Test Bank For
Varcarolis' Foundations Of Psychiatric-
Mental Health Nursing A Clinical 9th
Edition
By Margaret Jordan Halter | Chapter 1-36
,table of contents
chapter 01: mental health and mental illness...................................................... 4
chapter 02: theories and therapies.................................................................... 23
chapter 03: psychobiology and psychopharmacology ....................................... 51
chapter 04: treatment settings.......................................................................... 77
chapter 05: cultural implications ..................................................................... 106
chapter 06: legal and ethical considerations ................................................... 130
chapter 07: the nursing process and standards of care .................................... 153
chapter 08: therapeutic relationships.............................................................. 176
chapter 09: therapeutic communication.......................................................... 199
chapter 10: stress responses and stress management ..................................... 218
chapter 11: childhood and neurodevelopmental disorders .............................. 238
chapter 12: schizophrenia spectrum disorders ................................................. 258
chapter 13: bipolar and related disorders ....................................................... 289
chapter 14: depressive disorders ..................................................................... 318
chapter 15: anxiety and obsessive-compulsive disorders ................................. 343
chapter 16: trauma, stressor-related, and dissociative disorders..................... 371
chapter 17: somatic symptom disorders .......................................................... 396
chapter 18: eating and feeding disorders ........................................................ 417
chapter 19: sleep–wake disorders ................................................................... 439
chapter 20: sexual dysfunctions, gender dysphoria, and paraphilias ............... 460
chapter 21: impulse control disorders ............................................................. 480
chapter 22: substance-related and addictive disorders.................................... 497
chapter 23: neurocognitive disorders .............................................................. 523
chapter 24: personality disorders .................................................................... 548
chapter 25: suicide and nonsuicidal self-injury ................................................ 572
chapter 26: crisis and disaster ......................................................................... 592
chapter 27: anger, aggression, and violence ................................................... 613
,chapter 28: child, older adult, and intimate partner violence .......................... 635
chapter 29: sexual assault ............................................................................... 652
chapter 30: dying, death, and grieving ............................................................ 670
chapter 31: older adults .................................................................................. 688
chapter 32: serious mental illness ................................................................... 714
chapter 33: forensic nursing ............................................................................ 740
chapter 34: therapeutic groups ....................................................................... 759
chapter 35: family interventions ..................................................................... 783
chapter 36: integrative care ............................................................................ 805
,chapter 01: mental health and mental illness
halter: varcarolis’ foundations of psychiatric mental health nursing: a clinical
approach, 9th edition
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.
ans: 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.‖
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: 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
ans: 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.‖
Varcarolis' Foundations Of Psychiatric-
Mental Health Nursing A Clinical 9th
Edition
By Margaret Jordan Halter | Chapter 1-36
,table of contents
chapter 01: mental health and mental illness...................................................... 4
chapter 02: theories and therapies.................................................................... 23
chapter 03: psychobiology and psychopharmacology ....................................... 51
chapter 04: treatment settings.......................................................................... 77
chapter 05: cultural implications ..................................................................... 106
chapter 06: legal and ethical considerations ................................................... 130
chapter 07: the nursing process and standards of care .................................... 153
chapter 08: therapeutic relationships.............................................................. 176
chapter 09: therapeutic communication.......................................................... 199
chapter 10: stress responses and stress management ..................................... 218
chapter 11: childhood and neurodevelopmental disorders .............................. 238
chapter 12: schizophrenia spectrum disorders ................................................. 258
chapter 13: bipolar and related disorders ....................................................... 289
chapter 14: depressive disorders ..................................................................... 318
chapter 15: anxiety and obsessive-compulsive disorders ................................. 343
chapter 16: trauma, stressor-related, and dissociative disorders..................... 371
chapter 17: somatic symptom disorders .......................................................... 396
chapter 18: eating and feeding disorders ........................................................ 417
chapter 19: sleep–wake disorders ................................................................... 439
chapter 20: sexual dysfunctions, gender dysphoria, and paraphilias ............... 460
chapter 21: impulse control disorders ............................................................. 480
chapter 22: substance-related and addictive disorders.................................... 497
chapter 23: neurocognitive disorders .............................................................. 523
chapter 24: personality disorders .................................................................... 548
chapter 25: suicide and nonsuicidal self-injury ................................................ 572
chapter 26: crisis and disaster ......................................................................... 592
chapter 27: anger, aggression, and violence ................................................... 613
,chapter 28: child, older adult, and intimate partner violence .......................... 635
chapter 29: sexual assault ............................................................................... 652
chapter 30: dying, death, and grieving ............................................................ 670
chapter 31: older adults .................................................................................. 688
chapter 32: serious mental illness ................................................................... 714
chapter 33: forensic nursing ............................................................................ 740
chapter 34: therapeutic groups ....................................................................... 759
chapter 35: family interventions ..................................................................... 783
chapter 36: integrative care ............................................................................ 805
,chapter 01: mental health and mental illness
halter: varcarolis’ foundations of psychiatric mental health nursing: a clinical
approach, 9th edition
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.
ans: 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.‖
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: 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
ans: 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.‖
