COMPLETE TEST BANK FOR
VARCAROLIS’ ESSENTIALS OF PSYCHIATRIC
MENTAL HEALTH NURSING 5TH EDITION
BY CHYLLIA D FOSBRE
,TABLE OF CONTENTS
TEST BANK FOR VARCAROLIS’ ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING 5TH EDITION 1
CHAPTER 01: SCIENCE AND THE THERAPEUTIC USE OF SELF IN PSYCHIATRIC MENTAL HEALTH
NURSING................................................................................................................................................... 3
CHAPTER 02: MENTAL HEALTH AND MENTAL ILLNESS.......................................................................... 12
CHAPTER 03: THEORIES AND THERAPIES .............................................................................................. 23
CHAPTER 04: BIOLOGICAL BASIS FOR UNDERSTANDING PSYCHOPHARMACOLOGY ........................... 40
CHAPTER 05: SETTINGS FOR PSYCHIATRIC CARE ................................................................................... 56
CHAPTER 06: LEGAL AND ETHICAL BASIS FOR PRACTICE ...................................................................... 70
CHAPTER 07: THE NURSING PROCESS IN PSYCHIATRIC-MENTAL HEALTH NURSING............................ 87
CHAPTER 08: COMMUNICATION SKILLS: MEDIUM FOR ALL NURSING PRACTICE ............................. 103
CHAPTER 09: THERAPEUTIC RELATIONSHIPS AND THE CLINICAL INTERVIEW ................................... 116
CHAPTER 10: TRAUMA AND STRESS-RELATED DISORDERS AND DISSOCIATIVE DISORDERS ............ 133
CHAPTER 11: ANXIETY, ANXIETY DISORDERS, AND OBSESSIVE-COMPULSIVE AND RELATED
DISORDERS ........................................................................................................................................... 147
CHAPTER 12: SOMATIC SYMPTOM DISORDERS .................................................................................. 170
CHAPTER 13: PERSONALITY DISORDERS ............................................................................................. 188
CHAPTER 14: EATING DISORDERS ........................................................................................................ 205
CHAPTER 15: MOOD DISORDERS: DEPRESSION .................................................................................. 221
CHAPTER 16: BIPOLAR SPECTRUM DISORDERS .................................................................................. 241
CHAPTER 17: SCHIZOPHRENIA SPECTRUM DISORDERS AND OTHER PSYCHOTIC DISORDERS .......... 260
CHAPTER 18: NEUROCOGNITIVE DISORDERS...................................................................................... 282
CHAPTER 19: SUBSTANCE-RELATED AND ADDICTIVE DISORDERS ...................................................... 299
CHAPTER 20: CRISIS AND MASS DISASTER .......................................................................................... 324
CHAPTER 21: CHILD, PARTNER, AND ELDER VIOLENCE ....................................................................... 340
CHAPTER 22: SEXUAL VIOLENCE .......................................................................................................... 355
CHAPTER 23: SUICIDAL THOUGHTS AND BEHAVIORS......................................................................... 370
CHAPTER 24: ANGER, AGGRESSION, AND VIOLENCE.......................................................................... 389
CHAPTER 25: CARE FOR THE DYING AND THOSE WHO GRIEVE ......................................................... 406
CHAPTER 26: CHILDREN AND ADOLESCENTS ...................................................................................... 425
CHAPTER 27: ADULTS ........................................................................................................................... 439
CHAPTER 28: OLDER ADULTS ............................................................................................................... 457
,CHAPTER 01: SCIENCE AND THE THERAPEUTIC USE OF SELF IN
PSYCHIATRIC MENTAL HEALTH NURSING
VARCAROLIS
MULTIPLE CHOICE
1. WHICH OUTCOME, FOCUSED ON RECOVERY, WOULD BE EXPECTED IN THE PLAN OF
CARE FOR A PATIENT LIVING IN THE COMMUNITY AND DIAGNOSED WITH SERIOUS AND
PERSISTENT MENTAL ILLNESS? WITHIN 3 MONTHS, THE PATIENT WILL DEMONSTRATE WHAT
BEHAVIOR?
A. DENYING SUICIDAL IDEATION
B. REPORTING A SENSE OF WELL-BEING
C. TAKING MEDICATIONS AS PRESCRIBED
D. ATTENDING CLINIC APPOINTMENTS ON TIME
ANS: B
RECOVERY EMPHASIZES MANAGING SYMPTOMS, REDUCING PSYCHOSOCIAL DISABILITY, AND
IMPROVING ROLE PERFORMANCE. THE GOAL OF RECOVERY IS TO EMPOWER THE INDIVIDUAL
WITH MENTAL ILLNESS TO ACHIEVE A SENSE OF MEANING AND SATISFACTION IN LIFE AND TO
FUNCTION AT THE HIGHEST POSSIBLE LEVEL OF WELLNESS. THE INCORRECT OPTIONS FOCUS
ON THE CLASSIC MEDICAL MODEL RATHER THAN RECOVERY.
DIF: COGNITIVE LEVEL: APPLICATION (APPLYING) TOP: NURSING PROCESS: OUTCOMES
IDENTIFICATION MSC: NCLEX: HEALTH PROMOTION AND MAINTENANCE
2. A PATIENT IS HOSPITALIZED FOR DEPRESSION AND SUICIDAL IDEATION AFTER THEIR
SPOUSE ASKS FOR A DIVORCE. SELECT THE NURSE’S MOST CARING COMMENT.
A. “LET’S DISCUSS HEALTHY MEANS OF COPING WHEN YOU HAVE SUICIDAL FEELINGS.”
B. “I UNDERSTAND WHY YOU’RE SO DEPRESSED. WHEN I GOT DIVORCED, I WAS
DEVASTATED
, TOO.”
C. “YOU SHOULD FORGET ABOUT YOUR MARRIAGE AND MOVE ON WITH YOUR LIFE.”
D. “HOW DID YOU GET SO DEPRESSED THAT HOSPITALIZATION WAS NECESSARY?”
ANS: A
THE NURSE’S COMMUNICATION SHOULD EVIDENCE CARING AND A COMMITMENT TO WORK
WITH THE PATIENT. THIS COMMITMENT LETS THE PATIENT KNOW THE NURSE WILL HELP.
PROBING AND ADVICE ARE NOT HELPFUL FOR THERAPEUTIC INTERVENTIONS.
DIF: COGNITIVE LEVEL: APPLICATION (APPLYING)
TOP: NURSING PROCESS: IMPLEMENTATION MSC: NCLEX: PSYCHOSOCIAL INTEGRITY
3. IN THE SHIFT-CHANGE REPORT, AN OFF-GOING NURSE CRITICIZES A PATIENT WHO
WEARS EXTREMELY HEAVY MAKEUP. WHICH COMMENT BY THE NURSE WHO RECEIVES THE
REPORT BEST DEMONSTRATES ADVOCACY?
A. “THIS IS A PSYCHIATRIC HOSPITAL, SO WE EXPECT OUR PATIENTS TO BEHAVE BIZARRELY.”
B. “LET’S ALL SHOW ACCEPTANCE OF THIS PATIENT BY WEARING LOTS OF MAKEUP TOO.”
C. “YOUR COMMENTS ARE INCONSIDERATE AND INAPPROPRIATE. KEEP THE REPORT
OBJECTIVE.”
D. “OUR PATIENTS NEED OUR HELP TO LEARN BEHAVIORS THAT WILL HELP THEM GET
ALONG IN
SOCIETY.”
ANS: D
ACCEPTING PATIENTS’ NEEDS FOR SELF-EXPRESSION AND SEEKING TO TEACH SKILLS THAT WILL
CONTRIBUTE TO THEIR WELL-BEING DEMONSTRATE RESPECT AND ARE IMPORTANT PARTS OF
ADVOCACY. THE ON-COMING NURSE NEEDS TO TAKE ACTION TO ENSURE THAT OTHERS ARE
NOT PREJUDICED AGAINST THE PATIENT. HUMOR CAN BE APPROPRIATE WITHIN THE PRIVACY
OF A SHIFT REPORT BUT NOT AT THE EXPENSE OF RESPECT FOR PATIENTS. JUDGING THE OFF-
GOING NURSE IN A CRITICAL WAY WILL CREATE CONFLICT. NURSES MUST SHOW COMPASSION
FOR EACH OTHER.
DIF: COGNITIVE LEVEL: APPLICATION (APPLYING)
VARCAROLIS’ ESSENTIALS OF PSYCHIATRIC
MENTAL HEALTH NURSING 5TH EDITION
BY CHYLLIA D FOSBRE
,TABLE OF CONTENTS
TEST BANK FOR VARCAROLIS’ ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING 5TH EDITION 1
CHAPTER 01: SCIENCE AND THE THERAPEUTIC USE OF SELF IN PSYCHIATRIC MENTAL HEALTH
NURSING................................................................................................................................................... 3
CHAPTER 02: MENTAL HEALTH AND MENTAL ILLNESS.......................................................................... 12
CHAPTER 03: THEORIES AND THERAPIES .............................................................................................. 23
CHAPTER 04: BIOLOGICAL BASIS FOR UNDERSTANDING PSYCHOPHARMACOLOGY ........................... 40
CHAPTER 05: SETTINGS FOR PSYCHIATRIC CARE ................................................................................... 56
CHAPTER 06: LEGAL AND ETHICAL BASIS FOR PRACTICE ...................................................................... 70
CHAPTER 07: THE NURSING PROCESS IN PSYCHIATRIC-MENTAL HEALTH NURSING............................ 87
CHAPTER 08: COMMUNICATION SKILLS: MEDIUM FOR ALL NURSING PRACTICE ............................. 103
CHAPTER 09: THERAPEUTIC RELATIONSHIPS AND THE CLINICAL INTERVIEW ................................... 116
CHAPTER 10: TRAUMA AND STRESS-RELATED DISORDERS AND DISSOCIATIVE DISORDERS ............ 133
CHAPTER 11: ANXIETY, ANXIETY DISORDERS, AND OBSESSIVE-COMPULSIVE AND RELATED
DISORDERS ........................................................................................................................................... 147
CHAPTER 12: SOMATIC SYMPTOM DISORDERS .................................................................................. 170
CHAPTER 13: PERSONALITY DISORDERS ............................................................................................. 188
CHAPTER 14: EATING DISORDERS ........................................................................................................ 205
CHAPTER 15: MOOD DISORDERS: DEPRESSION .................................................................................. 221
CHAPTER 16: BIPOLAR SPECTRUM DISORDERS .................................................................................. 241
CHAPTER 17: SCHIZOPHRENIA SPECTRUM DISORDERS AND OTHER PSYCHOTIC DISORDERS .......... 260
CHAPTER 18: NEUROCOGNITIVE DISORDERS...................................................................................... 282
CHAPTER 19: SUBSTANCE-RELATED AND ADDICTIVE DISORDERS ...................................................... 299
CHAPTER 20: CRISIS AND MASS DISASTER .......................................................................................... 324
CHAPTER 21: CHILD, PARTNER, AND ELDER VIOLENCE ....................................................................... 340
CHAPTER 22: SEXUAL VIOLENCE .......................................................................................................... 355
CHAPTER 23: SUICIDAL THOUGHTS AND BEHAVIORS......................................................................... 370
CHAPTER 24: ANGER, AGGRESSION, AND VIOLENCE.......................................................................... 389
CHAPTER 25: CARE FOR THE DYING AND THOSE WHO GRIEVE ......................................................... 406
CHAPTER 26: CHILDREN AND ADOLESCENTS ...................................................................................... 425
CHAPTER 27: ADULTS ........................................................................................................................... 439
CHAPTER 28: OLDER ADULTS ............................................................................................................... 457
,CHAPTER 01: SCIENCE AND THE THERAPEUTIC USE OF SELF IN
PSYCHIATRIC MENTAL HEALTH NURSING
VARCAROLIS
MULTIPLE CHOICE
1. WHICH OUTCOME, FOCUSED ON RECOVERY, WOULD BE EXPECTED IN THE PLAN OF
CARE FOR A PATIENT LIVING IN THE COMMUNITY AND DIAGNOSED WITH SERIOUS AND
PERSISTENT MENTAL ILLNESS? WITHIN 3 MONTHS, THE PATIENT WILL DEMONSTRATE WHAT
BEHAVIOR?
A. DENYING SUICIDAL IDEATION
B. REPORTING A SENSE OF WELL-BEING
C. TAKING MEDICATIONS AS PRESCRIBED
D. ATTENDING CLINIC APPOINTMENTS ON TIME
ANS: B
RECOVERY EMPHASIZES MANAGING SYMPTOMS, REDUCING PSYCHOSOCIAL DISABILITY, AND
IMPROVING ROLE PERFORMANCE. THE GOAL OF RECOVERY IS TO EMPOWER THE INDIVIDUAL
WITH MENTAL ILLNESS TO ACHIEVE A SENSE OF MEANING AND SATISFACTION IN LIFE AND TO
FUNCTION AT THE HIGHEST POSSIBLE LEVEL OF WELLNESS. THE INCORRECT OPTIONS FOCUS
ON THE CLASSIC MEDICAL MODEL RATHER THAN RECOVERY.
DIF: COGNITIVE LEVEL: APPLICATION (APPLYING) TOP: NURSING PROCESS: OUTCOMES
IDENTIFICATION MSC: NCLEX: HEALTH PROMOTION AND MAINTENANCE
2. A PATIENT IS HOSPITALIZED FOR DEPRESSION AND SUICIDAL IDEATION AFTER THEIR
SPOUSE ASKS FOR A DIVORCE. SELECT THE NURSE’S MOST CARING COMMENT.
A. “LET’S DISCUSS HEALTHY MEANS OF COPING WHEN YOU HAVE SUICIDAL FEELINGS.”
B. “I UNDERSTAND WHY YOU’RE SO DEPRESSED. WHEN I GOT DIVORCED, I WAS
DEVASTATED
, TOO.”
C. “YOU SHOULD FORGET ABOUT YOUR MARRIAGE AND MOVE ON WITH YOUR LIFE.”
D. “HOW DID YOU GET SO DEPRESSED THAT HOSPITALIZATION WAS NECESSARY?”
ANS: A
THE NURSE’S COMMUNICATION SHOULD EVIDENCE CARING AND A COMMITMENT TO WORK
WITH THE PATIENT. THIS COMMITMENT LETS THE PATIENT KNOW THE NURSE WILL HELP.
PROBING AND ADVICE ARE NOT HELPFUL FOR THERAPEUTIC INTERVENTIONS.
DIF: COGNITIVE LEVEL: APPLICATION (APPLYING)
TOP: NURSING PROCESS: IMPLEMENTATION MSC: NCLEX: PSYCHOSOCIAL INTEGRITY
3. IN THE SHIFT-CHANGE REPORT, AN OFF-GOING NURSE CRITICIZES A PATIENT WHO
WEARS EXTREMELY HEAVY MAKEUP. WHICH COMMENT BY THE NURSE WHO RECEIVES THE
REPORT BEST DEMONSTRATES ADVOCACY?
A. “THIS IS A PSYCHIATRIC HOSPITAL, SO WE EXPECT OUR PATIENTS TO BEHAVE BIZARRELY.”
B. “LET’S ALL SHOW ACCEPTANCE OF THIS PATIENT BY WEARING LOTS OF MAKEUP TOO.”
C. “YOUR COMMENTS ARE INCONSIDERATE AND INAPPROPRIATE. KEEP THE REPORT
OBJECTIVE.”
D. “OUR PATIENTS NEED OUR HELP TO LEARN BEHAVIORS THAT WILL HELP THEM GET
ALONG IN
SOCIETY.”
ANS: D
ACCEPTING PATIENTS’ NEEDS FOR SELF-EXPRESSION AND SEEKING TO TEACH SKILLS THAT WILL
CONTRIBUTE TO THEIR WELL-BEING DEMONSTRATE RESPECT AND ARE IMPORTANT PARTS OF
ADVOCACY. THE ON-COMING NURSE NEEDS TO TAKE ACTION TO ENSURE THAT OTHERS ARE
NOT PREJUDICED AGAINST THE PATIENT. HUMOR CAN BE APPROPRIATE WITHIN THE PRIVACY
OF A SHIFT REPORT BUT NOT AT THE EXPENSE OF RESPECT FOR PATIENTS. JUDGING THE OFF-
GOING NURSE IN A CRITICAL WAY WILL CREATE CONFLICT. NURSES MUST SHOW COMPASSION
FOR EACH OTHER.
DIF: COGNITIVE LEVEL: APPLICATION (APPLYING)
