Test Bank for
Varcaroli’s
Foundations of
Psychiatric Mental
Health Nursing
(8th Edition)
, Table of Contents
Table of Contents 1
Chapter 01: Mental Health and Mental Illness 2
Chapter 02: Theories and Therapies 15
Chapter 03: Psychobiology and Psychopharmacology 30
Chapter 04: Treatment Settings 45
Chapter 05: Cultural Implications 61
Chapter 06: Legal and Ethical Considerations 77
Chapter 07: The Nursing Process and Standards of Care 90
Chapter 08: Therapeutic Relationships 104
Chapter 09: Therapeutic Communication 117
Chapter 10: Stress Responses and Stress Management 129
Chapter 11: Childhood and Neurodevelopmental Disorders 141
Chapter 12: Schizophrenia Spectrum Disorders 154
Chapter 13: Bipolar and Related Disorders 171
Chapter 14: Depressive Disorders 188
Chapter 15: Anxiety and Obsessive-Compulsive Disorders 202
Chapter 16: Trauma, Stressor-Related, and Dissociative Disorders 217
Chapter 17: Somatic Symptom Disorders 231
Chapter 18: Eating and Feeding Disorders 244
Chapter 19: Sleep-Wake Disorders 258
Chapter 20: Sexual Dysfunctions, Gender Dysphoria, and Paraphilias 269
Chapter 21: Impulse Control Disorders 281
Chapter 22: Substance Related and Addictive Disorders 291
Chapter 23: Neurocognitive Disorders 306
Chapter 24: Personality Disorders 319
,Chapter 25: Suicide and Nonsuicidal Self-Injury 334
Chapter 26: Crisis and Disaster 346
Chapter 27: Anger, Aggression, and Violence 359
Chapter 28: Child, Older Adult, and Intimate Partner Violence 371
Chapter 29: Sexual Assault 381
Chapter 30: Dying, Death, and Grieving 391
Chapter 31: Older Adults 402
Chapter 32: Serious Mental Illness 417
Chapter 33: Forensic Nursing 432
Chapter 34: Therapeutic Groups 443
Chapter 35: Family Interventions 456
Chapter 36: Integrative Care 468
Chapter 01: Mental Health and Mental Illness
MULTIPLE CHOICE
1. A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced practice nurse
to perform which additional intervention?
a. Conduct mental health assessments. c. Establish therapeutic relationships.
b. Prescribe psychotropic medication. d. Individualize nursing care plans.
ANS: B
In most states, prescriptive privileges are granted to masters-prepared nurse practitioners 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: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 15 TOP: Nursing Process: Implementation
MSC: Client Needs: Safe, Effective Care Environment
2. When a nursing student expresses concerns about how mental health nurses lose all their nursing skills, the
best response by the mental health nurse is:
a. Psychiatric nurses practice in safer environments than other specialties. Nurse-to-patient ratios must be
better because of the nature of the patients problems.
b. Psychiatric nurses use complex communication skills as well as critical thinking to solve
multidimensional problems. I am challenged by those situations.
, c. Thats 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.
ANS: B
The practice of psychiatric nursing requires a different set of skills than medical-surgical nursing, though there is
substantial overlap. Psychiatric nurses must be able to help patients with medical as well as mental health
problems, reflecting the holistic perspective these nurses must have. Nurse-patient ratios and workloads in
psychiatric settings have increased, just like other specialties. Psychiatric nursing involves clinical practice, not
just documentation. Psychosocial pain and suffering are as real as physical pain and suffering.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: 10 TOP: Nursing Process: Implementation
MSC: Client Needs: Safe, Effective Care Environment
3. When a new bill introduced in Congress reduces funding for care of persons with mental illness, a group of
Varcaroli’s
Foundations of
Psychiatric Mental
Health Nursing
(8th Edition)
, Table of Contents
Table of Contents 1
Chapter 01: Mental Health and Mental Illness 2
Chapter 02: Theories and Therapies 15
Chapter 03: Psychobiology and Psychopharmacology 30
Chapter 04: Treatment Settings 45
Chapter 05: Cultural Implications 61
Chapter 06: Legal and Ethical Considerations 77
Chapter 07: The Nursing Process and Standards of Care 90
Chapter 08: Therapeutic Relationships 104
Chapter 09: Therapeutic Communication 117
Chapter 10: Stress Responses and Stress Management 129
Chapter 11: Childhood and Neurodevelopmental Disorders 141
Chapter 12: Schizophrenia Spectrum Disorders 154
Chapter 13: Bipolar and Related Disorders 171
Chapter 14: Depressive Disorders 188
Chapter 15: Anxiety and Obsessive-Compulsive Disorders 202
Chapter 16: Trauma, Stressor-Related, and Dissociative Disorders 217
Chapter 17: Somatic Symptom Disorders 231
Chapter 18: Eating and Feeding Disorders 244
Chapter 19: Sleep-Wake Disorders 258
Chapter 20: Sexual Dysfunctions, Gender Dysphoria, and Paraphilias 269
Chapter 21: Impulse Control Disorders 281
Chapter 22: Substance Related and Addictive Disorders 291
Chapter 23: Neurocognitive Disorders 306
Chapter 24: Personality Disorders 319
,Chapter 25: Suicide and Nonsuicidal Self-Injury 334
Chapter 26: Crisis and Disaster 346
Chapter 27: Anger, Aggression, and Violence 359
Chapter 28: Child, Older Adult, and Intimate Partner Violence 371
Chapter 29: Sexual Assault 381
Chapter 30: Dying, Death, and Grieving 391
Chapter 31: Older Adults 402
Chapter 32: Serious Mental Illness 417
Chapter 33: Forensic Nursing 432
Chapter 34: Therapeutic Groups 443
Chapter 35: Family Interventions 456
Chapter 36: Integrative Care 468
Chapter 01: Mental Health and Mental Illness
MULTIPLE CHOICE
1. A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced practice nurse
to perform which additional intervention?
a. Conduct mental health assessments. c. Establish therapeutic relationships.
b. Prescribe psychotropic medication. d. Individualize nursing care plans.
ANS: B
In most states, prescriptive privileges are granted to masters-prepared nurse practitioners 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: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 15 TOP: Nursing Process: Implementation
MSC: Client Needs: Safe, Effective Care Environment
2. When a nursing student expresses concerns about how mental health nurses lose all their nursing skills, the
best response by the mental health nurse is:
a. Psychiatric nurses practice in safer environments than other specialties. Nurse-to-patient ratios must be
better because of the nature of the patients problems.
b. Psychiatric nurses use complex communication skills as well as critical thinking to solve
multidimensional problems. I am challenged by those situations.
, c. Thats 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.
ANS: B
The practice of psychiatric nursing requires a different set of skills than medical-surgical nursing, though there is
substantial overlap. Psychiatric nurses must be able to help patients with medical as well as mental health
problems, reflecting the holistic perspective these nurses must have. Nurse-patient ratios and workloads in
psychiatric settings have increased, just like other specialties. Psychiatric nursing involves clinical practice, not
just documentation. Psychosocial pain and suffering are as real as physical pain and suffering.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: 10 TOP: Nursing Process: Implementation
MSC: Client Needs: Safe, Effective Care Environment
3. When a new bill introduced in Congress reduces funding for care of persons with mental illness, a group of
