TEST BANK For Varcarolis Essentials of Psychiatric Mental
Health Nursing, 5th Edition (Fosbre, 2024), Verified Chapters 1
- 28, Complete Newest Version
Which statement best describes the DSM-5?
a. It is a medical psychiatric assessment system.
b. It is a compendium of treatment modalities.
c. It offers a complete list of nursing diagnoses.
d. It suggests common interventions for mental disorder - ANSWER: a. It is a medical
psychiatric assessment system.
Asylum-based training programs began in the late 1800s in Canada. What was the
rationale for initiating psychiatric nursing training?
a. There were greater needs for custodial care
b. Changes in treatment approaches meant greater needs for nursing care and
assistance
c. The early feminist movement advocated for career training for women and girls
d. The moral treatment era meant that early psychotherapy strategies were desired
in asylum settings - ANSWER: b. Changes in treatment approaches meant greater
needs for nursing care and assistance.
A cognitive therapist would help a patient restructure the thought "I am stupid!" to...
a. "What I did was stupid."
b. "I am not as smart as others."
c. "Things usually go wrong for me."
d. "Things like this should not happen to anyone. - ANSWER: a. "What I did was
stupid."
Treatment of mental illnesses with psychotropic drugs is directed at which of the
following?
a. Altering brain neurochemistry
b. Correcting brain anatomical defects
c. Regulating social behaviours
d. Activating the body's normal response to stress - ANSWER: a. Altering brain
neurochemistry
Which imaging technique can provide information about brain function?
a. Computed tomography (CT) scan
b. Positron emission tomography (PET) scan
c. Magnetic resonance imaging (MRI) scan
,d. Skull radiograph - ANSWER: b. Positron emission tomography (PET) scan
Which statement regarding patients' rights after being voluntarily admitted to an
acute care psychiatric unit is true?
a. All rights remain intact.
b. All rights are temporarily suspended.
c. The right to refuse treatment is no longer guaranteed.
d. Only rights that do not involve decision making remain intact. - ANSWER: a. All
rights remain intact.
Which is a characteristic of a therapeutic inpatient milieu?
a. It provides for the patient's safety and comfort.
b. Voluntarily admitted patients are generally allowed additional privileges.
c. Rules and behavioural limits are flexibly enforced.
d. Staff provide frequent and ongoing negative feedback to patients. - ANSWER: a. It
provides for the patient's safety and comfort.
Which attribute would be least helpful for a community mental health nurse to
have?
a. Autonomy
b. Reactive manner
c. Non-judgemental attitude
d. Ability to cross service systems - ANSWER: b. Reactive manner
Which ethical principle refers to the individual's right to make his or her own
decisions?
a. Beneficence
b. Autonomy
c. Veracity
d. Fidelity - ANSWER: b. Autonomy
The mental status examination aids in the collection of what type of data?
a. Covert
b. Physical
c. Objective
d. Subjective - ANSWER: c. Objective
Which of the following is an example of an action that is acceptable in a social
relationship but not in a therapeutic relationship?
a. Giving advice
b. Listening actively
, c. Clarifying feelings
d. Giving positive regard - ANSWER: a. Giving advice
To help a patient develop his or her resources, the nurse must first be aware of
which of the following?
a. The patient's strengths
b. Negative transferences
c. Counter-transferences
d. Resistances - ANSWER: a. The patient's strengths
One of the possible sources of boundary violations is placing the focus on which of
the following?
a. Meeting the nurse's needs
b. Identifying patient disturbances
c. Assessing the patient's ego strength
d. Assessing the patient's weaknesses - ANSWER: a. Meeting the nurse's needs
What therapeutic communication technique is the nurse using by asking a newly
admitted patient, "Can you tell me what was happening to you that led to your being
hospitalized here?"
a. Using a minimal encourager
b. Using an open-ended question
c. Paraphrasing
d. Reflecting - ANSWER: b. Using an open-ended question
Stress can be attributed to stimulation of the hypothalamus-pituitary-adrenal cortex,
and over the long term it can result in which of the following?
a. Glucose intolerance
b. A high resting heart rate
c. Digestive problems
d. Chronic muscle tension - ANSWER: a. Glucose intolerance
A man continues to speak of his wife as though she were still alive, 3 years after her
death. This behaviour suggests the use of which of the following defence
mechanisms?
a. Altruism
b. Denial
c. Undoing
d. Suppression - ANSWER: b. Denial
An obsession is defined as which of the following?
Health Nursing, 5th Edition (Fosbre, 2024), Verified Chapters 1
- 28, Complete Newest Version
Which statement best describes the DSM-5?
a. It is a medical psychiatric assessment system.
b. It is a compendium of treatment modalities.
c. It offers a complete list of nursing diagnoses.
d. It suggests common interventions for mental disorder - ANSWER: a. It is a medical
psychiatric assessment system.
Asylum-based training programs began in the late 1800s in Canada. What was the
rationale for initiating psychiatric nursing training?
a. There were greater needs for custodial care
b. Changes in treatment approaches meant greater needs for nursing care and
assistance
c. The early feminist movement advocated for career training for women and girls
d. The moral treatment era meant that early psychotherapy strategies were desired
in asylum settings - ANSWER: b. Changes in treatment approaches meant greater
needs for nursing care and assistance.
A cognitive therapist would help a patient restructure the thought "I am stupid!" to...
a. "What I did was stupid."
b. "I am not as smart as others."
c. "Things usually go wrong for me."
d. "Things like this should not happen to anyone. - ANSWER: a. "What I did was
stupid."
Treatment of mental illnesses with psychotropic drugs is directed at which of the
following?
a. Altering brain neurochemistry
b. Correcting brain anatomical defects
c. Regulating social behaviours
d. Activating the body's normal response to stress - ANSWER: a. Altering brain
neurochemistry
Which imaging technique can provide information about brain function?
a. Computed tomography (CT) scan
b. Positron emission tomography (PET) scan
c. Magnetic resonance imaging (MRI) scan
,d. Skull radiograph - ANSWER: b. Positron emission tomography (PET) scan
Which statement regarding patients' rights after being voluntarily admitted to an
acute care psychiatric unit is true?
a. All rights remain intact.
b. All rights are temporarily suspended.
c. The right to refuse treatment is no longer guaranteed.
d. Only rights that do not involve decision making remain intact. - ANSWER: a. All
rights remain intact.
Which is a characteristic of a therapeutic inpatient milieu?
a. It provides for the patient's safety and comfort.
b. Voluntarily admitted patients are generally allowed additional privileges.
c. Rules and behavioural limits are flexibly enforced.
d. Staff provide frequent and ongoing negative feedback to patients. - ANSWER: a. It
provides for the patient's safety and comfort.
Which attribute would be least helpful for a community mental health nurse to
have?
a. Autonomy
b. Reactive manner
c. Non-judgemental attitude
d. Ability to cross service systems - ANSWER: b. Reactive manner
Which ethical principle refers to the individual's right to make his or her own
decisions?
a. Beneficence
b. Autonomy
c. Veracity
d. Fidelity - ANSWER: b. Autonomy
The mental status examination aids in the collection of what type of data?
a. Covert
b. Physical
c. Objective
d. Subjective - ANSWER: c. Objective
Which of the following is an example of an action that is acceptable in a social
relationship but not in a therapeutic relationship?
a. Giving advice
b. Listening actively
, c. Clarifying feelings
d. Giving positive regard - ANSWER: a. Giving advice
To help a patient develop his or her resources, the nurse must first be aware of
which of the following?
a. The patient's strengths
b. Negative transferences
c. Counter-transferences
d. Resistances - ANSWER: a. The patient's strengths
One of the possible sources of boundary violations is placing the focus on which of
the following?
a. Meeting the nurse's needs
b. Identifying patient disturbances
c. Assessing the patient's ego strength
d. Assessing the patient's weaknesses - ANSWER: a. Meeting the nurse's needs
What therapeutic communication technique is the nurse using by asking a newly
admitted patient, "Can you tell me what was happening to you that led to your being
hospitalized here?"
a. Using a minimal encourager
b. Using an open-ended question
c. Paraphrasing
d. Reflecting - ANSWER: b. Using an open-ended question
Stress can be attributed to stimulation of the hypothalamus-pituitary-adrenal cortex,
and over the long term it can result in which of the following?
a. Glucose intolerance
b. A high resting heart rate
c. Digestive problems
d. Chronic muscle tension - ANSWER: a. Glucose intolerance
A man continues to speak of his wife as though she were still alive, 3 years after her
death. This behaviour suggests the use of which of the following defence
mechanisms?
a. Altruism
b. Denial
c. Undoing
d. Suppression - ANSWER: b. Denial
An obsession is defined as which of the following?
