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Varcarolis' Foundations of Psychiatric-Mental Health Nursing 9th
Edition By Margare Jordan Halter J
Table Of Contents
UNI I: Foundations in Theory
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Chapter 1. Mental Health and Mental Illness
Chapter 2. Theories and Therapies
Chapter 3. Psychobiology and Psychopharmacology
UNI II: Foundations for Practice
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Chapter 4. Treatmen Settings
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Chapter 5. Cultural Implications
Chapter 6. Legal and Ethical Considerations
UNI III: Psychosocial Nursing Tools
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Chapter 7. The Nursing Process and Standards of Care
Chapter 8. Therapeutic Relationships
Chapter 9. Therapeutic Communication
Chapter 10. Stress Responses and Stress Management
UNI IV: Psychobiological Disorders
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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
UNI V: Trauma Interventions
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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
UNI VI: Interventions for Special Populations
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Chapter 30. Dying, Death, and Grieving
Chapter 31. Older Adults
Chapter 32. Serious Mental Illness
Chapter 33. Forensic Nursing
UNI VII: Other Intervention Modalities
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Chapter 34. Therapeutic Groups
Chapter 35. Family Interventions
Chapter 36. Integrative Care
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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?
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a. Conducting a mental health assessment. J J J J
b. Prescribingpsychotropic medication. J J
c. Establishing a therapeutic relationship. J J J
d. Individualizing a nursing care plan. J J J J
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In most states, prescriptive privileges are granted to master’s-prepared nurse practitioners and clinical
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nurse specialists who have taken special courses on prescribing medication. The nurse prepared at the
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basic level is permitted to perform mental health assessments, establish relationships, and provide
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individualized care planning. J J
PTS: 1 J DIF: CognitiveLevel: Understand(Comprehension)
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TOP: NursingProcess: Implementation
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2. A nursing student expresses concerns that mental health nurses “lose all their clinical nursing
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skills.” Select the best response by the mental health nurse.
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a. “Psychiatric nurses practice in safer environments than other specialties. Nurse-to- J J J J J J J J J
client ratios must be better because of the nature of the clients’ problems.”
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b. “Psychiatric nurses use complex communication skills as well as critical thinking to J J J J J J J J J J J J
solve multidimensional problems. I am challenged by those situations.”
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c. “That’s a misconception. Psychiatric nurses frequentlyuse high technology
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monitoring equipment and manage complex intravenous therapies.” J J J J J J
d. “Psychiatric nurses do not have to deal with as much pain and suffering as J J J J J J J J J J J J J J
medical–surgical nurses do. That appeals to me.” J J J J J J
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The practice of psychiatric nursing requires a different set of skills than medical–surgical
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nursing, though there is substantial overlap. Psychiatric nurses must be able to help clients with
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medical as well as mental health problems, reflecting the holistic perspective these nurses must
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have. Nurse–client ratios and workloads in psychiatric settings have increased, just like other
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specialties. Psychiatric nursing involves clinical practice, not just documentation.
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Psychosocial pain and suffering are as real as physical pain and suffering. J J J J J J J J J J J
PTS: 1 J DIF: Cognitive Level: Apply (Application)
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TOP: NursingProcess: Implementation
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3. When a new bill introduced in Congress reduces funding for care of persons diagnosed with
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mental illness, a group of nurses write letters to their elected representatives in opposition to the
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legislation. Which role have the nurses fulfilled? J J J J J J
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based practice J
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An advocate defends or asserts another’s cause, particularly when the other person lacks the
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ability to do that for self. Examples of individual advocacy include helping clients understand
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their rights or make decisions. On a community scale, advocacy includes political activity,
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public speaking, and publication in the interest of improving the human condition. Since funding
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is necessaryto deliver qualityprogramming for persons with mental illness, the letter-writing
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campaign advocates for that cause on behalf of clients who are unable to articulate their own
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needs.
PTS: 1 DIF: CognitiveLevel: Understand(Comprehension)
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TOP: NursingProcess: Evaluation
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4. A familyhas a long historyof conflicted relationships among the members. Which family
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member’s comment best reflects a mentally healthy perspective?
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a.“I’ve made mistakes but everyone else in this familyhas also.”
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b.“Iremember joyand mutual respect from our early years together.”
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c.“Iwill make some changes in mybehavior for the good of the family.”
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d.“It’s best for me to move awayfrom myfamily. Things will never change.”
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The correct response demonstrates the best evidence of a healthy recognition of the importance
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of relationships. Mental health includes rational thinking, communication skills, learning,
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emotional growth, resilience, and self-esteem. Recalling joy from earlier in life may be healthy,
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but the correct response shows a higher level of mental health. The other incorrect responses show
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blaming and avoidance. J J
PTS: 1 DIF: Cognitive Level: Analyze (Analysis)
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TOP: NursingProcess: Assessment
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5. Which assessment finding most clearlyindicates that a client may be experiencing a mental
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illness?
a. reporting occasional sleeplessness and anxiety. J J J J
b. reporting a consistentlysad, discouraged, and hopeless mood. J J J J J J J
c. being able to describe the difference between “as if” and “for real.”
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d. experiencing difficulty making a decision about whether to change jobs. J J J J J J J J J
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The correct response describes a mood alteration, which reflects mental illness. The distracters
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describe behaviors that are mentally healthy or within the usual scope of human experience.
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PTS: 1 DIF: Cognitive Level: Apply (Application)
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6. Which finding best indicates that the goal “Demonstrate mentally healthy behavior” was
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achieved for an adult client? J J J J
a. being willing to work towards achieving ideals and meeting demands.
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b. behaving without considering the consequences of personal actions. J J J J J J J
c. aggressivelymeeting personal needs without considering the rights of others. J J J J J J J J J
d. seeking help from others to avoid assuming responsibilityfor major areas of own
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life.
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Mental health is a state of well-being in which individuals reach their own potential, cope with
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the normal stresses of life, work productively, and contribute to the community. Mental health
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provides people with the capacityfor rational thinking, communication skills, learning,
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emotional growth, resilience, and self-esteem. The correct response describes an adaptive,
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healthy behavior. The distracters describe maladaptive behaviors.
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PTS: 1 J DIF: Cognitive Level: Apply (Application)
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TOP: NursingProcess: Evaluation
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7. A nurse encounters an unfamiliar psychiatric disorder on a new client’s admission form. Which
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resource should the nurse consult to determine criteria used to establish this diagnosis?
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a. International StatisticalClassification of Diseases and Related Health Problems J J J J J J J J J
(ICD-10)
b. The ANA’s Psychiatric-Mental Health Nursing Scope and Standards of Practice
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c. Diagnostic and Statistical Manual of Mental Disorders (DSM-V) J J J J J J J
d. A behavioral health reference manual
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The DSM-V gives the criteria used to diagnose each mental disorder. It is the official guideline for
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diagnosing psychiatric disorders. The distracters may not contain diagnostic criteria for a
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psychiatric illness. J
PTS: 1 J DIF: CognitiveLevel: Understand(Comprehension)
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TOP: NursingProcess: Assessment
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8. A nurse wants to find a description of diagnostic criteria for anxietydisorders. Which resource
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would have the most complete information?
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a. Nursing Outcomes Classification (NOC) J J J
b. DSM-V
c. The ANA’s Psychiatric-Mental Health Nursing Scope and Standards of Practice
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d. ICD-10
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The DSM-V details the diagnostic criteria for psychiatric clinical conditions. It is the official
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guideline for diagnosing psychiatric disorders. The other references are good resources but do not
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define the diagnostic criteria.
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PTS: 1 J DIF: CognitiveLevel: Understand(Comprehension)
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TOP: NursingProcess: Implementation
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9. Which individual behavior demonstrates resilience?
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a. Repress stressors associated with a divorce. J J J J J
b. Continuing to grieve the death of a spouse for 5 years. J J J J J J J J J J
c. Continuing to live in a shelter for 2 years after the home is destroyed by fire. J J J J J J J J J J J J J J J
d. Taking a temporaryjob to maintain financial stabilityafter loss of a permanent job.
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