Test bank For Varcarolis' Foundations of Psychiatric-Mental Health Nursing 9th Edition

TestthbankthVarcarolis'thFoundationsthofthPsychiatric- 1
MentalthHealththNursingth9ththEdition
TestthBankthFor
Varcarolis' Foundations of Psychiatric-Mental Health Nursing 9th
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Edition By Margaret Jordan Halter
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Table Of Contents
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UNITthI:thFoundationsthinthTheory
Chapterth1.thMentalthHealththandthMentalthIllness
Chapterth2.thTheoriesthandthTherapies
Chapterth3.thPsychobiologythandthPsychopharmacology
UNITthII:thFoundationsthforthPracticeth
Chapterth4.thTreatmentthSettings
Chapterth5.thCulturalthImplications
Chapterth6.thLegalthandthEthicalthConsiderations
UNITthIII:thPsychosocialthNursingthTools
Chapterth7.thThethNursingthProcessthandthStandardsthofthCare
Chapterth8.thTherapeuticthRelationships
Chapterth9.thTherapeuticthCommunication
Chapterth10.thStressthResponsesthandthStressthManagement
UNITthIV:thPsychobiologicalthDisorders
Chapterth11.thChildhoodthandthNeurodevelopmentalthDisorders
Chapterth12.thSchizophreniathSpectrumthDisorders
Chapterth13.thBipolarthandthRelatedthDisorders
Chapterth14.thDepressivethDisorders
Chapterth15.thAnxietythandthObsessive-CompulsivethDisorders
Chapterth16.thTrauma,thStressor-
Related,thandthDissociativethDisorders
Chapterth17.thSomaticthSymptomthDisorders
Chapterth18.thEatingthandthFeedingthDisorders
Chapterth19.thSleep-WakethDisorders
Chapterth20.thSexualthDysfunction,thGenderthDysphoria,thandthParaphilicthDisordersth
Chapterth21.thImpulsethControlthDisorders
Chapterth22.thSubstance-RelatedthandthAddictivethDisorders
Chapterth23.thNeurocognitivethDisorders
Chapterth24.thPersonalitythDisorders
UNITthV:thTraumathInterventions
Chapterth25.thSuicidethandthNon-suicidalthSelf-Injury
Chapterth26.thCrisisthandthDisaster
Chapterth27.thAnger,thAggression,thandthViolence
Chapterth28.thChild,thOlderthAdult,thandthIntimatethPartnerthViolencet
hChapterth29.thSexualthAssault

UNITthVI:thInterventionsthforthSpecialthPopulations
Chapterth30.thDying,thDeath,thandthGrieving
Chapterth31.thOlderthAdults
Chapterth32.thSeriousthMentalthIllnessth
Chapterth33.thForensicthNursing
UNITthVII:thOtherthInterventionthModalities
Chapterth34.thTherapeutic Groups
Chapterth35.thFamilythInterventions
thChapterth36.thIntegrativethCare

,TestthbankthVarcarolis'thFoundationsthofthPsychiatric- 2
MentalthHealththNursingth9ththEdition

Chapter 01: Mental Health and Mental Illness
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Halter: Varcarolis’ Foundations of Psychiatric-Mental Health Nursing: A Clinical
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Approach, 9th Edition
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MULTIPLEthCHOICE

1. Thethscopethofthpracticedthforthanthadvancedthnursethpractitionerthwouldthincludethwhichthintervention?
a. Conductingthathmentalthhealththassessment.
b. Prescribingthpsychotropicthmedication.
c. Establishingthaththerapeuticthrelationship.
d. Individualizingthathnursingthcarethplan.
ANS:t h B
Inthmostthstates,thprescriptivethprivilegestharethgrantedthtothmaster’s-
preparedthnursethpractitionersthandthclinicalthnursethspecialiststhwhothhavethtakenthspecialthcoursesthonthpres
cribingthmedication.thThethnursethpreparedthatththethbasicthlevelthisthpermittedthtothperformthmentalthhealthth
assessments,thestablishthrelationships,thandthprovidethindividualizedthcarethplanning.

PTS:t h t h 1 DIF: CognitivethLevel:thUnderstandth(Comprehension)
TOP:t h NursingthProcess:thImplementation MSC:t h ClientthNeeds:thSafe,thEffectivethCarethEnvironment

2. Athnursingthstudentthexpressesthconcernsththatthmentalthhealththnursesth“losethallththeirthclinicalthnursin
gthskills.”thSelectththethbestthresponsethbyththethmentalthhealththnurse.
a. “Psychiatricthnursesthpracticethinthsaferthenvironmentsththanthotherthspecialties.thNurse-
to-thclientthratiosthmustthbethbetterthbecausethofththethnaturethofththethclients’thproblems.”
b. “Psychiatricthnursesthusethcomplexthcommunicationthskillsthasthwellthasthcriticalththinkin
gthtothsolvethmultidimensionalthproblems.thIthamthchallengedthbyththosethsituations.”
c. “That’sthathmisconception.thPsychiatricthnursesthfrequentlythusethhighthtechnolog
ythmonitoringthequipmentthandthmanagethcomplexthintravenousththerapies.”
d. “Psychiatricthnursesthdothnotthhavethtothdealthwiththasthmuchthpainthandthsufferingtha
sthmedical–surgicalthnursesthdo.thThatthappealsthtothme.”
ANS:t h B
Thethpracticethofthpsychiatricthnursingthrequiresthathdifferentthsetthofthskillsththanthmedical–
surgicalthnursing,ththoughththerethisthsubstantialthoverlap.thPsychiatricthnursesthmustthbethablethtothhel
pthclientsthwiththmedicalthasthwellthasthmentalthhealththproblems,threflectingththethholisticthperspectivetht
hesethnursesthmustthhave.thNurse–
clientthratiosthandthworkloadsthinthpsychiatricthsettingsthhavethincreased,thjustthlikethotherthspecialties.t
hPsychiatricthnursingthinvolvesthclinicalthpractice,thnotthjustthdocumentation.

Psychosocialthpainthandthsufferingtharethasthrealthasthphysicalthpainthandthsuffering.

PTS:t h t h 1 DIF: CognitivethLevel:thApplyth(Application)
TOP:t h NursingthProcess:thImplementation MSC:t h ClientthNeeds:thSafe,thEffectivethCarethEnvironment

3. WhenthathnewthbillthintroducedthinthCongressthreducesthfundingthforthcarethofthpersonsthdiagnosedthw
iththmentalthillness,thathgroupthofthnursesthwritethlettersthtoththeirthelectedthrepresentativesthinthoppositi
onthtoththethlegislation.thWhichthrolethhaveththethnursesthfulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-basedthpractice

,TestthbankthVarcarolis'thFoundationsthofthPsychiatric- 3
MentalthHealththNursingth9ththEdition


ANS:t h C
Anthadvocatethdefendsthorthassertsthanother’sthcause,thparticularlythwhenththethotherthpersonthlacksthth
ethabilitythtothdoththatthforthself.thExamplesthofthindividualthadvocacythincludethhelpingthclientsthunderst
andththeirthrightsthorthmakethdecisions.thOnthathcommunitythscale,thadvocacythincludesthpoliticalthactiv
ity,thpublicthspeaking,thandthpublicationthinththethinterestthofthimprovingththethhumanthcondition.thSinc
ethfundingthisthnecessarythtothdeliverthqualitythprogrammingthforthpersonsthwiththmentalthillness,ththethlett
er-
thwritingthcampaignthadvocatesthforththatthcausethonthbehalfthofthclientsthwhotharethunablethtotharticulatet

htheirthownthneeds.




PTS:t h t h 1 DIF: CognitivethLevel:thUnderstandth(Comprehension)
TOP:t h NursingthProcess:thEvaluation MSC:t h ClientthNeeds:thSafe,thEffectivethCarethEnvironment

4. Athfamilythhasthathlongthhistorythofthconflictedthrelationshipsthamongththethmembers.thWhichthfamil
ythmember’sthcommentthbestthreflectsthathmentallythhealthythperspective?
a. “I’vethmadethmistakesthbuttheveryonethelsethinththisthfamilythhasthalso.”
b. “Ithrememberthjoythandthmutualthrespectthfromthourthearlythyearsthtogether.”
c. “Ithwillthmakethsomethchangesthinthmythbehaviorthforththethgoodthofththethfamily.”
d. “It’sthbestthforthmethtothmovethawaythfromthmythfamily.thThingsthwillthneverthchange.”
ANS:t h C
Thethcorrectthresponsethdemonstratesththethbestthevidencethofthathhealthythrecognitionthofththethimporta
ncethofthrelationships.thMentalthhealththincludesthrationalththinking,thcommunicationthskills,thlearnin
g,themotionalthgrowth,thresilience,thandthself-
esteem.thRecallingthjoythfromthearlierthinthlifethmaythbethhealthy,thbutththethcorrectthresponsethshowsthathh
igherthlevelthofthmentalthhealth.thThethotherthincorrectthresponsesthshowthblamingthandthavoidance.

PTS:t h t h 1 DIF: CognitivethLevel:thAnalyzeth(Analysis)
TOP:t h NursingthProcess:thAssessment MSC:t h ClientthNeeds:thPsychosocialthIntegrity

5. Whichthassessmentthfindingthmostthclearlythindicatesththatthathclientthmaythbethexperiencingthathment
althillness?
a. reportingthoccasionalthsleeplessnessthandthanxiety.
b. reportingthathconsistentlythsad,thdiscouraged,thandthhopelessthmood.
c. beingthablethtothdescribeththethdifferencethbetweenth“asthif”thandth“forthreal.”
d. experiencingthdifficultythmakingthathdecisionthaboutthwhetherthtothchangethjobs.
ANS:t h B
Thethcorrectthresponsethdescribesthathmoodthalteration,thwhichthreflectsthmentalthillness.thThethdistractersthde
scribethbehaviorsththattharethmentallythhealthythorthwithinththethusualthscopethofthhumanthexperience.

PTS:t h t h 1 DIF: CognitivethLevel:thApplyth(Application)
TOP:t h NursingthProcess:thAssessment MSC:t h ClientthNeeds:thPsychosocialthIntegrity

6. Whichthfindingthbestthindicatesththatththethgoalth“Demonstratethmentallythhealthythbehavior”thwa
sthachievedthforthanthadultthclient?
a. beingthwillingthtothworkthtowardsthachievingthidealsthandthmeetingthdemands.
b. behavingthwithoutthconsideringththethconsequencesthofthpersonalthactions.
c. aggressivelythmeetingthpersonalthneedsthwithoutthconsideringththethrightsthofthothers.
d. seekingthhelpthfromthothersthtothavoidthassumingthresponsibilitythforthmajorthareasthofthow
nthlife.

, TestthbankthVarcarolis'thFoundationsthofthPsychiatric- 4
MentalthHealththNursingth9ththEdition

ANS:t h A
Mentalthhealththisthathstatethofthwell-
beingthinthwhichthindividualsthreachththeirthownthpotential,thcopethwithththethnormalthstressesthofthlife,t
hworkthproductively,thandthcontributethtoththethcommunity.thMentalthhealththprovidesthpeoplethwiththt

hethcapacitythforthrationalththinking,thcommunicationthskills,thlearning,themotionalthgrowth,thresilien
ce,thandthself-
esteem.thThethcorrectthresponsethdescribesthanthadaptive,thhealthythbehavior.thThethdistractersthdescr
ibethmaladaptivethbehaviors.

PTS:t h t h 1 DIF: CognitivethLevel:thApplyth(Application)
TOP:t h NursingthProcess:thEvaluation MSC:t h ClientthNeeds:thPsychosocialthIntegrity

7. Athnursethencountersthanthunfamiliarthpsychiatricthdisorderthonthathnewthclient’sthadmissionthform.th
Whichthresourcethshouldththethnursethconsultthtothdeterminethcriteriathusedthtothestablishththisthdiagnosis
?
a. InternationalthStatisticalthClassificationthofthDiseasesthandthRelatedthHealththProblem
sth(ICD-10)
b. ThethANA’sthPsychiatric-MentalthHealththNursingthScopethandthStandardsthofthPractice
c. DiagnosticthandthStatisticalthManualthofthMentalthDisordersth(DSM-V)
d. Athbehavioralthhealththreferencethmanual
ANS:t h C
ThethDSM-
Vthgivesththethcriteriathusedthtothdiagnosetheachthmentalthdisorder.thItthisththethofficialthguidelinethforthdiag
nosingthpsychiatricthdisorders.thThethdistractersthmaythnotthcontainthdiagnosticthcriteriathforthathpsychi
atricthillness.

PTS:t h t h 1 DIF: CognitivethLevel:thUnderstandth(Comprehension)
TOP:t h NursingthProcess:thAssessment MSC:t h ClientthNeeds:thSafe,thEffectivethCarethEnvironment

8. Athnursethwantsthtothfindthathdescriptionthofthdiagnosticthcriteriathforthanxietythdisorders.thWhichthresourc
ethwouldthhaveththethmostthcompletethinformation?
a. NursingthOutcomesthClassificationth(NOC)
b. DSM-V
c. ThethANA’sthPsychiatric-MentalthHealththNursingthScopethandthStandardsthofthPractice
d. ICD-10
ANS:t h B
ThethDSM-
Vthdetailsththethdiagnosticthcriteriathforthpsychiatricthclinicalthconditions.thItthisththethofficialthguideline
thforthdiagnosingthpsychiatricthdisorders.thThethotherthreferencestharethgoodthresourcesthbutthdothnotthdefi

neththethdiagnosticthcriteria.

PTS:t h t h 1 DIF: CognitivethLevel:thUnderstandth(Comprehension)
TOP:t h NursingthProcess:thImplementation MSC:t h ClientthNeeds:thSafe,thEffectivethCarethEnvironment

9. Whichthindividualthbehaviorthdemonstratesthresilience?
a. Repressthstressorsthassociatedthwiththathdivorce.
b. Continuingthtothgrieveththethdeaththofthathspousethforth5t h years.
c. Continuingthtothlivethinthathshelterthforth2th yearsthafterththethhomethisthdestroyedthbythfire.
d. Takingthathtemporarythjobthtothmaintainthfinancialthstabilitythafterthlossthofthathpermanen
tthjob.
ANS:t h D