ALL SOLUTIONS DONE
TEST BANK FOR VARCAROLIS’
FOUNDATIONS
OF PSYCHIATRIC MENTAL HEALTH
NURSING: A CLINICAL APPROACH, 8TH
EDITION, BY MARGARET JORDAN HALTER
ALL CHAPTERS QUESTIONS AND ANSWERS
FOR REVISION
WISHING YOU SUCESS A+
,TABLE OF CONTENTS
UNIT ONE: FOUNDATIONS IN THEORY
1. Mental Health and Mental Illness
2. Relevant Theories and Therapies for Nursing Practice
3. Biological Basis for Understanding Psychiatric Disorders and Treatments
UNIT TWO: FOUNDATIONS FOR PRACTICE
4. Settings for Psychiatric Nursing
5. Cultural Implications for Psychiatric Mental Health Nursing
6. Legal and Ethical Guidelines for Safe Practice
UNIT THREE: PSYCHOSOCIAL NURSING TOOLS
Chapter 7. The Nursing Process and Standards of Care for Psychiatric Mental Health Nursing
Chapter 8. Therapeutic Relationships
Chapter 9. Communication and the Clinical Interview
Chapter 10. Understanding and Managing Responses to Stress
UNIT FOUR PSYCHOBIOLOGICAL DISORDERS
Chapter 11. Childhood and Neurodevelopmental Disorders
Chapter 12. Schizophrenia and Schizophrenia Spectrum Disorders
Chapter 13. Bipolar and Related Disorders
Chapter 14. Depressive Disorders
Chapter 15. Anxiety and Obsessive-Compulsive Related Disorders
Chapter 16. Trauma, Stressor-related, and Dissociative Disorders
Chapter 17. Somatic Symptom Disorder and Related Disorders
Chapter 18. Eating and Feeding Disorders
Chapter 19. Sleep-Wake Disorders
Chapter 20. Sexual Dysfunction, Gender Dysphoria, and Paraphilias
Chapter 21. Impulse Control Disorders
Chapter 22. Substance-Related and Addictive Disorders
Chapter 23. Neurocognitive Disorders
Chapter 24. Personality Disorders
UNIT FIVE: 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 SIX: INTERVENTIONS FOR SPECIAL POPULATIONS
Chapter 30. Care for the Dying and for Those Who Grieve
Chapter 31. Psychosocial Needs of the Older Adult
Chapter 32. Serious Mental Illness
Chapter 33. Forensic Psychiatric Nursing
UNIT SEVEN: OTHER INTERVENTION MODALITIES
Chapter 34. Therapeutic Groups
Chapter 35. Family Interventions
Chapter 36. Integrative
,Chapter 01: Mental Health and Mental Illness
Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical
Approach, 8th Edition
MULTIPLE CHOICE
1. A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced
practice nurse to perform which additional intervention?
a. Conduct mental health assessments.
b. Prescribe psychotropic medication.
c. Establish therapeutic relationships.
d. Individualize nursing care plans.
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)
REF: Page 1-23 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-patient ratios must be better because of the nature of the patients’
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 patients
with medical as well as mental health problems, reflecting the holistic perspective these
nurses must have. Nurse–patient 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)
REF: Pages 1-2, 21 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 patients
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 patients who are unable to
articulate their own needs.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: Page 1-26 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)
REF: Pages 1-2, 3, 32 (Figure 1-1) TOP: Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity
5. Which assessment finding most clearly indicates that a patient may be experiencing a mental
illness? The patient
a. reports occasional sleeplessness and anxiety.
b. reports a consistently sad, discouraged, and hopeless mood.
c. is able to describe the difference between “as if” and “for real.”
d. perceives 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)
REF: Pages 1-2 to 4 TOP: Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity
TEST BANK FOR VARCAROLIS’
FOUNDATIONS
OF PSYCHIATRIC MENTAL HEALTH
NURSING: A CLINICAL APPROACH, 8TH
EDITION, BY MARGARET JORDAN HALTER
ALL CHAPTERS QUESTIONS AND ANSWERS
FOR REVISION
WISHING YOU SUCESS A+
,TABLE OF CONTENTS
UNIT ONE: FOUNDATIONS IN THEORY
1. Mental Health and Mental Illness
2. Relevant Theories and Therapies for Nursing Practice
3. Biological Basis for Understanding Psychiatric Disorders and Treatments
UNIT TWO: FOUNDATIONS FOR PRACTICE
4. Settings for Psychiatric Nursing
5. Cultural Implications for Psychiatric Mental Health Nursing
6. Legal and Ethical Guidelines for Safe Practice
UNIT THREE: PSYCHOSOCIAL NURSING TOOLS
Chapter 7. The Nursing Process and Standards of Care for Psychiatric Mental Health Nursing
Chapter 8. Therapeutic Relationships
Chapter 9. Communication and the Clinical Interview
Chapter 10. Understanding and Managing Responses to Stress
UNIT FOUR PSYCHOBIOLOGICAL DISORDERS
Chapter 11. Childhood and Neurodevelopmental Disorders
Chapter 12. Schizophrenia and Schizophrenia Spectrum Disorders
Chapter 13. Bipolar and Related Disorders
Chapter 14. Depressive Disorders
Chapter 15. Anxiety and Obsessive-Compulsive Related Disorders
Chapter 16. Trauma, Stressor-related, and Dissociative Disorders
Chapter 17. Somatic Symptom Disorder and Related Disorders
Chapter 18. Eating and Feeding Disorders
Chapter 19. Sleep-Wake Disorders
Chapter 20. Sexual Dysfunction, Gender Dysphoria, and Paraphilias
Chapter 21. Impulse Control Disorders
Chapter 22. Substance-Related and Addictive Disorders
Chapter 23. Neurocognitive Disorders
Chapter 24. Personality Disorders
UNIT FIVE: 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 SIX: INTERVENTIONS FOR SPECIAL POPULATIONS
Chapter 30. Care for the Dying and for Those Who Grieve
Chapter 31. Psychosocial Needs of the Older Adult
Chapter 32. Serious Mental Illness
Chapter 33. Forensic Psychiatric Nursing
UNIT SEVEN: OTHER INTERVENTION MODALITIES
Chapter 34. Therapeutic Groups
Chapter 35. Family Interventions
Chapter 36. Integrative
,Chapter 01: Mental Health and Mental Illness
Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical
Approach, 8th Edition
MULTIPLE CHOICE
1. A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced
practice nurse to perform which additional intervention?
a. Conduct mental health assessments.
b. Prescribe psychotropic medication.
c. Establish therapeutic relationships.
d. Individualize nursing care plans.
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)
REF: Page 1-23 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-patient ratios must be better because of the nature of the patients’
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 patients
with medical as well as mental health problems, reflecting the holistic perspective these
nurses must have. Nurse–patient 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)
REF: Pages 1-2, 21 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 patients
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 patients who are unable to
articulate their own needs.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: Page 1-26 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)
REF: Pages 1-2, 3, 32 (Figure 1-1) TOP: Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity
5. Which assessment finding most clearly indicates that a patient may be experiencing a mental
illness? The patient
a. reports occasional sleeplessness and anxiety.
b. reports a consistently sad, discouraged, and hopeless mood.
c. is able to describe the difference between “as if” and “for real.”
d. perceives 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)
REF: Pages 1-2 to 4 TOP: Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity
