Anton Sol
Test Bank
Varcarolis' Foundations of Psychiatric-Mental Health Nursing: A
Clinical Approach 9th Edition by Margaret Jordan Halter
Chapters 1-36|| Complete Guide and Updated 2025
TEST BANK
9TH EDITION
, Anton Sol
Table Of Contents
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
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
, Anton Sol
Chapter 01: Mental Health and Mental Illness
MULTIPLE CHOICE
1. The scope of practice 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.
@ANSWER: 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.”
@ANSWER: 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
, Anton Sol
b. Attending
c. Advocacy
d. Evidence-based practice
@ANSWER: 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 clients 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 clients who are unable to articulate their own
needs.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
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.”
@ANSWER: 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)
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
5. Which assessment finding most clearly indicates that a client may be experiencing a
mental illness?
a. reporting occasional sleeplessness and anxiety.
b. reporting a consistently sad, discouraged, and hopeless mood.
c. being able to describe the difference between “as if” and “for real.”
d. experiencing difficulty making a decision about whether to change jobs.
@ANSWER: 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)
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
6. Which finding best indicates that the goal “Demonstrate mentally healthy behavior” was
achieved for an adult client?
a. being willing to work towards achieving ideals and meeting demands.
Test Bank
Varcarolis' Foundations of Psychiatric-Mental Health Nursing: A
Clinical Approach 9th Edition by Margaret Jordan Halter
Chapters 1-36|| Complete Guide and Updated 2025
TEST BANK
9TH EDITION
, Anton Sol
Table Of Contents
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
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
, Anton Sol
Chapter 01: Mental Health and Mental Illness
MULTIPLE CHOICE
1. The scope of practice 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.
@ANSWER: 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.”
@ANSWER: 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
, Anton Sol
b. Attending
c. Advocacy
d. Evidence-based practice
@ANSWER: 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 clients 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 clients who are unable to articulate their own
needs.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
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.”
@ANSWER: 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)
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
5. Which assessment finding most clearly indicates that a client may be experiencing a
mental illness?
a. reporting occasional sleeplessness and anxiety.
b. reporting a consistently sad, discouraged, and hopeless mood.
c. being able to describe the difference between “as if” and “for real.”
d. experiencing difficulty making a decision about whether to change jobs.
@ANSWER: 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)
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
6. Which finding best indicates that the goal “Demonstrate mentally healthy behavior” was
achieved for an adult client?
a. being willing to work towards achieving ideals and meeting demands.
