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 fpractice fof fpsychiatric fnursing frequires fa fdifferent fset fof fskills fthan fmedical–surgical fnursing, fthough
fthere fis fsubstantial foverlap. fPsychiatric fnurses fmust fbe fable fto fhelp fclients fwith fmedical fas fwell fas fmental
fhealth fproblems, freflecting fthe fholistic fperspective fthese fnurses fmust fhave. fNurse–client fratios fand fworkloads
fin fpsychiatric fsettings fhave fincreased, fjust flike fother fspecialties. fPsychiatric fnursing finvolves fclinical fpractice,
fnot fjust fdocumentation.
Psychosocial fpain fand fsuffering fare fas freal fas fphysical fpain fand fsuffering.
PTS: f f f1 DIF: Cognitive fLevel: fApply f(Application)
TOP: f f fNursing fProcess: fImplementation MSC: fClient fNeeds: fSafe, fEffective fCare fEnvironment
3. When fa fnew fbill fintroduced fin fCongress freduces ffunding ffor fcare fof fpersons fdiagnosed fwith fmental
fillness, fa fgroup fof fnurses fwrite fletters fto ftheir felected frepresentatives fin fopposition fto fthe flegislation. fWhich
frole fhave fthe fnurses ffulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based fpractice
f
ANSWER: fC
An fadvocate fdefends for fasserts fanother’s fcause, fparticularly fwhen fthe fother fperson flacks fthe fability fto fdo fthat
ffor fself. fExamples fof findividual fadvocacy finclude fhelping fclients funderstand ftheir frights for fmake fdecisions.
fOn fa fcommunity fscale, fadvocacy fincludes fpolitical factivity, fpublic fspeaking, fand fpublication fin fthe finterest
fof fimproving fthe fhuman fcondition. fSince ffunding fis fnecessary fto fdeliver fquality fprogramming ffor fpersons
, fwith fmental fillness, fthe fletter- fwriting fcampaign fadvocates ffor fthat fcause fon fbehalf fof fclients fwho fare funable
fto farticulate ftheir fown fneeds.
PTS: f f f1 DIF: Cognitive fLevel: fUnderstand f(Comprehension)
TOP: f f fNursing fProcess: fEvaluation MSC: fClient fNeeds: fSafe, fEffective fCare fEnvironment
4. A ffamily fhas fa flong fhistory fof fconflicted frelationships famong fthe fmembers. fWhich ffamily fmember’s
fcomment fbest freflects fa fmentally fhealthy fperspective?
a. “I’ve fmade fmistakes fbut feveryone felse fin fthis ffamily fhas falso.”
b. “I fremember fjoy fand fmutual frespect ffrom four fearly fyears ftogether.”
c. “I fwill fmake fsome fchanges fin fmy fbehavior ffor fthe fgood fof fthe ffamily.”
d. “It’s fbest ffor fme fto fmove faway ffrom fmy ffamily. fThings fwill fnever fchange.”
ANSWER: fC
The fcorrect fresponse fdemonstrates fthe fbest fevidence fof fa fhealthy frecognition fof fthe fimportance fof
frelationships. fMental fhealth fincludes frational fthinking, fcommunication fskills, flearning, femotional fgrowth,
fresilience, fand fself-esteem. fRecalling fjoy ffrom fearlier fin flife fmay fbe fhealthy, fbut fthe fcorrect fresponse fshows
fa fhigher flevel fof fmental fhealth. fThe fother fincorrect fresponses fshow fblaming fand favoidance.
PTS: f f f1 DIF: Cognitive fLevel: fAnalyze f(Analysis)
TOP: fNursing fProcess: fAssessment MSC: fClient fNeeds: fPsychosocial fIntegrity
5. Which fassessment ffinding fmost fclearly findicates fthat fa fclient fmay fbe fexperiencing fa fmental fillness?
a. reporting foccasional fsleeplessness fand fanxiety.
b. reporting fa fconsistently fsad, fdiscouraged, fand fhopeless fmood.
c. being fable fto fdescribe fthe fdifference fbetween f“as fif” fand f“for freal.”
d. experiencing fdifficulty fmaking fa fdecision fabout fwhether fto fchange fjobs.
ANSWER: fB
The fcorrect fresponse fdescribes fa fmood falteration, fwhich freflects fmental fillness. fThe fdistracters fdescribe
fbehaviors fthat fare fmentally fhealthy for fwithin fthe fusual fscope fof fhuman fexperience.
PTS: f f f1 DIF: Cognitive fLevel: fApply f(Application)
TOP: fNursing fProcess: fAssessment MSC: fClient fNeeds: fPsychosocial fIntegrity
6. Which ffinding fbest findicates fthat fthe fgoal f“Demonstrate fmentally fhealthy fbehavior” fwas fachieved ffor
fan fadult fclient?
a. being fwilling fto fwork ftowards fachieving fideals fand fmeeting fdemands.
b. behaving fwithout fconsidering fthe fconsequences fof fpersonal factions.
c. aggressively fmeeting fpersonal fneeds fwithout fconsidering fthe frights fof fothers.
d. seeking fhelp ffrom fothers fto favoid fassuming fresponsibility ffor fmajor fareas fof fown flife.
f
ANSWER: fA
Mental fhealth fis fa fstate fof fwell-being fin fwhich findividuals freach ftheir fown fpotential, fcope fwith fthe fnormal
fstresses fof flife, fwork fproductively, fand fcontribute fto fthe fcommunity. fMental fhealth fprovides fpeople fwith fthe
fcapacity ffor frational fthinking, fcommunication fskills, flearning, femotional fgrowth, fresilience, fand fself-esteem.
fThe fcorrect fresponse fdescribes fan fadaptive, fhealthy fbehavior. fThe fdistracters fdescribe fmaladaptive fbehaviors.
PTS: f f f1 DIF: Cognitive fLevel: fApply f(Application)
TOP: f f fNursing fProcess: fEvaluation MSC: fClient fNeeds: fPsychosocial fIntegrity
7. A fnurse fencounters fan funfamiliar fpsychiatric fdisorder fon fa fnew fclient’s fadmission fform. fWhich
fresource fshould fthe fnurse fconsult fto fdetermine fcriteria fused fto festablish fthis fdiagnosis?
a. International fStatistical fClassification fof fDiseases fand fRelated fHealth fProblems f(ICD-10)
b. The fANA’s fPsychiatric-Mental fHealth fNursing fScope fand fStandards fof fPractice
c. Diagnostic fand fStatistical fManual fof fMental fDisorders f(DSM-V)
d. A fbehavioral fhealth freference fmanual
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 fpractice fof fpsychiatric fnursing frequires fa fdifferent fset fof fskills fthan fmedical–surgical fnursing, fthough
fthere fis fsubstantial foverlap. fPsychiatric fnurses fmust fbe fable fto fhelp fclients fwith fmedical fas fwell fas fmental
fhealth fproblems, freflecting fthe fholistic fperspective fthese fnurses fmust fhave. fNurse–client fratios fand fworkloads
fin fpsychiatric fsettings fhave fincreased, fjust flike fother fspecialties. fPsychiatric fnursing finvolves fclinical fpractice,
fnot fjust fdocumentation.
Psychosocial fpain fand fsuffering fare fas freal fas fphysical fpain fand fsuffering.
PTS: f f f1 DIF: Cognitive fLevel: fApply f(Application)
TOP: f f fNursing fProcess: fImplementation MSC: fClient fNeeds: fSafe, fEffective fCare fEnvironment
3. When fa fnew fbill fintroduced fin fCongress freduces ffunding ffor fcare fof fpersons fdiagnosed fwith fmental
fillness, fa fgroup fof fnurses fwrite fletters fto ftheir felected frepresentatives fin fopposition fto fthe flegislation. fWhich
frole fhave fthe fnurses ffulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based fpractice
f
ANSWER: fC
An fadvocate fdefends for fasserts fanother’s fcause, fparticularly fwhen fthe fother fperson flacks fthe fability fto fdo fthat
ffor fself. fExamples fof findividual fadvocacy finclude fhelping fclients funderstand ftheir frights for fmake fdecisions.
fOn fa fcommunity fscale, fadvocacy fincludes fpolitical factivity, fpublic fspeaking, fand fpublication fin fthe finterest
fof fimproving fthe fhuman fcondition. fSince ffunding fis fnecessary fto fdeliver fquality fprogramming ffor fpersons
, fwith fmental fillness, fthe fletter- fwriting fcampaign fadvocates ffor fthat fcause fon fbehalf fof fclients fwho fare funable
fto farticulate ftheir fown fneeds.
PTS: f f f1 DIF: Cognitive fLevel: fUnderstand f(Comprehension)
TOP: f f fNursing fProcess: fEvaluation MSC: fClient fNeeds: fSafe, fEffective fCare fEnvironment
4. A ffamily fhas fa flong fhistory fof fconflicted frelationships famong fthe fmembers. fWhich ffamily fmember’s
fcomment fbest freflects fa fmentally fhealthy fperspective?
a. “I’ve fmade fmistakes fbut feveryone felse fin fthis ffamily fhas falso.”
b. “I fremember fjoy fand fmutual frespect ffrom four fearly fyears ftogether.”
c. “I fwill fmake fsome fchanges fin fmy fbehavior ffor fthe fgood fof fthe ffamily.”
d. “It’s fbest ffor fme fto fmove faway ffrom fmy ffamily. fThings fwill fnever fchange.”
ANSWER: fC
The fcorrect fresponse fdemonstrates fthe fbest fevidence fof fa fhealthy frecognition fof fthe fimportance fof
frelationships. fMental fhealth fincludes frational fthinking, fcommunication fskills, flearning, femotional fgrowth,
fresilience, fand fself-esteem. fRecalling fjoy ffrom fearlier fin flife fmay fbe fhealthy, fbut fthe fcorrect fresponse fshows
fa fhigher flevel fof fmental fhealth. fThe fother fincorrect fresponses fshow fblaming fand favoidance.
PTS: f f f1 DIF: Cognitive fLevel: fAnalyze f(Analysis)
TOP: fNursing fProcess: fAssessment MSC: fClient fNeeds: fPsychosocial fIntegrity
5. Which fassessment ffinding fmost fclearly findicates fthat fa fclient fmay fbe fexperiencing fa fmental fillness?
a. reporting foccasional fsleeplessness fand fanxiety.
b. reporting fa fconsistently fsad, fdiscouraged, fand fhopeless fmood.
c. being fable fto fdescribe fthe fdifference fbetween f“as fif” fand f“for freal.”
d. experiencing fdifficulty fmaking fa fdecision fabout fwhether fto fchange fjobs.
ANSWER: fB
The fcorrect fresponse fdescribes fa fmood falteration, fwhich freflects fmental fillness. fThe fdistracters fdescribe
fbehaviors fthat fare fmentally fhealthy for fwithin fthe fusual fscope fof fhuman fexperience.
PTS: f f f1 DIF: Cognitive fLevel: fApply f(Application)
TOP: fNursing fProcess: fAssessment MSC: fClient fNeeds: fPsychosocial fIntegrity
6. Which ffinding fbest findicates fthat fthe fgoal f“Demonstrate fmentally fhealthy fbehavior” fwas fachieved ffor
fan fadult fclient?
a. being fwilling fto fwork ftowards fachieving fideals fand fmeeting fdemands.
b. behaving fwithout fconsidering fthe fconsequences fof fpersonal factions.
c. aggressively fmeeting fpersonal fneeds fwithout fconsidering fthe frights fof fothers.
d. seeking fhelp ffrom fothers fto favoid fassuming fresponsibility ffor fmajor fareas fof fown flife.
f
ANSWER: fA
Mental fhealth fis fa fstate fof fwell-being fin fwhich findividuals freach ftheir fown fpotential, fcope fwith fthe fnormal
fstresses fof flife, fwork fproductively, fand fcontribute fto fthe fcommunity. fMental fhealth fprovides fpeople fwith fthe
fcapacity ffor frational fthinking, fcommunication fskills, flearning, femotional fgrowth, fresilience, fand fself-esteem.
fThe fcorrect fresponse fdescribes fan fadaptive, fhealthy fbehavior. fThe fdistracters fdescribe fmaladaptive fbehaviors.
PTS: f f f1 DIF: Cognitive fLevel: fApply f(Application)
TOP: f f fNursing fProcess: fEvaluation MSC: fClient fNeeds: fPsychosocial fIntegrity
7. A fnurse fencounters fan funfamiliar fpsychiatric fdisorder fon fa fnew fclient’s fadmission fform. fWhich
fresource fshould fthe fnurse fconsult fto fdetermine fcriteria fused fto festablish fthis fdiagnosis?
a. International fStatistical fClassification fof fDiseases fand fRelated fHealth fProblems f(ICD-10)
b. The fANA’s fPsychiatric-Mental fHealth fNursing fScope fand fStandards fof fPractice
c. Diagnostic fand fStatistical fManual fof fMental fDisorders f(DSM-V)
d. A fbehavioral fhealth freference fmanual
