VARCAROLIS' FOUNDATIONS OF
PSYCHIATRIC-MENTAL
HEALTH NURSING A CLINICAL 9TH EDITION
BY MARGARET JORDAN HALTER CHAPTER 1-
36 |TEST BANK| EXAM WITH QUESTIONS AND
CORRECT ANSWERS
Chapter 01: Mental Health and Mental Illness Halter
MULTIPLE CHOICE
1. Which individual is demonstrating the highest level of resilience? One who
a. is able to repress stressors.
b. becomes depressed after the death of a spouse.
c. lives in a shelter for 2 years after the home is destroyed by fire.
d. takes a temporary job to maintain financial stability after loss of a permanent job.
ANS: D
Resilience is closely associated with the process of adapting and helps people facing tragedies,
loss, trauma, and severe stress. It is the ability and capacity for people to secure the resources
they need to support their well-being. Repression and depression are unhealthy. Living in a
shelter for 2 years shows a failure to move forward after a tragedy. See related audience
response question.
PTS: 1 DIF: Cognitive Level: Apply (Application) REF: Pages 1-5, 6 TOP:
Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity
2. Complete this analogy. NANDA: clinical judgment: NIC: a. patient
outcomes.
b. nursing actions.
Page 1 of 812
, c. diagnosis.
d. symptoms.
ANS: B
Analogies show parallel relationships. NANDA, the North American Nursing Diagnosis
Association, identifies diagnostic statements regarding human responses to actual or potential
health problems. These statements represent clinical judgments. NIC (Nursing Interventions
Classification) identifies actions provided by nurses that enhance patient outcomes. Nursing
care activities may be direct or indirect.
PTS: 1 DIF: Cognitive Level: Analyze (Analysis)
REF: Pages 1-21, 22 TOP: Nursing Process: Evaluation
MSC: Client Needs: Safe, Effective Care Environment
3. An adult says, ―Most of the time I‘m happy and feel good about myself. I have learned that
what I get out of something is proportional to the effort I put into it.‖ Which number on this mental health
continuum should the nurse select?
Ment al Illness Mental Health
1 2 3 4 5
a. 1
b. 2
c. 3
d. 4
e. 5
ANS: E
The adult is generally happy and has an adequate self-concept. The statement indicates the
adult is reality-oriented, works effectively, and has control over own behavior. Mental health
does not mean that a person is always happy.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Pages 1-2, 3, 32 (Figure 1-1) TOP: Nursing Process: Assessment MSC: Client
Needs: Psychosocial Integrity
4. Which disorder is an example of a culture-bound syndrome?
a. Epilepsy
b. Schizophrenia
c. Running amok
d. Major depressive disorder
2
, ANS: C
Culture-bound syndromes occur in specific sociocultural contexts and are easily recognized
by people in those cultures. A syndrome recognized in parts of Southeast Asia is running
amok, in which a person (usually a male) runs around engaging in furious, almost
indiscriminate violent behavior.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-7 TOP: Nursing
Process: Assessment
MSC: Client Needs: Psychosocial Integrity
5. The DSM-V classifies:
a. deviant behaviors.
b. present disability or distress.
c. people with mental disorders.
d. mental disorders people have.
ANS: D
The DSM-V classifies disorders people have rather than people themselves. The terminology of
the tool reflects this distinction by referring to individuals with a disorder rather than as a
―schizophrenic‖ or ―alcoholic,‖ for example. Deviant behavior is not generally considered a
mental disorder. Present disability or distress is only one aspect of the diagnosis.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: Pages 1-18, 19 TOP: Nursing Process: Implementation
MSC: Client Needs: Safe, Effective Care Environment
6. A citizen at a community health fair asks the nurse, ―What is the most prevalent mental
disorder in the United States?‖ Select the nurse‘s correct response. a. Schizophrenia b. Bipolar
disorder
c. Dissociative fugue
d. Alzheimer‘s disease
ANS: D
The 12-month prevalence for Alzheimer‘s disease is 10% for persons older than 65% and 50%
for persons older than 85. The prevalence of schizophrenia is 1.1% per year. The prevalence of
bipolar disorder is 2.6%. Dissociative fugue is a rare disorder.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: Page 1-33 (Table 1-1) TOP: Nursing Process: Implementation MSC: Client Needs:
Health Promotion and Maintenance
Page 3 of 812
, 7. In the majority culture of the United States, which individual has the greatest risk to be labeled
mentally ill? One who
a. describes hearing God‘s voice speaking.
b. is usually pessimistic but strives to meet personal goals.
c. is wealthy and gives away $20 bills to needy individuals.
d. always has an optimistic viewpoint about life and having own needs met.
ANS: A
The question asks about risk. Hearing voices is generally associated with mental illness, but in
charismatic religious groups, hearing the voice of God or a prophet is a desirable event. Cultural
norms vary, which makes it more difficult to make an accurate diagnosis. The individuals
described in the other options are less likely to be labeled mentally ill.
PTS: 1 DIF: Cognitive Level: Analyze (Analysis) REF: Pages 1-3, 4 TOP:
Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity
8. A patient‘s relationships are intense and unstable. The patient initially idealizes the significant
other and then devalues him or her, resulting in frequent feelings of emptiness. This patient
will benefit from interventions to develop which aspect of mental health? a. Effectiveness in
work b. Communication skills
c. Productive activities
d. Fulfilling relationships
ANS: D
The information given centers on relationships with others that are described as intense and
unstable. The relationships of mentally healthy individuals are stable, satisfying, and socially
4
PSYCHIATRIC-MENTAL
HEALTH NURSING A CLINICAL 9TH EDITION
BY MARGARET JORDAN HALTER CHAPTER 1-
36 |TEST BANK| EXAM WITH QUESTIONS AND
CORRECT ANSWERS
Chapter 01: Mental Health and Mental Illness Halter
MULTIPLE CHOICE
1. Which individual is demonstrating the highest level of resilience? One who
a. is able to repress stressors.
b. becomes depressed after the death of a spouse.
c. lives in a shelter for 2 years after the home is destroyed by fire.
d. takes a temporary job to maintain financial stability after loss of a permanent job.
ANS: D
Resilience is closely associated with the process of adapting and helps people facing tragedies,
loss, trauma, and severe stress. It is the ability and capacity for people to secure the resources
they need to support their well-being. Repression and depression are unhealthy. Living in a
shelter for 2 years shows a failure to move forward after a tragedy. See related audience
response question.
PTS: 1 DIF: Cognitive Level: Apply (Application) REF: Pages 1-5, 6 TOP:
Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity
2. Complete this analogy. NANDA: clinical judgment: NIC: a. patient
outcomes.
b. nursing actions.
Page 1 of 812
, c. diagnosis.
d. symptoms.
ANS: B
Analogies show parallel relationships. NANDA, the North American Nursing Diagnosis
Association, identifies diagnostic statements regarding human responses to actual or potential
health problems. These statements represent clinical judgments. NIC (Nursing Interventions
Classification) identifies actions provided by nurses that enhance patient outcomes. Nursing
care activities may be direct or indirect.
PTS: 1 DIF: Cognitive Level: Analyze (Analysis)
REF: Pages 1-21, 22 TOP: Nursing Process: Evaluation
MSC: Client Needs: Safe, Effective Care Environment
3. An adult says, ―Most of the time I‘m happy and feel good about myself. I have learned that
what I get out of something is proportional to the effort I put into it.‖ Which number on this mental health
continuum should the nurse select?
Ment al Illness Mental Health
1 2 3 4 5
a. 1
b. 2
c. 3
d. 4
e. 5
ANS: E
The adult is generally happy and has an adequate self-concept. The statement indicates the
adult is reality-oriented, works effectively, and has control over own behavior. Mental health
does not mean that a person is always happy.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Pages 1-2, 3, 32 (Figure 1-1) TOP: Nursing Process: Assessment MSC: Client
Needs: Psychosocial Integrity
4. Which disorder is an example of a culture-bound syndrome?
a. Epilepsy
b. Schizophrenia
c. Running amok
d. Major depressive disorder
2
, ANS: C
Culture-bound syndromes occur in specific sociocultural contexts and are easily recognized
by people in those cultures. A syndrome recognized in parts of Southeast Asia is running
amok, in which a person (usually a male) runs around engaging in furious, almost
indiscriminate violent behavior.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-7 TOP: Nursing
Process: Assessment
MSC: Client Needs: Psychosocial Integrity
5. The DSM-V classifies:
a. deviant behaviors.
b. present disability or distress.
c. people with mental disorders.
d. mental disorders people have.
ANS: D
The DSM-V classifies disorders people have rather than people themselves. The terminology of
the tool reflects this distinction by referring to individuals with a disorder rather than as a
―schizophrenic‖ or ―alcoholic,‖ for example. Deviant behavior is not generally considered a
mental disorder. Present disability or distress is only one aspect of the diagnosis.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: Pages 1-18, 19 TOP: Nursing Process: Implementation
MSC: Client Needs: Safe, Effective Care Environment
6. A citizen at a community health fair asks the nurse, ―What is the most prevalent mental
disorder in the United States?‖ Select the nurse‘s correct response. a. Schizophrenia b. Bipolar
disorder
c. Dissociative fugue
d. Alzheimer‘s disease
ANS: D
The 12-month prevalence for Alzheimer‘s disease is 10% for persons older than 65% and 50%
for persons older than 85. The prevalence of schizophrenia is 1.1% per year. The prevalence of
bipolar disorder is 2.6%. Dissociative fugue is a rare disorder.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: Page 1-33 (Table 1-1) TOP: Nursing Process: Implementation MSC: Client Needs:
Health Promotion and Maintenance
Page 3 of 812
, 7. In the majority culture of the United States, which individual has the greatest risk to be labeled
mentally ill? One who
a. describes hearing God‘s voice speaking.
b. is usually pessimistic but strives to meet personal goals.
c. is wealthy and gives away $20 bills to needy individuals.
d. always has an optimistic viewpoint about life and having own needs met.
ANS: A
The question asks about risk. Hearing voices is generally associated with mental illness, but in
charismatic religious groups, hearing the voice of God or a prophet is a desirable event. Cultural
norms vary, which makes it more difficult to make an accurate diagnosis. The individuals
described in the other options are less likely to be labeled mentally ill.
PTS: 1 DIF: Cognitive Level: Analyze (Analysis) REF: Pages 1-3, 4 TOP:
Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity
8. A patient‘s relationships are intense and unstable. The patient initially idealizes the significant
other and then devalues him or her, resulting in frequent feelings of emptiness. This patient
will benefit from interventions to develop which aspect of mental health? a. Effectiveness in
work b. Communication skills
c. Productive activities
d. Fulfilling relationships
ANS: D
The information given centers on relationships with others that are described as intense and
unstable. The relationships of mentally healthy individuals are stable, satisfying, and socially
4
