Test Bank For
Varcarolis' Foundations Of Psychiatric-Mental Health Nursing A
Clinical Approach,
9th Edition By Margaret Jordan Halter
,Test Bank For
Varcarolis' Foundations Of Psychiatric-Mental Health Nursing 9th
Edition By Margaret Jordan Halter
Table Of Contents
Unit I: Foundations In Theory
Chapter 1. Mental Health And Mental Illness
Chapter 2. Theories And Therapies
Chapter 3. Psychobiology And Psychopharmacology
Unit Ii: Foundations For Practice
Chapter 4. Treatment Settings
Chapter 5. Cultural Implications
Chapter 6. Legal And Ethical Considerations
Unit Iii: Psychosocial Nursing Tools
Chapter 7. The Nursing Process And Standards Of Care Chapter 8.
Therapeutic Relationships
Chapter 9. Therapeutic Communication
Chapter 10. Stress Responses And Stress Management
Unit Iv: Psychobiological Disorders
Chapter 11. Childhood And Neurodevelopmental Disorders
Chapter 12. Schizophrenia Spectrum Disorders
Chapter 13. Bipolar And Related Disorders Chapter
14. Depressive Disorders
Chapter 15. Anxiety And Obsessive-Compulsive Disorders Chapter
16. Trauma, Stressor-Related, And Dissociative Disorders Chapter 17.
Somatic Symptom Disorders
Chapter 18. Eating And Feeding Disorders Chapter
19. Sleep-Wake Disorders
Chapter 20. Sexual Dysfunction, Gender Dysphoria, And Paraphilic Disorders
Chapter 21. Impulse Control Disorders
Chapter 22. Substance-Related And Addictive Disorders Chapter
23. Neurocognitive Disorders
Chapter 24. Personality Disorders
Unit V: Trauma Interventions
Chapter 25. Suicide And Non-Suicidal Self-Injury
Chapter 26. Crisis And Disaster
Chapter 27. Anger, Aggression, And Violence
Chapter 28. Child, Older Adult, And Intimate Partner Violence
Chapter 29. Sexual Assault
Unit Vi: Interventions For Special Populations
Chapter 30. Dying, Death, And Grieving Chapter
31. Older Adults
Chapter 32. Serious Mental Illness
Chapter 33. Forensic Nursing
Unit Vii: Other Intervention Modalities
Chapter 34. Therapeutic Groups
Chapter 35. Family Interventions
Chapter 36. Integrative Care
,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
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
clients 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 clients who are unable to articulate their own needs.
Pts: 1 dif: cognitive level: understand (comprehension)
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)
Top: nursing process: assessment msc: client needs: psychosocial integrity
5. Which assessment finding most clearly indicates that a client may be experiencing a
mental illness?
a. Reporting occasional sleeplessness and anxiety.
b. Reporting a consistently sad, discouraged, and hopeless mood.
c. Being able to describe the difference between “as if” and “for real.”
d. Experiencing difficulty making a decision 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)
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 client?
a. Being willing to work towards achieving ideals and meeting demands.
b. Behaving without considering the consequences of personal actions.
c. Aggressively meeting personal needs without considering the rights of others.
d. Seeking help from others to avoid assuming responsibility for major areas of
own life.
Varcarolis' Foundations Of Psychiatric-Mental Health Nursing A
Clinical Approach,
9th Edition By Margaret Jordan Halter
,Test Bank For
Varcarolis' Foundations Of Psychiatric-Mental Health Nursing 9th
Edition By Margaret Jordan Halter
Table Of Contents
Unit I: Foundations In Theory
Chapter 1. Mental Health And Mental Illness
Chapter 2. Theories And Therapies
Chapter 3. Psychobiology And Psychopharmacology
Unit Ii: Foundations For Practice
Chapter 4. Treatment Settings
Chapter 5. Cultural Implications
Chapter 6. Legal And Ethical Considerations
Unit Iii: Psychosocial Nursing Tools
Chapter 7. The Nursing Process And Standards Of Care Chapter 8.
Therapeutic Relationships
Chapter 9. Therapeutic Communication
Chapter 10. Stress Responses And Stress Management
Unit Iv: Psychobiological Disorders
Chapter 11. Childhood And Neurodevelopmental Disorders
Chapter 12. Schizophrenia Spectrum Disorders
Chapter 13. Bipolar And Related Disorders Chapter
14. Depressive Disorders
Chapter 15. Anxiety And Obsessive-Compulsive Disorders Chapter
16. Trauma, Stressor-Related, And Dissociative Disorders Chapter 17.
Somatic Symptom Disorders
Chapter 18. Eating And Feeding Disorders Chapter
19. Sleep-Wake Disorders
Chapter 20. Sexual Dysfunction, Gender Dysphoria, And Paraphilic Disorders
Chapter 21. Impulse Control Disorders
Chapter 22. Substance-Related And Addictive Disorders Chapter
23. Neurocognitive Disorders
Chapter 24. Personality Disorders
Unit V: Trauma Interventions
Chapter 25. Suicide And Non-Suicidal Self-Injury
Chapter 26. Crisis And Disaster
Chapter 27. Anger, Aggression, And Violence
Chapter 28. Child, Older Adult, And Intimate Partner Violence
Chapter 29. Sexual Assault
Unit Vi: Interventions For Special Populations
Chapter 30. Dying, Death, And Grieving Chapter
31. Older Adults
Chapter 32. Serious Mental Illness
Chapter 33. Forensic Nursing
Unit Vii: Other Intervention Modalities
Chapter 34. Therapeutic Groups
Chapter 35. Family Interventions
Chapter 36. Integrative Care
,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
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
clients 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 clients who are unable to articulate their own needs.
Pts: 1 dif: cognitive level: understand (comprehension)
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)
Top: nursing process: assessment msc: client needs: psychosocial integrity
5. Which assessment finding most clearly indicates that a client may be experiencing a
mental illness?
a. Reporting occasional sleeplessness and anxiety.
b. Reporting a consistently sad, discouraged, and hopeless mood.
c. Being able to describe the difference between “as if” and “for real.”
d. Experiencing difficulty making a decision 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)
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 client?
a. Being willing to work towards achieving ideals and meeting demands.
b. Behaving without considering the consequences of personal actions.
c. Aggressively meeting personal needs without considering the rights of others.
d. Seeking help from others to avoid assuming responsibility for major areas of
own life.
