1
, 2
UNIT I: Foundations in Theory
Chapter 1. Mental Health and Mental Illness
Chapter 2. Theories and Therapies
Chapter 3. Psychobiology and Psychopharmacology
UNIT II: Foundations for Practice
Chapter 4. Treatment Settings
Chapter 5. Cultural Implications
Chapter 6. Legal and Ethical Considerations
UNIT III: Psychosocial Nursing Tools
Chapter 7. The Nursing Process and Standards of Care
Chapter 8. Therapeutic Relationships
Chapter 9. Therapeutic Communication
Chapter 10. Stress Responses and Stress Management
UNIT IV: Psychobiological Disorders
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
UNIT V: 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 VI: Interventions for Special Populations
Chapter 30. Dying, Death, and Grieving
, 3
Chapter 31. Older Adults
Chapter 32. Serious Mental Illness
Chapter 33. Forensic Nursing
UNIT VII: Other Intervention Modalities
Chapter 34. Therapeutic Groups
Chapter 35. Family Interventions
Chapter 36. Integrative Care
, 4
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?
a. Conducting a mental health assessment.
b. Prescribing psychotropic medication.
c. Establishing a therapeutic relationship.
d. Individualizing a nursing care plan.
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)
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-
client ratios must be better because of the nature of the clients‘ 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 clients
with medical as well as mental health problems, reflecting the holistic perspective these nurses
must have. Nurse–client 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)
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
, 2
UNIT I: Foundations in Theory
Chapter 1. Mental Health and Mental Illness
Chapter 2. Theories and Therapies
Chapter 3. Psychobiology and Psychopharmacology
UNIT II: Foundations for Practice
Chapter 4. Treatment Settings
Chapter 5. Cultural Implications
Chapter 6. Legal and Ethical Considerations
UNIT III: Psychosocial Nursing Tools
Chapter 7. The Nursing Process and Standards of Care
Chapter 8. Therapeutic Relationships
Chapter 9. Therapeutic Communication
Chapter 10. Stress Responses and Stress Management
UNIT IV: Psychobiological Disorders
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
UNIT V: 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 VI: Interventions for Special Populations
Chapter 30. Dying, Death, and Grieving
, 3
Chapter 31. Older Adults
Chapter 32. Serious Mental Illness
Chapter 33. Forensic Nursing
UNIT VII: Other Intervention Modalities
Chapter 34. Therapeutic Groups
Chapter 35. Family Interventions
Chapter 36. Integrative Care
, 4
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?
a. Conducting a mental health assessment.
b. Prescribing psychotropic medication.
c. Establishing a therapeutic relationship.
d. Individualizing a nursing care plan.
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)
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-
client ratios must be better because of the nature of the clients‘ 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 clients
with medical as well as mental health problems, reflecting the holistic perspective these nurses
must have. Nurse–client 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)
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
