TEST BANK For Varcarolis' Foundations of
Psychiatric-Mental Health Nursing, 9th Edition
by Margaret Jordan Halter Chapters 1 - 36 |
Complete
,TABLE OF CONTENTS
Chapter 01 Mental Health and Mental Illness 2
Chapter 02 Theories and Therapies Approach 12
Chapter 03 Psychobiology and Psychopharmacology 25
Chapter 04 Treatment Settings 37
Chapter 05 Cultural Implications 50
Chapter 06 Legal and Ethical Considerations 61
Chapter 07 The Nursing Process and Standards of Care 72
Chapter 08 Therapeutic Relationships 83
Chapter 09 Therapeutic Communication 94
Chapter 10 Stress Responses and Stress Management 103
Chapter 11 Childhood and Neurodevelopmental Disorders 113
Chapter 12 Schizophrenia Spectrum Disorders 123
Chapter 13 Bipolar and Related Disorders 137
Chapter 14 Depressive Disorders 150
Chapter 15 Anxiety and Obsessive-Compulsive Disorders 162
Chapter 16 Trauma, Stressor-Related, and Dissociative Disorders 175
Chapter 17 Somatic Symptom Disorders 187
Chapter 18 Eating and Feeding Disorders 197
Chapter 19 Sleep–Wake Disorders 207
Chapter 20 Sexual Dysfunctions, Gender Dysphoria, and Paraphilic Disorders 216
Chapter 21 Impulse Control Disorders 226
Chapter 22 Substance-Related and Addictive Disorders 236
Chapter 23 Neurocognitive Disorders 248
Chapter 24 Personality Disorders 259
Chapter 25 Suicide and Nonsuicidal Self-Injury 270
Chapter 26 Crisis and Disaster 280
Chapter 27 Anger, Aggression, and Violence 290
Chapter 28 Child, Older Adult, and Intimate Partner Violence 300
Chapter 29 Sexual Assault 309
Chapter 30 Dying, Death, and Grieving 318
Chapter 31 Older Adults 326
Chapter 32 Serious Mental Illness 338
Chapter 33 Forensic Nursing 351
Chapter 34 Therapeutic Groups 360
Chapter 35 Family Interventions 371
Chapter 36 Integrative Care 382
,Chapter 01: Mental Health and Mental Illness
Halter: Varcarolis’ Foundations of Psychiatric-Mental Health Nursing: A Clinical Approach, 9th Edition
MULTIPLE CHOICE
1. The scope of practiced for an advanced nurse practitioner would include which intervention?
a. Conducting a mental health assessment.
b. Prescribing psychotropic medication.
c. Establishing a therapeutic relationship.
d. Individualizing a nursing care plan.
ANSWER: 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: 1DIF: Cognitive Level: Understand (Comprehension)
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- client ratios must be
better because of the nature of the clients’ 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.”
ANSWER: B
The apractice aof apsychiatric anursing arequires aa adifferent aset aof askills athan amedical–surgical anursing, athough
athere ais asubstantial aoverlap. aPsychiatric anurses amust abe aable ato ahelp aclients awith amedical aas awell aas
amental ahealth aproblems, areflecting athe aholistic aperspective athese anurses amust ahave. aNurse–client aratios aand
aworkloads ain apsychiatric asettings ahave aincreased, ajust alike aother aspecialties. aPsychiatric anursing ainvolves
aclinical apractice, anot ajust adocumentation.
Psychosocial apain aand asuffering aare aas areal aas aphysical apain aand asuffering.
PTS: a a a1 DIF: Cognitive aLevel: aApply a(Application)
TOP: a a aNursing aProcess: aImplementation MSC: aClient aNeeds: aSafe, aEffective aCare aEnvironment
3. When aa anew abill aintroduced ain aCongress areduces afunding afor acare aof apersons adiagnosed awith
amental aillness, aa agroup aof anurses awrite aletters ato atheir aelected arepresentatives ain aopposition ato athe
alegislation. aWhich arole ahave athe anurses afulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based apractice
a
ANSWER: aC
An aadvocate adefends aor aasserts aanother’s acause, aparticularly awhen athe aother aperson alacks athe aability ato ado
athat afor aself. aExamples aof aindividual aadvocacy ainclude ahelping aclients aunderstand atheir arights aor amake
adecisions. aOn aa acommunity ascale, aadvocacy aincludes apolitical aactivity, apublic aspeaking, aand apublication ain
athe ainterest aof aimproving athe ahuman acondition. aSince afunding ais anecessary ato adeliver aquality aprogramming
, afor apersons awith amental aillness, athe aletter- awriting acampaign aadvocates afor athat acause aon abehalf aof aclients
awho aare aunable ato aarticulate atheir aown aneeds.
PTS: a a a1 DIF: Cognitive aLevel: aUnderstand a(Comprehension)
TOP: a a aNursing aProcess: aEvaluation MSC: aClient aNeeds: aSafe, aEffective aCare aEnvironment
4. A afamily ahas aa along ahistory aof aconflicted arelationships aamong athe amembers. aWhich afamily
amember’s acomment abest areflects aa amentally ahealthy aperspective?
a. “I’ve amade amistakes abut aeveryone aelse ain athis afamily ahas aalso.”
b. “I aremember ajoy aand amutual arespect afrom aour aearly ayears atogether.”
c. “I awill amake asome achanges ain amy abehavior afor athe agood aof athe afamily.”
d. “It’s abest afor ame ato amove aaway afrom amy afamily. aThings awill anever achange.”
ANSWER: aC
The acorrect aresponse ademonstrates athe abest aevidence aof aa ahealthy arecognition aof athe aimportance aof
arelationships. aMental ahealth aincludes arational athinking, acommunication askills, alearning, aemotional agrowth,
aresilience, aand aself-esteem. aRecalling ajoy afrom aearlier ain alife amay abe ahealthy, abut athe acorrect aresponse
ashows aa ahigher alevel aof amental ahealth. aThe aother aincorrect aresponses ashow ablaming aand aavoidance.
PTS: a a a1 DIF: Cognitive aLevel: aAnalyze a(Analysis)
TOP: aNursing aProcess: aAssessment MSC: aClient aNeeds: aPsychosocial aIntegrity
5. Which aassessment afinding amost aclearly aindicates athat aa aclient amay abe aexperiencing aa amental
aillness?
a. reporting aoccasional asleeplessness aand aanxiety.
b. reporting aa aconsistently asad, adiscouraged, aand ahopeless amood.
c. being aable ato adescribe athe adifference abetween a“as aif” aand a“for areal.”
d. experiencing adifficulty amaking aa adecision aabout awhether ato achange ajobs.
ANSWER: aB
The acorrect aresponse adescribes aa amood aalteration, awhich areflects amental aillness. aThe adistracters adescribe
abehaviors athat aare amentally ahealthy aor awithin athe ausual ascope aof ahuman aexperience.
PTS: a a a1 DIF: Cognitive aLevel: aApply a(Application)
TOP: aNursing aProcess: aAssessment MSC: aClient aNeeds: aPsychosocial aIntegrity
6. Which afinding abest aindicates athat athe agoal a“Demonstrate amentally ahealthy abehavior” awas aachieved
afor aan aadult aclient?
a. being awilling ato awork atowards aachieving aideals aand ameeting ademands.
b. behaving awithout aconsidering athe aconsequences aof apersonal aactions.
c. aggressively ameeting apersonal aneeds awithout aconsidering athe arights aof aothers.
d. seeking ahelp afrom aothers ato aavoid aassuming aresponsibility afor amajor aareas aof aown alife.
a
ANSWER: aA
Mental ahealth ais aa astate aof awell-being ain awhich aindividuals areach atheir aown apotential, acope awith athe
anormal astresses aof alife, awork aproductively, aand acontribute ato athe acommunity. aMental ahealth aprovides
apeople awith athe acapacity afor arational athinking, acommunication askills, alearning, aemotional agrowth, aresilience,
aand aself-esteem. aThe acorrect aresponse adescribes aan aadaptive, ahealthy abehavior. aThe adistracters adescribe
amaladaptive abehaviors.
PTS: a a a1 DIF: Cognitive aLevel: aApply a(Application)
TOP: a a aNursing aProcess: aEvaluation MSC: aClient aNeeds: aPsychosocial aIntegrity
7. A anurse aencounters aan aunfamiliar apsychiatric adisorder aon aa anew aclient’s aadmission aform. aWhich
aresource ashould athe anurse aconsult ato adetermine acriteria aused ato aestablish athis adiagnosis?
a. International aStatistical aClassification aof aDiseases aand aRelated aHealth aProblems a(ICD-10)
b. The aANA’s aPsychiatric-Mental aHealth aNursing aScope aand aStandards aof aPractice
Psychiatric-Mental Health Nursing, 9th Edition
by Margaret Jordan Halter Chapters 1 - 36 |
Complete
,TABLE OF CONTENTS
Chapter 01 Mental Health and Mental Illness 2
Chapter 02 Theories and Therapies Approach 12
Chapter 03 Psychobiology and Psychopharmacology 25
Chapter 04 Treatment Settings 37
Chapter 05 Cultural Implications 50
Chapter 06 Legal and Ethical Considerations 61
Chapter 07 The Nursing Process and Standards of Care 72
Chapter 08 Therapeutic Relationships 83
Chapter 09 Therapeutic Communication 94
Chapter 10 Stress Responses and Stress Management 103
Chapter 11 Childhood and Neurodevelopmental Disorders 113
Chapter 12 Schizophrenia Spectrum Disorders 123
Chapter 13 Bipolar and Related Disorders 137
Chapter 14 Depressive Disorders 150
Chapter 15 Anxiety and Obsessive-Compulsive Disorders 162
Chapter 16 Trauma, Stressor-Related, and Dissociative Disorders 175
Chapter 17 Somatic Symptom Disorders 187
Chapter 18 Eating and Feeding Disorders 197
Chapter 19 Sleep–Wake Disorders 207
Chapter 20 Sexual Dysfunctions, Gender Dysphoria, and Paraphilic Disorders 216
Chapter 21 Impulse Control Disorders 226
Chapter 22 Substance-Related and Addictive Disorders 236
Chapter 23 Neurocognitive Disorders 248
Chapter 24 Personality Disorders 259
Chapter 25 Suicide and Nonsuicidal Self-Injury 270
Chapter 26 Crisis and Disaster 280
Chapter 27 Anger, Aggression, and Violence 290
Chapter 28 Child, Older Adult, and Intimate Partner Violence 300
Chapter 29 Sexual Assault 309
Chapter 30 Dying, Death, and Grieving 318
Chapter 31 Older Adults 326
Chapter 32 Serious Mental Illness 338
Chapter 33 Forensic Nursing 351
Chapter 34 Therapeutic Groups 360
Chapter 35 Family Interventions 371
Chapter 36 Integrative Care 382
,Chapter 01: Mental Health and Mental Illness
Halter: Varcarolis’ Foundations of Psychiatric-Mental Health Nursing: A Clinical Approach, 9th Edition
MULTIPLE CHOICE
1. The scope of practiced for an advanced nurse practitioner would include which intervention?
a. Conducting a mental health assessment.
b. Prescribing psychotropic medication.
c. Establishing a therapeutic relationship.
d. Individualizing a nursing care plan.
ANSWER: 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: 1DIF: Cognitive Level: Understand (Comprehension)
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- client ratios must be
better because of the nature of the clients’ 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.”
ANSWER: B
The apractice aof apsychiatric anursing arequires aa adifferent aset aof askills athan amedical–surgical anursing, athough
athere ais asubstantial aoverlap. aPsychiatric anurses amust abe aable ato ahelp aclients awith amedical aas awell aas
amental ahealth aproblems, areflecting athe aholistic aperspective athese anurses amust ahave. aNurse–client aratios aand
aworkloads ain apsychiatric asettings ahave aincreased, ajust alike aother aspecialties. aPsychiatric anursing ainvolves
aclinical apractice, anot ajust adocumentation.
Psychosocial apain aand asuffering aare aas areal aas aphysical apain aand asuffering.
PTS: a a a1 DIF: Cognitive aLevel: aApply a(Application)
TOP: a a aNursing aProcess: aImplementation MSC: aClient aNeeds: aSafe, aEffective aCare aEnvironment
3. When aa anew abill aintroduced ain aCongress areduces afunding afor acare aof apersons adiagnosed awith
amental aillness, aa agroup aof anurses awrite aletters ato atheir aelected arepresentatives ain aopposition ato athe
alegislation. aWhich arole ahave athe anurses afulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based apractice
a
ANSWER: aC
An aadvocate adefends aor aasserts aanother’s acause, aparticularly awhen athe aother aperson alacks athe aability ato ado
athat afor aself. aExamples aof aindividual aadvocacy ainclude ahelping aclients aunderstand atheir arights aor amake
adecisions. aOn aa acommunity ascale, aadvocacy aincludes apolitical aactivity, apublic aspeaking, aand apublication ain
athe ainterest aof aimproving athe ahuman acondition. aSince afunding ais anecessary ato adeliver aquality aprogramming
, afor apersons awith amental aillness, athe aletter- awriting acampaign aadvocates afor athat acause aon abehalf aof aclients
awho aare aunable ato aarticulate atheir aown aneeds.
PTS: a a a1 DIF: Cognitive aLevel: aUnderstand a(Comprehension)
TOP: a a aNursing aProcess: aEvaluation MSC: aClient aNeeds: aSafe, aEffective aCare aEnvironment
4. A afamily ahas aa along ahistory aof aconflicted arelationships aamong athe amembers. aWhich afamily
amember’s acomment abest areflects aa amentally ahealthy aperspective?
a. “I’ve amade amistakes abut aeveryone aelse ain athis afamily ahas aalso.”
b. “I aremember ajoy aand amutual arespect afrom aour aearly ayears atogether.”
c. “I awill amake asome achanges ain amy abehavior afor athe agood aof athe afamily.”
d. “It’s abest afor ame ato amove aaway afrom amy afamily. aThings awill anever achange.”
ANSWER: aC
The acorrect aresponse ademonstrates athe abest aevidence aof aa ahealthy arecognition aof athe aimportance aof
arelationships. aMental ahealth aincludes arational athinking, acommunication askills, alearning, aemotional agrowth,
aresilience, aand aself-esteem. aRecalling ajoy afrom aearlier ain alife amay abe ahealthy, abut athe acorrect aresponse
ashows aa ahigher alevel aof amental ahealth. aThe aother aincorrect aresponses ashow ablaming aand aavoidance.
PTS: a a a1 DIF: Cognitive aLevel: aAnalyze a(Analysis)
TOP: aNursing aProcess: aAssessment MSC: aClient aNeeds: aPsychosocial aIntegrity
5. Which aassessment afinding amost aclearly aindicates athat aa aclient amay abe aexperiencing aa amental
aillness?
a. reporting aoccasional asleeplessness aand aanxiety.
b. reporting aa aconsistently asad, adiscouraged, aand ahopeless amood.
c. being aable ato adescribe athe adifference abetween a“as aif” aand a“for areal.”
d. experiencing adifficulty amaking aa adecision aabout awhether ato achange ajobs.
ANSWER: aB
The acorrect aresponse adescribes aa amood aalteration, awhich areflects amental aillness. aThe adistracters adescribe
abehaviors athat aare amentally ahealthy aor awithin athe ausual ascope aof ahuman aexperience.
PTS: a a a1 DIF: Cognitive aLevel: aApply a(Application)
TOP: aNursing aProcess: aAssessment MSC: aClient aNeeds: aPsychosocial aIntegrity
6. Which afinding abest aindicates athat athe agoal a“Demonstrate amentally ahealthy abehavior” awas aachieved
afor aan aadult aclient?
a. being awilling ato awork atowards aachieving aideals aand ameeting ademands.
b. behaving awithout aconsidering athe aconsequences aof apersonal aactions.
c. aggressively ameeting apersonal aneeds awithout aconsidering athe arights aof aothers.
d. seeking ahelp afrom aothers ato aavoid aassuming aresponsibility afor amajor aareas aof aown alife.
a
ANSWER: aA
Mental ahealth ais aa astate aof awell-being ain awhich aindividuals areach atheir aown apotential, acope awith athe
anormal astresses aof alife, awork aproductively, aand acontribute ato athe acommunity. aMental ahealth aprovides
apeople awith athe acapacity afor arational athinking, acommunication askills, alearning, aemotional agrowth, aresilience,
aand aself-esteem. aThe acorrect aresponse adescribes aan aadaptive, ahealthy abehavior. aThe adistracters adescribe
amaladaptive abehaviors.
PTS: a a a1 DIF: Cognitive aLevel: aApply a(Application)
TOP: a a aNursing aProcess: aEvaluation MSC: aClient aNeeds: aPsychosocial aIntegrity
7. A anurse aencounters aan aunfamiliar apsychiatric adisorder aon aa anew aclient’s aadmission aform. aWhich
aresource ashould athe anurse aconsult ato adetermine acriteria aused ato aestablish athis adiagnosis?
a. International aStatistical aClassification aof aDiseases aand aRelated aHealth aProblems a(ICD-10)
b. The aANA’s aPsychiatric-Mental aHealth aNursing aScope aand aStandards aof aPractice
