Updated/Latest Varcarolis' Foundations of Psychiatric-Mental Health Nursing A Clinical Approach 9th Edition Margaret Jordan Halter Test Bank Complete Chapters 1–36 Comprehensive Psychiatric Mental Health Nursing Questions Answers Rationales NCLEX R

Chapter 01: Mental Health and Mental Illness
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Halter: Varcarolis’ Foundations of Psychiatric-Mental Health Nursing: A Clinical
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Approach, 9th Edition
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MULTIPLE CHOICE L




1. The scope of practiced for an advanced nurse practitioner would include which intervention?
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a. Conducting a mental health assessment. L L L L



b. Prescribing psychotropic medication. L L



c. Establishing a therapeutic relationship. L L L



d. Individualizing a nursing care plan. L L L L




ANS: B L



In most states, prescriptive privileges are granted to master’s-prepared nurse practitioners and
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clinical nurse specialists who have taken special courses on prescribing medication. The nurse
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prepared at the basic level is permitted to perform mental health assessments, establish
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relationships, and provide individualized care planning.
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PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
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TOP: Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment
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2. A nursing student expresses concerns that mental health nurses “lose all their clinical nursing
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Lskills.” 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- L L L L L L L L L



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 L L L L L L L L L L



L to solve multidimensional problems. I am challenged by those situations.”
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c. “That’s a misconception. Psychiatric nurses frequently use high technology
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L monitoring equipment and manage complex intravenous therapies.” L L L L L L



d. “Psychiatric nurses do not have to deal with as much pain and suffering as L L L L L L L L L L L L L



L medical–surgical nurses do. That appeals to me.” L L L L L L




ANS: B L



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.
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PTS: 1 DIF: Cognitive Level: Apply (Application)
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TOP: Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment
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3. When a new bill introduced in Congress reduces funding for care of persons diagnosed with
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Lmental illness, a group of nurses write letters to their elected representatives in opposition to
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Lthe legislation. Which role have the nurses fulfilled?
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a. Recovery
b. Attending
c. Advocacy
d. Evidence-based practice L

, ANS: C L



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
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funding is necessary to deliver quality programming for persons with mental illness, the letter-
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writing campaign advocates for that cause on behalf of clients who are unable to articulate their
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own needs.
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PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
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TOP: Nursing Process: Evaluation
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4. A family has a long history of conflicted relationships among the members. Which family
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Lmember’s comment best reflects a mentally healthy perspective?
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a. “I’ve made mistakes but everyone else in this family has also.”
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b. “I remember joy and mutual respect from our early years together.”
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c. “I will make some changes in my behavior for the good of the family.”
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d. “It’s best for me to move away from my family. Things will never change.”
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ANS: C L



The correct response demonstrates the best evidence of a healthy recognition of the
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importance of relationships. Mental health includes rational thinking, communication skills,
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learning, emotional growth, resilience, and self-esteem. Recalling joy from earlier in life may
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be healthy, but the correct response shows a higher level of mental health. The other incorrect
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responses show blaming and avoidance.
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PTS: 1 DIF: Cognitive Level: Analyze (Analysis)
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TOP: Nursing Process: Assessment
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5. Which assessment finding most clearly indicates that a client may be experiencing a mental
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Lillness?
a. reporting occasional sleeplessness and anxiety. L L L L



b. reporting a consistently sad, discouraged, and hopeless mood. L L L L L L L



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. L L L L L L L L L




ANS: B L



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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TOP: Nursing Process: Assessment
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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?
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a. being willing to work towards achieving ideals and meeting demands.
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b. behaving without considering the consequences of personal actions.L L L L L L L



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



d. seeking help from others to avoid assuming responsibility for major areas of own
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life. L

, ANS: A L



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 capacity for 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 LDIF: Cognitive Level: Apply (Application)
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TOP: Nursing Process: Evaluation
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7. A nurse encounters an unfamiliar psychiatric disorder on a new client’s admission form.
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L Which resource should the nurse consult to determine criteria used to establish this diagnosis?
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a. International Statistical Classification of Diseases and Related Health Problems L L L L L L L L



(ICD-10)
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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) L L L L L L L



d. A behavioral health reference manual
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ANS: C L



The DSM-V gives the criteria used to diagnose each mental disorder. It is the official guideline
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for diagnosing psychiatric disorders. The distracters may not contain diagnostic criteria for a
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psychiatric illness.
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PTS: 1 LDIF: Cognitive Level: Understand (Comprehension)
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TOP: Nursing Process: Assessment
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8. A nurse wants to find a description of diagnostic criteria for anxiety disorders. Which resource
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Lwould have the most complete information?
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a. Nursing Outcomes Classification (NOC) L L L



b. DSM-V
c. The ANA’s Psychiatric-Mental Health Nursing Scope and Standards of Practice
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d. ICD-10
ANS: B L



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
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not define the diagnostic criteria.
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PTS: 1 LDIF: Cognitive Level: Understand (Comprehension)
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TOP: Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment
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9. Which individual behavior demonstrates resilience?
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a. Repress stressors associated with a divorce. L L L L L



b. Continuing to grieve the death of a spouse for 5 years. L L L L L L L L L L



c. Continuing to live in a shelter for 2 years after the home is destroyed by fire.
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d. Taking a temporary job to maintain financial stability after loss of a permanent
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L job.
ANS: D L

, Resilience is closely associated with the process of adapting and helps people facing tragedies,
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loss, trauma, and severe stress. It is the ability and capacity for people to secure the resources
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they need to support their well-being. Repression and protracted grief are unhealthy. Living in
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a shelter for 2 years shows a failure to move forward after a tragedy. See related audience
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response question.
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PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
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TOP: Nursing Process: Assessment
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10. The relationship of the North American Nursing Diagnosis Association (NANDA) is to
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clinical judgment as Nursing Interventions Classification (NIC) is to what?
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a. client outcomes. L



b. nursing actions. L



c. diagnosis.
d. symptoms.
ANS: B L



Analogies show parallel relationships. NANDA, the North American Nursing Diagnosis
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Association, identifies diagnostic statements regarding human responses to actual or potential
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health problems. These statements represent clinical judgments. NIC (Nursing Interventions
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Classification) identifies actions provided by nurses that enhance client outcomes. Nursing
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care activities may be direct or indirect.
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PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
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TOP: Nursing Process: Evaluation
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11. An adult says, “Most of the time I’m happy and feel good about myself. I have learned that
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what I get out of something is proportional to the effort I put into it.” Which number on this
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mental health continuum should the nurse select?
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Mental Illness Mental Health L L L



L12345
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a. 1
b. 2 L L



c. 3
d. 4 L L



e. 5
ANS: E L



The adult is generally happy and has an adequate self-concept. The statement indicates the
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adult is reality-oriented, works effectively, and has control over own behavior. Mental health
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does not mean that a person is always happy.
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PTS: 1 DIF: Cognitive Level: Apply (Application)
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TOP: Nursing Process: Assessment
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12. Which disorder is an example of a culture-bound syndrome?
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a. Epilepsy
b. Schizophrenia
c. Running amok L



d. Major depressive disorder L L