Test Bank Varcarolis' Foundations of Psychiatric-Mental Health
Nursing 9th Edition by Margaret Jordan Halter
All Chapters Fully Covered
Table Of Contents
UNIT I: Foundations in Theory
Chapter 1. Mental Health and Mental Illness Chapter 2.
Theories and Therapies
Chapter 3. Psychobiology and Psychopharmacology
UNIT II: Foundations for Practice
Chapter 4. Treatment Settings Chapter 5.
Cultural Implications
Chapter 6. Legal and Ethical Considerations
UNIT III: Psychosocial Nursing Tools
Chapter 7. The Nursing Process and Standards of Care Chapter 8.
Therapeutic Relationships
Chapter 9. Therapeutic Communication
Chapter 10. Stress Responses and Stress Management
UNIT IV: Psychobiological Disorders
Chapter 11. Childhood and Neurodevelopmental Disorders Chapter 12.
Schizophrenia Spectrum Disorders
Chapter 13. Bipolar and Related Disorders Chapter 14.
Depressive Disorders
Chapter 15. Anxiety and Obsessive-Compulsive Disorders Chapter 16.
Trauma, Stressor-Related, and Dissociative Disorders Chapter 17. Somatic
Symptom Disorders
Chapter 18. Eating and Feeding Disorders Chapter 19.
Sleep-Wake Disorders
Chapter 20. Sexual Dysfunction, Gender Dysphoria, and Paraphilic Disorders Chapter 21.
Impulse Control Disorders
Chapter 22. Substance-Related and Addictive Disorders Chapter 23.
Neurocognitive Disorders
Chapter 24. Personality Disorders
UNIT V: Trauma Interventions
Chapter 25. Suicide and Non-suicidal Self-Injury Chapter
26. Crisis and Disaster
Chapter 27. Anger, Aggression, and Violence
Chapter 28. Child, Older Adult, and Intimate Partner Violence Chapter 29.
Sexual Assault
UNIT VI: Interventions for Special Populations
Chapter 30. Dying, Death, and Grieving Chapter 31.
Older Adults
Chapter 32. Serious Mental Illness Chapter
33. Forensic Nursing
UNIT VII: Other Intervention Modalities
Chapter 34. Therapeutic Groups
Chapter 35. Family Interventions
Chapter 36. Integrative Care
,Chapter 01: Mental Health and Mental Illness
R R R R R R
Halter: Varcarolis’ Foundations of Psychiatric-Mental Health Nursing: A Clinical Approach, 9th
R R R R R R R R R R
REdition
MULTIPLE CHOICE R
1. The scope of practiced for an advanced nurse practitioner would include which intervention?
R R R R R R R R R R R R
a. Conducting a mental health assessment. R R R R
b. Prescribing psychotropic medication. R R
c. Establishing a therapeutic relationship. R R R
d. Individualizing a nursing care plan. R R R R
ANS: B R
In most states, prescriptive privileges are granted to master’s-prepared nurse practitioners and clinical
R R R R R R R R R R R R
R nurse specialists who have taken special courses on prescribing medication. The nurse prepared at the
R R R R R R R R R R R R R R
Rbasic level is permitted to perform mental health assessments, establish relationships, and provide
R R R R R R R R R R R R
Rindividualized care planning. R R
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
RR R R R R
TOP: Nursing Process: Implementation
R R MSC: Client Needs: Safe, Effective Care Environment
R R R R R R R R
2. A nursing student expresses concerns that mental health nurses “lose all their clinical nursing
R R R R R R R R R R R R R
skills.” Select the best response by the mental health nurse.
R R R R R R R R R
a. “Psychiatric nurses practice in safer environments than other specialties. Nurse-to-
R R R R R R R R R
client ratios must be better because of the nature of the clients’ problems.”
R R R R R R R R R R R R R
b. “Psychiatric nurses use complex communication skills as well as critical thinking to
R R R R R R R R R R R
solve multidimensional problems. I am challenged by those situations.”
R R R R R R R R R
c. “That’s a misconception. Psychiatric nurses frequently use high technology
R R R R R R R R
monitoring equipment and manage complex intravenous therapies.” R R R R R R
d. “Psychiatric nurses do not have to deal with as much pain and suffering as R R R R R R R R R R R R R
medical–surgical nurses do. That appeals to me.”
R R R R R R R
ANS: B R
The practice of psychiatric nursing requires a different set of skills than medical–surgical nursing,
R R R R R R R R R R R R R
Rthough there is substantial overlap. Psychiatric nurses must be able to help clients with medical
R R R R R R R R R R R R R R
as well as mental health problems, reflecting the holistic perspective these nurses must have.
R R R R R R R R R R R R R R
Nurse– client ratios and workloads in psychiatric settings have increased, just like other
R R R R R R R R R R R R R
specialties.
R
Psychiatric nursing involves clinical practice, not just documentation.
R R R R R R R
RPsychosocial pain and suffering are as real as physical pain and suffering.
R R R R R R R R R R R
PTS: 1 DIF: Cognitive Level: Apply (Application)
RR R R R R
TOP: Nursing Process: Implementation
R R MSC: Client Needs: Safe, Effective Care Environment
R R R R R R R R
3. When a new bill introduced in Congress reduces funding for care of persons diagnosed
R R R R R R R R R R R R R
R with mental illness, a group of nurses write letters to their elected representatives in
R R R R R R R R R R R R R
Ropposition to the legislation. Which role have the nurses fulfilled?
R R R R R R R R R
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based practice R
, ANS: C R
An advocate defends or asserts another’s cause, particularly when the other person lacks the
R R R R R R R R R R R R R
ability to do that for self. Examples of individual advocacy include helping clients understand
R R R R R R R R R R R R R R
their rights or make decisions. On a community scale, advocacy includes political activity, public
R R R R R R R R R R R R R R
speaking, and publication in the interest of improving the human condition. Since funding is
R R R R R R R R R R R R R R
necessary to deliver quality programming for persons with mental illness, the letter- writing
R R R R R R R R R R R R R
campaign advocates for that cause on behalf of clients who are unable to articulate their own
R R R R R R R R R R R R R R R R
needs.
R
PTS: 1 RR RDIF: Cognitive Level: Understand (Comprehension) R R R
TOP: Nursing Process: Evaluation
R R MSC: Client Needs: Safe, Effective Care Environment
R R R R R R R R
4. A family has a long history of conflicted relationships among the members. Which family
R R R R R R R R R R R R R
member’s comment best reflects a mentally healthy perspective?
R R R R R R R
a. “I’ve made mistakes but everyone else in this family has also.”
R R R R R R R R R R
b. “I remember joy and mutual respect from our early years together.”
R R R R R R R R R R
c. “I will make some changes in my behavior for the good of the family.”
R R R R R R R R R R R R R
d. “It’s best for me to move away from my family. Things will never change.”
R R R R R R R R R R R R R
ANS: C R
The correct response demonstrates the best evidence of a healthy recognition of the importance of
R R R R R R R R R R R R R R
Rrelationships. Mental health includes rational thinking, communication skills, learning, emotional
R R R R R R R R R
Rgrowth, resilience, and self-esteem. Recalling joy from earlier in life may be healthy, but the
R R R R R R R R R R R R R R
correct response shows a higher level of mental health. The other incorrect responses show
R R R R R R R R R R R R R R
blaming and avoidance.
R R R
PTS: 1 RR RDIF: Cognitive Level: Analyze (Analysis) R R R
TOP: Nursing Process: Assessment
R R MSC: Client Needs: Psychosocial Integrity
R R R R R R
5. Which assessment finding most clearly indicates that a client may be experiencing a mental
R R R R R R R R R R R R R
R illness?
a. reporting occasional sleeplessness and anxiety. R R R R
b. reporting a consistently sad, discouraged, and hopeless mood.
R R R R R R R
c. being able to describe the difference between “as if” and “for real.”
R R R R R R R R R R R
d. experiencing difficulty making a decision about whether to change jobs. R R R R R R R R R
ANS: B R
The correct response describes a mood alteration, which reflects mental illness. The distracters describe
R R R R R R R R R R R R R
Rbehaviors that are mentally healthy or within the usual scope of human experience.
R R R R R R R R R R R R
PTS: 1 RR RDIF: Cognitive Level: Apply (Application) R R R
TOP: Nursing Process: Assessment
R R MSC: Client Needs: Psychosocial Integrity
R R R R R R
6. Which finding best indicates that the goal “Demonstrate mentally healthy behavior” was
R R R R R R R R R R R
R achieved for an adult client? R R R R
a. being willing to work towards achieving ideals and meeting demands.
R R R R R R R R R
b. behaving without considering the consequences of personal actions.
R R R R R R R
c. aggressively meeting personal needs without considering the rights of others. R R R R R R R R R
d. seeking help from others to avoid assuming responsibility for major areas of own life.
R R R R R R R R R R R R R
, ANS: A R
Mental health is a state of well-being in which individuals reach their own potential, cope with the
R R R R R R R R R R R R R R R R
Rnormal stresses of life, work productively, and contribute to the community. Mental health
R R R R R R R R R R R R
Rprovides people with the capacity for rational thinking, communication skills, learning, emotional
R R R R R R R R R R R
Rgrowth, resilience, and self-esteem. The correct response describes an adaptive, healthy
R R R R R R R R R R
behavior. The distracters describe maladaptive behaviors.
R R R R R R
PTS: 1 RR RDIF: Cognitive Level: Apply (Application) R R R
TOP: Nursing Process: Evaluation
R R MSC: Client Needs: Psychosocial Integrity
R R R R R R
7. A nurse encounters an unfamiliar psychiatric disorder on a new client’s admission form. Which
R R R R R R R R R R R R R
resource should the nurse consult to determine criteria used to establish this diagnosis?
R R R R R R R R R R R R
a. International Statistical Classification of Diseases and Related Health Problems (ICD-
R R R R R R R R R
10) R
b. The ANA’s Psychiatric-Mental Health Nursing Scope and Standards of Practice
R R R R R R R R R
c. Diagnostic and Statistical Manual of Mental Disorders (DSM-V) R R R R R R R
d. A behavioral health reference manual
R R R R
ANS: C R
The DSM-V gives the criteria used to diagnose each mental disorder. It is the official guideline for
R R R R R R R R R R R R R R R R
Rdiagnosing psychiatric disorders. The distracters may not contain diagnostic criteria for a
R R R R R R R R R R R
Rpsychiatric illness. R
PTS: 1 RR RDIF: Cognitive Level: Understand (Comprehension) R R R
TOP: Nursing Process: Assessment
R R MSC: Client Needs: Safe, Effective Care Environment
R R R R R R R R
8. A nurse wants to find a description of diagnostic criteria for anxiety disorders. Which resource
R R R R R R R R R R R R R R
R would have the most complete information?
R R R R R
a. Nursing Outcomes Classification (NOC) R R R
b. DSM-V
c. The ANA’s Psychiatric-Mental Health Nursing Scope and Standards of Practice
R R R R R R R R R
d. ICD-10
ANS: B R
The DSM-V details the diagnostic criteria for psychiatric clinical conditions. It is the official
R R R R R R R R R R R R R
Rguideline for diagnosing psychiatric disorders. The other references are good resources but do not
R R R R R R R R R R R R R
Rdefine the diagnostic criteria.
R R R
PTS: 1 RR RDIF: Cognitive Level: Understand (Comprehension) R R R
TOP: Nursing Process: Implementation
R R MSC: Client Needs: Safe, Effective Care Environment
R R R R R R R R
9. Which individual behavior demonstrates resilience?
R R R R
a. Repress stressors associated with a divorce.R R R R R
b. Continuing to grieve the death of a spouse for 5 years. R R R R R R R R R R
c. Continuing to live in a shelter for 2 years after the home is destroyed by fire.
R R R R R R R R R R R R R R R
d. Taking a temporary job to maintain financial stability after loss of a permanent job.
R R R R R R R R R R R R R
ANS: D R
Nursing 9th Edition by Margaret Jordan Halter
All Chapters Fully Covered
Table Of Contents
UNIT I: Foundations in Theory
Chapter 1. Mental Health and Mental Illness Chapter 2.
Theories and Therapies
Chapter 3. Psychobiology and Psychopharmacology
UNIT II: Foundations for Practice
Chapter 4. Treatment Settings Chapter 5.
Cultural Implications
Chapter 6. Legal and Ethical Considerations
UNIT III: Psychosocial Nursing Tools
Chapter 7. The Nursing Process and Standards of Care Chapter 8.
Therapeutic Relationships
Chapter 9. Therapeutic Communication
Chapter 10. Stress Responses and Stress Management
UNIT IV: Psychobiological Disorders
Chapter 11. Childhood and Neurodevelopmental Disorders Chapter 12.
Schizophrenia Spectrum Disorders
Chapter 13. Bipolar and Related Disorders Chapter 14.
Depressive Disorders
Chapter 15. Anxiety and Obsessive-Compulsive Disorders Chapter 16.
Trauma, Stressor-Related, and Dissociative Disorders Chapter 17. Somatic
Symptom Disorders
Chapter 18. Eating and Feeding Disorders Chapter 19.
Sleep-Wake Disorders
Chapter 20. Sexual Dysfunction, Gender Dysphoria, and Paraphilic Disorders Chapter 21.
Impulse Control Disorders
Chapter 22. Substance-Related and Addictive Disorders Chapter 23.
Neurocognitive Disorders
Chapter 24. Personality Disorders
UNIT V: Trauma Interventions
Chapter 25. Suicide and Non-suicidal Self-Injury Chapter
26. Crisis and Disaster
Chapter 27. Anger, Aggression, and Violence
Chapter 28. Child, Older Adult, and Intimate Partner Violence Chapter 29.
Sexual Assault
UNIT VI: Interventions for Special Populations
Chapter 30. Dying, Death, and Grieving Chapter 31.
Older Adults
Chapter 32. Serious Mental Illness Chapter
33. Forensic Nursing
UNIT VII: Other Intervention Modalities
Chapter 34. Therapeutic Groups
Chapter 35. Family Interventions
Chapter 36. Integrative Care
,Chapter 01: Mental Health and Mental Illness
R R R R R R
Halter: Varcarolis’ Foundations of Psychiatric-Mental Health Nursing: A Clinical Approach, 9th
R R R R R R R R R R
REdition
MULTIPLE CHOICE R
1. The scope of practiced for an advanced nurse practitioner would include which intervention?
R R R R R R R R R R R R
a. Conducting a mental health assessment. R R R R
b. Prescribing psychotropic medication. R R
c. Establishing a therapeutic relationship. R R R
d. Individualizing a nursing care plan. R R R R
ANS: B R
In most states, prescriptive privileges are granted to master’s-prepared nurse practitioners and clinical
R R R R R R R R R R R R
R nurse specialists who have taken special courses on prescribing medication. The nurse prepared at the
R R R R R R R R R R R R R R
Rbasic level is permitted to perform mental health assessments, establish relationships, and provide
R R R R R R R R R R R R
Rindividualized care planning. R R
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
RR R R R R
TOP: Nursing Process: Implementation
R R MSC: Client Needs: Safe, Effective Care Environment
R R R R R R R R
2. A nursing student expresses concerns that mental health nurses “lose all their clinical nursing
R R R R R R R R R R R R R
skills.” Select the best response by the mental health nurse.
R R R R R R R R R
a. “Psychiatric nurses practice in safer environments than other specialties. Nurse-to-
R R R R R R R R R
client ratios must be better because of the nature of the clients’ problems.”
R R R R R R R R R R R R R
b. “Psychiatric nurses use complex communication skills as well as critical thinking to
R R R R R R R R R R R
solve multidimensional problems. I am challenged by those situations.”
R R R R R R R R R
c. “That’s a misconception. Psychiatric nurses frequently use high technology
R R R R R R R R
monitoring equipment and manage complex intravenous therapies.” R R R R R R
d. “Psychiatric nurses do not have to deal with as much pain and suffering as R R R R R R R R R R R R R
medical–surgical nurses do. That appeals to me.”
R R R R R R R
ANS: B R
The practice of psychiatric nursing requires a different set of skills than medical–surgical nursing,
R R R R R R R R R R R R R
Rthough there is substantial overlap. Psychiatric nurses must be able to help clients with medical
R R R R R R R R R R R R R R
as well as mental health problems, reflecting the holistic perspective these nurses must have.
R R R R R R R R R R R R R R
Nurse– client ratios and workloads in psychiatric settings have increased, just like other
R R R R R R R R R R R R R
specialties.
R
Psychiatric nursing involves clinical practice, not just documentation.
R R R R R R R
RPsychosocial pain and suffering are as real as physical pain and suffering.
R R R R R R R R R R R
PTS: 1 DIF: Cognitive Level: Apply (Application)
RR R R R R
TOP: Nursing Process: Implementation
R R MSC: Client Needs: Safe, Effective Care Environment
R R R R R R R R
3. When a new bill introduced in Congress reduces funding for care of persons diagnosed
R R R R R R R R R R R R R
R with mental illness, a group of nurses write letters to their elected representatives in
R R R R R R R R R R R R R
Ropposition to the legislation. Which role have the nurses fulfilled?
R R R R R R R R R
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based practice R
, ANS: C R
An advocate defends or asserts another’s cause, particularly when the other person lacks the
R R R R R R R R R R R R R
ability to do that for self. Examples of individual advocacy include helping clients understand
R R R R R R R R R R R R R R
their rights or make decisions. On a community scale, advocacy includes political activity, public
R R R R R R R R R R R R R R
speaking, and publication in the interest of improving the human condition. Since funding is
R R R R R R R R R R R R R R
necessary to deliver quality programming for persons with mental illness, the letter- writing
R R R R R R R R R R R R R
campaign advocates for that cause on behalf of clients who are unable to articulate their own
R R R R R R R R R R R R R R R R
needs.
R
PTS: 1 RR RDIF: Cognitive Level: Understand (Comprehension) R R R
TOP: Nursing Process: Evaluation
R R MSC: Client Needs: Safe, Effective Care Environment
R R R R R R R R
4. A family has a long history of conflicted relationships among the members. Which family
R R R R R R R R R R R R R
member’s comment best reflects a mentally healthy perspective?
R R R R R R R
a. “I’ve made mistakes but everyone else in this family has also.”
R R R R R R R R R R
b. “I remember joy and mutual respect from our early years together.”
R R R R R R R R R R
c. “I will make some changes in my behavior for the good of the family.”
R R R R R R R R R R R R R
d. “It’s best for me to move away from my family. Things will never change.”
R R R R R R R R R R R R R
ANS: C R
The correct response demonstrates the best evidence of a healthy recognition of the importance of
R R R R R R R R R R R R R R
Rrelationships. Mental health includes rational thinking, communication skills, learning, emotional
R R R R R R R R R
Rgrowth, resilience, and self-esteem. Recalling joy from earlier in life may be healthy, but the
R R R R R R R R R R R R R R
correct response shows a higher level of mental health. The other incorrect responses show
R R R R R R R R R R R R R R
blaming and avoidance.
R R R
PTS: 1 RR RDIF: Cognitive Level: Analyze (Analysis) R R R
TOP: Nursing Process: Assessment
R R MSC: Client Needs: Psychosocial Integrity
R R R R R R
5. Which assessment finding most clearly indicates that a client may be experiencing a mental
R R R R R R R R R R R R R
R illness?
a. reporting occasional sleeplessness and anxiety. R R R R
b. reporting a consistently sad, discouraged, and hopeless mood.
R R R R R R R
c. being able to describe the difference between “as if” and “for real.”
R R R R R R R R R R R
d. experiencing difficulty making a decision about whether to change jobs. R R R R R R R R R
ANS: B R
The correct response describes a mood alteration, which reflects mental illness. The distracters describe
R R R R R R R R R R R R R
Rbehaviors that are mentally healthy or within the usual scope of human experience.
R R R R R R R R R R R R
PTS: 1 RR RDIF: Cognitive Level: Apply (Application) R R R
TOP: Nursing Process: Assessment
R R MSC: Client Needs: Psychosocial Integrity
R R R R R R
6. Which finding best indicates that the goal “Demonstrate mentally healthy behavior” was
R R R R R R R R R R R
R achieved for an adult client? R R R R
a. being willing to work towards achieving ideals and meeting demands.
R R R R R R R R R
b. behaving without considering the consequences of personal actions.
R R R R R R R
c. aggressively meeting personal needs without considering the rights of others. R R R R R R R R R
d. seeking help from others to avoid assuming responsibility for major areas of own life.
R R R R R R R R R R R R R
, ANS: A R
Mental health is a state of well-being in which individuals reach their own potential, cope with the
R R R R R R R R R R R R R R R R
Rnormal stresses of life, work productively, and contribute to the community. Mental health
R R R R R R R R R R R R
Rprovides people with the capacity for rational thinking, communication skills, learning, emotional
R R R R R R R R R R R
Rgrowth, resilience, and self-esteem. The correct response describes an adaptive, healthy
R R R R R R R R R R
behavior. The distracters describe maladaptive behaviors.
R R R R R R
PTS: 1 RR RDIF: Cognitive Level: Apply (Application) R R R
TOP: Nursing Process: Evaluation
R R MSC: Client Needs: Psychosocial Integrity
R R R R R R
7. A nurse encounters an unfamiliar psychiatric disorder on a new client’s admission form. Which
R R R R R R R R R R R R R
resource should the nurse consult to determine criteria used to establish this diagnosis?
R R R R R R R R R R R R
a. International Statistical Classification of Diseases and Related Health Problems (ICD-
R R R R R R R R R
10) R
b. The ANA’s Psychiatric-Mental Health Nursing Scope and Standards of Practice
R R R R R R R R R
c. Diagnostic and Statistical Manual of Mental Disorders (DSM-V) R R R R R R R
d. A behavioral health reference manual
R R R R
ANS: C R
The DSM-V gives the criteria used to diagnose each mental disorder. It is the official guideline for
R R R R R R R R R R R R R R R R
Rdiagnosing psychiatric disorders. The distracters may not contain diagnostic criteria for a
R R R R R R R R R R R
Rpsychiatric illness. R
PTS: 1 RR RDIF: Cognitive Level: Understand (Comprehension) R R R
TOP: Nursing Process: Assessment
R R MSC: Client Needs: Safe, Effective Care Environment
R R R R R R R R
8. A nurse wants to find a description of diagnostic criteria for anxiety disorders. Which resource
R R R R R R R R R R R R R R
R would have the most complete information?
R R R R R
a. Nursing Outcomes Classification (NOC) R R R
b. DSM-V
c. The ANA’s Psychiatric-Mental Health Nursing Scope and Standards of Practice
R R R R R R R R R
d. ICD-10
ANS: B R
The DSM-V details the diagnostic criteria for psychiatric clinical conditions. It is the official
R R R R R R R R R R R R R
Rguideline for diagnosing psychiatric disorders. The other references are good resources but do not
R R R R R R R R R R R R R
Rdefine the diagnostic criteria.
R R R
PTS: 1 RR RDIF: Cognitive Level: Understand (Comprehension) R R R
TOP: Nursing Process: Implementation
R R MSC: Client Needs: Safe, Effective Care Environment
R R R R R R R R
9. Which individual behavior demonstrates resilience?
R R R R
a. Repress stressors associated with a divorce.R R R R R
b. Continuing to grieve the death of a spouse for 5 years. R R R R R R R R R R
c. Continuing to live in a shelter for 2 years after the home is destroyed by fire.
R R R R R R R R R R R R R R R
d. Taking a temporary job to maintain financial stability after loss of a permanent job.
R R R R R R R R R R R R R
ANS: D R
