TEST BANK
i
,Table of Contents
i i
Chapter i01 iMental iHealth iand iMental iIllness 2
Chapter i02 iTheories iand iTherapies iApproach 12
Chapter i03 iPsychobiology iand iPsychopharmacology 25
Chapter i04 iTreatment iSettings 37
Chapter i05 iCultural iImplications 50
Chapter i06 iLegal iand iEthical iConsiderations 61
Chapter i07 iThe iNursing iProcess iand iStandards iof iCare 72
Chapter i08 iTherapeutic iRelationships 83
Chapter i09 iTherapeutic iCommunication 94
Chapter i10 iStress iResponses iand iStress iManagement 103
Chapter i11 iChildhood iand iNeurodevelopmental iDisorders 113
Chapter i12 iSchizophrenia iSpectrum iDisorders 123
Chapter i13 iBipolar iand iRelated iDisorders 137
Chapter i14 iDepressive iDisorders 150
Chapter i15 iAnxiety iand iObsessive-Compulsive iDisorders 162
Chapter i16 iTrauma, iStressor-Related, iand iDissociative iDisorders 175
Chapter i17 iSomatic iSymptom iDisorders 187
Chapter i18 iEating iand iFeeding iDisorders 197
Chapter i19 iSleep–Wake iDisorders 207
Chapter i20 iSexual iDysfunctions, iGender iDysphoria, iand iParaphilic iDisorders 216
Chapter i21 iImpulse iControl iDisorders 226
Chapter i22 iSubstance-Related iand iAddictive iDisorders 236
Chapter i23 iNeurocognitive iDisorders 248
Chapter i24 iPersonality iDisorders 259
Chapter i25 iSuicide iand iNonsuicidal iSelf-Injury 270
Chapter i26 iCrisis iand iDisaster 280
Chapter i27 iAnger, iAggression, iand iViolence 290
Chapter i28 iChild, iOlder iAdult, iand iIntimate iPartner iViolence 300
Chapter i29 iSexual iAssault 309
Chapter i30 iDying, iDeath, iand iGrieving 318
Chapter i31 iOlder iAdults 326
Chapter i32 iSerious iMental iIllness 338
Chapter i33 iForensic iNursing 351
Chapter i34 iTherapeutic iGroups 360
Chapter i35 iFamily iInterventions 371
Chapter i36 iIntegrative iCare 382
,Chapter i01: iMental iHealth iand iMental iIllness
Halter: iVarcarolis’ iFoundations iof iPsychiatric-Mental iHealth iNursing: iA iClinical
iApproach, i9th iEdition
MULTIPLE iCHOICE
1. The iscope iof ipracticed ifor ian iadvanced inurse ipractitioner iwould iinclude iwhich iintervention?
a. Conducting ia imental ihealth iassessment.
b. Prescribing ipsychotropic i medication.
c. Establishing ia itherapeutic irelationship.
d. Individualizing ia i nursing icare i plan.
ANS: i B
In imost istates, iprescriptive iprivileges iare igranted ito imaster’s-prepared inurse ipractitioners
iand iclinical inurse ispecialists iwho ihave itaken ispecial icourses ion iprescribing imedication. iThe
inurse iprepared i at ithe ibasic ilevel iis ipermitted ito iperform imental ihealth iassessments,
iestablish irelationships, iand iprovide iindividualized icare iplanning.
PTS: i i 1 DIF: Cognitive i Level: iUnderstand i(Comprehension)
TOP: i Nursing iProcess: iImplementation MSC: i Client iNeeds: iSafe, iEffective iCare iEnvironment
2. A inursing istudent iexpresses iconcerns ithat imental ihealth inurses i“lose iall itheir iclinical
nursing iskills.” iSelect ithe ibest iresponse iby ithe imental ihealth inurse.
i
a. “Psychiatric inurses ipractice iin isafer ienvironments ithan iother ispecialties. iNurse-
to- iclient iratios imust ibe ibetter ibecause iof ithe inature iof ithe iclients’ iproblems.”
b. “Psychiatric inurses iuse icomplex icommunication iskills ias iwell ias icritical
ithinking ito isolve imultidimensional iproblems. iI iam ichallenged iby ithose
isituations.”
c. “That’s ia imisconception. iPsychiatric inurses ifrequently iuse ihigh itechnology
imonitoring iequipment iand imanage icomplex iintravenous itherapies.”
d. “Psychiatric inurses ido inot ihave ito ideal iwith ias imuch ipain iand isuffering
ias imedical–surgical inurses ido. iThat iappeals ito ime.”
ANS: i B
The ipractice iof ipsychiatric inursing irequires ia idifferent iset iof iskills ithan imedical–surgical
inursing, ithough i there iis isubstantial i overlap. iPsychiatric i nurses imust i be iable i to ihelp
i clients iwith imedical ias iwell ias imental ihealth iproblems, ireflecting ithe iholistic iperspective
ithese inurses imust ihave. iNurse–client iratios iand iworkloads iin ipsychiatric isettings ihave
iincreased, ijust ilike iother ispecialties. iPsychiatric inursing iinvolves iclinical ipractice, inot ijust
idocumentation.
Psychosocial ipain iand isuffering iare ias ireal ias iphysical ipain iand isuffering.
PTS: i i 1 DIF: Cognitive iLevel: iApply i(Application)
TOP: i Nursing iProcess: iImplementation MSC: i Client iNeeds: iSafe, iEffective iCare iEnvironment
3. When ia inew ibill iintroduced iin iCongress ireduces ifunding ifor icare iof ipersons idiagnosed
iwith imental iillness, ia igroup iof inurses iwrite iletters ito itheir ielected irepresentatives iin
iopposition ito ithe ilegislation. iWhich irole ihave ithe inurses ifulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based i practice
1 i| iP ia ig ie
, ANS: i C
An iadvocate idefends ior iasserts ianother’s icause, iparticularly iwhen ithe iother iperson ilacks
ithe iability ito ido ithat ifor iself. iExamples iof iindividual iadvocacy iinclude ihelping iclients
iunderstand itheir irights ior imake idecisions. iOn ia icommunity iscale, iadvocacy iincludes
ipolitical iactivity, ipublic ispeaking, iand ipublication iin ithe iinterest iof iimproving ithe ihuman
icondition. iSince ifunding iis inecessary ito ideliver iquality iprogramming ifor ipersons iwith
imental iillness, ithe iletter- iwriting icampaign iadvocates i for ithat icause ion ibehalf iof i clients
iwho iare iunable ito iarticulate itheir iown ineeds.
PTS: i i 1 DIF: Cognitive i Level: iUnderstand i(Comprehension)
TOP: i Nursing iProcess: iEvaluation MSC: i Client iNeeds: iSafe, iEffective iCare iEnvironment
4. A ifamily ihas ia ilong ihistory iof iconflicted irelationships iamong ithe imembers. iWhich
family imember’s icomment ibest ireflects ia imentally ihealthy iperspective?
i
a. “I’ve imade imistakes ibut ieveryone ielse iin ithis ifamily ihas ialso.”
b. “I iremember ijoy i and imutual irespect ifrom iour iearly iyears itogether.”
c. “I iwill imake isome ichanges iin imy ibehavior ifor ithe igood iof ithe ifamily.”
d. “It’s ibest ifor ime ito imove iaway ifrom imy ifamily. iThings iwill inever ichange.”
ANS: i C
The i correct iresponse idemonstrates ithe ibest ievidence iof ia ihealthy irecognition i of ithe
iimportance iof irelationships. iMental ihealth iincludes irational ithinking, icommunication
iskills, ilearning, iemotional igrowth, iresilience, iand iself-esteem. iRecalling ijoy ifrom iearlier iin
ilife imay ibe ihealthy, ibut ithe icorrect iresponse ishows ia ihigher ilevel iof imental ihealth. iThe
iother iincorrect iresponses ishow iblaming iand iavoidance.
PTS: i 1
i DIF: Cognitive i Level: iAnalyze i(Analysis)
TOP: i Nursing iProcess: iAssessment MSC: i Client iNeeds: iPsychosocial iIntegrity
5. Which iassessment ifinding imost iclearly iindicates ithat ia iclient imay ibe iexperiencing ia
mental iillness?
i
a. reporting ioccasional isleeplessness iand ianxiety.
b. reporting ia iconsistently isad, idiscouraged, iand ihopeless imood.
c. being iable ito idescribe ithe idifference ibetween i“as iif” iand i“for ireal.”
d. experiencing idifficulty imaking ia idecision iabout iwhether i to ichange ijobs.
ANS: i B
The icorrect iresponse idescribes ia imood ialteration, iwhich ireflects imental iillness. iThe
idistracters idescribe ibehaviors i that iare imentally i healthy i or iwithin i the iusual iscope iof
ihuman iexperience.
PTS: i 1
i DIF: Cognitive iLevel: iApply i(Application)
TOP: i Nursing iProcess: iAssessment MSC: i Client iNeeds: iPsychosocial iIntegrity
6. Which ifinding ibest iindicates ithat ithe igoal i“Demonstrate imentally ihealthy ibehavior”
was iachieved ifor ian iadult iclient?
i
a. being iwilling ito i work itowards iachieving iideals iand imeeting idemands.
b. behaving iwithout i considering ithe iconsequences iof ipersonal iactions.
c. aggressively imeeting ipersonal i needs iwithout iconsidering ithe irights iof iothers.
d. seeking ihelp ifrom iothers ito iavoid iassuming iresponsibility ifor imajor iareas iof
iown ilife.
2 i| iP ia ig ie
i
,Table of Contents
i i
Chapter i01 iMental iHealth iand iMental iIllness 2
Chapter i02 iTheories iand iTherapies iApproach 12
Chapter i03 iPsychobiology iand iPsychopharmacology 25
Chapter i04 iTreatment iSettings 37
Chapter i05 iCultural iImplications 50
Chapter i06 iLegal iand iEthical iConsiderations 61
Chapter i07 iThe iNursing iProcess iand iStandards iof iCare 72
Chapter i08 iTherapeutic iRelationships 83
Chapter i09 iTherapeutic iCommunication 94
Chapter i10 iStress iResponses iand iStress iManagement 103
Chapter i11 iChildhood iand iNeurodevelopmental iDisorders 113
Chapter i12 iSchizophrenia iSpectrum iDisorders 123
Chapter i13 iBipolar iand iRelated iDisorders 137
Chapter i14 iDepressive iDisorders 150
Chapter i15 iAnxiety iand iObsessive-Compulsive iDisorders 162
Chapter i16 iTrauma, iStressor-Related, iand iDissociative iDisorders 175
Chapter i17 iSomatic iSymptom iDisorders 187
Chapter i18 iEating iand iFeeding iDisorders 197
Chapter i19 iSleep–Wake iDisorders 207
Chapter i20 iSexual iDysfunctions, iGender iDysphoria, iand iParaphilic iDisorders 216
Chapter i21 iImpulse iControl iDisorders 226
Chapter i22 iSubstance-Related iand iAddictive iDisorders 236
Chapter i23 iNeurocognitive iDisorders 248
Chapter i24 iPersonality iDisorders 259
Chapter i25 iSuicide iand iNonsuicidal iSelf-Injury 270
Chapter i26 iCrisis iand iDisaster 280
Chapter i27 iAnger, iAggression, iand iViolence 290
Chapter i28 iChild, iOlder iAdult, iand iIntimate iPartner iViolence 300
Chapter i29 iSexual iAssault 309
Chapter i30 iDying, iDeath, iand iGrieving 318
Chapter i31 iOlder iAdults 326
Chapter i32 iSerious iMental iIllness 338
Chapter i33 iForensic iNursing 351
Chapter i34 iTherapeutic iGroups 360
Chapter i35 iFamily iInterventions 371
Chapter i36 iIntegrative iCare 382
,Chapter i01: iMental iHealth iand iMental iIllness
Halter: iVarcarolis’ iFoundations iof iPsychiatric-Mental iHealth iNursing: iA iClinical
iApproach, i9th iEdition
MULTIPLE iCHOICE
1. The iscope iof ipracticed ifor ian iadvanced inurse ipractitioner iwould iinclude iwhich iintervention?
a. Conducting ia imental ihealth iassessment.
b. Prescribing ipsychotropic i medication.
c. Establishing ia itherapeutic irelationship.
d. Individualizing ia i nursing icare i plan.
ANS: i B
In imost istates, iprescriptive iprivileges iare igranted ito imaster’s-prepared inurse ipractitioners
iand iclinical inurse ispecialists iwho ihave itaken ispecial icourses ion iprescribing imedication. iThe
inurse iprepared i at ithe ibasic ilevel iis ipermitted ito iperform imental ihealth iassessments,
iestablish irelationships, iand iprovide iindividualized icare iplanning.
PTS: i i 1 DIF: Cognitive i Level: iUnderstand i(Comprehension)
TOP: i Nursing iProcess: iImplementation MSC: i Client iNeeds: iSafe, iEffective iCare iEnvironment
2. A inursing istudent iexpresses iconcerns ithat imental ihealth inurses i“lose iall itheir iclinical
nursing iskills.” iSelect ithe ibest iresponse iby ithe imental ihealth inurse.
i
a. “Psychiatric inurses ipractice iin isafer ienvironments ithan iother ispecialties. iNurse-
to- iclient iratios imust ibe ibetter ibecause iof ithe inature iof ithe iclients’ iproblems.”
b. “Psychiatric inurses iuse icomplex icommunication iskills ias iwell ias icritical
ithinking ito isolve imultidimensional iproblems. iI iam ichallenged iby ithose
isituations.”
c. “That’s ia imisconception. iPsychiatric inurses ifrequently iuse ihigh itechnology
imonitoring iequipment iand imanage icomplex iintravenous itherapies.”
d. “Psychiatric inurses ido inot ihave ito ideal iwith ias imuch ipain iand isuffering
ias imedical–surgical inurses ido. iThat iappeals ito ime.”
ANS: i B
The ipractice iof ipsychiatric inursing irequires ia idifferent iset iof iskills ithan imedical–surgical
inursing, ithough i there iis isubstantial i overlap. iPsychiatric i nurses imust i be iable i to ihelp
i clients iwith imedical ias iwell ias imental ihealth iproblems, ireflecting ithe iholistic iperspective
ithese inurses imust ihave. iNurse–client iratios iand iworkloads iin ipsychiatric isettings ihave
iincreased, ijust ilike iother ispecialties. iPsychiatric inursing iinvolves iclinical ipractice, inot ijust
idocumentation.
Psychosocial ipain iand isuffering iare ias ireal ias iphysical ipain iand isuffering.
PTS: i i 1 DIF: Cognitive iLevel: iApply i(Application)
TOP: i Nursing iProcess: iImplementation MSC: i Client iNeeds: iSafe, iEffective iCare iEnvironment
3. When ia inew ibill iintroduced iin iCongress ireduces ifunding ifor icare iof ipersons idiagnosed
iwith imental iillness, ia igroup iof inurses iwrite iletters ito itheir ielected irepresentatives iin
iopposition ito ithe ilegislation. iWhich irole ihave ithe inurses ifulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based i practice
1 i| iP ia ig ie
, ANS: i C
An iadvocate idefends ior iasserts ianother’s icause, iparticularly iwhen ithe iother iperson ilacks
ithe iability ito ido ithat ifor iself. iExamples iof iindividual iadvocacy iinclude ihelping iclients
iunderstand itheir irights ior imake idecisions. iOn ia icommunity iscale, iadvocacy iincludes
ipolitical iactivity, ipublic ispeaking, iand ipublication iin ithe iinterest iof iimproving ithe ihuman
icondition. iSince ifunding iis inecessary ito ideliver iquality iprogramming ifor ipersons iwith
imental iillness, ithe iletter- iwriting icampaign iadvocates i for ithat icause ion ibehalf iof i clients
iwho iare iunable ito iarticulate itheir iown ineeds.
PTS: i i 1 DIF: Cognitive i Level: iUnderstand i(Comprehension)
TOP: i Nursing iProcess: iEvaluation MSC: i Client iNeeds: iSafe, iEffective iCare iEnvironment
4. A ifamily ihas ia ilong ihistory iof iconflicted irelationships iamong ithe imembers. iWhich
family imember’s icomment ibest ireflects ia imentally ihealthy iperspective?
i
a. “I’ve imade imistakes ibut ieveryone ielse iin ithis ifamily ihas ialso.”
b. “I iremember ijoy i and imutual irespect ifrom iour iearly iyears itogether.”
c. “I iwill imake isome ichanges iin imy ibehavior ifor ithe igood iof ithe ifamily.”
d. “It’s ibest ifor ime ito imove iaway ifrom imy ifamily. iThings iwill inever ichange.”
ANS: i C
The i correct iresponse idemonstrates ithe ibest ievidence iof ia ihealthy irecognition i of ithe
iimportance iof irelationships. iMental ihealth iincludes irational ithinking, icommunication
iskills, ilearning, iemotional igrowth, iresilience, iand iself-esteem. iRecalling ijoy ifrom iearlier iin
ilife imay ibe ihealthy, ibut ithe icorrect iresponse ishows ia ihigher ilevel iof imental ihealth. iThe
iother iincorrect iresponses ishow iblaming iand iavoidance.
PTS: i 1
i DIF: Cognitive i Level: iAnalyze i(Analysis)
TOP: i Nursing iProcess: iAssessment MSC: i Client iNeeds: iPsychosocial iIntegrity
5. Which iassessment ifinding imost iclearly iindicates ithat ia iclient imay ibe iexperiencing ia
mental iillness?
i
a. reporting ioccasional isleeplessness iand ianxiety.
b. reporting ia iconsistently isad, idiscouraged, iand ihopeless imood.
c. being iable ito idescribe ithe idifference ibetween i“as iif” iand i“for ireal.”
d. experiencing idifficulty imaking ia idecision iabout iwhether i to ichange ijobs.
ANS: i B
The icorrect iresponse idescribes ia imood ialteration, iwhich ireflects imental iillness. iThe
idistracters idescribe ibehaviors i that iare imentally i healthy i or iwithin i the iusual iscope iof
ihuman iexperience.
PTS: i 1
i DIF: Cognitive iLevel: iApply i(Application)
TOP: i Nursing iProcess: iAssessment MSC: i Client iNeeds: iPsychosocial iIntegrity
6. Which ifinding ibest iindicates ithat ithe igoal i“Demonstrate imentally ihealthy ibehavior”
was iachieved ifor ian iadult iclient?
i
a. being iwilling ito i work itowards iachieving iideals iand imeeting idemands.
b. behaving iwithout i considering ithe iconsequences iof ipersonal iactions.
c. aggressively imeeting ipersonal i needs iwithout iconsidering ithe irights iof iothers.
d. seeking ihelp ifrom iothers ito iavoid iassuming iresponsibility ifor imajor iareas iof
iown ilife.
2 i| iP ia ig ie
