Chapter 26: Children and Adolescents .............................................................................................................312
Chapter 27: Adults .............................................................................................................................................324
Chapter 28: Older Adults ..................................................................................................................................338
2
,Test Bank: Essentials of Psychiatric Mental Health Nursing 5th Edition by Varcarolis
Chapter 01: Practicing The Science and The Art of Psychiatric Nursing
MULTIPLE CHOICE
1. Which outcome, focused on recovery, would be expected in the plan of care for a patient
living in the community and diagnosed with serious and persistent mental illness? Within 3
months, the patient will:
A. deny suicidal ideation.
B. report a sense of well-being.
C. take medications as prescribed.
D. attend clinic appointments on time.
ANS: B
Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving role
performance.
The goal of recovery is to empower the individual with mental illness to achieve a sense of
meaning and satisfaction in life and to function at the highest possible level of wellness. The
incorrect options focus on the classic medical model rather than recovery.
DIF: Cognitive Level: Application (Applying) REF: 2
TOP: Nursing Process: Outcomes Identification
MSC: NCLEX: Health Promotion and Maintenance
2. In the shift-change report, an off-going nurse criticizes a patient who wears heavy
makeup. Which comment by the nurse who receives the report best demonstrates
advocacy?
A. this is a psychiatric hospital. craziness is what we are all about.
B. let’s all show acceptance of this patient by wearing lots of makeup too.
C. your comments are inconsiderate and inappropriate. keep the report objective.
D. our patients need our help to learn behaviors that will help them get along in society.
ANS: D
Accepting patients’ needs for self-expression and seeking to teach skills that will contribute to
their well-being demonstrate respect and are important parts of advocacy. The on-coming nurse
needs to take action to ensure that others are not prejudiced against the patient. Humor can be
appropriate within the privacy of a shift report but not at the expense of respect for patients.
Judging the off-going nurse in a critical way will create conflict.
Nurses must show compassion for each other.
DIF: Cognitive Level: Application (Applying) REF: 8
TOP: Nursing Process: Implementation
MSC: NCLEX: Safe, Effective Care Environment
3
, Test Bank: Essentials of Psychiatric Mental Health Nursing 5th Edition by Varcarolis
3. A nurse assesses a newly admitted patient diagnosed with major depressive disorder.
Which statement is an example of attending?
A. We all have stress in life. Being in a psychiatric hospital isn’t the end of the world.
B. Tell me why you felt you had to be hospitalized to receive treatment for your depression.
C. You will feel better after we get some antidepressant medication started for you.
D. I’d like to sit with you a while so you may feel more comfortable talking with me.
ANS: D
Attending is a technique that demonstrates the nurses’ commitment to the relationship and
reduces feelings of isolation. This technique shows respect for the patient and demonstrates
caring. Generalizations, probing, and false reassurances are non-therapeutic.
DIF: Cognitive Level: Application (Applying) REF: 8
TOP: Nursing Process: Implementation
MSC: NCLEX: Psychosocial Integrity
4. A patient is hospitalized for depression and suicidal ideation after their spouse asks for a
divorce. Select the nurses most caring comment.
A. Let’s discuss some means of coping other than suicide when you have these feelings.
B. I understand why youre so depressed. When I got divorced, I was devastated too.
C. You should forget about your marriage and move on with your life.
D. How did you get so depressed that hospitalization was necessary?
ANS: A
The nurses’ communication should evidence caring and a commitment to work with the patient.
This commitment lets the patient know the nurse will help. Probing and advice are not helpful or
therapeutic interventions.
DIF: Cognitive Level: Application (Applying) REF: 6
TOP: Nursing Process: Implementation
MSC: NCLEX: Psychosocial Integrity
5. A patient shows the nurse an article from the Internet about a health problem. Which
characteristic of the web sites address most alerts the nurse that the site may have biased and
prejudiced information?
A. Address ends in .org.
B. Address ends in .com.
C. Address ends in .gov.
D. Address ends in .net.
ANS: B
Financial influences on a site are a clue that the information may be biased. .com at the end of
the address indicates that the site is a commercial one. .gov indicates that the site is maintained
by a government entity. .org indicates that the site is nonproprietary; the site may or may not
have reliable information, but it does not profit from its activities. .net can have multiple
4
TEST BANK
Varcarolis' Essentials of Psychiatric Mental
Health Nursing, 5th Edition by Chyllia D Fosbre
1
,Test Bank: Essentials of Psychiatric Mental Health Nursing 5th Edition by Varcarolis
Table of Contents
Chapter 01: Practicing The Science and The Art of Psychiatric Nursing ........................................................ 3
Chapter 02: Mental Health and Mental Illness .................................................................................................10
Chapter 03: Theories and Therapies ..................................................................................................................18
Chapter 04: Biological Basis for Understanding Psychopharmacology .........................................................30
Chapter 05: Settings for Psychiatric Care..........................................................................................................42
Chapter 06: Legal and Ethical Basis for Practice ..............................................................................................52
Chapter 07: Nursing Process and QSEN: The Foundation for Safe and Effective Care ..............................64
Chapter 08: Communication Skills: Medium for All Nursing Practice ...........................................................76
Chapter 09: Therapeutic Relationships and the Clinical Interview .................................................................86
Chapter 11: Anxiety, Anxiety Disorders, and Obsessive-Compulsive Disorders ......................................109
Chapter 12: Somatic System Disorders and Dissociative Disorders .............................................................126
Chapter 13: Personality Disorders ....................................................................................................................139
Chapter 14: Eating Disorders............................................................................................................................151
Chapter 15: Mood Disorders: Depression ........................................................................................................163
Chapter 16: Bipolar Spectrum Disorders.........................................................................................................177
Chapter 17: Schizophrenia Spectrum Disorders and Other Psychotic Disorders .......................................192
Chapter 18: Neurocognitive Disorders .............................................................................................................209
Chapter 19: Substance-Related and Addictive Disorders ............................................................................221
Chapter 20: Crisis and Mass Disaster ..............................................................................................................239
Chapter 21: Child, Partner, and Elder Violence ..............................................................................................251
Chapter 22: Sexual Violence..............................................................................................................................262
Chapter 23: Suicidal Thoughts and Behavior ..................................................................................................273
Chapter 24: Anger, Aggression, and Violence..................................................................................................286
Chapter 25: Care for the Dying and Those Who Grieve .................................................................................299
Chapter 26: Children and Adolescents .............................................................................................................312
Chapter 27: Adults .............................................................................................................................................324
Chapter 28: Older Adults ..................................................................................................................................338
2
,Test Bank: Essentials of Psychiatric Mental Health Nursing 5th Edition by Varcarolis
Chapter 01: Practicing The Science and The Art of Psychiatric Nursing
MULTIPLE CHOICE
1. Which outcome, focused on recovery, would be expected in the plan of care for a patient
living in the community and diagnosed with serious and persistent mental illness? Within 3
months, the patient will:
A. deny suicidal ideation.
B. report a sense of well-being.
C. take medications as prescribed.
D. attend clinic appointments on time.
ANS: B
Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving role
performance.
The goal of recovery is to empower the individual with mental illness to achieve a sense of
meaning and satisfaction in life and to function at the highest possible level of wellness. The
incorrect options focus on the classic medical model rather than recovery.
DIF: Cognitive Level: Application (Applying) REF: 2
TOP: Nursing Process: Outcomes Identification
MSC: NCLEX: Health Promotion and Maintenance
2. In the shift-change report, an off-going nurse criticizes a patient who wears heavy
makeup. Which comment by the nurse who receives the report best demonstrates
advocacy?
A. this is a psychiatric hospital. craziness is what we are all about.
B. let’s all show acceptance of this patient by wearing lots of makeup too.
C. your comments are inconsiderate and inappropriate. keep the report objective.
D. our patients need our help to learn behaviors that will help them get along in society.
ANS: D
Accepting patients’ needs for self-expression and seeking to teach skills that will contribute to
their well-being demonstrate respect and are important parts of advocacy. The on-coming nurse
needs to take action to ensure that others are not prejudiced against the patient. Humor can be
appropriate within the privacy of a shift report but not at the expense of respect for patients.
Judging the off-going nurse in a critical way will create conflict.
Nurses must show compassion for each other.
DIF: Cognitive Level: Application (Applying) REF: 8
TOP: Nursing Process: Implementation
MSC: NCLEX: Safe, Effective Care Environment
3
, Test Bank: Essentials of Psychiatric Mental Health Nursing 5th Edition by Varcarolis
3. A nurse assesses a newly admitted patient diagnosed with major depressive disorder.
Which statement is an example of attending?
A. We all have stress in life. Being in a psychiatric hospital isn’t the end of the world.
B. Tell me why you felt you had to be hospitalized to receive treatment for your depression.
C. You will feel better after we get some antidepressant medication started for you.
D. I’d like to sit with you a while so you may feel more comfortable talking with me.
ANS: D
Attending is a technique that demonstrates the nurses’ commitment to the relationship and
reduces feelings of isolation. This technique shows respect for the patient and demonstrates
caring. Generalizations, probing, and false reassurances are non-therapeutic.
DIF: Cognitive Level: Application (Applying) REF: 8
TOP: Nursing Process: Implementation
MSC: NCLEX: Psychosocial Integrity
4. A patient is hospitalized for depression and suicidal ideation after their spouse asks for a
divorce. Select the nurses most caring comment.
A. Let’s discuss some means of coping other than suicide when you have these feelings.
B. I understand why youre so depressed. When I got divorced, I was devastated too.
C. You should forget about your marriage and move on with your life.
D. How did you get so depressed that hospitalization was necessary?
ANS: A
The nurses’ communication should evidence caring and a commitment to work with the patient.
This commitment lets the patient know the nurse will help. Probing and advice are not helpful or
therapeutic interventions.
DIF: Cognitive Level: Application (Applying) REF: 6
TOP: Nursing Process: Implementation
MSC: NCLEX: Psychosocial Integrity
5. A patient shows the nurse an article from the Internet about a health problem. Which
characteristic of the web sites address most alerts the nurse that the site may have biased and
prejudiced information?
A. Address ends in .org.
B. Address ends in .com.
C. Address ends in .gov.
D. Address ends in .net.
ANS: B
Financial influences on a site are a clue that the information may be biased. .com at the end of
the address indicates that the site is a commercial one. .gov indicates that the site is maintained
by a government entity. .org indicates that the site is nonproprietary; the site may or may not
have reliable information, but it does not profit from its activities. .net can have multiple
4
