Test bank Varcarolis' Foundations of Psychiatric-Mental Health Nursing 9th Edition
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Test Bank For i; i;
Varcarolis' Foundations of Psychiatric-Mental Health Nursing 9th i; i; i; i; i; i;
Edition By Margaret Jordan Halter
i; i; i; i; i;
Table Of Contents i; i;
UNIT I: Foundations in Theory
i; i; i; i;
Chapter 1. Mental Health and Mental Illness
i; i; i; i; i; i;
Chapter 2. Theories and Therapies
i; i; i; i; i;
Chapter 3. Psychobiology and Psychopharmacology
i; i; i; i;
UNIT II: Foundations for Practice
i; i; i; i;
Chapter 4. Treatment Settings
i; i; i; i;
Chapter 5. Cultural Implications
i; i; i; i;
Chapter 6. Legal and Ethical Considerations
i; i; i; i; i;
UNIT III: Psychosocial Nursing Tools
i; i; i; i;
Chapter 7. The Nursing Process and Standards of Care Chapter
i; i; i; i; i; i; i; i; i;
8. Therapeutic Relationships
i; i; i;
Chapter 9. Therapeutic Communication i; i; i;
Chapter 10. Stress Responses and Stress Management
i; i; i; i; i; i;
UNIT IV: Psychobiological Disorders
i; i; i;
Chapter 11. Childhood and Neurodevelopmental Disorders
i; i; i; i; i;
Chapter 12. Schizophrenia Spectrum Disorders
i; i; i; i; i;
Chapter 13. Bipolar and Related Disorders Chapter
i; i; i; i; i; i;
14. Depressive Disorders
i; i; i;
Chapter 15. Anxiety and Obsessive-Compulsive Disorders Chapter
i; i; i; i; i; i;
16. Trauma, Stressor-Related, and Dissociative Disorders Chapter
i; i; i; i; i; i; i;
17. Somatic Symptom Disorders
i; i; i; i;
Chapter 18. Eating and Feeding Disorders Chapter
i; i; i; i; i; i;
19. Sleep-Wake Disorders
i; i; i;
Chapter 20. Sexual Dysfunction, Gender Dysphoria, and Paraphilic Disorders
i; i; i; i; i; i; i; i;
Chapter 21. Impulse Control Disorders
i; i; i; i; i;
Chapter 22. Substance-Related and Addictive Disorders Chapter
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23. Neurocognitive Disorders
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Chapter 24. Personality Disorders i; i; i;
UNIT V: Trauma Interventions
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Chapter 25. Suicide and Non-suicidal Self-Injury
i; i; i; i; i;
Chapter 26. Crisis and Disaster
i; i; i; i; i;
Chapter 27. Anger, Aggression, and Violence
i; i; i; i; i;
Chapter 28. Child, Older Adult, and Intimate Partner Violence
i; i; i; i; i; i; i; i;
Chapter 29. Sexual Assault
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UNIT VI: Interventions for Special Populations
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Chapter 30. Dying, Death, and Grieving Chapter
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31. Older Adults
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Chapter 32. Serious Mental Illness i; i; i; i;
Chapter 33. Forensic Nursing
i; i; i; i;
UNIT VII: Other Intervention Modalities
i; i; i; i;
Chapter 34. Therapeutic Groups i; i; i;
Chapter 35. Family Interventions
i; i; i; i;
Chapter 36. Integrative Care
i; i; i; i;
,Test bank Varcarolis' Foundations of Psychiatric-Mental Health Nursing 9th Edition
i; i; i; i; i; i; i; i; i; 2
Chapter 01: Mental Health and Mental Illness
i; i; i; i; i; i;
Halter: Varcarolis’ Foundations of Psychiatric-Mental Health Nursing: A Clinical
i; i; i ; i; i; i; i; i;
iApproach, 9th Edition
; i; i;
MULTIPLE CHOICE i;
1. The scope of practiced for an advanced nurse practitioner would include which intervention?
i; i; i; i; i; i; i; i; i; i; i; i;
a. Conducting a mental health assessment. i; i; i; i;
b. Prescribingpsychotropic medication. i; i;
c. Establishinga therapeutic relationship. i; i; i;
d. Individualizing a nursing care plan. i; i; i; i;
ANS: B i;
In most states, prescriptive privileges are granted to master‘s-prepared nurse practitioners and
i; i; i; i; i; i; i; i; i; i; i;
clinical nurse specialists who have taken special courses on prescribingmedication. The nurse
i; i; i; i; i; i; i; i; i; i; i; i; i;
prepared at the basic level is permitted to perform mental health assessments, establish
i; i; i; i; i; i; i; i; i; i; i; i; i;
relationships, and provide individualized care planning.
i; i; i; i; i; i;
PTS: i ; i ; 1 DIF: CognitiveLevel:Understand(Comprehension) i; i; i;
TOP: i ; NursingProcess: Implementation MSC: Client Needs: Safe, Effective Care Environment i; i; i ; i; i; i; i; i;
2. A nursing student expresses concerns that mental health nurses ―lose all their clinical nursing
i; i; i; i; i; i; i; i; i; i; i; i; i;
skills.‖ Select the best response by the mental health nurse.
i; i; i; i; i; i; i; i; i; i;
a. ―Psychiatricnurses practicein safer environments than other specialties. Nurse-to- i; i; i; i; i; i; i; i; i;
client ratios must be better because of the nature of the clients‘ problems.‖
i; i; i; i; i; i; i; i; i; i; i; i; i;
b. ―Psychiatricnurses use complex communication skills as well as critical thinking to i; i; i; i; i; i; i; i; i; i; i;
solve multidimensional problems. I am challenged by those situations.‖
i; i; i; i; i; i; i; i; i;
c. ―That‘s amisconception. Psychiatric nurses frequentlyuse high technology i; i; i; i; i; i; i; i;
monitoring equipment and manage complex intravenous therapies.‖
i; i; i; i; i; i; i;
d. ―Psychiatric nurses do not have to deal with as much pain and suffering as i; i; i; i; i; i; i; i; i; i; i; i; i;
medical–surgical nurses do. That appeals to me.‖
i; i; i; i; i; i; i;
ANS: B i;
The practice of psychiatric nursing requires a different set of skills than medical–surgical
i; i; i; i; i; i; i; i; i; i; i; i;
nursing, though there is substantial overlap. Psychiatric nurses must be able to help clients with
i; i; i; i; i; i; i; i; i; i; i; i; i; i; i;
medical as well as mental health problems, reflecting the holistic perspective these nurses must
i; i; i; i; i; i; i; i; i; i; i; i; i; i;
have. Nurse–client ratios and workloads in psychiatric settings have increased, just like other
i; i; i; i; i; i; i; i; i; i; i; i; i;
specialties. Psychiatric nursing involves clinical practice, not just documentation.
i; i; i; i; i; i; i; i; i;
Psychosocial pain and suffering are as real as physical pain and suffering. i; i; i; i; i; i; i; i; i; i; i;
PTS: i ; i ; 1 DIF: Cognitive Level:Apply (Application) i; i; i;
TOP: i ; NursingProcess: Implementation MSC: Client Needs: Safe, Effective Care Environment i; i; i ; i; i; i; i; i;
3. When a new bill introduced in Congress reduces funding for care of persons diagnosed with
i; i; i; i; i; i; i; i; i; i; i; i; i; i;
mental illness, a group of nurses write letters to their elected representatives in opposition to
i; i; i; i; i; i; i; i; i; i; i; i; i; i; i;
the legislation. Which role have the nurses fulfilled?
i; i; i; i; i; i; i; i;
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based practice i;
,Test bank Varcarolis' Foundations of Psychiatric-Mental Health Nursing 9th Edition
i; i; i; i; i; i; i; i; i; 3
ANS: C i;
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
i; i; i; i; i; i; i; i; i; i; i; i; i; i;
their rights or make decisions. On a community scale, advocacy includes political activity,
i; i; i; i; i; i; i; i; i; i; i; i; i;
public speaking, and publication in the interest of improving the human condition. Since
i; i; i; i; i; i; i; i; i; i; i; i; i;
fundingis necessaryto deliver qualityprogramming for persons with mental illness, the letter-
i; i; i; i; i; i; i; i; i; i; i; i; i; i;
writing campaign advocates for that cause on behalf of clients who are unable to articulate
i; i; i; i; i; i; i; i; i; i; i; i; i; i; i;
their own needs.
i; i; i;
PTS: i ; i ; 1 DIF: CognitiveLevel:Understand(Comprehension) i; i; i;
TOP: i ; NursingProcess: Evaluation MSC: Client Needs: Safe, Effective Care Environment i; i; i ; i; i; i; i; i;
4. Afamilyhas a long historyof conflicted relationships among the members. Which family
i; i; i; i; i; i; i; i; i; i; i; i; i;
i; member‘s comment best reflects a mentally healthy perspective? i; i; i; i; i; i; i;
a. ―I‘ve made mistakes but everyone else in this familyhas also.‖
i; i; i; i; i; i; i; i; i; i;
b. ―Iremember joyand mutual respect from our early years together.‖
i; i; i; i; i; i; i; i; i; i;
c. ―Iwill make some changes in mybehavior for the good of the family.‖
i; i; i; i; i; i; i; i; i; i; i; i; i;
d. ―It‘s best for me to move awayfrom myfamily. Things will never change.‖
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ANS: C i;
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,
i; i; i; i; i; i; i; i; i; i; i; i; i; i;
but the correct response shows a higher level of mental health. The other incorrect responses
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show blaming and avoidance.
i; i; i; i;
PTS: i ; i ; 1 DIF: Cognitive Level: Analyze (Analysis) i; i; i;
TOP: i ; NursingProcess: Assessment MSC: Client Needs: Psychosocial Integrity i; i; i ; i; i; i;
5. Which assessment finding most clearlyindicates that a client maybe experiencing a mental
i; i; i; i; i; i; i; i; i; i; i; i; i;
i; illness?
a. reportingoccasional sleeplessness and anxiety. i; i; i; i;
b. reporting a consistentlysad, discouraged, and hopeless mood. i; i; i; i; i; i; i;
c. being able to describe the difference between ―as if‖ and ―for real.‖
i; i; i; i; i; i; i; i; i; i; i;
d. experiencing difficultymaking a decision about whether to change jobs. i; i; i; i; i; i; i; i; i;
ANS: B i;
Thecorrect response describes amood 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: i ; i ; 1 DIF: Cognitive Level:Apply (Application) i; i; i;
TOP: i ; NursingProcess: Assessment MSC: Client Needs: Psychosocial Integrity i; i; i ; i; i; i;
6. Which findingbest indicates that the goal ―Demonstrate mentally healthy behavior‖ was
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achieved for an adult client?
i; i; i; i; i;
a. being willing to work towards achieving ideals and meeting demands. i; i; i; i; i; i; i; i; i;
b. behavingwithout considering the consequences of personal actions. i; i; i; i; i; i; i;
c. aggressivelymeeting personal needs without considering the rights of others. i; i; i; i; i; i; i; i; i;
d. seeking help from others to avoid assuming responsibilityfor major areas of own i; i; i; i; i; i; i; i; i; i; i; i;
life. i;
, Test bank Varcarolis' Foundations of Psychiatric-Mental Health Nursing 9th Edition
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ANS: A i;
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.
i; i; i; i; i; i; i;
PTS: i ; i ; 1 DIF: Cognitive Level: Apply (Application) i; i; i;
TOP: i ; NursingProcess: Evaluation MSC: Client Needs: Psychosocial Integrity
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7. A nurse encounters an unfamiliar psychiatric disorder on a new client‘s admission form.
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Which resource should the nurseconsult to determine criteria used to establish this diagnosis?
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a. International Statistical Classification of Diseases and Related Health Problems i; i; i; i; i; i; i; i;
(ICD-10) i;
b. TheANA‟s Psychiatric-Mental Health Nursing Scope and Standards of Practice
i; i; i; i; i; i; i; i; i;
c. Diagnostic and Statistical Manual of Mental Disorders (DSM-V) i; i; i; i; i; i; i;
d. Abehavioral health reference manual
i; i; i; i;
ANS: C i;
The DSM-V gives the criteriaused 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.
i; i;
PTS: i ; i ; 1 DIF: CognitiveLevel:Understand(Comprehension) i; i; i;
TOP: i ; NursingProcess: Assessment MSC: Client Needs: Safe,Effective Care Environment
i; i; i ; i; i; i; i; i;
8. A nursewants to find a description of diagnostic criteria for anxietydisorders. Which resource
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would have the most complete information?
i; i; i; i; i; i;
a. Nursing Outcomes Classification (NOC) i; i; i;
b. DSM-V
c. TheANA‟s Psychiatric-Mental Health Nursing Scope and Standards of Practice
i; i; i; i; i; i; i; i; i;
d. ICD-10
ANS: B i;
The DSM-V details the diagnostic criteria for psychiatric clinical conditions. It is the official
i; i; i; i; i; i; i; i; i; i; i; i; i;
guideline for diagnosing psychiatric disorders. The other references are good resources but do not
i; i; i; i; i; i; i; i; i; i; i; i; i; i;
define the diagnostic criteria.
i; i; i; i;
PTS: i ; i ; 1 DIF: CognitiveLevel:Understand(Comprehension) i; i; i;
TOP: i ; NursingProcess: Implementation MSC: Client Needs: Safe,Effective Care Environment
i; i; i ; i; i; i; i; i;
9. Which individual behavior demonstrates resilience?
i; i; i; i;
a. Repress stressors associated with a divorce. i; i; i; i; i;
b. Continuing to grieve the death of a spouse for 5 years. i; i; i; i; i; i; i; i; i; i;
c. Continuing to live in a shelter for 2 years after the home is destroyed byfire. i; i; i; i; i; i; i; i; i; i; i; i; i; i; i;
d. Takinga temporaryjob to maintain financial stabilityafter loss of a permanent
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i; job.
ANS: D i;
i; i; i; i; i; i; i; i; i; 1
Test Bank For i; i;
Varcarolis' Foundations of Psychiatric-Mental Health Nursing 9th i; i; i; i; i; i;
Edition By Margaret Jordan Halter
i; i; i; i; i;
Table Of Contents i; i;
UNIT I: Foundations in Theory
i; i; i; i;
Chapter 1. Mental Health and Mental Illness
i; i; i; i; i; i;
Chapter 2. Theories and Therapies
i; i; i; i; i;
Chapter 3. Psychobiology and Psychopharmacology
i; i; i; i;
UNIT II: Foundations for Practice
i; i; i; i;
Chapter 4. Treatment Settings
i; i; i; i;
Chapter 5. Cultural Implications
i; i; i; i;
Chapter 6. Legal and Ethical Considerations
i; i; i; i; i;
UNIT III: Psychosocial Nursing Tools
i; i; i; i;
Chapter 7. The Nursing Process and Standards of Care Chapter
i; i; i; i; i; i; i; i; i;
8. Therapeutic Relationships
i; i; i;
Chapter 9. Therapeutic Communication i; i; i;
Chapter 10. Stress Responses and Stress Management
i; i; i; i; i; i;
UNIT IV: Psychobiological Disorders
i; i; i;
Chapter 11. Childhood and Neurodevelopmental Disorders
i; i; i; i; i;
Chapter 12. Schizophrenia Spectrum Disorders
i; i; i; i; i;
Chapter 13. Bipolar and Related Disorders Chapter
i; i; i; i; i; i;
14. Depressive Disorders
i; i; i;
Chapter 15. Anxiety and Obsessive-Compulsive Disorders Chapter
i; i; i; i; i; i;
16. Trauma, Stressor-Related, and Dissociative Disorders Chapter
i; i; i; i; i; i; i;
17. Somatic Symptom Disorders
i; i; i; i;
Chapter 18. Eating and Feeding Disorders Chapter
i; i; i; i; i; i;
19. Sleep-Wake Disorders
i; i; i;
Chapter 20. Sexual Dysfunction, Gender Dysphoria, and Paraphilic Disorders
i; i; i; i; i; i; i; i;
Chapter 21. Impulse Control Disorders
i; i; i; i; i;
Chapter 22. Substance-Related and Addictive Disorders Chapter
i; i; i; i; i; i;
23. Neurocognitive Disorders
i; i; i;
Chapter 24. Personality Disorders i; i; i;
UNIT V: Trauma Interventions
i; i; i;
Chapter 25. Suicide and Non-suicidal Self-Injury
i; i; i; i; i;
Chapter 26. Crisis and Disaster
i; i; i; i; i;
Chapter 27. Anger, Aggression, and Violence
i; i; i; i; i;
Chapter 28. Child, Older Adult, and Intimate Partner Violence
i; i; i; i; i; i; i; i;
Chapter 29. Sexual Assault
i; i; i; i;
UNIT VI: Interventions for Special Populations
i; i; i; i; i;
Chapter 30. Dying, Death, and Grieving Chapter
i; i; i; i; i; i;
31. Older Adults
i; i; i;
Chapter 32. Serious Mental Illness i; i; i; i;
Chapter 33. Forensic Nursing
i; i; i; i;
UNIT VII: Other Intervention Modalities
i; i; i; i;
Chapter 34. Therapeutic Groups i; i; i;
Chapter 35. Family Interventions
i; i; i; i;
Chapter 36. Integrative Care
i; i; i; i;
,Test bank Varcarolis' Foundations of Psychiatric-Mental Health Nursing 9th Edition
i; i; i; i; i; i; i; i; i; 2
Chapter 01: Mental Health and Mental Illness
i; i; i; i; i; i;
Halter: Varcarolis’ Foundations of Psychiatric-Mental Health Nursing: A Clinical
i; i; i ; i; i; i; i; i;
iApproach, 9th Edition
; i; i;
MULTIPLE CHOICE i;
1. The scope of practiced for an advanced nurse practitioner would include which intervention?
i; i; i; i; i; i; i; i; i; i; i; i;
a. Conducting a mental health assessment. i; i; i; i;
b. Prescribingpsychotropic medication. i; i;
c. Establishinga therapeutic relationship. i; i; i;
d. Individualizing a nursing care plan. i; i; i; i;
ANS: B i;
In most states, prescriptive privileges are granted to master‘s-prepared nurse practitioners and
i; i; i; i; i; i; i; i; i; i; i;
clinical nurse specialists who have taken special courses on prescribingmedication. The nurse
i; i; i; i; i; i; i; i; i; i; i; i; i;
prepared at the basic level is permitted to perform mental health assessments, establish
i; i; i; i; i; i; i; i; i; i; i; i; i;
relationships, and provide individualized care planning.
i; i; i; i; i; i;
PTS: i ; i ; 1 DIF: CognitiveLevel:Understand(Comprehension) i; i; i;
TOP: i ; NursingProcess: Implementation MSC: Client Needs: Safe, Effective Care Environment i; i; i ; i; i; i; i; i;
2. A nursing student expresses concerns that mental health nurses ―lose all their clinical nursing
i; i; i; i; i; i; i; i; i; i; i; i; i;
skills.‖ Select the best response by the mental health nurse.
i; i; i; i; i; i; i; i; i; i;
a. ―Psychiatricnurses practicein safer environments than other specialties. Nurse-to- i; i; i; i; i; i; i; i; i;
client ratios must be better because of the nature of the clients‘ problems.‖
i; i; i; i; i; i; i; i; i; i; i; i; i;
b. ―Psychiatricnurses use complex communication skills as well as critical thinking to i; i; i; i; i; i; i; i; i; i; i;
solve multidimensional problems. I am challenged by those situations.‖
i; i; i; i; i; i; i; i; i;
c. ―That‘s amisconception. Psychiatric nurses frequentlyuse high technology i; i; i; i; i; i; i; i;
monitoring equipment and manage complex intravenous therapies.‖
i; i; i; i; i; i; i;
d. ―Psychiatric nurses do not have to deal with as much pain and suffering as i; i; i; i; i; i; i; i; i; i; i; i; i;
medical–surgical nurses do. That appeals to me.‖
i; i; i; i; i; i; i;
ANS: B i;
The practice of psychiatric nursing requires a different set of skills than medical–surgical
i; i; i; i; i; i; i; i; i; i; i; i;
nursing, though there is substantial overlap. Psychiatric nurses must be able to help clients with
i; i; i; i; i; i; i; i; i; i; i; i; i; i; i;
medical as well as mental health problems, reflecting the holistic perspective these nurses must
i; i; i; i; i; i; i; i; i; i; i; i; i; i;
have. Nurse–client ratios and workloads in psychiatric settings have increased, just like other
i; i; i; i; i; i; i; i; i; i; i; i; i;
specialties. Psychiatric nursing involves clinical practice, not just documentation.
i; i; i; i; i; i; i; i; i;
Psychosocial pain and suffering are as real as physical pain and suffering. i; i; i; i; i; i; i; i; i; i; i;
PTS: i ; i ; 1 DIF: Cognitive Level:Apply (Application) i; i; i;
TOP: i ; NursingProcess: Implementation MSC: Client Needs: Safe, Effective Care Environment i; i; i ; i; i; i; i; i;
3. When a new bill introduced in Congress reduces funding for care of persons diagnosed with
i; i; i; i; i; i; i; i; i; i; i; i; i; i;
mental illness, a group of nurses write letters to their elected representatives in opposition to
i; i; i; i; i; i; i; i; i; i; i; i; i; i; i;
the legislation. Which role have the nurses fulfilled?
i; i; i; i; i; i; i; i;
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based practice i;
,Test bank Varcarolis' Foundations of Psychiatric-Mental Health Nursing 9th Edition
i; i; i; i; i; i; i; i; i; 3
ANS: C i;
An advocate defends or asserts another‘s cause, particularly when the other person lacks the
i; i; i; i; i; i; i; i; i; i; i; i; i;
ability to do that for self. Examples of individual advocacy include helping clients understand
i; i; i; i; i; i; i; i; i; i; i; i; i; i;
their rights or make decisions. On a community scale, advocacy includes political activity,
i; i; i; i; i; i; i; i; i; i; i; i; i;
public speaking, and publication in the interest of improving the human condition. Since
i; i; i; i; i; i; i; i; i; i; i; i; i;
fundingis necessaryto deliver qualityprogramming for persons with mental illness, the letter-
i; i; i; i; i; i; i; i; i; i; i; i; i; i;
writing campaign advocates for that cause on behalf of clients who are unable to articulate
i; i; i; i; i; i; i; i; i; i; i; i; i; i; i;
their own needs.
i; i; i;
PTS: i ; i ; 1 DIF: CognitiveLevel:Understand(Comprehension) i; i; i;
TOP: i ; NursingProcess: Evaluation MSC: Client Needs: Safe, Effective Care Environment i; i; i ; i; i; i; i; i;
4. Afamilyhas a long historyof conflicted relationships among the members. Which family
i; i; i; i; i; i; i; i; i; i; i; i; i;
i; member‘s comment best reflects a mentally healthy perspective? i; i; i; i; i; i; i;
a. ―I‘ve made mistakes but everyone else in this familyhas also.‖
i; i; i; i; i; i; i; i; i; i;
b. ―Iremember joyand mutual respect from our early years together.‖
i; i; i; i; i; i; i; i; i; i;
c. ―Iwill make some changes in mybehavior for the good of the family.‖
i; i; i; i; i; i; i; i; i; i; i; i; i;
d. ―It‘s best for me to move awayfrom myfamily. Things will never change.‖
i; i; i; i; i; i; i; i; i; i; i; i; i;
ANS: C i;
The correct response demonstrates the best evidence of a healthy recognition of the importance
i; i; i; i; i; i; i; i; i; i; i; i; i;
of relationships. Mental health includes rational thinking, communication skills, learning,
i; i; i; i; i; i; i; i; i; i;
emotional growth, resilience, and self-esteem. Recalling joy from earlier in life may be healthy,
i; i; i; i; i; i; i; i; i; i; i; i; i; i;
but the correct response shows a higher level of mental health. The other incorrect responses
i; i; i; i; i; i; i; i; i; i; i; i; i; i; i;
show blaming and avoidance.
i; i; i; i;
PTS: i ; i ; 1 DIF: Cognitive Level: Analyze (Analysis) i; i; i;
TOP: i ; NursingProcess: Assessment MSC: Client Needs: Psychosocial Integrity i; i; i ; i; i; i;
5. Which assessment finding most clearlyindicates that a client maybe experiencing a mental
i; i; i; i; i; i; i; i; i; i; i; i; i;
i; illness?
a. reportingoccasional sleeplessness and anxiety. i; i; i; i;
b. reporting a consistentlysad, discouraged, and hopeless mood. i; i; i; i; i; i; i;
c. being able to describe the difference between ―as if‖ and ―for real.‖
i; i; i; i; i; i; i; i; i; i; i;
d. experiencing difficultymaking a decision about whether to change jobs. i; i; i; i; i; i; i; i; i;
ANS: B i;
Thecorrect response describes amood alteration, which reflects mental illness. The distracters
i; i; i; i; i; i; i; i; i; i; i; i;
describe behaviors that are mentally healthy or within the usual scope of human experience.
i; i; i; i; i; i; i; i; i; i; i; i; i; i;
PTS: i ; i ; 1 DIF: Cognitive Level:Apply (Application) i; i; i;
TOP: i ; NursingProcess: Assessment MSC: Client Needs: Psychosocial Integrity i; i; i ; i; i; i;
6. Which findingbest indicates that the goal ―Demonstrate mentally healthy behavior‖ was
i; i; i; i; i; i; i; i; i; i; i;
achieved for an adult client?
i; i; i; i; i;
a. being willing to work towards achieving ideals and meeting demands. i; i; i; i; i; i; i; i; i;
b. behavingwithout considering the consequences of personal actions. i; i; i; i; i; i; i;
c. aggressivelymeeting personal needs without considering the rights of others. i; i; i; i; i; i; i; i; i;
d. seeking help from others to avoid assuming responsibilityfor major areas of own i; i; i; i; i; i; i; i; i; i; i; i;
life. i;
, Test bank Varcarolis' Foundations of Psychiatric-Mental Health Nursing 9th Edition
i; i; i; i; i; i; i; i; i; 4
ANS: A i;
Mental health is a state of well-being in which individuals reach their own potential, cope with
i; i; i; i; i; i; i; i; i; i; i; i; i; i; i;
the normal stresses of life, work productively, and contribute to the community. Mental health
i; i; i; i; i; i; i; i; i; i; i; i; i; i;
provides people with the capacityfor rational thinking, communication skills, learning,
i; i; i; i; i; i; i; i; i; i; i;
emotional growth, resilience, and self-esteem. The correct response describes an adaptive,
i; i; i; i; i; i; i; i; i; i; i;
healthy behavior. The distracters describe maladaptive behaviors.
i; i; i; i; i; i; i;
PTS: i ; i ; 1 DIF: Cognitive Level: Apply (Application) i; i; i;
TOP: i ; NursingProcess: Evaluation MSC: Client Needs: Psychosocial Integrity
i; i; i ; i; i; i;
7. A nurse encounters an unfamiliar psychiatric disorder on a new client‘s admission form.
i; i; i; i; i; i; i; i; i; i; i; i;
Which resource should the nurseconsult to determine criteria used to establish this diagnosis?
i; i; i; i; i; i; i; i; i; i; i; i; i; i;
a. International Statistical Classification of Diseases and Related Health Problems i; i; i; i; i; i; i; i;
(ICD-10) i;
b. TheANA‟s Psychiatric-Mental Health Nursing Scope and Standards of Practice
i; i; i; i; i; i; i; i; i;
c. Diagnostic and Statistical Manual of Mental Disorders (DSM-V) i; i; i; i; i; i; i;
d. Abehavioral health reference manual
i; i; i; i;
ANS: C i;
The DSM-V gives the criteriaused to diagnose each mental disorder. It is the official guideline for
i; i; i; i; i; i; i; i; i; i; i; i; i; i; i; i;
diagnosing psychiatric disorders. The distracters may not contain diagnostic criteria for a
i; i; i; i; i; i; i; i; i; i; i; i;
psychiatric illness.
i; i;
PTS: i ; i ; 1 DIF: CognitiveLevel:Understand(Comprehension) i; i; i;
TOP: i ; NursingProcess: Assessment MSC: Client Needs: Safe,Effective Care Environment
i; i; i ; i; i; i; i; i;
8. A nursewants to find a description of diagnostic criteria for anxietydisorders. Which resource
i; i; i; i; i; i; i; i; i; i; i; i; i; i;
would have the most complete information?
i; i; i; i; i; i;
a. Nursing Outcomes Classification (NOC) i; i; i;
b. DSM-V
c. TheANA‟s Psychiatric-Mental Health Nursing Scope and Standards of Practice
i; i; i; i; i; i; i; i; i;
d. ICD-10
ANS: B i;
The DSM-V details the diagnostic criteria for psychiatric clinical conditions. It is the official
i; i; i; i; i; i; i; i; i; i; i; i; i;
guideline for diagnosing psychiatric disorders. The other references are good resources but do not
i; i; i; i; i; i; i; i; i; i; i; i; i; i;
define the diagnostic criteria.
i; i; i; i;
PTS: i ; i ; 1 DIF: CognitiveLevel:Understand(Comprehension) i; i; i;
TOP: i ; NursingProcess: Implementation MSC: Client Needs: Safe,Effective Care Environment
i; i; i ; i; i; i; i; i;
9. Which individual behavior demonstrates resilience?
i; i; i; i;
a. Repress stressors associated with a divorce. i; i; i; i; i;
b. Continuing to grieve the death of a spouse for 5 years. i; i; i; i; i; i; i; i; i; i;
c. Continuing to live in a shelter for 2 years after the home is destroyed byfire. i; i; i; i; i; i; i; i; i; i; i; i; i; i; i;
d. Takinga temporaryjob to maintain financial stabilityafter loss of a permanent
i; i; i; i; i; i; i; i; i; i; i; i;
i; job.
ANS: D i;
