TEST BANK For Varcarolis' Foundations of
Psychiatric-Mental Health Nursing, 9th Edition
by Margaret Jordan Halter Chapters 1 - 36 |
Complete
,TABLE OF CONTENTS
Chapter 01 Mental Health and Mental Illness 2
Chapter 02 Theories and Therapies Approach 12
Chapter 03 Psychobiology and Psychopharmacology 25
Chapter 04 Treatment Settings 37
Chapter 05 Cultural Implications 50
Chapter 06 Legal and Ethical Considerations 61
Chapter 07 The Nursing Process and Standards of Care 72
Chapter 08 Therapeutic Relationships 83
Chapter 09 Therapeutic Communication 94
Chapter 10 Stress Responses and Stress Management 103
Chapter 11 Childhood and Neurodevelopmental Disorders 113
Chapter 12 Schizophrenia Spectrum Disorders 123
Chapter 13 Bipolar and Related Disorders 137
Chapter 14 Depressive Disorders 150
Chapter 15 Anxiety and Obsessive-Compulsive Disorders 162
Chapter 16 Trauma, Stressor-Related, and Dissociative Disorders 175
Chapter 17 Somatic Symptom Disorders 187
Chapter 18 Eating and Feeding Disorders 197
Chapter 19 Sleep–Wake Disorders 207
Chapter 20 Sexual Dysfunctions, Gender Dysphoria, and Paraphilic Disorders 216
Chapter 21 Impulse Control Disorders 226
Chapter 22 Substance-Related and Addictive Disorders 236
Chapter 23 Neurocognitive Disorders 248
Chapter 24 Personality Disorders 259
Chapter 25 Suicide and Nonsuicidal Self-Injury 270
Chapter 26 Crisis and Disaster 280
Chapter 27 Anger, Aggression, and Violence 290
Chapter 28 Child, Older Adult, and Intimate Partner Violence 300
Chapter 29 Sexual Assault 309
Chapter 30 Dying, Death, and Grieving 318
Chapter 31 Older Adults 326
Chapter 32 Serious Mental Illness 338
Chapter 33 Forensic Nursing 351
Chapter 34 Therapeutic Groups 360
Chapter 35 Family Interventions 371
Chapter 36 Integrative Care 382
,Chapter 01: Mental Health and Mental Illness
Halter: Varcarolis’ Foundations of Psychiatric-Mental Health Nursing: A Clinical Approach, 9th Edition
MULTIPLE CHOICE
1. The scope of practiced for an advanced nurse practitioner would include which intervention?
a. Conducting a mental health assessment.
b. Prescribing psychotropic medication.
c. Establishing a therapeutic relationship.
d. Individualizing a nursing care plan.
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: 1DIF: Cognitive Level: Understand (Comprehension)
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- client ratios must be
better because of the nature of the clients’ 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.”
ANSWER: B
The spractice sof spsychiatric snursing srequires sa sdifferent sset sof sskills sthan smedical–surgical snursing, sthough
sthere sis ssubstantial soverlap. sPsychiatric snurses smust sbe sable sto shelp sclients swith smedical sas swell sas smental
shealth sproblems, sreflecting sthe sholistic sperspective sthese snurses smust shave. sNurse–client sratios sand
sworkloads sin spsychiatric ssettings shave sincreased, sjust slike sother sspecialties. sPsychiatric snursing sinvolves
sclinical spractice, snot sjust sdocumentation.
Psychosocial spain sand ssuffering sare sas sreal sas sphysical spain sand ssuffering.
PTS: s s s1 DIF: Cognitive sLevel: sApply s(Application)
TOP: s s sNursing sProcess: sImplementation MSC: sClient sNeeds: sSafe, sEffective sCare sEnvironment
3. When sa snew sbill sintroduced sin sCongress sreduces sfunding sfor scare sof spersons sdiagnosed swith smental
sillness, sa sgroup sof snurses swrite sletters sto stheir selected srepresentatives sin sopposition sto sthe slegislation.
sWhich srole shave sthe snurses sfulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based spractice
s
ANSWER: sC
An sadvocate sdefends sor sasserts sanother’s scause, sparticularly swhen sthe sother sperson slacks sthe sability sto sdo
sthat sfor sself. sExamples sof sindividual sadvocacy sinclude shelping sclients sunderstand stheir srights sor smake
sdecisions. sOn sa scommunity sscale, sadvocacy sincludes spolitical sactivity, spublic sspeaking, sand spublication sin
sthe sinterest sof simproving sthe shuman scondition. sSince sfunding sis snecessary sto sdeliver squality sprogramming
, sfor spersons swith smental sillness, sthe sletter- swriting scampaign sadvocates sfor sthat scause son sbehalf sof sclients
swho sare sunable sto sarticulate stheir sown sneeds.
PTS: s s s1 DIF: Cognitive sLevel: sUnderstand s(Comprehension)
TOP: s s sNursing sProcess: sEvaluation MSC: sClient sNeeds: sSafe, sEffective sCare sEnvironment
4. A sfamily shas sa slong shistory sof sconflicted srelationships samong sthe smembers. sWhich sfamily smember’s
scomment sbest sreflects sa smentally shealthy sperspective?
a. “I’ve smade smistakes sbut severyone selse sin sthis sfamily shas salso.”
b. “I sremember sjoy sand smutual srespect sfrom sour searly syears stogether.”
c. “I swill smake ssome schanges sin smy sbehavior sfor sthe sgood sof sthe sfamily.”
d. “It’s sbest sfor sme sto smove saway sfrom smy sfamily. sThings swill snever schange.”
ANSWER: sC
The scorrect sresponse sdemonstrates sthe sbest sevidence sof sa shealthy srecognition sof sthe simportance sof
srelationships. sMental shealth sincludes srational sthinking, scommunication sskills, slearning, semotional sgrowth,
sresilience, sand sself-esteem. sRecalling sjoy sfrom searlier sin slife smay sbe shealthy, sbut sthe scorrect sresponse
sshows sa shigher slevel sof smental shealth. sThe sother sincorrect sresponses sshow sblaming sand savoidance.
PTS: s s s1 DIF: Cognitive sLevel: sAnalyze s(Analysis)
TOP: sNursing sProcess: sAssessment MSC: sClient sNeeds: sPsychosocial sIntegrity
5. Which sassessment sfinding smost sclearly sindicates sthat sa sclient smay sbe sexperiencing sa smental sillness?
a. reporting soccasional ssleeplessness sand sanxiety.
b. reporting sa sconsistently ssad, sdiscouraged, sand shopeless smood.
c. being sable sto sdescribe sthe sdifference sbetween s“as sif” sand s“for sreal.”
d. experiencing sdifficulty smaking sa sdecision sabout swhether sto schange sjobs.
ANSWER: sB
The scorrect sresponse sdescribes sa smood salteration, swhich sreflects smental sillness. sThe sdistracters sdescribe
sbehaviors sthat sare smentally shealthy sor swithin sthe susual sscope sof shuman sexperience.
PTS: s s s1 DIF: Cognitive sLevel: sApply s(Application)
TOP: sNursing sProcess: sAssessment MSC: sClient sNeeds: sPsychosocial sIntegrity
6. Which sfinding sbest sindicates sthat sthe sgoal s“Demonstrate smentally shealthy sbehavior” swas sachieved
sfor san sadult sclient?
a. being swilling sto swork stowards sachieving sideals sand smeeting sdemands.
b. behaving swithout sconsidering sthe sconsequences sof spersonal sactions.
c. aggressively smeeting spersonal sneeds swithout sconsidering sthe srights sof sothers.
d. seeking shelp sfrom sothers sto savoid sassuming sresponsibility sfor smajor sareas sof sown slife.
s
ANSWER: sA
Mental shealth sis sa sstate sof swell-being sin swhich sindividuals sreach stheir sown spotential, scope swith sthe snormal
sstresses sof slife, swork sproductively, sand scontribute sto sthe scommunity. sMental shealth sprovides speople swith
sthe scapacity sfor srational sthinking, scommunication sskills, slearning, semotional sgrowth, sresilience, sand sself-
esteem. sThe scorrect sresponse sdescribes san sadaptive, shealthy sbehavior. sThe sdistracters sdescribe smaladaptive
sbehaviors.
PTS: s s s1 DIF: Cognitive sLevel: sApply s(Application)
TOP: s s sNursing sProcess: sEvaluation MSC: sClient sNeeds: sPsychosocial sIntegrity
7. A snurse sencounters san sunfamiliar spsychiatric sdisorder son sa snew sclient’s sadmission sform. sWhich
sresource sshould sthe snurse sconsult sto sdetermine scriteria sused sto sestablish sthis sdiagnosis?
a. International sStatistical sClassification sof sDiseases sand sRelated sHealth sProblems s(ICD-10)
b. The sANA’s sPsychiatric-Mental sHealth sNursing sScope sand sStandards sof sPractice
c. Diagnostic sand sStatistical sManual sof sMental sDisorders s(DSM-V)
Psychiatric-Mental Health Nursing, 9th Edition
by Margaret Jordan Halter Chapters 1 - 36 |
Complete
,TABLE OF CONTENTS
Chapter 01 Mental Health and Mental Illness 2
Chapter 02 Theories and Therapies Approach 12
Chapter 03 Psychobiology and Psychopharmacology 25
Chapter 04 Treatment Settings 37
Chapter 05 Cultural Implications 50
Chapter 06 Legal and Ethical Considerations 61
Chapter 07 The Nursing Process and Standards of Care 72
Chapter 08 Therapeutic Relationships 83
Chapter 09 Therapeutic Communication 94
Chapter 10 Stress Responses and Stress Management 103
Chapter 11 Childhood and Neurodevelopmental Disorders 113
Chapter 12 Schizophrenia Spectrum Disorders 123
Chapter 13 Bipolar and Related Disorders 137
Chapter 14 Depressive Disorders 150
Chapter 15 Anxiety and Obsessive-Compulsive Disorders 162
Chapter 16 Trauma, Stressor-Related, and Dissociative Disorders 175
Chapter 17 Somatic Symptom Disorders 187
Chapter 18 Eating and Feeding Disorders 197
Chapter 19 Sleep–Wake Disorders 207
Chapter 20 Sexual Dysfunctions, Gender Dysphoria, and Paraphilic Disorders 216
Chapter 21 Impulse Control Disorders 226
Chapter 22 Substance-Related and Addictive Disorders 236
Chapter 23 Neurocognitive Disorders 248
Chapter 24 Personality Disorders 259
Chapter 25 Suicide and Nonsuicidal Self-Injury 270
Chapter 26 Crisis and Disaster 280
Chapter 27 Anger, Aggression, and Violence 290
Chapter 28 Child, Older Adult, and Intimate Partner Violence 300
Chapter 29 Sexual Assault 309
Chapter 30 Dying, Death, and Grieving 318
Chapter 31 Older Adults 326
Chapter 32 Serious Mental Illness 338
Chapter 33 Forensic Nursing 351
Chapter 34 Therapeutic Groups 360
Chapter 35 Family Interventions 371
Chapter 36 Integrative Care 382
,Chapter 01: Mental Health and Mental Illness
Halter: Varcarolis’ Foundations of Psychiatric-Mental Health Nursing: A Clinical Approach, 9th Edition
MULTIPLE CHOICE
1. The scope of practiced for an advanced nurse practitioner would include which intervention?
a. Conducting a mental health assessment.
b. Prescribing psychotropic medication.
c. Establishing a therapeutic relationship.
d. Individualizing a nursing care plan.
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: 1DIF: Cognitive Level: Understand (Comprehension)
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- client ratios must be
better because of the nature of the clients’ 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.”
ANSWER: B
The spractice sof spsychiatric snursing srequires sa sdifferent sset sof sskills sthan smedical–surgical snursing, sthough
sthere sis ssubstantial soverlap. sPsychiatric snurses smust sbe sable sto shelp sclients swith smedical sas swell sas smental
shealth sproblems, sreflecting sthe sholistic sperspective sthese snurses smust shave. sNurse–client sratios sand
sworkloads sin spsychiatric ssettings shave sincreased, sjust slike sother sspecialties. sPsychiatric snursing sinvolves
sclinical spractice, snot sjust sdocumentation.
Psychosocial spain sand ssuffering sare sas sreal sas sphysical spain sand ssuffering.
PTS: s s s1 DIF: Cognitive sLevel: sApply s(Application)
TOP: s s sNursing sProcess: sImplementation MSC: sClient sNeeds: sSafe, sEffective sCare sEnvironment
3. When sa snew sbill sintroduced sin sCongress sreduces sfunding sfor scare sof spersons sdiagnosed swith smental
sillness, sa sgroup sof snurses swrite sletters sto stheir selected srepresentatives sin sopposition sto sthe slegislation.
sWhich srole shave sthe snurses sfulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based spractice
s
ANSWER: sC
An sadvocate sdefends sor sasserts sanother’s scause, sparticularly swhen sthe sother sperson slacks sthe sability sto sdo
sthat sfor sself. sExamples sof sindividual sadvocacy sinclude shelping sclients sunderstand stheir srights sor smake
sdecisions. sOn sa scommunity sscale, sadvocacy sincludes spolitical sactivity, spublic sspeaking, sand spublication sin
sthe sinterest sof simproving sthe shuman scondition. sSince sfunding sis snecessary sto sdeliver squality sprogramming
, sfor spersons swith smental sillness, sthe sletter- swriting scampaign sadvocates sfor sthat scause son sbehalf sof sclients
swho sare sunable sto sarticulate stheir sown sneeds.
PTS: s s s1 DIF: Cognitive sLevel: sUnderstand s(Comprehension)
TOP: s s sNursing sProcess: sEvaluation MSC: sClient sNeeds: sSafe, sEffective sCare sEnvironment
4. A sfamily shas sa slong shistory sof sconflicted srelationships samong sthe smembers. sWhich sfamily smember’s
scomment sbest sreflects sa smentally shealthy sperspective?
a. “I’ve smade smistakes sbut severyone selse sin sthis sfamily shas salso.”
b. “I sremember sjoy sand smutual srespect sfrom sour searly syears stogether.”
c. “I swill smake ssome schanges sin smy sbehavior sfor sthe sgood sof sthe sfamily.”
d. “It’s sbest sfor sme sto smove saway sfrom smy sfamily. sThings swill snever schange.”
ANSWER: sC
The scorrect sresponse sdemonstrates sthe sbest sevidence sof sa shealthy srecognition sof sthe simportance sof
srelationships. sMental shealth sincludes srational sthinking, scommunication sskills, slearning, semotional sgrowth,
sresilience, sand sself-esteem. sRecalling sjoy sfrom searlier sin slife smay sbe shealthy, sbut sthe scorrect sresponse
sshows sa shigher slevel sof smental shealth. sThe sother sincorrect sresponses sshow sblaming sand savoidance.
PTS: s s s1 DIF: Cognitive sLevel: sAnalyze s(Analysis)
TOP: sNursing sProcess: sAssessment MSC: sClient sNeeds: sPsychosocial sIntegrity
5. Which sassessment sfinding smost sclearly sindicates sthat sa sclient smay sbe sexperiencing sa smental sillness?
a. reporting soccasional ssleeplessness sand sanxiety.
b. reporting sa sconsistently ssad, sdiscouraged, sand shopeless smood.
c. being sable sto sdescribe sthe sdifference sbetween s“as sif” sand s“for sreal.”
d. experiencing sdifficulty smaking sa sdecision sabout swhether sto schange sjobs.
ANSWER: sB
The scorrect sresponse sdescribes sa smood salteration, swhich sreflects smental sillness. sThe sdistracters sdescribe
sbehaviors sthat sare smentally shealthy sor swithin sthe susual sscope sof shuman sexperience.
PTS: s s s1 DIF: Cognitive sLevel: sApply s(Application)
TOP: sNursing sProcess: sAssessment MSC: sClient sNeeds: sPsychosocial sIntegrity
6. Which sfinding sbest sindicates sthat sthe sgoal s“Demonstrate smentally shealthy sbehavior” swas sachieved
sfor san sadult sclient?
a. being swilling sto swork stowards sachieving sideals sand smeeting sdemands.
b. behaving swithout sconsidering sthe sconsequences sof spersonal sactions.
c. aggressively smeeting spersonal sneeds swithout sconsidering sthe srights sof sothers.
d. seeking shelp sfrom sothers sto savoid sassuming sresponsibility sfor smajor sareas sof sown slife.
s
ANSWER: sA
Mental shealth sis sa sstate sof swell-being sin swhich sindividuals sreach stheir sown spotential, scope swith sthe snormal
sstresses sof slife, swork sproductively, sand scontribute sto sthe scommunity. sMental shealth sprovides speople swith
sthe scapacity sfor srational sthinking, scommunication sskills, slearning, semotional sgrowth, sresilience, sand sself-
esteem. sThe scorrect sresponse sdescribes san sadaptive, shealthy sbehavior. sThe sdistracters sdescribe smaladaptive
sbehaviors.
PTS: s s s1 DIF: Cognitive sLevel: sApply s(Application)
TOP: s s sNursing sProcess: sEvaluation MSC: sClient sNeeds: sPsychosocial sIntegrity
7. A snurse sencounters san sunfamiliar spsychiatric sdisorder son sa snew sclient’s sadmission sform. sWhich
sresource sshould sthe snurse sconsult sto sdetermine scriteria sused sto sestablish sthis sdiagnosis?
a. International sStatistical sClassification sof sDiseases sand sRelated sHealth sProblems s(ICD-10)
b. The sANA’s sPsychiatric-Mental sHealth sNursing sScope sand sStandards sof sPractice
c. Diagnostic sand sStatistical sManual sof sMental sDisorders s(DSM-V)
