TestnBankn-nVarcarolis'nFoundationsnofnPsychiatricnMentalnHealthnNursingn(8thnEdition) 1
Table of Contents
1
Chaptern01:nMentalnHealthnandnMentalnIllnessnCha 2
ptern02:nTheoriesnandnTherapies 14
Chaptern03:nPsychobiologynandnPsychopharmacologynChapte 30
rn04:nTreatmentnSettings 45
Chaptern 05:n Culturaln Implications 62
Chaptern 06:n Legaln andn Ethicaln Considerations 78
Chaptern07:nThenNursingnProcessnandnStandardsnofnCare 92
Chaptern08:nTherapeuticnRelationships 106
Chaptern 09:n Therapeuticn Communication 120
Chaptern10:nStressnResponsesnandnStressnManagement 132
Chaptern11:nChildhoodnandnNeurodevelopmentalnDisorders 144
Chaptern12:nSchizophrenianSpectrumnDisorders 157
Chaptern13:nBipolarnandnRelatednDisorders 175
Chaptern14:nDepressivenDisorders 192
Chaptern 15:n Anxietyn andn Obsessive-Compulsiven Disorders 207
Chaptern16:nTrauma,nStressor-Related,nandnDissociativenDisorders 223
Chaptern17:nSomaticnSymptomnDisorders 237
Chaptern18:nEatingnandnFeedingnDisorders 250
Chaptern19:nSleep-WakenDisorders 264
Chaptern20:nSexualnDysfunctions,nGendernDysphoria,nandnParaphilias 276
Chaptern21:nImpulsenControlnDisorders 288
Chaptern22:nSubstancenRelatednandnAddictivenDisorders 299
Chaptern23:nNeurocognitivenDisorders 315
Chaptern 24:n Personalityn Disorders 329
Chaptern25:nSuicidenandnNonsuicidalnSelf-Injury 344
Chaptern26:nCrisisnandnDisaster 357
Chaptern 27:n Anger,n Aggression,n andn Violence 370
Chaptern28:nChild,nOldernAdult,nandnIntimatenPartnernViolence 383
Chaptern29:nSexualnAssault 394
Chaptern30:nDying,nDeath,nandnGrieving 405
Chaptern31:nOldernAdults 415
Chaptern32:nSeriousnMentalnIllness 431
Chaptern33:nForensicnNursing 447
Chaptern34:nTherapeuticnGroups 458
Chaptern35:nFamilynInterventions 472
Chaptern36:nIntegrativenCare 485
,TestnBankn-nVarcarolis'nFoundationsnofnPsychiatricnMentalnHealthnNursingn(8thnEdition) 2
Chapter 01: Mental Health and Mental Illness
n n n n n n
MULTIPLEn CHOICE
1. Anstaffnnursencompletesnorientationntonanpsychiatricnunit.nThisnnursenmaynexpectnannadvancednpracticennursen t
onperformnwhichnadditionalnintervention?
a. Conductn mentaln healthn assessments. c. Establishn therapeuticn relationships.
b. Prescriben psychotropicn medication. d. Individualizen nursingn caren plans.
ANS:n B
Inn mostn states,n prescriptiven privilegesn aren grantedn ton masters-
preparedn nursen practitionersn whon haven takennspecialncoursesnonnprescribingnmedication.nThennursenpreparednatnthen
basicnlevelnisnpermittedntonperformnmentaln healthnassessments,nestablishnrelationships,nandnprovidenindividualizednca
renplanning.
PTS:n1nDIF:nCognitivenLevel:nUnderstandn(Comprehension)nR
EF:n15nTOP:nNursingnProcess:nImplementation
MSC:n Clientn Needs:n Safe,n Effectiven Caren Environment
2. Whennannursingnstudentnexpressesnconcernsnaboutnhownmentalnhealthnnursesnlosenallntheirnnursingnskills,nthen be
stnresponsenbynthenmentalnhealthnnursenis:
a. Psychiatricnnursesnpracticeninnsafernenvironmentsnthannothernspecialties.nNurse-to-
patientnratiosnmustn benbetternbecausenofnthennaturenofnthenpatientsnproblems.
b. Psychiatricnnursesnusencomplexncommunicationnskillsnasnwellnasncriticalnthinkingntonsolvenm
ultidimensionalnproblems.nInamnchallengednbynthosensituations.
c. Thatsnanmisconception.nPsychiatricnnursesnfrequentlynusenhighntechnologynmonitoringnequipmentnandnm
anagencomplexnintravenousntherapies.
d. Psychiatricnnursesndonnotnhaventondealnwithnasnmuchnpainnandnsufferingnasnmedical-
surgicalnnursesndo.nThatnappealsntonme.
ANS:n B
Then practicen ofn psychiatricn nursingn requiresn an differentn setn ofn skillsn thann medical-
surgicaln nursing,n thoughn therenisnsubstantialnoverlap.nPsychiatricnnursesnmustnbenablentonhelpnpatientsnwithnmedical
nasnwellnasnmentalnhealthnproblems,nreflectingnthenholisticnperspectiventhesennursesnmustnhave.nNurse-
patientnratiosnandnworkloadsninnpsychiatricnsettingsnhavenincreased,njustnlikenothernspecialties.nPsychiatricnnursingni
nvolvesnclinicalnpractice,nnotnjustndocumentation.nPsychosocialnpainnandnsufferingnarenasnrealnasnphysicalnpainnandns
uffering.
PTS:n1nDIF:nCognitivenLevel:nApplyn(Application)n RE
F:n 10n TOP:n Nursingn Process:n ImplementationnMSC:n
ClientnNeeds:nSafe,nEffectivenCarenEnvironment
3. Whenn an newn billn introducedn inn Congressn reducesn fundingn forn caren ofn personsn withn mentaln illness,n an groupn of
,TestnBankn-nVarcarolis'nFoundationsnofnPsychiatricnMentalnHealthnNursingn(8thnEdition) 3
nursesnwritesnlettersntontheirnelectednrepresentativesninnoppositionntonthenlegislation.nWhichnrolenhaventhennursesnfulfil
led?
a. Recovery c. Advocacy
b. Attending d. Evidence-basedn practice
ANS:n C
Ann advocaten defendsn orn assertsn anothersn cause,n particularlyn whenn then othern personn lacksn then abilityn ton don thatn
fornself.nExamplesnofnindividualnadvocacynincludenhelpingnpatientsnunderstandntheirnrightsnornmakendecisions.n O
nnancommunitynscale,nadvocacynincludesnpoliticalnactivity,npublicnspeaking,nandnpublicationninntheninterestnofnimp
rovingnthenhumanncondition.nSincenfundingnisnnecessaryntondelivernqualitynprogrammingnfornpersonsnwithn mentaln
illness,nthenletter-
nwritingncampaignnadvocatesnfornthatncausenonnbehalfnofnpatientsnwhonarenunablentonarticulatentheirnownnneeds.
PTS:n1nDIF:nCognitivenLevel:nUnderstandn(Comprehension)nR
EF:n16nTOP:nNursingnProcess:nImplementation
MSC:n Clientn Needs:n Safe,n Effectiven Caren Environment
4. Whichn commentn bestn indicatesn thatn an patientn perceivedn then nursen wasn caring?n Myn nurse:
a. alwaysn asksn men whichn typen ofn juicen In wantn ton helpn men swallown myn medication.
b. explainedn myn treatmentn plann ton men andn askedn forn myn ideasn aboutn hown ton maken itn better.
c. spendsn timen listeningn ton men talkn aboutn myn problems.n Thatn helpsn men feeln liken In amn notn alone.
d. toldn men thatn ifn In taken alln thenmedicinesn then doctorn prescribes,n thenn In willn getn dischargedn sooner.
ANS:n C
Caringnevidencesnempatheticnunderstandingnasnwellnasncompetency.nItnhelpsnchangenpainnandnsufferingnintonansh
arednexperience,ncreatingnanhumannconnectionnthatnalleviatesnfeelingsnofnisolation.nThendistractersngivenexamples
nofnstatementsnthatndemonstratenadvocacynorngivingnadvice.
PTS:n1nDIF:nCognitivenLevel:nApplyn(Application)nRE
F:n7nTOP:nNursingnProcess:nEvaluation
MSC:n Clientn Needs:n Psychosocialn Integrity
5. Whichnassessmentnfindingnmostnclearlynindicatesnthatnanpatientnmaynbenexperiencingnanmentalnillness?nThenpa
tient:
a. reportsn occasionaln sleeplessnessn andn anxiety.
b. reportsn an consistentlyn sad,n discouraged,n andn hopelessn mood.
c. isn ablen ton describen then differencen betweenn asn ifn andn forn real.
, TestnBankn-nVarcarolis'nFoundationsnofnPsychiatricnMentalnHealthnNursingn(8thnEdition) 4
d. perceivesn difficultyn makingn an decisionn aboutn whethern ton changen jobs.
ANS:n B
Thencorrectnresponsendescribesnanmoodnalteration,nwhichnreflectsnmentalnillness.nThendistractersndescribenbehavio
rsnthatnarenmentallynhealthynornwithinnthenusualnscopenofnhumannexperience.
PTS:n1nDIF:nCognitivenLevel:nApplyn(Application)nRE
F:n2nTOP:nNursingnProcess:nAssessment
MSC:n Clientn Needs:n Psychosocialn Integrity
6. Whichn findingn bestn indicatesn thatn then goalnDemonstraten mentallyn healthyn behaviornwasn achieved?n An patient:
a. seesn selfn asn capablen ofn achievingn idealsn andn meetingn demands.
b. behavesn withoutn consideringn then consequencesn ofn personaln actions.
c. aggressivelyn meetsn ownn needsn withoutn consideringn then rightsn ofn others.
d. seeksn helpn fromn othersn whenn assumingn responsibilityn forn majorn areasn ofn ownn life.
ANS:n A
Thencorrectnresponsendescribesnannadaptive,nhealthynbehavior.nThendistractersndescribenmaladaptivenbehaviors.n
PTS:n1nDIF:nCognitivenLevel:nApplyn(Application)
REF:n2nTOP:nNursingnProcess:nEvaluationnMSC
:nClientnNeeds:nPsychosocialnIntegrity
7. Annursenencountersnannunfamiliarnpsychiatricndisordernonnannewnpatientsnadmissionnform.nWhichnresourcensh
ouldnthennursenconsultntondeterminencriterianusedntonestablishnthisndiagnosis?
a. Internationaln Statisticaln Classificationn ofn Diseasesn andn Relatedn Healthn Problemsn (ICD-10)
b. Diagnosticn andn Statisticaln Manualn ofn Mentaln Disordersn (DSM-5)
c. An behavioraln healthn referencen manual
d. Wikipedia
ANS:n B
ThenDSM-
5ngivesnthencriterianusedntondiagnoseneachnmentalndisorder.nThendistractersnmaynnotncontainndiagnosticn criterianfornanp
sychiatricnillness.
PTS:n 1n DIF:n Cognitiven Level:n Applyn (Application)
Table of Contents
1
Chaptern01:nMentalnHealthnandnMentalnIllnessnCha 2
ptern02:nTheoriesnandnTherapies 14
Chaptern03:nPsychobiologynandnPsychopharmacologynChapte 30
rn04:nTreatmentnSettings 45
Chaptern 05:n Culturaln Implications 62
Chaptern 06:n Legaln andn Ethicaln Considerations 78
Chaptern07:nThenNursingnProcessnandnStandardsnofnCare 92
Chaptern08:nTherapeuticnRelationships 106
Chaptern 09:n Therapeuticn Communication 120
Chaptern10:nStressnResponsesnandnStressnManagement 132
Chaptern11:nChildhoodnandnNeurodevelopmentalnDisorders 144
Chaptern12:nSchizophrenianSpectrumnDisorders 157
Chaptern13:nBipolarnandnRelatednDisorders 175
Chaptern14:nDepressivenDisorders 192
Chaptern 15:n Anxietyn andn Obsessive-Compulsiven Disorders 207
Chaptern16:nTrauma,nStressor-Related,nandnDissociativenDisorders 223
Chaptern17:nSomaticnSymptomnDisorders 237
Chaptern18:nEatingnandnFeedingnDisorders 250
Chaptern19:nSleep-WakenDisorders 264
Chaptern20:nSexualnDysfunctions,nGendernDysphoria,nandnParaphilias 276
Chaptern21:nImpulsenControlnDisorders 288
Chaptern22:nSubstancenRelatednandnAddictivenDisorders 299
Chaptern23:nNeurocognitivenDisorders 315
Chaptern 24:n Personalityn Disorders 329
Chaptern25:nSuicidenandnNonsuicidalnSelf-Injury 344
Chaptern26:nCrisisnandnDisaster 357
Chaptern 27:n Anger,n Aggression,n andn Violence 370
Chaptern28:nChild,nOldernAdult,nandnIntimatenPartnernViolence 383
Chaptern29:nSexualnAssault 394
Chaptern30:nDying,nDeath,nandnGrieving 405
Chaptern31:nOldernAdults 415
Chaptern32:nSeriousnMentalnIllness 431
Chaptern33:nForensicnNursing 447
Chaptern34:nTherapeuticnGroups 458
Chaptern35:nFamilynInterventions 472
Chaptern36:nIntegrativenCare 485
,TestnBankn-nVarcarolis'nFoundationsnofnPsychiatricnMentalnHealthnNursingn(8thnEdition) 2
Chapter 01: Mental Health and Mental Illness
n n n n n n
MULTIPLEn CHOICE
1. Anstaffnnursencompletesnorientationntonanpsychiatricnunit.nThisnnursenmaynexpectnannadvancednpracticennursen t
onperformnwhichnadditionalnintervention?
a. Conductn mentaln healthn assessments. c. Establishn therapeuticn relationships.
b. Prescriben psychotropicn medication. d. Individualizen nursingn caren plans.
ANS:n B
Inn mostn states,n prescriptiven privilegesn aren grantedn ton masters-
preparedn nursen practitionersn whon haven takennspecialncoursesnonnprescribingnmedication.nThennursenpreparednatnthen
basicnlevelnisnpermittedntonperformnmentaln healthnassessments,nestablishnrelationships,nandnprovidenindividualizednca
renplanning.
PTS:n1nDIF:nCognitivenLevel:nUnderstandn(Comprehension)nR
EF:n15nTOP:nNursingnProcess:nImplementation
MSC:n Clientn Needs:n Safe,n Effectiven Caren Environment
2. Whennannursingnstudentnexpressesnconcernsnaboutnhownmentalnhealthnnursesnlosenallntheirnnursingnskills,nthen be
stnresponsenbynthenmentalnhealthnnursenis:
a. Psychiatricnnursesnpracticeninnsafernenvironmentsnthannothernspecialties.nNurse-to-
patientnratiosnmustn benbetternbecausenofnthennaturenofnthenpatientsnproblems.
b. Psychiatricnnursesnusencomplexncommunicationnskillsnasnwellnasncriticalnthinkingntonsolvenm
ultidimensionalnproblems.nInamnchallengednbynthosensituations.
c. Thatsnanmisconception.nPsychiatricnnursesnfrequentlynusenhighntechnologynmonitoringnequipmentnandnm
anagencomplexnintravenousntherapies.
d. Psychiatricnnursesndonnotnhaventondealnwithnasnmuchnpainnandnsufferingnasnmedical-
surgicalnnursesndo.nThatnappealsntonme.
ANS:n B
Then practicen ofn psychiatricn nursingn requiresn an differentn setn ofn skillsn thann medical-
surgicaln nursing,n thoughn therenisnsubstantialnoverlap.nPsychiatricnnursesnmustnbenablentonhelpnpatientsnwithnmedical
nasnwellnasnmentalnhealthnproblems,nreflectingnthenholisticnperspectiventhesennursesnmustnhave.nNurse-
patientnratiosnandnworkloadsninnpsychiatricnsettingsnhavenincreased,njustnlikenothernspecialties.nPsychiatricnnursingni
nvolvesnclinicalnpractice,nnotnjustndocumentation.nPsychosocialnpainnandnsufferingnarenasnrealnasnphysicalnpainnandns
uffering.
PTS:n1nDIF:nCognitivenLevel:nApplyn(Application)n RE
F:n 10n TOP:n Nursingn Process:n ImplementationnMSC:n
ClientnNeeds:nSafe,nEffectivenCarenEnvironment
3. Whenn an newn billn introducedn inn Congressn reducesn fundingn forn caren ofn personsn withn mentaln illness,n an groupn of
,TestnBankn-nVarcarolis'nFoundationsnofnPsychiatricnMentalnHealthnNursingn(8thnEdition) 3
nursesnwritesnlettersntontheirnelectednrepresentativesninnoppositionntonthenlegislation.nWhichnrolenhaventhennursesnfulfil
led?
a. Recovery c. Advocacy
b. Attending d. Evidence-basedn practice
ANS:n C
Ann advocaten defendsn orn assertsn anothersn cause,n particularlyn whenn then othern personn lacksn then abilityn ton don thatn
fornself.nExamplesnofnindividualnadvocacynincludenhelpingnpatientsnunderstandntheirnrightsnornmakendecisions.n O
nnancommunitynscale,nadvocacynincludesnpoliticalnactivity,npublicnspeaking,nandnpublicationninntheninterestnofnimp
rovingnthenhumanncondition.nSincenfundingnisnnecessaryntondelivernqualitynprogrammingnfornpersonsnwithn mentaln
illness,nthenletter-
nwritingncampaignnadvocatesnfornthatncausenonnbehalfnofnpatientsnwhonarenunablentonarticulatentheirnownnneeds.
PTS:n1nDIF:nCognitivenLevel:nUnderstandn(Comprehension)nR
EF:n16nTOP:nNursingnProcess:nImplementation
MSC:n Clientn Needs:n Safe,n Effectiven Caren Environment
4. Whichn commentn bestn indicatesn thatn an patientn perceivedn then nursen wasn caring?n Myn nurse:
a. alwaysn asksn men whichn typen ofn juicen In wantn ton helpn men swallown myn medication.
b. explainedn myn treatmentn plann ton men andn askedn forn myn ideasn aboutn hown ton maken itn better.
c. spendsn timen listeningn ton men talkn aboutn myn problems.n Thatn helpsn men feeln liken In amn notn alone.
d. toldn men thatn ifn In taken alln thenmedicinesn then doctorn prescribes,n thenn In willn getn dischargedn sooner.
ANS:n C
Caringnevidencesnempatheticnunderstandingnasnwellnasncompetency.nItnhelpsnchangenpainnandnsufferingnintonansh
arednexperience,ncreatingnanhumannconnectionnthatnalleviatesnfeelingsnofnisolation.nThendistractersngivenexamples
nofnstatementsnthatndemonstratenadvocacynorngivingnadvice.
PTS:n1nDIF:nCognitivenLevel:nApplyn(Application)nRE
F:n7nTOP:nNursingnProcess:nEvaluation
MSC:n Clientn Needs:n Psychosocialn Integrity
5. Whichnassessmentnfindingnmostnclearlynindicatesnthatnanpatientnmaynbenexperiencingnanmentalnillness?nThenpa
tient:
a. reportsn occasionaln sleeplessnessn andn anxiety.
b. reportsn an consistentlyn sad,n discouraged,n andn hopelessn mood.
c. isn ablen ton describen then differencen betweenn asn ifn andn forn real.
, TestnBankn-nVarcarolis'nFoundationsnofnPsychiatricnMentalnHealthnNursingn(8thnEdition) 4
d. perceivesn difficultyn makingn an decisionn aboutn whethern ton changen jobs.
ANS:n B
Thencorrectnresponsendescribesnanmoodnalteration,nwhichnreflectsnmentalnillness.nThendistractersndescribenbehavio
rsnthatnarenmentallynhealthynornwithinnthenusualnscopenofnhumannexperience.
PTS:n1nDIF:nCognitivenLevel:nApplyn(Application)nRE
F:n2nTOP:nNursingnProcess:nAssessment
MSC:n Clientn Needs:n Psychosocialn Integrity
6. Whichn findingn bestn indicatesn thatn then goalnDemonstraten mentallyn healthyn behaviornwasn achieved?n An patient:
a. seesn selfn asn capablen ofn achievingn idealsn andn meetingn demands.
b. behavesn withoutn consideringn then consequencesn ofn personaln actions.
c. aggressivelyn meetsn ownn needsn withoutn consideringn then rightsn ofn others.
d. seeksn helpn fromn othersn whenn assumingn responsibilityn forn majorn areasn ofn ownn life.
ANS:n A
Thencorrectnresponsendescribesnannadaptive,nhealthynbehavior.nThendistractersndescribenmaladaptivenbehaviors.n
PTS:n1nDIF:nCognitivenLevel:nApplyn(Application)
REF:n2nTOP:nNursingnProcess:nEvaluationnMSC
:nClientnNeeds:nPsychosocialnIntegrity
7. Annursenencountersnannunfamiliarnpsychiatricndisordernonnannewnpatientsnadmissionnform.nWhichnresourcensh
ouldnthennursenconsultntondeterminencriterianusedntonestablishnthisndiagnosis?
a. Internationaln Statisticaln Classificationn ofn Diseasesn andn Relatedn Healthn Problemsn (ICD-10)
b. Diagnosticn andn Statisticaln Manualn ofn Mentaln Disordersn (DSM-5)
c. An behavioraln healthn referencen manual
d. Wikipedia
ANS:n B
ThenDSM-
5ngivesnthencriterianusedntondiagnoseneachnmentalndisorder.nThendistractersnmaynnotncontainndiagnosticn criterianfornanp
sychiatricnillness.
PTS:n 1n DIF:n Cognitiven Level:n Applyn (Application)
