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 ........................................................... 24
CHAPTER 03: PSYCHOBIOLOGY AND PSYCHOPHARMACOLOGY ......................... 52
CHAPTER 04: TREATMENT SETTINGS ................................................................. 78
CHAPTER 05: CULTURAL IMPLICATIONS .......................................................... 107
CHAPTER 06: LEGAL AND ETHICAL CONSIDERATIONS ...................................... 132
CHAPTER 07: THE NURSING PROCESS AND STANDARDS OF CARE.................... 156
CHAPTER 08: THERAPEUTIC RELATIONSHIPS ................................................... 179
CHAPTER 09: THERAPEUTIC COMMUNICATION ............................................... 202
CHAPTER 10: STRESS RESPONSES AND STRESS MANAGEMENT ....................... 221
CHAPTER 11: CHILDHOOD AND NEURODEVELOPMENTAL DISORDERS ............ 241
CHAPTER 12: SCHIZOPHRENIA SPECTRUM DISORDERS .................................... 262
CHAPTER 13: BIPOLAR AND RELATED DISORDERS ........................................... 293
CHAPTER 14: DEPRESSIVE DISORDERS ............................................................. 322
CHAPTER 15: ANXIETY AND OBSESSIVE-COMPULSIVE DISORDERS................... 348
CHAPTER 16: TRAUMA, STRESSOR-RELATED, AND DISSOCIATIVE DISORDERS . 376
CHAPTER 17: SOMATIC SYMPTOM DISORDERS ............................................... 401
CHAPTER 18: EATING AND FEEDING DISORDERS ............................................. 423
CHAPTER 19: SLEEP–WAKE DISORDERS ........................................................... 445
CHAPTER 20: SEXUAL DYSFUNCTIONS, GENDER DYSPHORIA, AND PARAPHILIAS
....................................................................................................................... 465
CHAPTER 21: IMPULSE CONTROL DISORDERS .................................................. 486
CHAPTER 22: SUBSTANCE-RELATED AND ADDICTIVE DISORDERS .................... 504
CHAPTER 23: NEUROCOGNITIVE DISORDERS ................................................... 530
CHAPTER 24: PERSONALITY DISORDERS .......................................................... 555
CHAPTER 25: SUICIDE AND NONSUICIDAL SELF-INJURY ................................... 580
CHAPTER 26: CRISIS AND DISASTER ................................................................. 601
,CHAPTER 27: ANGER, AGGRESSION, AND VIOLENCE........................................ 622
CHAPTER 28: CHILD, OLDER ADULT, AND INTIMATE PARTNER VIOLENCE ........ 643
CHAPTER 29: SEXUAL ASSAULT ....................................................................... 661
CHAPTER 30: DYING, DEATH, AND GRIEVING .................................................. 680
CHAPTER 31: OLDER ADULTS........................................................................... 698
CHAPTER 32: SERIOUS MENTAL ILLNESS .......................................................... 724
CHAPTER 33: FORENSIC NURSING ................................................................... 751
CHAPTER 34: THERAPEUTIC GROUPS .............................................................. 770
CHAPTER 35: FAMILY INTERVENTIONS ............................................................ 794
CHAPTER 36: INTEGRATIVE CARE .................................................................... 817
,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.
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.‖
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
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.‖
, 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.
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)
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 ........................................................... 24
CHAPTER 03: PSYCHOBIOLOGY AND PSYCHOPHARMACOLOGY ......................... 52
CHAPTER 04: TREATMENT SETTINGS ................................................................. 78
CHAPTER 05: CULTURAL IMPLICATIONS .......................................................... 107
CHAPTER 06: LEGAL AND ETHICAL CONSIDERATIONS ...................................... 132
CHAPTER 07: THE NURSING PROCESS AND STANDARDS OF CARE.................... 156
CHAPTER 08: THERAPEUTIC RELATIONSHIPS ................................................... 179
CHAPTER 09: THERAPEUTIC COMMUNICATION ............................................... 202
CHAPTER 10: STRESS RESPONSES AND STRESS MANAGEMENT ....................... 221
CHAPTER 11: CHILDHOOD AND NEURODEVELOPMENTAL DISORDERS ............ 241
CHAPTER 12: SCHIZOPHRENIA SPECTRUM DISORDERS .................................... 262
CHAPTER 13: BIPOLAR AND RELATED DISORDERS ........................................... 293
CHAPTER 14: DEPRESSIVE DISORDERS ............................................................. 322
CHAPTER 15: ANXIETY AND OBSESSIVE-COMPULSIVE DISORDERS................... 348
CHAPTER 16: TRAUMA, STRESSOR-RELATED, AND DISSOCIATIVE DISORDERS . 376
CHAPTER 17: SOMATIC SYMPTOM DISORDERS ............................................... 401
CHAPTER 18: EATING AND FEEDING DISORDERS ............................................. 423
CHAPTER 19: SLEEP–WAKE DISORDERS ........................................................... 445
CHAPTER 20: SEXUAL DYSFUNCTIONS, GENDER DYSPHORIA, AND PARAPHILIAS
....................................................................................................................... 465
CHAPTER 21: IMPULSE CONTROL DISORDERS .................................................. 486
CHAPTER 22: SUBSTANCE-RELATED AND ADDICTIVE DISORDERS .................... 504
CHAPTER 23: NEUROCOGNITIVE DISORDERS ................................................... 530
CHAPTER 24: PERSONALITY DISORDERS .......................................................... 555
CHAPTER 25: SUICIDE AND NONSUICIDAL SELF-INJURY ................................... 580
CHAPTER 26: CRISIS AND DISASTER ................................................................. 601
,CHAPTER 27: ANGER, AGGRESSION, AND VIOLENCE........................................ 622
CHAPTER 28: CHILD, OLDER ADULT, AND INTIMATE PARTNER VIOLENCE ........ 643
CHAPTER 29: SEXUAL ASSAULT ....................................................................... 661
CHAPTER 30: DYING, DEATH, AND GRIEVING .................................................. 680
CHAPTER 31: OLDER ADULTS........................................................................... 698
CHAPTER 32: SERIOUS MENTAL ILLNESS .......................................................... 724
CHAPTER 33: FORENSIC NURSING ................................................................... 751
CHAPTER 34: THERAPEUTIC GROUPS .............................................................. 770
CHAPTER 35: FAMILY INTERVENTIONS ............................................................ 794
CHAPTER 36: INTEGRATIVE CARE .................................................................... 817
,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.
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.‖
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
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.‖
, 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.
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)
