TEST BANK
f
Varcarolis' Foundations of Psychiatric-Mental Health Nursing
f f f f f
Margaret Jordan Halter
f f
9th Edition
f
,Table of Contents
f f
Chapterf01fMentalfHealthfandfMentalfIllness 2
Chapterf02fTheoriesfandfTherapiesfApproach 12
Chapterf03fPsychobiologyfandfPsychopharmacology 25
Chapterf04fTreatmentfSettings 37
Chapterf05fCulturalfImplications 50
Chapterf06fLegalfandfEthicalfConsiderations 61
Chapterf07fThefNursingfProcessfandfStandardsfoffCare 72
Chapterf08fTherapeuticfRelationships 83
Chapterf09fTherapeuticfCommunication 94
Chapterf10fStressfResponsesfandfStressfManagement 103
Chapterf11fChildhoodfandfNeurodevelopmentalfDisorders 113
Chapterf12fSchizophreniafSpectrumfDisorders 123
Chapterf13fBipolarfandfRelatedfDisorders 137
Chapterf14fDepressivefDisorders 150
Chapterf15fAnxietyfandfObsessive-CompulsivefDisorders 162
Chapterf16fTrauma,fStressor-Related,fandfDissociativefDisorders 175
Chapterf17fSomaticfSymptomfDisorders 187
Chapterf18fEatingfandfFeedingfDisorders 197
Chapterf19fSleep–WakefDisorders 207
Chapterf20fSexualfDysfunctions,fGenderfDysphoria,fandfParaphilicfDisorders 216
Chapterf21fImpulsefControlfDisorders 226
Chapterf22fSubstance-RelatedfandfAddictivefDisorders 236
Chapterf23fNeurocognitivefDisorders 248
Chapterf24fPersonalityfDisorders 259
Chapterf25fSuicidefandfNonsuicidalfSelf-Injury 270
Chapterf26fCrisisfandfDisaster 280
Chapterf27fAnger,fAggression,fandfViolence 290
Chapterf28fChild,fOlderfAdult,fandfIntimatefPartnerfViolence 300
Chapterf29fSexualfAssault 309
Chapterf30fDying,fDeath,fandfGrieving 318
Chapterf31fOlderfAdults 326
Chapterf32fSeriousfMentalfIllness 338
Chapterf33fForensicfNursing 351
Chapterf34fTherapeuticfGroups 360
Chapterf35fFamilyfInterventions 371
Chapterf36fIntegrativefCare 382
, TestfBankf-fVarcarolis'fFoundationsfoffPsychiatricfMentalfHealthfNursing,f9ef(Halter,f2022)
Chapterf01:fMentalfHealthfandfMentalfIllness
Halter:fVarcarolis’fFoundationsfoffPsychiatric-
MentalfHealthfNursing:fAfClinicalfApproach,f9thfEdition
MULTIPLEfCHOICE
1. Thefscopefoffpracticedf forfanfadvancedf nursefpractitionerf wouldfincludefwhichfintervention?
a. Conductingfaf mentalfhealthf assessment.
b. Prescribingf psychotropicf medication.
c. Establishingfaf therapeuticf relationship.
d. Individualizingf af nursingfcaref plan.
ANS:f B
Infmostfstates,fprescriptivefprivilegesfarefgrantedftofmaster’s-
preparedfnursefpractitionersfandfclinicalfnursefspecialistsfwhofhaveftakenfspecialfcoursesfonfpresc
ribingfmedication.fThefnursefpreparedfatfthefbasicflevelfisfpermittedftofperformfmentalfhealthfasse
ssments,festablishfrelationships,fandfprovidefindividualizedfcarefplanning.
PTS:f f 1 DIF: Cognitivef Level:f Understandf (Comprehension)
TOP:f f NursingfProcess:fImplementation MSC:f Clientf Needs:f Safe,fEffectivef CarefEnvironment
2. Afnursingfstudentfexpressesfconcernsfthatfmentalfhealthfnursesf“losefallftheirfclinicalfnursingfski
lls.”fSelectfthefbestfresponsefbyfthefmentalfhealthfnurse.
a. “Psychiatricfnursesfpracticefinfsaferfenvironmentsfthanfotherfspecialties.fNurse-to-
clientfratiosfmustfbefbetterfbecausefoffthefnaturefoffthefclients’fproblems.”
f
b. “Psychiatricfnursesfusefcomplexfcommunicationfskillsfasfwellfasfcriticalfthinkingftof
solvefmultidimensionalfproblems.fIfamfchallengedfbyfthosefsituations.”
c. “That’sfafmisconception.fPsychiatricfnursesffrequentlyfusefhighftechnologyfm
onitoringfequipmentfandfmanagefcomplexfintravenousftherapies.”
d. “Psychiatricfnursesfdofnotfhaveftofdealfwithfasfmuchfpainfandfsufferingfasfme
dical–surgicalfnursesfdo.fThatfappealsftofme.”
ANS:f B
Thefpracticefoffpsychiatricfnursingfrequiresfafdifferentfsetfoffskillsfthanfmedical–
surgicalfnursing,fthoughf therefisfsubstantialf overlap.fPsychiatricf nursesfmustf befablef tofhelpf clie
ntsfwithfmedicalfasfwellfasfmentalfhealthfproblems,freflectingfthefholisticfperspectivefthesefnursesf
mustfhave.fNurse–
clientfratiosfandfworkloadsfinfpsychiatricfsettingsfhavefincreased,fjustflikefotherfspecialties.fPsych
iatricfnursingfinvolvesfclinicalfpractice,fnotfjustfdocumentation.
Psychosocialfpainfandfsufferingfarefasfrealfasfphysicalfpainfandfsuffering.
PTS:f f 1 DIF: Cognitivef Level:fApplyf (Application)
TOP:f f NursingfProcess:fImplementation MSC:f Clientf Needs:f Safe,fEffectivef CarefEnvironment
3. WhenfafnewfbillfintroducedfinfCongressfreducesffundingfforfcarefoffpersonsfdiagnosedfwithfment
alfillness,fafgroupfoffnursesfwriteflettersftoftheirfelectedfrepresentativesfinfoppositionftoftheflegisla
tion.fWhichfrolefhavefthefnursesffulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-basedf practice
1f|fPfafgfe
, TestfBankf-fVarcarolis'fFoundationsfoffPsychiatricfMentalfHealthfNursing,f9ef(Halter,f2022)
ANS:f C
Anfadvocatefdefendsforfassertsfanother’sfcause,fparticularlyfwhenfthefotherfpersonflacksfthefabilit
yftofdofthatfforfself.fExamplesfoffindividualfadvocacyfincludefhelpingfclientsfunderstandftheirfrigh
tsforfmakefdecisions.fOnfafcommunityfscale,fadvocacyfincludesfpoliticalfactivity,fpublicfspeaking
,fandfpublicationfinfthefinterestfoffimprovingfthefhumanfcondition.fSinceffundingfisfnecessaryftofd
eliverfqualityfprogrammingfforfpersonsfwithfmentalfillness,fthefletter-
fwritingf campaign fadvocatesf forfthatfcausef onfbehalff off clientsf whofaref unableftof articulateftheirf
ownfneeds.
PTS:f f 1 DIF: Cognitivef Level:f Understandf (Comprehension)
TOP:f f NursingfProcess:f Evaluation MSC:f Clientf Needs:f Safe,fEffectivef CarefEnvironment
4. Affamilyfhasfaflongfhistoryfoffconflictedfrelationshipsfamongfthefmembers.fWhichffamilyfme
mber’sfcommentfbestfreflectsfafmentallyfhealthyfperspective?
a.“I’vefmadefmistakesfbutfeveryonefelsefinfthisffamilyfhasfalso.”
b.“Ifrememberfjoyf andfmutualfrespectffromfourfearlyfyearsftogether.”
c.“Ifwillf makefsomefchangesfinfmyfbehaviorfforfthefgoodfofftheffamily.”
d.“It’sfbestfforfmeftofmovefawayffromfmyffamily.fThingsfwillfneverfchange.”
ANS:f C
Thef correctfresponsefdemonstratesfthefbestfevidencefoffafhealthyfrecognitionf offthefimportancefo
ffrelationships.fMentalfhealthfincludesfrationalfthinking,fcommunicationfskills,flearning,femotion
alfgrowth,fresilience,fandfself-
esteem.fRecallingfjoyffromfearlierfinflifefmayfbefhealthy,fbutfthefcorrectfresponsefshowsfafhigherfl
evelfoffmentalfhealth.fThefotherfincorrectfresponsesfshowfblamingfandfavoidance.
PTS:f f 1 DIF: Cognitivef Level:fAnalyzef (Analysis)
TOP:f NursingfProcess:f Assessment MSC:f Clientf Needs:f PsychosocialfIntegrity
5. Whichfassessmentffindingfmostfclearlyfindicatesfthatfafclientfmayfbefexperiencingfafmentalfilln
ess?
a. reportingfoccasionalfsleeplessnessfandf anxiety.
b. reportingf af consistentlyfsad,f discouraged,f andfhopelessf mood.
c. beingfableftofdescribefthefdifferencefbetweenf“asfif”fandf“forfreal.”
d. experiencingfdifficultyf makingf afdecisionfaboutfwhetherf tofchangefjobs.
ANS:f B
Thefcorrectfresponsefdescribesfafmoodfalteration,fwhichfreflectsfmentalfillness.fThefdistractersfde
scribefbehaviorsf thatfarefmentallyf healthyf orfwithinf thefusualfscopefoffhumanfexperience.
PTS:f f 1 DIF: Cognitivef Level:fApplyf (Application)
TOP:f NursingfProcess:f Assessment MSC:f Clientf Needs:f PsychosocialfIntegrity
6. Whichffindingfbestfindicatesfthatfthefgoalf“Demonstratefmentallyfhealthyfbehavior”fwasfac
hievedfforfanfadultfclient?
a. beingfwillingftof workftowardsfachievingf idealsfandfmeetingf demands.
b. behavingfwithoutf consideringfthef consequencesfoff personalf actions.
c. aggressivelyf meetingfpersonalf needsfwithoutfconsideringf thefrightsf off others.
d. seekingfhelpffromfothersftofavoidfassumingfresponsibilityfforfmajorfareasfoffownflif
e.
2f|fPfafgfe
f
Varcarolis' Foundations of Psychiatric-Mental Health Nursing
f f f f f
Margaret Jordan Halter
f f
9th Edition
f
,Table of Contents
f f
Chapterf01fMentalfHealthfandfMentalfIllness 2
Chapterf02fTheoriesfandfTherapiesfApproach 12
Chapterf03fPsychobiologyfandfPsychopharmacology 25
Chapterf04fTreatmentfSettings 37
Chapterf05fCulturalfImplications 50
Chapterf06fLegalfandfEthicalfConsiderations 61
Chapterf07fThefNursingfProcessfandfStandardsfoffCare 72
Chapterf08fTherapeuticfRelationships 83
Chapterf09fTherapeuticfCommunication 94
Chapterf10fStressfResponsesfandfStressfManagement 103
Chapterf11fChildhoodfandfNeurodevelopmentalfDisorders 113
Chapterf12fSchizophreniafSpectrumfDisorders 123
Chapterf13fBipolarfandfRelatedfDisorders 137
Chapterf14fDepressivefDisorders 150
Chapterf15fAnxietyfandfObsessive-CompulsivefDisorders 162
Chapterf16fTrauma,fStressor-Related,fandfDissociativefDisorders 175
Chapterf17fSomaticfSymptomfDisorders 187
Chapterf18fEatingfandfFeedingfDisorders 197
Chapterf19fSleep–WakefDisorders 207
Chapterf20fSexualfDysfunctions,fGenderfDysphoria,fandfParaphilicfDisorders 216
Chapterf21fImpulsefControlfDisorders 226
Chapterf22fSubstance-RelatedfandfAddictivefDisorders 236
Chapterf23fNeurocognitivefDisorders 248
Chapterf24fPersonalityfDisorders 259
Chapterf25fSuicidefandfNonsuicidalfSelf-Injury 270
Chapterf26fCrisisfandfDisaster 280
Chapterf27fAnger,fAggression,fandfViolence 290
Chapterf28fChild,fOlderfAdult,fandfIntimatefPartnerfViolence 300
Chapterf29fSexualfAssault 309
Chapterf30fDying,fDeath,fandfGrieving 318
Chapterf31fOlderfAdults 326
Chapterf32fSeriousfMentalfIllness 338
Chapterf33fForensicfNursing 351
Chapterf34fTherapeuticfGroups 360
Chapterf35fFamilyfInterventions 371
Chapterf36fIntegrativefCare 382
, TestfBankf-fVarcarolis'fFoundationsfoffPsychiatricfMentalfHealthfNursing,f9ef(Halter,f2022)
Chapterf01:fMentalfHealthfandfMentalfIllness
Halter:fVarcarolis’fFoundationsfoffPsychiatric-
MentalfHealthfNursing:fAfClinicalfApproach,f9thfEdition
MULTIPLEfCHOICE
1. Thefscopefoffpracticedf forfanfadvancedf nursefpractitionerf wouldfincludefwhichfintervention?
a. Conductingfaf mentalfhealthf assessment.
b. Prescribingf psychotropicf medication.
c. Establishingfaf therapeuticf relationship.
d. Individualizingf af nursingfcaref plan.
ANS:f B
Infmostfstates,fprescriptivefprivilegesfarefgrantedftofmaster’s-
preparedfnursefpractitionersfandfclinicalfnursefspecialistsfwhofhaveftakenfspecialfcoursesfonfpresc
ribingfmedication.fThefnursefpreparedfatfthefbasicflevelfisfpermittedftofperformfmentalfhealthfasse
ssments,festablishfrelationships,fandfprovidefindividualizedfcarefplanning.
PTS:f f 1 DIF: Cognitivef Level:f Understandf (Comprehension)
TOP:f f NursingfProcess:fImplementation MSC:f Clientf Needs:f Safe,fEffectivef CarefEnvironment
2. Afnursingfstudentfexpressesfconcernsfthatfmentalfhealthfnursesf“losefallftheirfclinicalfnursingfski
lls.”fSelectfthefbestfresponsefbyfthefmentalfhealthfnurse.
a. “Psychiatricfnursesfpracticefinfsaferfenvironmentsfthanfotherfspecialties.fNurse-to-
clientfratiosfmustfbefbetterfbecausefoffthefnaturefoffthefclients’fproblems.”
f
b. “Psychiatricfnursesfusefcomplexfcommunicationfskillsfasfwellfasfcriticalfthinkingftof
solvefmultidimensionalfproblems.fIfamfchallengedfbyfthosefsituations.”
c. “That’sfafmisconception.fPsychiatricfnursesffrequentlyfusefhighftechnologyfm
onitoringfequipmentfandfmanagefcomplexfintravenousftherapies.”
d. “Psychiatricfnursesfdofnotfhaveftofdealfwithfasfmuchfpainfandfsufferingfasfme
dical–surgicalfnursesfdo.fThatfappealsftofme.”
ANS:f B
Thefpracticefoffpsychiatricfnursingfrequiresfafdifferentfsetfoffskillsfthanfmedical–
surgicalfnursing,fthoughf therefisfsubstantialf overlap.fPsychiatricf nursesfmustf befablef tofhelpf clie
ntsfwithfmedicalfasfwellfasfmentalfhealthfproblems,freflectingfthefholisticfperspectivefthesefnursesf
mustfhave.fNurse–
clientfratiosfandfworkloadsfinfpsychiatricfsettingsfhavefincreased,fjustflikefotherfspecialties.fPsych
iatricfnursingfinvolvesfclinicalfpractice,fnotfjustfdocumentation.
Psychosocialfpainfandfsufferingfarefasfrealfasfphysicalfpainfandfsuffering.
PTS:f f 1 DIF: Cognitivef Level:fApplyf (Application)
TOP:f f NursingfProcess:fImplementation MSC:f Clientf Needs:f Safe,fEffectivef CarefEnvironment
3. WhenfafnewfbillfintroducedfinfCongressfreducesffundingfforfcarefoffpersonsfdiagnosedfwithfment
alfillness,fafgroupfoffnursesfwriteflettersftoftheirfelectedfrepresentativesfinfoppositionftoftheflegisla
tion.fWhichfrolefhavefthefnursesffulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-basedf practice
1f|fPfafgfe
, TestfBankf-fVarcarolis'fFoundationsfoffPsychiatricfMentalfHealthfNursing,f9ef(Halter,f2022)
ANS:f C
Anfadvocatefdefendsforfassertsfanother’sfcause,fparticularlyfwhenfthefotherfpersonflacksfthefabilit
yftofdofthatfforfself.fExamplesfoffindividualfadvocacyfincludefhelpingfclientsfunderstandftheirfrigh
tsforfmakefdecisions.fOnfafcommunityfscale,fadvocacyfincludesfpoliticalfactivity,fpublicfspeaking
,fandfpublicationfinfthefinterestfoffimprovingfthefhumanfcondition.fSinceffundingfisfnecessaryftofd
eliverfqualityfprogrammingfforfpersonsfwithfmentalfillness,fthefletter-
fwritingf campaign fadvocatesf forfthatfcausef onfbehalff off clientsf whofaref unableftof articulateftheirf
ownfneeds.
PTS:f f 1 DIF: Cognitivef Level:f Understandf (Comprehension)
TOP:f f NursingfProcess:f Evaluation MSC:f Clientf Needs:f Safe,fEffectivef CarefEnvironment
4. Affamilyfhasfaflongfhistoryfoffconflictedfrelationshipsfamongfthefmembers.fWhichffamilyfme
mber’sfcommentfbestfreflectsfafmentallyfhealthyfperspective?
a.“I’vefmadefmistakesfbutfeveryonefelsefinfthisffamilyfhasfalso.”
b.“Ifrememberfjoyf andfmutualfrespectffromfourfearlyfyearsftogether.”
c.“Ifwillf makefsomefchangesfinfmyfbehaviorfforfthefgoodfofftheffamily.”
d.“It’sfbestfforfmeftofmovefawayffromfmyffamily.fThingsfwillfneverfchange.”
ANS:f C
Thef correctfresponsefdemonstratesfthefbestfevidencefoffafhealthyfrecognitionf offthefimportancefo
ffrelationships.fMentalfhealthfincludesfrationalfthinking,fcommunicationfskills,flearning,femotion
alfgrowth,fresilience,fandfself-
esteem.fRecallingfjoyffromfearlierfinflifefmayfbefhealthy,fbutfthefcorrectfresponsefshowsfafhigherfl
evelfoffmentalfhealth.fThefotherfincorrectfresponsesfshowfblamingfandfavoidance.
PTS:f f 1 DIF: Cognitivef Level:fAnalyzef (Analysis)
TOP:f NursingfProcess:f Assessment MSC:f Clientf Needs:f PsychosocialfIntegrity
5. Whichfassessmentffindingfmostfclearlyfindicatesfthatfafclientfmayfbefexperiencingfafmentalfilln
ess?
a. reportingfoccasionalfsleeplessnessfandf anxiety.
b. reportingf af consistentlyfsad,f discouraged,f andfhopelessf mood.
c. beingfableftofdescribefthefdifferencefbetweenf“asfif”fandf“forfreal.”
d. experiencingfdifficultyf makingf afdecisionfaboutfwhetherf tofchangefjobs.
ANS:f B
Thefcorrectfresponsefdescribesfafmoodfalteration,fwhichfreflectsfmentalfillness.fThefdistractersfde
scribefbehaviorsf thatfarefmentallyf healthyf orfwithinf thefusualfscopefoffhumanfexperience.
PTS:f f 1 DIF: Cognitivef Level:fApplyf (Application)
TOP:f NursingfProcess:f Assessment MSC:f Clientf Needs:f PsychosocialfIntegrity
6. Whichffindingfbestfindicatesfthatfthefgoalf“Demonstratefmentallyfhealthyfbehavior”fwasfac
hievedfforfanfadultfclient?
a. beingfwillingftof workftowardsfachievingf idealsfandfmeetingf demands.
b. behavingfwithoutf consideringfthef consequencesfoff personalf actions.
c. aggressivelyf meetingfpersonalf needsfwithoutfconsideringf thefrightsf off others.
d. seekingfhelpffromfothersftofavoidfassumingfresponsibilityfforfmajorfareasfoffownflif
e.
2f|fPfafgfe
