lOMoARcPSD|25701531
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
, lOMoARcPSD|25701531
Test bank Varcarolis' Foundations of Psychiatric-Mental Health Nursing 9th Edition 7
Chapter 01: Mental Health and Mental Illness
Halter: Varcarolis’ Foundations of Psychiatric-Mental Health Nursing: A Clinical
Approach, 9th Edition
1. A client’s relationships are intense and unstable. The client initially idealizes the significant
other and then devalues him or her, resulting in frequent feelings of emptiness. This client will
benefit from interventions to develop which aspect of mental health?
a. Effectiveness in work
b. Communication skills
c. Productive activities
d. Fulfilling relationships
ANS: D
The information given centers on relationships with others that are described as intense and
unstable. The relationships of mentally healthy individuals are stable, satisfying, and socially
integrated. Data are not present to describe work effectiveness, communication skills, or
activities.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Planning MSC: Client Needs: Psychosocial Integrity
2. Which belief will best support a nurse’s efforts to provide client advocacy during a
multidisciplinary client care planning session?
a. All mental illnesses are culturally determined.
b. Schizophrenia and bipolar disorder are cross-cultural disorders.
c. Symptoms of mental disorders are unchanged from culture to culture.
d. Assessment findings in mental illness reflect a person’s cultural patterns.
ANS: D
Symptoms must be understood in terms of a person’s cultural background. A nurse who
understands that a client’s symptoms are influenced by culture will be able to advocate for the
client to a greater degree than a nurse who believes that culture is of little relevance. The
distracters are untrue statements.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity
3. A nurse is part of a multidisciplinary team working with groups of depressed clients. One
group of clients receives supportive interventions and antidepressant medication. The other
group receives only medication. The team measures outcomes for each group. Which type of
study is evident?
a. Incidence
b. Prevalence
c. Comorbidity
d. Clinical epidemiology
ANS: D
, lOMoARcPSD|25701531
Clinical epidemiology is a broad field that addresses studies of the natural history (or what
happens if there is no treatment and the problem is left to run its course) of an illness, studies
of diagnostic screening tests, and observational and experimental studies of interventions used
to treat people with the illness or symptoms. Prevalence refers to numbers of new cases.
Comorbidity refers to having more than one mental disorder at a time. Incidence refers to the
number of new cases of mental disorders in a healthy population within a given period. See
related audience response question.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Evaluation MSC: Client Needs: Safe, Effective Care Environment
4. The spouse of a client diagnosed with schizophrenia says, “I don’t understand how events
from childhood have anything to do with this disabling illness.” Which response by the nurse
will best help the spouse understand the cause of this disorder?
a. “Psychological stress is the basis of most mental disorders.”
b. “This illness results from developmental factors rather than stress.”
c. “Research shows that this condition more likely has a biological basis.”
d. “It must be frustrating for you that your spouse is sick so much of the time.”
ANS: C
Many of the most prevalent and disabling mental disorders have strong biological influences.
Genetics are only one part of biological factors. Empathy does not address increasing the
spouse’s level of knowledge about the cause of the disorder. The other distracters are not
established facts.
PTS: 1 DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity
5. A category 5 tornado occurred in a community of 400 people. Many homes and businesses
were destroyed. In the 2 years following the disaster, 140 individuals were diagnosed with
posttraumatic stress disorder (PTSD). Which term best applies to these newly diagnosed
cases?
a. Prevalence
b. Comorbidity
c. Incidence
d. Parity
ANS: C
Incidence refers to the number of new cases of mental disorders in a healthy population within
a given period of time. Prevalence describes the total number of cases, new and existing, in a
given population during a specific period of time, regardless of when they became ill. Parity
refers to equivalence, and legislation required insurers that provide mental health coverage to
offer annual and lifetime benefits at the same level provided for medical–surgical coverage.
Comorbidity refers to having more than one mental disorder at a time.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Planning | Nursing Process: Outcomes Identification
MSC: Client Needs: Safe, Effective Care Environment
6. Which component of treatment of mental illness is specifically recognized by Quality and
Safety Education for Nurses (QSEN)?
, lOMoARcPSD|25701531
a. All genomes are unique.
b. Care is centered on the client.
c. Healthy development is vital to mental health.
d. Recovery occurs on a continuum from illness to health.
ANS: B
The key areas of care promoted by QSEN are client-centered care, teamwork and
collaboration, evidence-based practice, quality improvement, safety, and informatics.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment
7. What is the best response for the nurse to provide to a question from another health
professional regarding the difference between a diagnosis in DSM-V and a nursing diagnosis.
a. “There is no functional difference between the two. Both identify human
disorders.”
b. “The DSM-V diagnosis disregards culture, whereas the nursing diagnosis takes
culture into account.”
c. “The DSM-V diagnosis describes causes of disorders whereas a nursing diagnosis
does not explore etiology.”
d. “The DSM-V diagnosis guides medical treatment, whereas the nursing diagnosis
offers a framework for identifying interventions for issues a client is
experiencing.”
ANS: D
The medical diagnosis is concerned with the client’s disease state, causes, and cures, whereas
the nursing diagnosis focuses on the client’s response to stress and possible caring
interventions. Both tools consider culture. The DSM-V is multiaxial. Nursing diagnoses also
consider potential problems.
PTS: 1 DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment
8. Which nursing intervention below is part of the scope of an advanced practice
psychiatric/mental health nurse rather than a basic level registered nurse?
a. Coordination of care
b. Health teaching
c. Milieu therapy
d. Psychotherapy
ANS: D
Psychotherapy is part of the scope of practice of an advanced practice nurse. The distracters
are within a basic level registered nurse’s scope of practice.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment
MULTIPLE RESPONSE
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
, lOMoARcPSD|25701531
Test bank Varcarolis' Foundations of Psychiatric-Mental Health Nursing 9th Edition 7
Chapter 01: Mental Health and Mental Illness
Halter: Varcarolis’ Foundations of Psychiatric-Mental Health Nursing: A Clinical
Approach, 9th Edition
1. A client’s relationships are intense and unstable. The client initially idealizes the significant
other and then devalues him or her, resulting in frequent feelings of emptiness. This client will
benefit from interventions to develop which aspect of mental health?
a. Effectiveness in work
b. Communication skills
c. Productive activities
d. Fulfilling relationships
ANS: D
The information given centers on relationships with others that are described as intense and
unstable. The relationships of mentally healthy individuals are stable, satisfying, and socially
integrated. Data are not present to describe work effectiveness, communication skills, or
activities.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Planning MSC: Client Needs: Psychosocial Integrity
2. Which belief will best support a nurse’s efforts to provide client advocacy during a
multidisciplinary client care planning session?
a. All mental illnesses are culturally determined.
b. Schizophrenia and bipolar disorder are cross-cultural disorders.
c. Symptoms of mental disorders are unchanged from culture to culture.
d. Assessment findings in mental illness reflect a person’s cultural patterns.
ANS: D
Symptoms must be understood in terms of a person’s cultural background. A nurse who
understands that a client’s symptoms are influenced by culture will be able to advocate for the
client to a greater degree than a nurse who believes that culture is of little relevance. The
distracters are untrue statements.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity
3. A nurse is part of a multidisciplinary team working with groups of depressed clients. One
group of clients receives supportive interventions and antidepressant medication. The other
group receives only medication. The team measures outcomes for each group. Which type of
study is evident?
a. Incidence
b. Prevalence
c. Comorbidity
d. Clinical epidemiology
ANS: D
, lOMoARcPSD|25701531
Clinical epidemiology is a broad field that addresses studies of the natural history (or what
happens if there is no treatment and the problem is left to run its course) of an illness, studies
of diagnostic screening tests, and observational and experimental studies of interventions used
to treat people with the illness or symptoms. Prevalence refers to numbers of new cases.
Comorbidity refers to having more than one mental disorder at a time. Incidence refers to the
number of new cases of mental disorders in a healthy population within a given period. See
related audience response question.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Evaluation MSC: Client Needs: Safe, Effective Care Environment
4. The spouse of a client diagnosed with schizophrenia says, “I don’t understand how events
from childhood have anything to do with this disabling illness.” Which response by the nurse
will best help the spouse understand the cause of this disorder?
a. “Psychological stress is the basis of most mental disorders.”
b. “This illness results from developmental factors rather than stress.”
c. “Research shows that this condition more likely has a biological basis.”
d. “It must be frustrating for you that your spouse is sick so much of the time.”
ANS: C
Many of the most prevalent and disabling mental disorders have strong biological influences.
Genetics are only one part of biological factors. Empathy does not address increasing the
spouse’s level of knowledge about the cause of the disorder. The other distracters are not
established facts.
PTS: 1 DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity
5. A category 5 tornado occurred in a community of 400 people. Many homes and businesses
were destroyed. In the 2 years following the disaster, 140 individuals were diagnosed with
posttraumatic stress disorder (PTSD). Which term best applies to these newly diagnosed
cases?
a. Prevalence
b. Comorbidity
c. Incidence
d. Parity
ANS: C
Incidence refers to the number of new cases of mental disorders in a healthy population within
a given period of time. Prevalence describes the total number of cases, new and existing, in a
given population during a specific period of time, regardless of when they became ill. Parity
refers to equivalence, and legislation required insurers that provide mental health coverage to
offer annual and lifetime benefits at the same level provided for medical–surgical coverage.
Comorbidity refers to having more than one mental disorder at a time.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Planning | Nursing Process: Outcomes Identification
MSC: Client Needs: Safe, Effective Care Environment
6. Which component of treatment of mental illness is specifically recognized by Quality and
Safety Education for Nurses (QSEN)?
, lOMoARcPSD|25701531
a. All genomes are unique.
b. Care is centered on the client.
c. Healthy development is vital to mental health.
d. Recovery occurs on a continuum from illness to health.
ANS: B
The key areas of care promoted by QSEN are client-centered care, teamwork and
collaboration, evidence-based practice, quality improvement, safety, and informatics.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment
7. What is the best response for the nurse to provide to a question from another health
professional regarding the difference between a diagnosis in DSM-V and a nursing diagnosis.
a. “There is no functional difference between the two. Both identify human
disorders.”
b. “The DSM-V diagnosis disregards culture, whereas the nursing diagnosis takes
culture into account.”
c. “The DSM-V diagnosis describes causes of disorders whereas a nursing diagnosis
does not explore etiology.”
d. “The DSM-V diagnosis guides medical treatment, whereas the nursing diagnosis
offers a framework for identifying interventions for issues a client is
experiencing.”
ANS: D
The medical diagnosis is concerned with the client’s disease state, causes, and cures, whereas
the nursing diagnosis focuses on the client’s response to stress and possible caring
interventions. Both tools consider culture. The DSM-V is multiaxial. Nursing diagnoses also
consider potential problems.
PTS: 1 DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment
8. Which nursing intervention below is part of the scope of an advanced practice
psychiatric/mental health nurse rather than a basic level registered nurse?
a. Coordination of care
b. Health teaching
c. Milieu therapy
d. Psychotherapy
ANS: D
Psychotherapy is part of the scope of practice of an advanced practice nurse. The distracters
are within a basic level registered nurse’s scope of practice.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment
MULTIPLE RESPONSE
