TEST BANK For Varcarolis' Foundations of Psychiatric-
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Mental Health Nursing, 9th Edition
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by Margaret Jordan Halter Chapters 1 - 36 | Complete
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,TABLE OF CONTENTS
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Chapter 01 Mental Health and Mental Illness
hj hj hj hj hj hj 2
Chapter 02 Theories and Therapies Approach
hj hj hj hj hj 12
Chapter 03 Psychobiology and Psychopharmacology
hj hj hj hj 25
Chapter 04 Treatment Settings
hj hj hj 37
Chapter 05 Cultural Implications
hj hj hj 50
Chapter 06 Legal and Ethical Considerations
hj hj hj hj hj 61
Chapter 07 The Nursing Process and Standards of Care
hj hj hj hj hj hj hj hj 72
Chapter 08 Therapeutic Relationships
hj hj hj 83
Chapter 09 Therapeutic Communication
hj hj hj 94
Chapter 10 Stress Responses and Stress Management
hj hj hj hj hj hj 103
Chapter 11 Childhood and Neurodevelopmental Disorders
hj hj hj hj hj 113
Chapter 12 Schizophrenia Spectrum Disorders
hj hj hj hj 123
Chapter 13 Bipolar and Related Disorders
hj hj hj hj hj 137
Chapter 14 Depressive Disorders
hj hj hj 150
Chapter 15 Anxiety and Obsessive-Compulsive Disorders
hj hj hj hj hj 162
Chapter 16 Trauma, Stressor-Related, and Dissociative Disorders
hj hj hj hj hj hj 175
Chapter 17 Somatic Symptom Disorders
hj hj hj hj 187
Chapter 18 Eating and Feeding Disorders
hj hj hj hj hj 197
Chapter 19 Sleep–Wake Disorders
hj hj hj 207
Chapter 20 Sexual Dysfunctions, Gender Dysphoria, and Paraphilic Disorders
hj hj hj hj hj hj hj hj 216
Chapter 21 Impulse Control Disorders
hj hj hj hj 226
Chapter 22 Substance-Related and Addictive Disorders
hj hj hj hj hj 236
Chapter 23 Neurocognitive Disorders
hj hj hj 248
Chapter 24 Personality Disorders
hj hj hj 259
Chapter 25 Suicide and Nonsuicidal Self-Injury
hj hj hj hj hj 270
Chapter 26 Crisis and Disaster
hj hj hj hj 280
Chapter 27 Anger, Aggression, and Violence
hj hj hj hj hj 290
Chapter 28 Child, Older Adult, and Intimate Partner Violence
hj hj hj hj hj hj hj hj 300
Chapter 29 Sexual Assault
hj hj hj 309
Chapter 30 Dying, Death, and Grieving
hj hj hj hj hj 318
Chapter 31 Older Adults
hj hj hj 326
Chapter 32 Serious Mental Illness
hj hj hj hj 338
Chapter 33 Forensic Nursing
hj hj hj 351
Chapter 34 Therapeutic Groups
hj hj hj 360
Chapter 35 Family Interventions
hj hj hj 371
Chapter 36 Integrative Care
hj hj hj 382
, TesthjBankhj-hjVarcarolis'hjFoundationshjofhjPsychiatrichjMentalhjHealthhjNursing,hj9e
Chapter 01: Mental Health and Mental Illness
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Halter: Varcarolis’ Foundations of Psychiatric-
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Mental Health Nursing: A Clinical Approach, 9th Edition
hj hj hj hj hj hj hj
MULTIPLE CHOICE hj
1. The scope of practiced for an advanced nurse practitioner would include which intervention?
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a. Conducting a mental health assessment. hj hj hj hj
b. Prescribing psychotropic medication. hj hj
c. Establishing a therapeutic relationship. hj hj hj
d. Individualizing a nursing care plan. hj hj hj hj
ANSWER: B hj
In most states, prescriptive privileges are granted to master’s-
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prepared nurse practitioners and clinical nurse specialists who have taken special courses on p
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rescribing medication. The nurse prepared at the basic level is permitted to perform mental he
hj hj hj hj hj hj hj hj hj hj hj hj hj hj
alth assessments, establish relationships, and provide individualized care planning.
hj hj hj hj hj hj hj hj
PTS: h j h j 1 DIF: Cognitive Level: Understand (Comprehension) hj hj hj
TOP: h j Nursing Process: Implementation hj hj MSC: Client Needs: Safe, Effective Care Environment
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2. A nursing student expresses concerns that mental health nurses “lose all their clinical nursing
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skills.” Select the best response by the mental health nurse.
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a. “Psychiatric nurses practice in safer environments than other specialties. Nurse-to-
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hj client ratios must be better because of the nature of the clients’ problems.”
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b. “Psychiatric nurses use complex communication skills as well as critical thinking
hj hj hj hj hj hj hj hj hj hj
hj to solve multidimensional problems. I am challenged by those situations.”
hj hj hj hj hj hj hj hj hj
c. “That’s a misconception. Psychiatric nurses frequently use high technology
hj hj hj hj hj hj hj hj
hj monitoring equipment and manage complex intravenous therapies.”
hj hj hj hj hj hj
d. “Psychiatric nurses do not have to deal with as much pain and suffering as
hj hj hj hj hj hj hj hj hj hj hj hj hj
hj medical–surgical nurses do. That appeals to me.” hj hj hj hj hj hj
ANSWER: h j B
The practice of psychiatric nursing requires a different set of skills than medical–
hj hj hj hj hj hj hj hj hj hj hj hj
surgical nursing, though there is substantial overlap. Psychiatric nurses must be able to help c
hj hj hj hj hj hj hj hj hj hj hj hj hj hj
lients with medical as well as mental health problems, reflecting the holistic perspective these
hj hj hj hj hj hj hj hj hj hj hj hj hj hj
nurses must have. Nurse– hj hj hj
client ratios and workloads in psychiatric settings have increased, just like other specialties. P
hj hj hj hj hj hj hj hj hj hj hj hj hj
sychiatric nursing involves clinical practice, not just documentation.
hj hj hj hj hj hj hj
3|Page
hj hj hj hj hj
, TesthjBankhj-hjVarcarolis'hjFoundationshjofhjPsychiatrichjMentalhjHealthhjNursing,hj9e
Psychosocial pain and suffering are as real as physical pain and suffering.
hj hj hj hj hj hj hj hj hj hj hj
PTS: h j h j 1 DIF: Cognitive Level: Apply (Application) hj hj hj
TOP: h j Nursing Process: Implementation hj hj MSC: Client Needs: Safe, Effective Care Environment
h j hj hj hj hj hj
3. When a new bill introduced in Congress reduces funding for care of persons diagnosed with
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj
mental illness, a group of nurses write letters to their elected representatives in opposition to
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj
the legislation. Which role have the nurses fulfilled?
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a. Recovery
b. Attending
c. Advocacy
d. Evidence-based practice hj
ANSWER: C hj
An advocate defends or asserts another’s cause, particularly when the other person lacks the
hj hj hj hj hj hj hj hj hj hj hj hj hj hj
ability to do that for self. Examples of individual advocacy include helping clients understan
hj hj hj hj hj hj hj hj hj hj hj hj hj
d their rights or make decisions. On a community scale, advocacy includes political activity,
hj hj hj hj hj hj hj hj hj hj hj hj hj hj
public speaking, and publication in the interest of improving the human condition. Since fun
hj hj hj hj hj hj hj hj hj hj hj hj hj
ding is necessary to deliver quality programming for persons with mental illness, the letter-
hj hj hj hj hj hj hj hj hj hj hj hj hj
hj writing campaign advocates for that cause on behalf of clients who are unable to articulate
hj hj hj hj hj hj hj hj hj hj hj hj hj hj h
j their own needs. hj hj
PTS: h j h j 1 DIF: Cognitive Level: Understand (Comprehension) hj hj hj
TOP: h j Nursing Process: Evaluation hj hj MSC: Client Needs: Safe, Effective Care Environment
h j hj hj hj hj hj
4. A family has a long history of conflicted relationships among the members. Which family
hj hj hj hj hj hj hj hj hj hj hj hj hj
hj member’s comment best reflects a mentally healthy perspective?
hj hj hj hj hj hj hj
a. “I’ve made mistakes but everyone else in this family has also.”
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b. “I remember joy and mutual respect from our early years together.”
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c. “I will make some changes in my behavior for the good of the family.”
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d. “It’s best for me to move away from my family. Things will never change.”
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ANSWER: C hj
The correct response demonstrates the best evidence of a healthy recognition of the importa
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nce of relationships. Mental health includes rational thinking, communication skills, learning
hj hj hj hj hj hj hj hj hj hj
, emotional growth, resilience, and self-
hj hj hj hj hj
esteem. Recalling joy from earlier in life may be healthy, but the correct response shows a hi
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj
gher level of mental health. The other incorrect responses show blaming and avoidance.
hj hj hj hj hj hj hj hj hj hj hj hj
PTS: h j h j 1 DIF: Cognitive Level: Analyze (Analysis) hj hj hj
TOP: h j Nursing Process: Assessment hj hj MSC: Client Needs: Psychosocial Integrity
h j hj hj hj
4|Page
hj hj hj hj hj
hj hj hj hj hj hj
Mental Health Nursing, 9th Edition
hj hj hj hj h j
by Margaret Jordan Halter Chapters 1 - 36 | Complete
hj hj hj hj hj hj hj hj hj
,TABLE OF CONTENTS
hj hj
Chapter 01 Mental Health and Mental Illness
hj hj hj hj hj hj 2
Chapter 02 Theories and Therapies Approach
hj hj hj hj hj 12
Chapter 03 Psychobiology and Psychopharmacology
hj hj hj hj 25
Chapter 04 Treatment Settings
hj hj hj 37
Chapter 05 Cultural Implications
hj hj hj 50
Chapter 06 Legal and Ethical Considerations
hj hj hj hj hj 61
Chapter 07 The Nursing Process and Standards of Care
hj hj hj hj hj hj hj hj 72
Chapter 08 Therapeutic Relationships
hj hj hj 83
Chapter 09 Therapeutic Communication
hj hj hj 94
Chapter 10 Stress Responses and Stress Management
hj hj hj hj hj hj 103
Chapter 11 Childhood and Neurodevelopmental Disorders
hj hj hj hj hj 113
Chapter 12 Schizophrenia Spectrum Disorders
hj hj hj hj 123
Chapter 13 Bipolar and Related Disorders
hj hj hj hj hj 137
Chapter 14 Depressive Disorders
hj hj hj 150
Chapter 15 Anxiety and Obsessive-Compulsive Disorders
hj hj hj hj hj 162
Chapter 16 Trauma, Stressor-Related, and Dissociative Disorders
hj hj hj hj hj hj 175
Chapter 17 Somatic Symptom Disorders
hj hj hj hj 187
Chapter 18 Eating and Feeding Disorders
hj hj hj hj hj 197
Chapter 19 Sleep–Wake Disorders
hj hj hj 207
Chapter 20 Sexual Dysfunctions, Gender Dysphoria, and Paraphilic Disorders
hj hj hj hj hj hj hj hj 216
Chapter 21 Impulse Control Disorders
hj hj hj hj 226
Chapter 22 Substance-Related and Addictive Disorders
hj hj hj hj hj 236
Chapter 23 Neurocognitive Disorders
hj hj hj 248
Chapter 24 Personality Disorders
hj hj hj 259
Chapter 25 Suicide and Nonsuicidal Self-Injury
hj hj hj hj hj 270
Chapter 26 Crisis and Disaster
hj hj hj hj 280
Chapter 27 Anger, Aggression, and Violence
hj hj hj hj hj 290
Chapter 28 Child, Older Adult, and Intimate Partner Violence
hj hj hj hj hj hj hj hj 300
Chapter 29 Sexual Assault
hj hj hj 309
Chapter 30 Dying, Death, and Grieving
hj hj hj hj hj 318
Chapter 31 Older Adults
hj hj hj 326
Chapter 32 Serious Mental Illness
hj hj hj hj 338
Chapter 33 Forensic Nursing
hj hj hj 351
Chapter 34 Therapeutic Groups
hj hj hj 360
Chapter 35 Family Interventions
hj hj hj 371
Chapter 36 Integrative Care
hj hj hj 382
, TesthjBankhj-hjVarcarolis'hjFoundationshjofhjPsychiatrichjMentalhjHealthhjNursing,hj9e
Chapter 01: Mental Health and Mental Illness
hj hj hj hj hj hj
Halter: Varcarolis’ Foundations of Psychiatric-
hj hj hj hj
Mental Health Nursing: A Clinical Approach, 9th Edition
hj hj hj hj hj hj hj
MULTIPLE CHOICE hj
1. The scope of practiced for an advanced nurse practitioner would include which intervention?
hj hj hj hj hj hj hj hj hj hj hj hj
a. Conducting a mental health assessment. hj hj hj hj
b. Prescribing psychotropic medication. hj hj
c. Establishing a therapeutic relationship. hj hj hj
d. Individualizing a nursing care plan. hj hj hj hj
ANSWER: B hj
In most states, prescriptive privileges are granted to master’s-
hj hj hj hj hj hj hj hj
prepared nurse practitioners and clinical nurse specialists who have taken special courses on p
hj hj hj hj hj hj hj hj hj hj hj hj hj
rescribing medication. The nurse prepared at the basic level is permitted to perform mental he
hj hj hj hj hj hj hj hj hj hj hj hj hj hj
alth assessments, establish relationships, and provide individualized care planning.
hj hj hj hj hj hj hj hj
PTS: h j h j 1 DIF: Cognitive Level: Understand (Comprehension) hj hj hj
TOP: h j Nursing Process: Implementation hj hj MSC: Client Needs: Safe, Effective Care Environment
h j hj hj hj hj hj
2. A nursing student expresses concerns that mental health nurses “lose all their clinical nursing
hj hj hj hj hj hj hj hj hj hj hj hj hj
skills.” Select the best response by the mental health nurse.
hj hj hj hj hj hj hj hj hj hj
a. “Psychiatric nurses practice in safer environments than other specialties. Nurse-to-
hj hj hj hj hj hj hj hj hj
hj client ratios must be better because of the nature of the clients’ problems.”
hj hj hj hj hj hj hj hj hj hj hj hj
b. “Psychiatric nurses use complex communication skills as well as critical thinking
hj hj hj hj hj hj hj hj hj hj
hj to solve multidimensional problems. I am challenged by those situations.”
hj hj hj hj hj hj hj hj hj
c. “That’s a misconception. Psychiatric nurses frequently use high technology
hj hj hj hj hj hj hj hj
hj monitoring equipment and manage complex intravenous therapies.”
hj hj hj hj hj hj
d. “Psychiatric nurses do not have to deal with as much pain and suffering as
hj hj hj hj hj hj hj hj hj hj hj hj hj
hj medical–surgical nurses do. That appeals to me.” hj hj hj hj hj hj
ANSWER: h j B
The practice of psychiatric nursing requires a different set of skills than medical–
hj hj hj hj hj hj hj hj hj hj hj hj
surgical nursing, though there is substantial overlap. Psychiatric nurses must be able to help c
hj hj hj hj hj hj hj hj hj hj hj hj hj hj
lients with medical as well as mental health problems, reflecting the holistic perspective these
hj hj hj hj hj hj hj hj hj hj hj hj hj hj
nurses must have. Nurse– hj hj hj
client ratios and workloads in psychiatric settings have increased, just like other specialties. P
hj hj hj hj hj hj hj hj hj hj hj hj hj
sychiatric nursing involves clinical practice, not just documentation.
hj hj hj hj hj hj hj
3|Page
hj hj hj hj hj
, TesthjBankhj-hjVarcarolis'hjFoundationshjofhjPsychiatrichjMentalhjHealthhjNursing,hj9e
Psychosocial pain and suffering are as real as physical pain and suffering.
hj hj hj hj hj hj hj hj hj hj hj
PTS: h j h j 1 DIF: Cognitive Level: Apply (Application) hj hj hj
TOP: h j Nursing Process: Implementation hj hj MSC: Client Needs: Safe, Effective Care Environment
h j hj hj hj hj hj
3. When a new bill introduced in Congress reduces funding for care of persons diagnosed with
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj
mental illness, a group of nurses write letters to their elected representatives in opposition to
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj
the legislation. Which role have the nurses fulfilled?
hj hj hj hj hj hj hj
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based practice hj
ANSWER: C hj
An advocate defends or asserts another’s cause, particularly when the other person lacks the
hj hj hj hj hj hj hj hj hj hj hj hj hj hj
ability to do that for self. Examples of individual advocacy include helping clients understan
hj hj hj hj hj hj hj hj hj hj hj hj hj
d their rights or make decisions. On a community scale, advocacy includes political activity,
hj hj hj hj hj hj hj hj hj hj hj hj hj hj
public speaking, and publication in the interest of improving the human condition. Since fun
hj hj hj hj hj hj hj hj hj hj hj hj hj
ding is necessary to deliver quality programming for persons with mental illness, the letter-
hj hj hj hj hj hj hj hj hj hj hj hj hj
hj writing campaign advocates for that cause on behalf of clients who are unable to articulate
hj hj hj hj hj hj hj hj hj hj hj hj hj hj h
j their own needs. hj hj
PTS: h j h j 1 DIF: Cognitive Level: Understand (Comprehension) hj hj hj
TOP: h j Nursing Process: Evaluation hj hj MSC: Client Needs: Safe, Effective Care Environment
h j hj hj hj hj hj
4. A family has a long history of conflicted relationships among the members. Which family
hj hj hj hj hj hj hj hj hj hj hj hj hj
hj member’s comment best reflects a mentally healthy perspective?
hj hj hj hj hj hj hj
a. “I’ve made mistakes but everyone else in this family has also.”
hj hj hj hj hj hj hj hj hj hj
b. “I remember joy and mutual respect from our early years together.”
hj hj hj hj hj hj hj hj hj hj
c. “I will make some changes in my behavior for the good of the family.”
hj hj hj hj hj hj hj hj hj hj hj hj hj
d. “It’s best for me to move away from my family. Things will never change.”
hj hj hj hj hj hj hj hj hj hj hj hj hj
ANSWER: C hj
The correct response demonstrates the best evidence of a healthy recognition of the importa
hj hj hj hj hj hj hj hj hj hj hj hj hj
nce of relationships. Mental health includes rational thinking, communication skills, learning
hj hj hj hj hj hj hj hj hj hj
, emotional growth, resilience, and self-
hj hj hj hj hj
esteem. Recalling joy from earlier in life may be healthy, but the correct response shows a hi
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj
gher level of mental health. The other incorrect responses show blaming and avoidance.
hj hj hj hj hj hj hj hj hj hj hj hj
PTS: h j h j 1 DIF: Cognitive Level: Analyze (Analysis) hj hj hj
TOP: h j Nursing Process: Assessment hj hj MSC: Client Needs: Psychosocial Integrity
h j hj hj hj
4|Page
hj hj hj hj hj
