COMPLETE TEST BANK FOR
VARCAROLIS' FOUNDATIONS OF PSYCHIATRIC-MENTAL HEALTH NURSING A
CLINICAL 9TH EDITION
BY MARGARET | ALL CHAPTER 1-36|100% VERIFIED ANSWERS
,TABLE OF CONTENTS
CHAPTER 01: MENTAL HEALTH AND MENTAL ILLNESS ................................................................................ 4
CHAPTER 02: THEORIES AND THERAPIES .................................................................................................... 19
CHAPTER 03: PSYCHOBIOLOGY AND PSYCHOPHARMACOLOGY ................................................................ 41
CHAPTER 04: TREATMENT SETTINGS .......................................................................................................... 60
CHAPTER 05: CULTURAL IMPLICATIONS ..................................................................................................... 82
CHAPTER 06: LEGAL AND ETHICAL CONSIDERATIONS .............................................................................. 100
CHAPTER 07: THE NURSING PROCESS AND STANDARDS OF CARE ........................................................... 117
CHAPTER 08: THERAPEUTIC RELATIONSHIPS ............................................................................................ 134
CHAPTER 09: THERAPEUTIC COMMUNICATION ....................................................................................... 152
CHAPTER 10: STRESS RESPONSES AND STRESS MANAGEMENT ............................................................... 166
CHAPTER 11: CHILDHOOD AND NEURODEVELOPMENTAL DISORDERS ................................................... 180
CHAPTER 12: SCHIZOPHRENIA SPECTRUM DISORDERS ............................................................................ 196
CHAPTER 13: BIPOLAR AND RELATED DISORDERS.................................................................................... 219
CHAPTER 14: DEPRESSIVE DISORDERS ...................................................................................................... 241
CHAPTER 15: ANXIETY AND OBSESSIVE-COMPULSIVE DISORDERS .......................................................... 260
CHAPTER 16: TRAUMA, STRESSOR-RELATED, AND DISSOCIATIVE DISORDERS ........................................ 281
CHAPTER 17: SOMATIC SYMPTOM DISORDERS ........................................................................................ 300
CHAPTER 18: EATING AND FEEDING DISORDERS ..................................................................................... 315
CHAPTER 19: SLEEP–WAKE DISORDERS .................................................................................................... 332
CHAPTER 20: SEXUAL DYSFUNCTIONS, GENDER DYSPHORIA, AND PARAPHILIAS ................................... 348
CHAPTER 21: IMPULSE CONTROL DISORDERS .......................................................................................... 363
CHAPTER 22: SUBSTANCE-RELATED AND ADDICTIVE DISORDERS............................................................ 376
CHAPTER 23: NEUROCOGNITIVE DISORDERS ........................................................................................... 396
CHAPTER 24: PERSONALITY DISORDERS ................................................................................................... 414
CHAPTER 25: SUICIDE AND NONSUICIDAL SELF-INJURY ........................................................................... 432
CHAPTER 26: CRISIS AND DISASTER .......................................................................................................... 448
CHAPTER 27: ANGER, AGGRESSION, AND VIOLENCE ............................................................................... 464
CHAPTER 28: CHILD, OLDER ADULT, AND INTIMATE PARTNER VIOLENCE ............................................... 480
CHAPTER 29: SEXUAL ASSAULT ................................................................................................................. 493
CHAPTER 30: DYING, DEATH, AND GRIEVING ........................................................................................... 507
CHAPTER 31: OLDER ADULTS .................................................................................................................... 521
CHAPTER 32: SERIOUS MENTAL ILLNESS .................................................................................................. 540
,CHAPTER 33: FORENSIC NURSING ............................................................................................................ 559
CHAPTER 34: THERAPEUTIC GROUPS ....................................................................................................... 573
CHAPTER 35: FAMILY INTERVENTIONS ..................................................................................................... 591
CHAPTER 36: INTEGRATIVE CARE ............................................................................................................. 607
,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.
B. Prescribe Psychotropic Medication.
C. Establish Therapeutic Relationships.
D. Individualize Nursing Care Plans.
CORRECT 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: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-23 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-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. ―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.‖
CORRECT ANSWER: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: Pages 1-2, 21 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 Diagnosed With
Mental Illness, A Group Of NURSEs Write Letters To Their Elected Representatives In Opposition To The
Legislation. Which Role Have The NURSEs Fulfilled?
A. Recovery
B. Attending
C. Advocacy
D. Evidence-Based Practice
CORRECT ANSWER:C
An Advocate Defends Or Asserts Another‘S Cause, Particularly When The Other Person Lacks The Ability
To Do That For Self. Examples Of Individual Advocacy Include Helping Patients Understand Their Rights
Or Make Decisions. On A Community Scale, Advocacy Includes Political Activity, Public Speaking, And
Publication In The Interest Of Improving The Human Condition.
Since Funding Is Necessary To Deliver Quality Programming For Persons With Mental Illness, The Letter-
Writing Campaign Advocates For That Cause On Behalf Of Patients Who Are Unable To Articulate Their
Own Needs.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-26 TOP: Nursing Process:
Evaluation
MSC: Client Needs: Safe, Effective Care Environment
4. A Family Has A Long History Of Conflicted Relationships Among The Members. Which Family
,Member‘S Comment Best Reflects A Mentally Healthy Perspective?
A. ―I‘Ve Made Mistakes But Everyone Else In This Family Has Also.‖
B. ―I Remember Joy And Mutual Respect From Our Early Years Together.‖
C. ―I Will Make Some Changes In My Behavior For The Good Of The Family.‖
D. ―It‘S Best For Me To Move Away From My Family. Things Will Never Change.‖
CORRECT ANSWER:C
The Correct Response Demonstrates The Best Evidence Of A Healthy Recognition Of The Importance Of
Relationships. Mental Health Includes Rational Thinking, Communication Skills, Learning, Emotional
Growth, Resilience, And Self-Esteem. Recalling Joy From Earlier In Life May Be Healthy, But The Correct
Response Shows A Higher Level Of Mental Health. The Other Incorrect Responses Show Blaming And
Avoidance.
PTS: 1 DIF: Cognitive Level: Analyze (Analysis)
REF: Pages 1-2, 3, 32 (Figure 1-1) TOP: Nursing Process: Assessment MSC: Client Needs:
Psychosocial Integrity
5. Which Assessment Finding Most Clearly Indicates That A Patient May Be Experiencing A Mental
Illness? The Patient
A. Reports Occasional Sleeplessness And Anxiety.
B. Reports A Consistently Sad, Discouraged, And Hopeless Mood.
C. Is Able To Describe The Difference Between ―As If‖ And ―For Real.‖
D. Perceives Difficulty Making A Decision About Whether To Change Jobs.
CORRECT ANSWER:B
The Correct Response Describes A Mood Alteration, Which Reflects Mental Illness. The Distracters
Describe Behaviors That Are Mentally Healthy Or Within The Usual Scope Of Human Experience.
PTS: 1 DIF: Cognitive Level: Apply (Application)
, REF: Pages 1-2 To 4 TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
6. Which Finding Best Indicates That The Goal “Demonstrate Mentally Healthy Behavior‖ Was
Achieved For An Adult Patient? The Patient
A. Sees Self As Capable Of Achieving Ideals And Meeting Demands.
B. Behaves Without Considering The Consequences Of Personal Actions.
C. Aggressively Meets Own Needs Without Considering The Rights Of Others.
D. Seeks Help From Others When Assuming Responsibility For Major Areas Of Own Life.
CORRECT ANSWER:A
The Correct Response Describes An Adaptive, Healthy Behavior. The Distracters Describe Maladaptive
Behaviors.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Pages 1-2 To 4 TOP: Nursing Process: Evaluation MSC: Client Needs: Psychosocial Integrity
7. A NURSE Encounters An Unfamiliar Psychiatric Disorder On A New Patient‘S Admission Form.
Which Resource Should The NURSE Consult To Determine Criteria Used To Establish This Diagnosis?
A. International Statistical Classification Of Diseases And Related Health Problems (ICD-10)
B. The ANA‟S Psychiatric-Mental Health Nursing Scope And Standards Of Practice
C. Diagnostic And Statistical Manual Of Mental Disorders (DSM-V)
D. A Behavioral Health Reference Manual
CORRECT ANSWER:C
The DSM-V Gives The Criteria Used To Diagnose Each Mental Disorder. It Is The Official Guideline For
Diagnosing Psychiatric Disorders. The Distracters May Not Contain Diagnostic Criteria For A Psychiatric
Illness.
PTS: 1 DIF: Cognitive Level: Apply (Application)
VARCAROLIS' FOUNDATIONS OF PSYCHIATRIC-MENTAL HEALTH NURSING A
CLINICAL 9TH EDITION
BY MARGARET | ALL CHAPTER 1-36|100% VERIFIED ANSWERS
,TABLE OF CONTENTS
CHAPTER 01: MENTAL HEALTH AND MENTAL ILLNESS ................................................................................ 4
CHAPTER 02: THEORIES AND THERAPIES .................................................................................................... 19
CHAPTER 03: PSYCHOBIOLOGY AND PSYCHOPHARMACOLOGY ................................................................ 41
CHAPTER 04: TREATMENT SETTINGS .......................................................................................................... 60
CHAPTER 05: CULTURAL IMPLICATIONS ..................................................................................................... 82
CHAPTER 06: LEGAL AND ETHICAL CONSIDERATIONS .............................................................................. 100
CHAPTER 07: THE NURSING PROCESS AND STANDARDS OF CARE ........................................................... 117
CHAPTER 08: THERAPEUTIC RELATIONSHIPS ............................................................................................ 134
CHAPTER 09: THERAPEUTIC COMMUNICATION ....................................................................................... 152
CHAPTER 10: STRESS RESPONSES AND STRESS MANAGEMENT ............................................................... 166
CHAPTER 11: CHILDHOOD AND NEURODEVELOPMENTAL DISORDERS ................................................... 180
CHAPTER 12: SCHIZOPHRENIA SPECTRUM DISORDERS ............................................................................ 196
CHAPTER 13: BIPOLAR AND RELATED DISORDERS.................................................................................... 219
CHAPTER 14: DEPRESSIVE DISORDERS ...................................................................................................... 241
CHAPTER 15: ANXIETY AND OBSESSIVE-COMPULSIVE DISORDERS .......................................................... 260
CHAPTER 16: TRAUMA, STRESSOR-RELATED, AND DISSOCIATIVE DISORDERS ........................................ 281
CHAPTER 17: SOMATIC SYMPTOM DISORDERS ........................................................................................ 300
CHAPTER 18: EATING AND FEEDING DISORDERS ..................................................................................... 315
CHAPTER 19: SLEEP–WAKE DISORDERS .................................................................................................... 332
CHAPTER 20: SEXUAL DYSFUNCTIONS, GENDER DYSPHORIA, AND PARAPHILIAS ................................... 348
CHAPTER 21: IMPULSE CONTROL DISORDERS .......................................................................................... 363
CHAPTER 22: SUBSTANCE-RELATED AND ADDICTIVE DISORDERS............................................................ 376
CHAPTER 23: NEUROCOGNITIVE DISORDERS ........................................................................................... 396
CHAPTER 24: PERSONALITY DISORDERS ................................................................................................... 414
CHAPTER 25: SUICIDE AND NONSUICIDAL SELF-INJURY ........................................................................... 432
CHAPTER 26: CRISIS AND DISASTER .......................................................................................................... 448
CHAPTER 27: ANGER, AGGRESSION, AND VIOLENCE ............................................................................... 464
CHAPTER 28: CHILD, OLDER ADULT, AND INTIMATE PARTNER VIOLENCE ............................................... 480
CHAPTER 29: SEXUAL ASSAULT ................................................................................................................. 493
CHAPTER 30: DYING, DEATH, AND GRIEVING ........................................................................................... 507
CHAPTER 31: OLDER ADULTS .................................................................................................................... 521
CHAPTER 32: SERIOUS MENTAL ILLNESS .................................................................................................. 540
,CHAPTER 33: FORENSIC NURSING ............................................................................................................ 559
CHAPTER 34: THERAPEUTIC GROUPS ....................................................................................................... 573
CHAPTER 35: FAMILY INTERVENTIONS ..................................................................................................... 591
CHAPTER 36: INTEGRATIVE CARE ............................................................................................................. 607
,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.
B. Prescribe Psychotropic Medication.
C. Establish Therapeutic Relationships.
D. Individualize Nursing Care Plans.
CORRECT 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: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-23 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-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. ―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.‖
CORRECT ANSWER: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: Pages 1-2, 21 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 Diagnosed With
Mental Illness, A Group Of NURSEs Write Letters To Their Elected Representatives In Opposition To The
Legislation. Which Role Have The NURSEs Fulfilled?
A. Recovery
B. Attending
C. Advocacy
D. Evidence-Based Practice
CORRECT ANSWER:C
An Advocate Defends Or Asserts Another‘S Cause, Particularly When The Other Person Lacks The Ability
To Do That For Self. Examples Of Individual Advocacy Include Helping Patients Understand Their Rights
Or Make Decisions. On A Community Scale, Advocacy Includes Political Activity, Public Speaking, And
Publication In The Interest Of Improving The Human Condition.
Since Funding Is Necessary To Deliver Quality Programming For Persons With Mental Illness, The Letter-
Writing Campaign Advocates For That Cause On Behalf Of Patients Who Are Unable To Articulate Their
Own Needs.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-26 TOP: Nursing Process:
Evaluation
MSC: Client Needs: Safe, Effective Care Environment
4. A Family Has A Long History Of Conflicted Relationships Among The Members. Which Family
,Member‘S Comment Best Reflects A Mentally Healthy Perspective?
A. ―I‘Ve Made Mistakes But Everyone Else In This Family Has Also.‖
B. ―I Remember Joy And Mutual Respect From Our Early Years Together.‖
C. ―I Will Make Some Changes In My Behavior For The Good Of The Family.‖
D. ―It‘S Best For Me To Move Away From My Family. Things Will Never Change.‖
CORRECT ANSWER:C
The Correct Response Demonstrates The Best Evidence Of A Healthy Recognition Of The Importance Of
Relationships. Mental Health Includes Rational Thinking, Communication Skills, Learning, Emotional
Growth, Resilience, And Self-Esteem. Recalling Joy From Earlier In Life May Be Healthy, But The Correct
Response Shows A Higher Level Of Mental Health. The Other Incorrect Responses Show Blaming And
Avoidance.
PTS: 1 DIF: Cognitive Level: Analyze (Analysis)
REF: Pages 1-2, 3, 32 (Figure 1-1) TOP: Nursing Process: Assessment MSC: Client Needs:
Psychosocial Integrity
5. Which Assessment Finding Most Clearly Indicates That A Patient May Be Experiencing A Mental
Illness? The Patient
A. Reports Occasional Sleeplessness And Anxiety.
B. Reports A Consistently Sad, Discouraged, And Hopeless Mood.
C. Is Able To Describe The Difference Between ―As If‖ And ―For Real.‖
D. Perceives Difficulty Making A Decision About Whether To Change Jobs.
CORRECT ANSWER:B
The Correct Response Describes A Mood Alteration, Which Reflects Mental Illness. The Distracters
Describe Behaviors That Are Mentally Healthy Or Within The Usual Scope Of Human Experience.
PTS: 1 DIF: Cognitive Level: Apply (Application)
, REF: Pages 1-2 To 4 TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
6. Which Finding Best Indicates That The Goal “Demonstrate Mentally Healthy Behavior‖ Was
Achieved For An Adult Patient? The Patient
A. Sees Self As Capable Of Achieving Ideals And Meeting Demands.
B. Behaves Without Considering The Consequences Of Personal Actions.
C. Aggressively Meets Own Needs Without Considering The Rights Of Others.
D. Seeks Help From Others When Assuming Responsibility For Major Areas Of Own Life.
CORRECT ANSWER:A
The Correct Response Describes An Adaptive, Healthy Behavior. The Distracters Describe Maladaptive
Behaviors.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Pages 1-2 To 4 TOP: Nursing Process: Evaluation MSC: Client Needs: Psychosocial Integrity
7. A NURSE Encounters An Unfamiliar Psychiatric Disorder On A New Patient‘S Admission Form.
Which Resource Should The NURSE Consult To Determine Criteria Used To Establish This Diagnosis?
A. International Statistical Classification Of Diseases And Related Health Problems (ICD-10)
B. The ANA‟S Psychiatric-Mental Health Nursing Scope And Standards Of Practice
C. Diagnostic And Statistical Manual Of Mental Disorders (DSM-V)
D. A Behavioral Health Reference Manual
CORRECT ANSWER:C
The DSM-V Gives The Criteria Used To Diagnose Each Mental Disorder. It Is The Official Guideline For
Diagnosing Psychiatric Disorders. The Distracters May Not Contain Diagnostic Criteria For A Psychiatric
Illness.
PTS: 1 DIF: Cognitive Level: Apply (Application)
