,Test Bank Essentials of Psychiatric Mental Health Nursing 3rd Edition by
Varcarolis 1 LATEST UPDATED 2024 QUESTIONS WITH DETAILED ANSWERS ALL
CHAPTERS INCLUDED WITH COMPLETE SOLUTIONS
Chapter : Mental Health and Mental Illness
MULTIPLE CHOICE
1. An 86-year-old, previously healthy and independent, falls after an episode of vertigo. Which behavior by
this patient best demonstrates resilience? The patient: a. says, I knewthis would happen eventually.
b. stops attending her weekly water aerobics class.
c. refuses to use a walker and says, I dont need that silly thing.
d. says, Maybe some physical therapy will help me with my balance.ANS: D
Resiliency is the ability to recover from or adjust to misfortune and change. The correct response
indicates that the patient is hopeful and thinking positively about ways to adapt tothe vertigo. Saying I
knew this would happen eventually and discontinuing healthy activities suggest a hopeless perspective on
the health change.
Refusing to use a walker indicates denial.
DIF: Cognitive Level: Comprehension (Understanding) REF: 14
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity 2. A patient is admitted to
the psychiatric hospital. Which assessment finding best indicates that the patient has a mental
illness? The patient:
a. describes coping and relaxation strategies used when feeling anxious.
b. describes mood as consistently sad, discouraged, and hopeless.
c. can perform tasks attempted within the limits of own abilities.
,d. reports occasional problems with insomnia.ANS: B
A patient who reports having a consistently negative mood is describing a mood alteration. The incorrect
options describe mentally healthy behaviors and common problems that do not indicate mental illness.
DIF: Cognitive Level: Application (Applying) REF: 11
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity 3. The goal for apatient is to
increase resiliency. Which outcome should a nurse add to the plan of care?
Within 3 days, the patient will:
a. describe feelings associated with loss and stress.
b. meet own needs without considering the rights of others.
c. identify healthy coping behaviors in response to stressful events.
d. allow others to assume responsibility for major areas of own life.ANS: C
The patients ability to identify healthy coping behaviors indicates adaptive, healthy behavior and
demonstrates an increased ability to recover from severe stress. Describingfeelings associated with loss
and stress does not move the patient toward adaptation. The remaining options are maladaptive
behaviors.
DIF: Cognitive Level: Analysis (Analyzing) REF: 14TOP: Nursing
Process: Outcomes Identification MSC: NCLEX: Psychosocial
Integrity
4. Which organization actively seeks to reduce the stigma associated with mental illness through
public presentations such as In Our Own Voice (IOOV)?
a. American Psychiatric Association (APA)
b. National Alliance on Mental Illness (NAMI)
c. United States Department of Health and Human Services (USDHHS) d. North AmericanNursing
Diagnosis Association International (NANDA-I) ANS: B
Stigma represents the bias and prejudice commonly held regarding mental illness. NAMIactively seeks to
, Test Bank: Essentials of Psychiatric Mental Health Nursing (3rd Edition by Varcarolis) 8
dispel misconceptions about mental illness. NANDA-I defines approved nursing diagnoses.The APA
publishes the DSM 5. The USDHHS regulates and administers health policies.
DIF: Cognitive Level: Knowledge (Remembering) REF: 19
TOP: Nursing Process: Evaluation MSC: NCLEX: Safe, Effective Care Environment 5. A nursemust assess
several new patients at a community mental health center. Conclusions concerning current functioning
should be made on the basis of:
a. the degree of conformity of the individual to societys norms.
b. the degree to which an individual is logical and rational.
c. a continuum from mentally healthy to unhealthy.
d. the rate of intellectual and emotional growth.ANS: C
Because mental health and mental illness are relative concepts, assessment of functioning is made by
using a continuum. Mental health is not based on conformity; some mentally healthy individuals do not
conform to societys norms. Most individuals occasionally displayillogical or irrational thinking. The rate of
intellectual and emotional growth is not the most useful criterion to assess mental health or mental
illness.
DIF: Cognitive Level: Application (Applying) REF: 11
TOP: Nursing Process: Diagnosis| Nursing Process: Analysis MSC: NCLEX: PsychosocialIntegrity
6. A nurse at a behavioral health clinic sees an unfamiliar psychiatric diagnosis on apatients
insurance form.
Which resource should the nurse consult to discern the criteria used to establish thisdiagnosis?
a. A psychiatric nursing textbook
b. NANDA International (NANDA-I )
c. A behavioral health reference manual
d. Diagnostic and Statistical Manual of Mental Disorders (DSM-5) ANS: D
Varcarolis 1 LATEST UPDATED 2024 QUESTIONS WITH DETAILED ANSWERS ALL
CHAPTERS INCLUDED WITH COMPLETE SOLUTIONS
Chapter : Mental Health and Mental Illness
MULTIPLE CHOICE
1. An 86-year-old, previously healthy and independent, falls after an episode of vertigo. Which behavior by
this patient best demonstrates resilience? The patient: a. says, I knewthis would happen eventually.
b. stops attending her weekly water aerobics class.
c. refuses to use a walker and says, I dont need that silly thing.
d. says, Maybe some physical therapy will help me with my balance.ANS: D
Resiliency is the ability to recover from or adjust to misfortune and change. The correct response
indicates that the patient is hopeful and thinking positively about ways to adapt tothe vertigo. Saying I
knew this would happen eventually and discontinuing healthy activities suggest a hopeless perspective on
the health change.
Refusing to use a walker indicates denial.
DIF: Cognitive Level: Comprehension (Understanding) REF: 14
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity 2. A patient is admitted to
the psychiatric hospital. Which assessment finding best indicates that the patient has a mental
illness? The patient:
a. describes coping and relaxation strategies used when feeling anxious.
b. describes mood as consistently sad, discouraged, and hopeless.
c. can perform tasks attempted within the limits of own abilities.
,d. reports occasional problems with insomnia.ANS: B
A patient who reports having a consistently negative mood is describing a mood alteration. The incorrect
options describe mentally healthy behaviors and common problems that do not indicate mental illness.
DIF: Cognitive Level: Application (Applying) REF: 11
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity 3. The goal for apatient is to
increase resiliency. Which outcome should a nurse add to the plan of care?
Within 3 days, the patient will:
a. describe feelings associated with loss and stress.
b. meet own needs without considering the rights of others.
c. identify healthy coping behaviors in response to stressful events.
d. allow others to assume responsibility for major areas of own life.ANS: C
The patients ability to identify healthy coping behaviors indicates adaptive, healthy behavior and
demonstrates an increased ability to recover from severe stress. Describingfeelings associated with loss
and stress does not move the patient toward adaptation. The remaining options are maladaptive
behaviors.
DIF: Cognitive Level: Analysis (Analyzing) REF: 14TOP: Nursing
Process: Outcomes Identification MSC: NCLEX: Psychosocial
Integrity
4. Which organization actively seeks to reduce the stigma associated with mental illness through
public presentations such as In Our Own Voice (IOOV)?
a. American Psychiatric Association (APA)
b. National Alliance on Mental Illness (NAMI)
c. United States Department of Health and Human Services (USDHHS) d. North AmericanNursing
Diagnosis Association International (NANDA-I) ANS: B
Stigma represents the bias and prejudice commonly held regarding mental illness. NAMIactively seeks to
, Test Bank: Essentials of Psychiatric Mental Health Nursing (3rd Edition by Varcarolis) 8
dispel misconceptions about mental illness. NANDA-I defines approved nursing diagnoses.The APA
publishes the DSM 5. The USDHHS regulates and administers health policies.
DIF: Cognitive Level: Knowledge (Remembering) REF: 19
TOP: Nursing Process: Evaluation MSC: NCLEX: Safe, Effective Care Environment 5. A nursemust assess
several new patients at a community mental health center. Conclusions concerning current functioning
should be made on the basis of:
a. the degree of conformity of the individual to societys norms.
b. the degree to which an individual is logical and rational.
c. a continuum from mentally healthy to unhealthy.
d. the rate of intellectual and emotional growth.ANS: C
Because mental health and mental illness are relative concepts, assessment of functioning is made by
using a continuum. Mental health is not based on conformity; some mentally healthy individuals do not
conform to societys norms. Most individuals occasionally displayillogical or irrational thinking. The rate of
intellectual and emotional growth is not the most useful criterion to assess mental health or mental
illness.
DIF: Cognitive Level: Application (Applying) REF: 11
TOP: Nursing Process: Diagnosis| Nursing Process: Analysis MSC: NCLEX: PsychosocialIntegrity
6. A nurse at a behavioral health clinic sees an unfamiliar psychiatric diagnosis on apatients
insurance form.
Which resource should the nurse consult to discern the criteria used to establish thisdiagnosis?
a. A psychiatric nursing textbook
b. NANDA International (NANDA-I )
c. A behavioral health reference manual
d. Diagnostic and Statistical Manual of Mental Disorders (DSM-5) ANS: D
