TEST BANK
VARCAROLIS’ ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING
CHYLLIA D FOSBRE
5th Edition
TEST BANK
,Table of Contents
Table of Contents
Chapter 01: Practicing the Science and the Art of Psychiatric Nursing
Chapter 02: Mental Health and Mental Illness
Chapter 03: Theories and Therapies
Chapter 04: Biological Basis for Understanding Psychopharmacology
Chapter 05: Settings for Psychiatric Care
Chapter 06: Legal and Ethical Basis for Practice
Chapter 07: Nursing Process and QSEN: The Foundation for Safe and Effective Care
Chapter 08: Communication Skills: Medium for All Nursing Practice
Chapter 09: Therapeutic Relationships and the Clinical Interview
Chapter 10: Trauma and Stress-Related Disorders
Chapter 11: Anxiety, Anxiety Disorders, and Obsessive-Compulsive Disorders
Chapter 12: Somatic System Disorders and Dissociative Disorders
Chapter 13: Personality Disorders
Chapter 14: Eating Disorders
Chapter 15: Mood Disorders: Depression
Chapter 16: Bipolar Spectrum Disorders
Chapter 17: Schizophrenia Spectrum Disorders and Other Psychotic Disorders
Chapter 18: Neurocognitive Disorders
Chapter 19: Substance-Related and Addictive Disorders
Chapter 20: Crisis and Mass Disaster
Chapter 21: Child, Partner, and Elder Violence
,Chapter 22: Sexual Violence
Chapter 23: Suicidal Thoughts and Behavior
Chapter 24: Anger, Aggression, and Violence
Chapter 25: Care for the Dying and Those Who Grieve
Chapter 26: Children and Adolescents
Chapter 27: Adults
Chapter 28: Older Adults
,Test Bank: Essentials of Psychiatric Mental Health Nursing (5th Edition by Varcarolis) 2
Chapter 01: Practicing the Science and the Art of Psychiatric Nursing 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: a. deny suicidal ideation.
b. report a sense of well-being.
c. take medications as prescribed.
d. attend 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) REF: 2
TOP: Nursing Process: Outcomes Identification
MSC: NCLEX: Health Promotion and Maintenance
2. In the shift-change report, an off-going nurse criticizes a patient who wears heavy
makeup. Which comment by the nurse who receives the report best demonstrates
advocacy?
a. This is a psychiatric hospital. Craziness is what we are all about.
b. Lets 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) REF: 8
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
3. A nurse assesses a newly admitted patient diagnosed with major depressive disorder.
Whichstatement is an example of attending?
a. We all have stress in life. Being in a psychiatric hospital isnt the end of the world.
b. Tell me why you felt you had to be hospitalized to receive treatment for your depression.
c. You will feel better after we get some antidepressant medication started for you.
d. Id like to sit with you a while so you may feel more comfortable talking with me.
ANS: D
Attending is a technique that demonstrates the nurses commitment to the relationship and
reduces feelings of isolation. This technique shows respect for the patient and
demonstrates caring. Generalizations, probing, and false reassurances are non-therapeutic.
DIF: Cognitive Level: Application (Applying) REF: 8
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
4. A patient is hospitalized for depression and suicidal ideation after their spouse asks for a
divorce. Selectthe nurses most caring comment.
a. Lets discuss some means of coping other than suicide when you have these feelings.
b. I understand why youre 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?
Test Bank: Essentials of Psychiatric Mental Health Nursing (5th Edition by Varcarolis) 3
ANS: A
The nurses 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 or therapeutic interventions.
,DIF: fCognitive fLevel: fApplication f(Applying) fREF: f6
TOP: fNursing fProcess: fImplementation fMSC: fNCLEX: fPsychosocial fIntegrity
5. A fpatient fshows fthe fnurse fan farticle ffrom fthe fInternet fabout fa fhealth
fproblem. fWhich fcharacteristic fof fthe fweb fsites faddress fmost falerts fthe fnurse fthat
fthe fsite fmay fhave fbiased f and fprejudicedinformation?
a. Address fends fin f.org.
b. Address fends fin f.com.
c. Address fends fin f.gov.
d. Address fends fin
f.net. fANS: fB
Financial finfluences fon fa fsite fare fa fclue fthat fthe finformation fmay fbe fbiased. f.com fat
fthe fend fof fthe faddress findicates fthat fthe fsite fis fa fcommercial fone. f.gov findicates
fthat fthe fsite fis fmaintained f by fa fgovernment fentity.
.org findicates fthat fthe fsite fis fnonproprietary; fthe fsite fmay for fmay fnot fhave
freliable finformation, fbut fit fdoes fnot fprofit ffrom fits factivities. f.net fcan fhave fmultiple
fmeanings.
DIF: fCognitive fLevel: fComprehension f(Understanding) fREF: f5
TOP: fNursing fProcess: fEvaluation fMSC: fNCLEX: fHealth fPromotion fand fMaintenance
6. A fnurse fsays, fWhen fI fwas fin fschool, fI flearned fto fcall fupset fpatients fby fname fto
fget ftheir fattention; fhowever, fI fread fa fdescriptive fresearch fstudy fthat fsays fthat fthis
fapproach fdoes fnot fwork. fI fplan fto fstop fcalling fpatients fby fname. fWhich fstatement
fis fthe fbest fappraisal fof fthis fnurses fcomment?
a. One fdescriptive fresearch fstudy frarely fprovides fenough fevidence fto fchange fpractice.
b. Staff fnurses fapply fnew fresearch ffindings fonly fwith fthe fhelp ffrom fclinical
fnurse fspecialists.
c. New fresearch ffindings fshould fbe fincorporated finto fclinical falgorithms fbefore fusing
fthem fin fpractice.
d. The fnurse fmisinterpreted fthe fresults fof fthe fstudy. fClassic ftenets fof fpractice
fdo fnot fchange.
ANS: fA
, Descriptive fresearch ffindings fprovide fevidence ffor fpractice fbut fmust fbe fviewed fin
frelation fto fother fstudies fbefore fpractice fchanges. fOne fstudy fis fnot fenough.
fDescriptive fstudies fare flow fon fthe fhierarchy fof fevidence.
Clinical falgorithms fuse fflow fcharts fto fmanage fproblems fand fdo fnot fspecify fone
fresponse fto fa fclinical fproblem.
Classic ftenets fof fpractice fshould fchange fas fresearch ffindings fprovide fevidence ffor
fchange.DIF: fCognitive fLevel: fAnalysis f(Analyzing) fREF: f3
TOP: fNursing fProcess: fEvaluation fMSC: fNCLEX: fHealth fPromotion fand fMaintenance
7. Twonursing fstudents fdiscuss fcareer fplans fafter fgraduation. fOne fstudent fwants fto
fenter fpsychiatric fnursing.
The fother fstudent fasks, fWhy fwould fyou fwant fto fbe fa fpsychiatric fnurse? fAll fthey
fdo fis ftalk. fYou fwill flose fyour fskills. fSelect fthe fbest fresponse fby fthe fstudent
finterested fin fpsychiatric fnursing.
a. Psychiatric fnurses fpractice fin fsafer fenvironments fthan fother fspecialties. fNurse-to-
patient fratios fmust fbe fbetter fbecause fof fthe fnature fof fpatients fproblems.
b. Psychiatric fnurses fuse fcomplex fcommunication fskills, fas fwell fas fcritical fthinking, fto
fsolve fmultidimensional fproblems. fIm fchallenged fby fthose fsituations.
c. I fthink fI fwill fbe fgood fin fthe fmental fhealth ffield. fI fdo fnot flike fclinical frotations fin
fschool, fso fI fdo fnot fwant fto fcontinue fthem fafter fI fgraduate.
d. Psychiatric fnurses fdo fnot fhave fto fdeal fwith fas fmuch fpain fand fsuffering fas
fmedical fsurgical fnurses. fThat fappeals fto fme.
ANS: fB
The fpractice fof fpsychiatric fnursing frequires fa fdifferent fset fof fskills fthan fmedical
fsurgical fnursing, falthough fsubstantial foverlap fdoes fexist. f Psychiatric fnurses fmust
fbe fable fto fhelp fpatients fwith fmedical fand fmental fhealth fproblems, freflecting fthe
fholistic fperspective fthese fnurses fmust fhave. fNurse-patient fratios fand fworkloads fin
fpsychiatric fsettings fhave fincreased, fsimilar fto fother fspecialties. fPsychiatric fnursing
finvolves fclinical fpractice,
Test fBank: fEssentials fof fPsychiatric fMental fHealth fNursing f(5th f Edition fby fVarcarolis) f4
not fsimply fdocumentation. fPsychosocial fpain fis freal fand fcan fcause fas fmuch fsuffering
fas fphysical fpain.
DIF: fCognitive fLevel: fApplication f(Applying) fREF: f3
VARCAROLIS’ ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING
CHYLLIA D FOSBRE
5th Edition
TEST BANK
,Table of Contents
Table of Contents
Chapter 01: Practicing the Science and the Art of Psychiatric Nursing
Chapter 02: Mental Health and Mental Illness
Chapter 03: Theories and Therapies
Chapter 04: Biological Basis for Understanding Psychopharmacology
Chapter 05: Settings for Psychiatric Care
Chapter 06: Legal and Ethical Basis for Practice
Chapter 07: Nursing Process and QSEN: The Foundation for Safe and Effective Care
Chapter 08: Communication Skills: Medium for All Nursing Practice
Chapter 09: Therapeutic Relationships and the Clinical Interview
Chapter 10: Trauma and Stress-Related Disorders
Chapter 11: Anxiety, Anxiety Disorders, and Obsessive-Compulsive Disorders
Chapter 12: Somatic System Disorders and Dissociative Disorders
Chapter 13: Personality Disorders
Chapter 14: Eating Disorders
Chapter 15: Mood Disorders: Depression
Chapter 16: Bipolar Spectrum Disorders
Chapter 17: Schizophrenia Spectrum Disorders and Other Psychotic Disorders
Chapter 18: Neurocognitive Disorders
Chapter 19: Substance-Related and Addictive Disorders
Chapter 20: Crisis and Mass Disaster
Chapter 21: Child, Partner, and Elder Violence
,Chapter 22: Sexual Violence
Chapter 23: Suicidal Thoughts and Behavior
Chapter 24: Anger, Aggression, and Violence
Chapter 25: Care for the Dying and Those Who Grieve
Chapter 26: Children and Adolescents
Chapter 27: Adults
Chapter 28: Older Adults
,Test Bank: Essentials of Psychiatric Mental Health Nursing (5th Edition by Varcarolis) 2
Chapter 01: Practicing the Science and the Art of Psychiatric Nursing 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: a. deny suicidal ideation.
b. report a sense of well-being.
c. take medications as prescribed.
d. attend 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) REF: 2
TOP: Nursing Process: Outcomes Identification
MSC: NCLEX: Health Promotion and Maintenance
2. In the shift-change report, an off-going nurse criticizes a patient who wears heavy
makeup. Which comment by the nurse who receives the report best demonstrates
advocacy?
a. This is a psychiatric hospital. Craziness is what we are all about.
b. Lets 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) REF: 8
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
3. A nurse assesses a newly admitted patient diagnosed with major depressive disorder.
Whichstatement is an example of attending?
a. We all have stress in life. Being in a psychiatric hospital isnt the end of the world.
b. Tell me why you felt you had to be hospitalized to receive treatment for your depression.
c. You will feel better after we get some antidepressant medication started for you.
d. Id like to sit with you a while so you may feel more comfortable talking with me.
ANS: D
Attending is a technique that demonstrates the nurses commitment to the relationship and
reduces feelings of isolation. This technique shows respect for the patient and
demonstrates caring. Generalizations, probing, and false reassurances are non-therapeutic.
DIF: Cognitive Level: Application (Applying) REF: 8
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
4. A patient is hospitalized for depression and suicidal ideation after their spouse asks for a
divorce. Selectthe nurses most caring comment.
a. Lets discuss some means of coping other than suicide when you have these feelings.
b. I understand why youre 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?
Test Bank: Essentials of Psychiatric Mental Health Nursing (5th Edition by Varcarolis) 3
ANS: A
The nurses 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 or therapeutic interventions.
,DIF: fCognitive fLevel: fApplication f(Applying) fREF: f6
TOP: fNursing fProcess: fImplementation fMSC: fNCLEX: fPsychosocial fIntegrity
5. A fpatient fshows fthe fnurse fan farticle ffrom fthe fInternet fabout fa fhealth
fproblem. fWhich fcharacteristic fof fthe fweb fsites faddress fmost falerts fthe fnurse fthat
fthe fsite fmay fhave fbiased f and fprejudicedinformation?
a. Address fends fin f.org.
b. Address fends fin f.com.
c. Address fends fin f.gov.
d. Address fends fin
f.net. fANS: fB
Financial finfluences fon fa fsite fare fa fclue fthat fthe finformation fmay fbe fbiased. f.com fat
fthe fend fof fthe faddress findicates fthat fthe fsite fis fa fcommercial fone. f.gov findicates
fthat fthe fsite fis fmaintained f by fa fgovernment fentity.
.org findicates fthat fthe fsite fis fnonproprietary; fthe fsite fmay for fmay fnot fhave
freliable finformation, fbut fit fdoes fnot fprofit ffrom fits factivities. f.net fcan fhave fmultiple
fmeanings.
DIF: fCognitive fLevel: fComprehension f(Understanding) fREF: f5
TOP: fNursing fProcess: fEvaluation fMSC: fNCLEX: fHealth fPromotion fand fMaintenance
6. A fnurse fsays, fWhen fI fwas fin fschool, fI flearned fto fcall fupset fpatients fby fname fto
fget ftheir fattention; fhowever, fI fread fa fdescriptive fresearch fstudy fthat fsays fthat fthis
fapproach fdoes fnot fwork. fI fplan fto fstop fcalling fpatients fby fname. fWhich fstatement
fis fthe fbest fappraisal fof fthis fnurses fcomment?
a. One fdescriptive fresearch fstudy frarely fprovides fenough fevidence fto fchange fpractice.
b. Staff fnurses fapply fnew fresearch ffindings fonly fwith fthe fhelp ffrom fclinical
fnurse fspecialists.
c. New fresearch ffindings fshould fbe fincorporated finto fclinical falgorithms fbefore fusing
fthem fin fpractice.
d. The fnurse fmisinterpreted fthe fresults fof fthe fstudy. fClassic ftenets fof fpractice
fdo fnot fchange.
ANS: fA
, Descriptive fresearch ffindings fprovide fevidence ffor fpractice fbut fmust fbe fviewed fin
frelation fto fother fstudies fbefore fpractice fchanges. fOne fstudy fis fnot fenough.
fDescriptive fstudies fare flow fon fthe fhierarchy fof fevidence.
Clinical falgorithms fuse fflow fcharts fto fmanage fproblems fand fdo fnot fspecify fone
fresponse fto fa fclinical fproblem.
Classic ftenets fof fpractice fshould fchange fas fresearch ffindings fprovide fevidence ffor
fchange.DIF: fCognitive fLevel: fAnalysis f(Analyzing) fREF: f3
TOP: fNursing fProcess: fEvaluation fMSC: fNCLEX: fHealth fPromotion fand fMaintenance
7. Twonursing fstudents fdiscuss fcareer fplans fafter fgraduation. fOne fstudent fwants fto
fenter fpsychiatric fnursing.
The fother fstudent fasks, fWhy fwould fyou fwant fto fbe fa fpsychiatric fnurse? fAll fthey
fdo fis ftalk. fYou fwill flose fyour fskills. fSelect fthe fbest fresponse fby fthe fstudent
finterested fin fpsychiatric fnursing.
a. Psychiatric fnurses fpractice fin fsafer fenvironments fthan fother fspecialties. fNurse-to-
patient fratios fmust fbe fbetter fbecause fof fthe fnature fof fpatients fproblems.
b. Psychiatric fnurses fuse fcomplex fcommunication fskills, fas fwell fas fcritical fthinking, fto
fsolve fmultidimensional fproblems. fIm fchallenged fby fthose fsituations.
c. I fthink fI fwill fbe fgood fin fthe fmental fhealth ffield. fI fdo fnot flike fclinical frotations fin
fschool, fso fI fdo fnot fwant fto fcontinue fthem fafter fI fgraduate.
d. Psychiatric fnurses fdo fnot fhave fto fdeal fwith fas fmuch fpain fand fsuffering fas
fmedical fsurgical fnurses. fThat fappeals fto fme.
ANS: fB
The fpractice fof fpsychiatric fnursing frequires fa fdifferent fset fof fskills fthan fmedical
fsurgical fnursing, falthough fsubstantial foverlap fdoes fexist. f Psychiatric fnurses fmust
fbe fable fto fhelp fpatients fwith fmedical fand fmental fhealth fproblems, freflecting fthe
fholistic fperspective fthese fnurses fmust fhave. fNurse-patient fratios fand fworkloads fin
fpsychiatric fsettings fhave fincreased, fsimilar fto fother fspecialties. fPsychiatric fnursing
finvolves fclinical fpractice,
Test fBank: fEssentials fof fPsychiatric fMental fHealth fNursing f(5th f Edition fby fVarcarolis) f4
not fsimply fdocumentation. fPsychosocial fpain fis freal fand fcan fcause fas fmuch fsuffering
fas fphysical fpain.
DIF: fCognitive fLevel: fApplication f(Applying) fREF: f3
