Foundations of Psychiatric Mental Health Nursing

Prepare for nursing exams with this comprehensive Test Bank for Varcarolis' Foundations of Psychiatric-Mental Health Nursing: A Clinical Approach, 9th Edition by Margaret Jordan Halter. This study resource includes Chapters 1–36 and features a well-organized collection of multiple-choice questions with accurate answers to help students strengthen their understanding of psychiatric and mental health nursing while preparing for quizzes, exams, and NCLEX-style assessments. Features Comple...

MULTIPLE CHOICE 1. A nurse is anxious about assessing the sexual history of a client who is considerably older than the nurse is. Which statement would be most appropriate for obtaining information about the client’s sexual practices? a. “Some people are not sexually active, others have a partner, and some have several partners. What has been your pattern?” b. “Sexual health can reflect a number of medical problems, so I’d like to ask if you have any sexual problems you think we s...

MULTIPLE CHOICE 1. A nurse talks with a woman who recently learned that her husband died while jogging. What is the appropriate statement for the nurse to provide in response? a. “At least your husband did not suffer.” b. “It’s better to go quickly as your husband did.” c. “Your husband’s loss must be very painful for you.” d. “You will begin to feel better after you get over the shock.” ANS: C The most helpful responses by others validate the bereaved person’s...

MULTIPLE CHOICE 1. For which client would it be most important for the nurse to urge immediate discontinuation of kava? a. A client with a comorbid diagnosis of cirrhosis. b. A client with a comorbid diagnosis of osteoarthritis. c. A client with a comorbid diagnosis of multiple sclerosis. d. A client with a comorbid diagnosis of chronic back pain. ANS: A Kava should be used with caution in clients with liver disease because of its potentially hepatotoxic effects. The other health pr...

MULTIPLE CHOICE 1. A 79-year-old adult tells a nurse, “I have felt very sad lately. I do not have much to live for. My family and friends are all dead, and my own health is failing.” The nurse should analyze this comment as suggestive of what? a. normal pessimism of the elderly. b. evidence of risks for suicide. c. a call for sympathy. d. normal grieving. ANS: B The client describes loss of significant others, economic security, and health. He describes mood alteration and voice...

MULTIPLE CHOICE 1. Three members of a therapy group share covert glances as other members of the group describe problems. When one makes a statement that subtly criticizes another speaker, the others nod in agreement. Which group dynamic should the leader suspect? a. Some members are acting as a subgroup instead of as members of the main group. b. Some of the members have become bored and are disregarding others. c. Three members are showing their frustration with slower members. d. The l...

MULTIPLE CHOICE 1. In which circumstance would a psychiatric forensic nurse examiner determine it appropriate for a defendant and attorney to consider the insanity defense? a. The defendant shot a drug dealer who tried to overcharge for cocaine. b. The defendant acted on auditory hallucinations of the voice of God commanding, c. “Kill the children.” d. The defendant tampered with the brakes on his wife’s car after discovering she had an extramarital affair. The defendant was fright...

Halter Varcarolis A Clinical Approach 9th Edition MULTIPLE CHOICE 1. Which situation demonstrates use of primary intervention related to crisis? a. Implementation of suicide precautions for a depressed client b. Teaching stress-reduction techniques to a first-year college student c. Assessing coping strategies used by a client who attempted suicide d. Referring a client diagnosed with schizophrenia to a partial hospitalization program ANS: B Primary care-related crisis intervent...

MULTIPLE CHOICE 1. A rape victim visited a rape crisis counselor weekly for 8 weeks. At the end of this counseling period, which comment by the victim best demonstrates that reorganization was successful, and the victim is now in recovery? a. “I have a rash on my buttocks. It itches all the time.” b. “Now I know what I did that triggered the attack on me.” c. “I’m sleeping better although I still have an occasional nightmare.” d. “I have lost 8 pounds since the attack, but...

MULTIPLE CHOICE 1. An emergency code was called after a client pulled a dinner knife from a pocket and threatened, “I will kill anyone who tries to get near me.” The client was safely disarmed and placed in seclusion. What is the justification for this use of seclusion? a. The client was threatening to others. b. The client was experiencing psychosis. c. The client presented an undeniable escape risk. d. The client presented a clear and present danger to others. ANS: D The clien...

MULTIPLE CHOICE 1. Which features should be present in a therapeutic milieu for a client experiencing a hallucinogen overdose? a. Simple and safe b. Active and bright c. Stimulating and colorful d. Confrontational and challenging ANS: A Because the individual who has ingested a hallucinogen is probably experiencing feelings of unreality and altered sensory perceptions, the best environment is one that does not add to the stimulation. A simple, safe environment is a better choice tha...

MULTIPLE CHOICE 1. The family of a child diagnosed with an impulse control disorder needs help to function more adaptively. Which aspect of the child‘s plan of care will be provided by an advanced practice nurse rather than a staff nurse? a. Leading an activity group b. Providing positive feedback c. Formulating nursing diagnoses d. Dialectical behavioral therapy (DBT) ANS: D The advanced practice nurse role includes individual, group, and family psychotherapist; educator of nurs...

MULTIPLE CHOICE 1. Which statement made by a client diagnosed with borderline personality disorder indicates the treatment plan is effective? a. “I think you are the best nurse on the unit.” b. “I’m never going to get high on drugs again.” c. “I felt empty and wanted to hurt myself, so I called you.” d. “I hate my mother. I called her today, and she wasn’t home.” ANS: C Seeking a staff member instead of impulsively self-mutilating shows an adaptive coping strateg...

MULTIPLE CHOICE 1. An older adult client in the intensive care unit is experiencing visual illusions. Which intervention will be most helpful? a. Apply the client’s glasses. b. Place personally meaningful objects in view. c. Position large clocks and calendars on the wall. d. Assure that the room is brightly lit but very quiet at all times. ANS: A Illusions are sensory misperceptions. Glasses and hearing aids help clarify sensory perceptions. Without glasses, clocks, calendars, an...

MULTIPLE CHOICE 1. Which comment by a client who recently experienced a myocardial infarction indicates use of maladaptive, ineffective coping strategies? a. “My employer should have paid for a health club membership for me.” b. “My family will see me through this. It won’t be easy, but I will never be alone.” c. “My heart attack was no fun, but it showed me up the importance of a good diet and more exercise.” d. “I accept that I have heart disease. Now I need to decide if...

MULTIPLE CHOICE 1. The gas pedal on a person’s car became stuck on a busy interstate highway, causing the car to accelerate rapidly. For 20 minutes, the car was very difficult to control. In the months after this experience, afterward, which assessment finding would the nurse expect? a. Weight gain b. Flashbacks c. Headache d. Diuresis ANS: B The scenario depicts a frightening, traumatic, and stressful situation. Severe dissociation or “mind flight” may occur for those who hav...

MULTIPLE CHOICE 1. Which season would be most associated with increased periods of wakefulness in the general population? a. Summer b. Winter c. Spring d. Fall ANS: A Circadian drive is associated with physiology. Light is the main exogenous factor that drives wakefulness. Days are longest in summer. PTS: 1 DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Assessment MSC: Client Needs: Physiological Integrity 2. Normally, most people sleep at night. W...

MULTIPLE CHOICE 1. A nurse provides care for an adolescent client diagnosed with an eating disorder. Which behavior by this nurse indicates that additional clinical supervision is needed? a. The nurse interacts with the client in a protective fashion. b. The nurse’s comments to the client are compassionate and nonjudgmental. c. The nurse teaches the client to recognize signs of increasing anxiety and ways to intervene. d. The nurse refers the client to a self-help group for individuals ...

MULTIPLE CHOICE 1. A nurse sits with a client diagnosed with schizophrenia. The client starts to laugh uncontrollably, although the nurse has not said anything funny. What is the nurse’s most therapeutic response? a. “Why are you laughing?” b. “Please share the joke with me.” c. “I don’t think I said anything funny.” d. “You’re laughing. Tell me what’s happening.” ANS: D The client is likely laughing in response to inner stimuli, such as hallucinations or fan...