TEST BANK FOR
VARCAROLIS' FOUNDATIONS OF PSYCHIATRIC-
MENTAL HEALTH NURSING A CLINICAL 9TH
EDITION
BY MARGARET JORDAN HALTER | CHAPTER 1-36
,TABLE OF CONTENTS
CHAPTER 01: MENTAL HEALTH AND MENTAL ILLNESS ................................................................................ 4
CHAPTER 02: THEORIES AND THERAPIES .................................................................................................... 20
CHAPTER 03: PSYCHOBIOLOGY AND PSYCHOPHARMACOLOGY ................................................................ 42
CHAPTER 04: TREATMENT SETTINGS .......................................................................................................... 62
CHAPTER 05: CULTURAL IMPLICATIONS ..................................................................................................... 85
CHAPTER 06: LEGAL AND ETHICAL CONSIDERATIONS .............................................................................. 104
CHAPTER 07: THE NURSING PROCESS AND STANDARDS OF CARE ........................................................... 123
CHAPTER 08: THERAPEUTIC RELATIONSHIPS ............................................................................................ 141
CHAPTER 09: THERAPEUTIC COMMUNICATION ....................................................................................... 160
CHAPTER 10: STRESS RESPONSES AND STRESS MANAGEMENT ............................................................... 174
CHAPTER 11: CHILDHOOD AND NEURODEVELOPMENTAL DISORDERS ................................................... 190
CHAPTER 12: SCHIZOPHRENIA SPECTRUM DISORDERS ............................................................................ 206
CHAPTER 13: BIPOLAR AND RELATED DISORDERS.................................................................................... 231
CHAPTER 14: DEPRESSIVE DISORDERS ...................................................................................................... 254
CHAPTER 15: ANXIETY AND OBSESSIVE-COMPULSIVE DISORDERS .......................................................... 274
CHAPTER 16: TRAUMA, STRESSOR-RELATED, AND DISSOCIATIVE DISORDERS ........................................ 296
CHAPTER 17: SOMATIC SYMPTOM DISORDERS ........................................................................................ 316
CHAPTER 18: EATING AND FEEDING DISORDERS ..................................................................................... 333
CHAPTER 19: SLEEP–WAKE DISORDERS .................................................................................................... 351
CHAPTER 20: SEXUAL DYSFUNCTIONS, GENDER DYSPHORIA, AND PARAPHILIAS ................................... 367
CHAPTER 21: IMPULSE CONTROL DISORDERS .......................................................................................... 383
CHAPTER 22: SUBSTANCE-RELATED AND ADDICTIVE DISORDERS............................................................ 396
CHAPTER 23: NEUROCOGNITIVE DISORDERS ........................................................................................... 417
CHAPTER 24: PERSONALITY DISORDERS ................................................................................................... 437
CHAPTER 25: SUICIDE AND NONSUICIDAL SELF-INJURY ........................................................................... 456
CHAPTER 26: CRISIS AND DISASTER .......................................................................................................... 473
CHAPTER 27: ANGER, AGGRESSION, AND VIOLENCE ............................................................................... 489
CHAPTER 28: CHILD, OLDER ADULT, AND INTIMATE PARTNER VIOLENCE ............................................... 507
CHAPTER 29: SEXUAL ASSAULT ................................................................................................................. 521
CHAPTER 30: DYING, DEATH, AND GRIEVING ........................................................................................... 535
CHAPTER 31: OLDER ADULTS .................................................................................................................... 549
CHAPTER 32: SERIOUS MENTAL ILLNESS .................................................................................................. 570
,CHAPTER 33: FORENSIC NURSING ............................................................................................................ 590
CHAPTER 34: THERAPEUTIC GROUPS ....................................................................................................... 605
CHAPTER 35: FAMILY INTERVENTIONS ..................................................................................................... 624
CHAPTER 36: INTEGRATIVE CARE ............................................................................................................. 642
,CHAPTER 01: MENTAL HEALTH AND MENTAL ILLNESS
HALTER: VARCAROLIS’ FOUNDATIONS OF PSYCHIATRIC MENTAL HEALTH NURSING: A CLINICAL
APPROACH, 9TH 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
6. WHICH FINDING BEST INDICATES THAT THE GOAL “DEMONSTRATE MENTALLY HEALTHY
BEHAVIOR‖ WAS
ACHIEVED FOR AN ADULT PATIENT? THE PATIENT
A. SEES SELF AS CAPABLE OF ACHIEVING IDEALS AND MEETING DEMANDS.
B. BEHAVES WITHOUT CONSIDERING THE CONSEQUENCES OF PERSONAL ACTIONS.
C. AGGRESSIVELY MEETS OWN NEEDS WITHOUT CONSIDERING THE RIGHTS OF OTHERS.
D. SEEKS HELP FROM OTHERS WHEN ASSUMING RESPONSIBILITY FOR MAJOR AREAS OF OWN LIFE.
ANS: A
THE CORRECT RESPONSE DESCRIBES AN ADAPTIVE, HEALTHY BEHAVIOR. THE DISTRACTERS DESCRIBE
MALADAPTIVE BEHAVIORS.
PTS: 1 DIF: COGNITIVE LEVEL: APPLY (APPLICATION)
REF: PAGES 1-2 TO 4 TOP: NURSING PROCESS: EVALUATION MSC: CLIENT NEEDS: PSYCHOSOCIAL
INTEGRITY
7. A NURSE ENCOUNTERS AN UNFAMILIAR PSYCHIATRIC DISORDER ON A NEW PATIENT‘S
ADMISSION FORM. WHICH RESOURCE SHOULD THE NURSE CONSULT TO DETERMINE CRITERIA USED TO
ESTABLISH THIS DIAGNOSIS?
A. INTERNATIONAL STATISTICAL CLASSIFICATION OF DISEASES AND RELATED HEALTH PROBLEMS
(ICD-10)
B. THE ANA‟S PSYCHIATRIC-MENTAL HEALTH NURSING SCOPE AND STANDARDS OF PRACTICE
VARCAROLIS' FOUNDATIONS OF PSYCHIATRIC-
MENTAL HEALTH NURSING A CLINICAL 9TH
EDITION
BY MARGARET JORDAN HALTER | CHAPTER 1-36
,TABLE OF CONTENTS
CHAPTER 01: MENTAL HEALTH AND MENTAL ILLNESS ................................................................................ 4
CHAPTER 02: THEORIES AND THERAPIES .................................................................................................... 20
CHAPTER 03: PSYCHOBIOLOGY AND PSYCHOPHARMACOLOGY ................................................................ 42
CHAPTER 04: TREATMENT SETTINGS .......................................................................................................... 62
CHAPTER 05: CULTURAL IMPLICATIONS ..................................................................................................... 85
CHAPTER 06: LEGAL AND ETHICAL CONSIDERATIONS .............................................................................. 104
CHAPTER 07: THE NURSING PROCESS AND STANDARDS OF CARE ........................................................... 123
CHAPTER 08: THERAPEUTIC RELATIONSHIPS ............................................................................................ 141
CHAPTER 09: THERAPEUTIC COMMUNICATION ....................................................................................... 160
CHAPTER 10: STRESS RESPONSES AND STRESS MANAGEMENT ............................................................... 174
CHAPTER 11: CHILDHOOD AND NEURODEVELOPMENTAL DISORDERS ................................................... 190
CHAPTER 12: SCHIZOPHRENIA SPECTRUM DISORDERS ............................................................................ 206
CHAPTER 13: BIPOLAR AND RELATED DISORDERS.................................................................................... 231
CHAPTER 14: DEPRESSIVE DISORDERS ...................................................................................................... 254
CHAPTER 15: ANXIETY AND OBSESSIVE-COMPULSIVE DISORDERS .......................................................... 274
CHAPTER 16: TRAUMA, STRESSOR-RELATED, AND DISSOCIATIVE DISORDERS ........................................ 296
CHAPTER 17: SOMATIC SYMPTOM DISORDERS ........................................................................................ 316
CHAPTER 18: EATING AND FEEDING DISORDERS ..................................................................................... 333
CHAPTER 19: SLEEP–WAKE DISORDERS .................................................................................................... 351
CHAPTER 20: SEXUAL DYSFUNCTIONS, GENDER DYSPHORIA, AND PARAPHILIAS ................................... 367
CHAPTER 21: IMPULSE CONTROL DISORDERS .......................................................................................... 383
CHAPTER 22: SUBSTANCE-RELATED AND ADDICTIVE DISORDERS............................................................ 396
CHAPTER 23: NEUROCOGNITIVE DISORDERS ........................................................................................... 417
CHAPTER 24: PERSONALITY DISORDERS ................................................................................................... 437
CHAPTER 25: SUICIDE AND NONSUICIDAL SELF-INJURY ........................................................................... 456
CHAPTER 26: CRISIS AND DISASTER .......................................................................................................... 473
CHAPTER 27: ANGER, AGGRESSION, AND VIOLENCE ............................................................................... 489
CHAPTER 28: CHILD, OLDER ADULT, AND INTIMATE PARTNER VIOLENCE ............................................... 507
CHAPTER 29: SEXUAL ASSAULT ................................................................................................................. 521
CHAPTER 30: DYING, DEATH, AND GRIEVING ........................................................................................... 535
CHAPTER 31: OLDER ADULTS .................................................................................................................... 549
CHAPTER 32: SERIOUS MENTAL ILLNESS .................................................................................................. 570
,CHAPTER 33: FORENSIC NURSING ............................................................................................................ 590
CHAPTER 34: THERAPEUTIC GROUPS ....................................................................................................... 605
CHAPTER 35: FAMILY INTERVENTIONS ..................................................................................................... 624
CHAPTER 36: INTEGRATIVE CARE ............................................................................................................. 642
,CHAPTER 01: MENTAL HEALTH AND MENTAL ILLNESS
HALTER: VARCAROLIS’ FOUNDATIONS OF PSYCHIATRIC MENTAL HEALTH NURSING: A CLINICAL
APPROACH, 9TH 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
6. WHICH FINDING BEST INDICATES THAT THE GOAL “DEMONSTRATE MENTALLY HEALTHY
BEHAVIOR‖ WAS
ACHIEVED FOR AN ADULT PATIENT? THE PATIENT
A. SEES SELF AS CAPABLE OF ACHIEVING IDEALS AND MEETING DEMANDS.
B. BEHAVES WITHOUT CONSIDERING THE CONSEQUENCES OF PERSONAL ACTIONS.
C. AGGRESSIVELY MEETS OWN NEEDS WITHOUT CONSIDERING THE RIGHTS OF OTHERS.
D. SEEKS HELP FROM OTHERS WHEN ASSUMING RESPONSIBILITY FOR MAJOR AREAS OF OWN LIFE.
ANS: A
THE CORRECT RESPONSE DESCRIBES AN ADAPTIVE, HEALTHY BEHAVIOR. THE DISTRACTERS DESCRIBE
MALADAPTIVE BEHAVIORS.
PTS: 1 DIF: COGNITIVE LEVEL: APPLY (APPLICATION)
REF: PAGES 1-2 TO 4 TOP: NURSING PROCESS: EVALUATION MSC: CLIENT NEEDS: PSYCHOSOCIAL
INTEGRITY
7. A NURSE ENCOUNTERS AN UNFAMILIAR PSYCHIATRIC DISORDER ON A NEW PATIENT‘S
ADMISSION FORM. WHICH RESOURCE SHOULD THE NURSE CONSULT TO DETERMINE CRITERIA USED TO
ESTABLISH THIS DIAGNOSIS?
A. INTERNATIONAL STATISTICAL CLASSIFICATION OF DISEASES AND RELATED HEALTH PROBLEMS
(ICD-10)
B. THE ANA‟S PSYCHIATRIC-MENTAL HEALTH NURSING SCOPE AND STANDARDS OF PRACTICE
