,TestcBankc-cVarcarolis'cFoundationscofcPsychiatriccMentalcHealthcNursingc(8thcEdition) 1
Table of Contents
c c
Tablec ofc Contents 1
Chapterc 01:c Mentalc Healthc andc Mentalc IllnesscChapterc 2
02:cTheoriescandcTherapies 14
Chapterc 03:c Psychobiologyc andc Psychopharmacologyc 30
Chapterc04:cTreatmentcSettings 45
Chapterc 05:c Culturalc Implications 62
Chapterc 06:c Legalc andc Ethicalc Considerations 78
Chapterc 07:c Thec Nursingc Processc andc Standardsc ofc CarecChapte 92
rc08:cTherapeuticcRelationships 106
Chapterc 09:c Therapeuticc Communication 120
Chapterc 10:c Stressc Responsesc andc Stressc ManagementcChapter 132
c 11:c Childhoodc andc Neurodevelopmentalc DisorderscChapterc 12:c 144
SchizophreniacSpectrumcDisorders 157
Chapterc 13:c Bipolarc andc Relatedc Disordersc 175
Chapterc14:cDepressivec Disorders 192
Chapterc15:cAnxietyc andc Obsessive- 207
Compulsivec DisorderscChapterc 16:c Trauma,c Stressor- 223
Related,c andc Dissociativec DisorderscChapterc17:cSomaticcSymptomc 237
Disorders 250
Chapterc 18:c Eatingc andc Feedingc Disordersc 264
Chapterc19:c Sleep-WakecDisorders 276
Chapterc 20:c Sexualc Dysfunctions,c Genderc Dysphoria,c andc Paraphiliasc 288
Chapterc21:cImpulsecControlcDisorders 299
Chapterc 22:c Substancec Relatedc andc Addictivec DisorderscChapter 315
c23:cNeurocognitivecDisorders 329
Chapterc 24:c Personalityc Disorders 344
Chapterc 25:c Suicidec andc Nonsuicidalc Self- 357
InjurycChapterc26:cCrisiscandcDisaster 370
Chapterc 27:c Anger,c Aggression,c andc Violence 383
Chapterc 28:c Child,c Olderc Adult,c andc Intimatec Partnerc ViolencecCh 394
apterc29:cSexualcAssault 405
Chapterc 30:c Dying,c Death,c andc Grievingc 415
Chapterc31:cOldercAdults 431
Chapterc 32:c Seriousc Mentalc Illnessc 447
Chapterc33:c Forensicc NursingcChap 458
terc 34:c Therapeuticc GroupscChapte 472
rc 35:c Familyc InterventionscChapterc 485
36:cIntegrativecCare
,TestcBankc-cVarcarolis'cFoundationscofcPsychiatriccMentalcHealthcNursingc(8thcEdition) 2
Chapter 01: Mental Health and Mental Illness
c c c c c c
MULTIPLEc CHOICE
1. Acstaffcnurseccompletescorientationctocacpsychiatriccunit.cThiscnursecmaycexpectcancadvancedcpracticecnursecto
cperformcwhichcadditionalcintervention?
a. Conductcmentalchealthcassessments. c. Establishc therapeuticc relationships.
b. Prescribecpsychotropiccmedication. d. Individualizecnursingccarecplans.
ANS:cB
Incmostcstates,cprescriptivecprivilegescarecgrantedctocmasters-
preparedcnursecpractitionerscwhochavectakencspecialccoursesconcprescribingcmedication.cThecnursecpreparedcatct
hecbasicclevelciscpermittedctocperformcmentalchealthcassessments,cestablishcrelationships,candcprovidecindividuali
zedccarecplanning.
PTS:c 1c DIF:c Cognitivec Level:c Understandc (Comprehension)cR
EF:c15cTOP:cNursingcProcess:cImplementation
MSC:cClientcNeeds:cSafe,cEffectivecCarecEnvironment
2. Whencacnursingcstudentcexpressescconcernscaboutchowcmentalchealthcnursesclosecallctheircnursingcskills,cthecb
estcresponsecbycthecmentalchealthcnursecis:
a. Psychiatriccnursescpracticecincsafercenvironmentscthancothercspecialties.cNurse-to-
patientcratioscmustcbecbettercbecausecofcthecnaturecofcthecpatientscproblems.
b. Psychiatriccnursescuseccomplexccommunicationcskillscascwellcasccriticalcthinkingctocsolvec
multidimensionalcproblems.cIcamcchallengedcbycthosecsituations.
c. Thatscacmisconception.cPsychiatriccnursescfrequentlycusechighctechnologycmonitoringcequipmentcandc
manageccomplexcintravenousctherapies.
d. Psychiatriccnursescdocnotchavectocdealcwithcascmuchcpaincandcsufferingcascmedical-
surgicalcnursescdo.cThatcappealsctocme.
ANS:cB
Thecpracticecofcpsychiatriccnursingcrequirescacdifferentcsetcofcskillscthancmedical-
surgicalcnursing,cthoughcthereciscsubstantialcoverlap.cPsychiatriccnursescmustcbecablectochelpcpatientscwithcmedi
calcascwellcascmentalchealthcproblems,creflectingcthecholisticcperspectivecthesecnursescmustchave.cNurse-
patientcratioscandcworkloadscincpsychiatriccsettingschavecincreased,cjustclikecothercspecialties.cPsychiatriccnursin
gcinvolvescclinicalcpractice,cnotcjustcdocumentation.cPsychosocialcpaincandcsufferingcarecascrealcascphysicalcpainc
andcsuffering.
PTS:c1cDIF:cCognitivecLevel:cApplyc(Application)cR
EF:c10cTOP:cNursingcProcess:cImplementationcMSC:c
ClientcNeeds:cSafe,cEffectivecCarecEnvironment
3. WhencacnewcbillcintroducedcincCongresscreducescfundingcforccarecofcpersonscwithcmentalcillness,cacgroupcof
, TestcBankc-cVarcarolis'cFoundationscofcPsychiatriccMentalcHealthcNursingc(8thcEdition) 3
nursescwritesclettersctoctheircelectedcrepresentativescincoppositionctoctheclegislation.cWhichcrolechavecthecnursescfulfi
lled?
a. Recovery c. Advocacy
b. Attending d. Evidence-
basedcpracticecANS:cC
Ancadvocatecdefendscorcassertscanothersccause,cparticularlycwhencthecothercpersonclackscthecabilityctocdocthatcforc
self.cExamplescofcindividualcadvocacycincludechelpingcpatientscunderstandctheircrightscorcmakecdecisions.cOncacc
ommunitycscale,cadvocacycincludescpoliticalcactivity,cpubliccspeaking,candcpublicationcincthecinterestcofcimprovi
ngcthechumanccondition.cSincecfundingciscnecessaryctocdelivercqualitycprogrammingcforcpersonscwithcmentalcilln
ess,cthecletter-
cwriting ccampaign cadvocates cforcthatccauseconcbehalf cofcpatients cwhocarecunablectocarticulate ctheircowncneeds.
PTS:c 1c DIF:c Cognitivec Level:c Understandc (Comprehension)cR
EF:c16cTOP:cNursingcProcess:cImplementation
MSC:cClientcNeeds:cSafe,cEffectivecCarecEnvironment
4. Whichccommentcbestcindicatescthatcacpatientcperceivedcthecnursecwasccaring?cMycnurse:
a. alwayscaskscmecwhichctypecofcjuicecIcwantctochelpcmecswallowcmycmedication.
b. explainedcmyctreatmentcplanctocmecandcaskedcforcmycideascaboutchowctocmakecitcbetter.
c. spendsctimeclisteningctocmectalkcaboutcmycproblems.cThatchelpscmecfeelclikecIcamcnotcalone.
d. toldcmecthatcifcIctakecallcthecmedicinescthecdoctorcprescribes,cthencIcwillcgetcdischargedcsooner.
ANS:cC
Caringcevidencescempatheticcunderstandingcascwellcasccompetency.cItchelpscchangecpaincandcsufferingcintocacshare
dcexperience,ccreatingcachumancconnectioncthatcalleviatescfeelingscofcisolation.cThecdistracterscgivecexamplescofc
statementscthatcdemonstratecadvocacycorcgivingcadvice.
PTS:c1cDIF:cCognitivecLevel:cApplyc(Application)c
REF:c7cTOP:cNursingcProcess:cEvaluation
MSC:cClientcNeeds:cPsychosocialcIntegrity
5. Whichcassessmentcfindingcmostcclearlycindicatescthatcacpatientcmaycbecexperiencingcacmentalcillness?cThecp
atient:
a. reportscoccasionalcsleeplessnesscandcanxiety.
b. reportscacconsistentlycsad,cdiscouraged,candchopelesscmood.
c. iscablectocdescribecthecdifferencecbetweencascifcandcforcreal.
Table of Contents
c c
Tablec ofc Contents 1
Chapterc 01:c Mentalc Healthc andc Mentalc IllnesscChapterc 2
02:cTheoriescandcTherapies 14
Chapterc 03:c Psychobiologyc andc Psychopharmacologyc 30
Chapterc04:cTreatmentcSettings 45
Chapterc 05:c Culturalc Implications 62
Chapterc 06:c Legalc andc Ethicalc Considerations 78
Chapterc 07:c Thec Nursingc Processc andc Standardsc ofc CarecChapte 92
rc08:cTherapeuticcRelationships 106
Chapterc 09:c Therapeuticc Communication 120
Chapterc 10:c Stressc Responsesc andc Stressc ManagementcChapter 132
c 11:c Childhoodc andc Neurodevelopmentalc DisorderscChapterc 12:c 144
SchizophreniacSpectrumcDisorders 157
Chapterc 13:c Bipolarc andc Relatedc Disordersc 175
Chapterc14:cDepressivec Disorders 192
Chapterc15:cAnxietyc andc Obsessive- 207
Compulsivec DisorderscChapterc 16:c Trauma,c Stressor- 223
Related,c andc Dissociativec DisorderscChapterc17:cSomaticcSymptomc 237
Disorders 250
Chapterc 18:c Eatingc andc Feedingc Disordersc 264
Chapterc19:c Sleep-WakecDisorders 276
Chapterc 20:c Sexualc Dysfunctions,c Genderc Dysphoria,c andc Paraphiliasc 288
Chapterc21:cImpulsecControlcDisorders 299
Chapterc 22:c Substancec Relatedc andc Addictivec DisorderscChapter 315
c23:cNeurocognitivecDisorders 329
Chapterc 24:c Personalityc Disorders 344
Chapterc 25:c Suicidec andc Nonsuicidalc Self- 357
InjurycChapterc26:cCrisiscandcDisaster 370
Chapterc 27:c Anger,c Aggression,c andc Violence 383
Chapterc 28:c Child,c Olderc Adult,c andc Intimatec Partnerc ViolencecCh 394
apterc29:cSexualcAssault 405
Chapterc 30:c Dying,c Death,c andc Grievingc 415
Chapterc31:cOldercAdults 431
Chapterc 32:c Seriousc Mentalc Illnessc 447
Chapterc33:c Forensicc NursingcChap 458
terc 34:c Therapeuticc GroupscChapte 472
rc 35:c Familyc InterventionscChapterc 485
36:cIntegrativecCare
,TestcBankc-cVarcarolis'cFoundationscofcPsychiatriccMentalcHealthcNursingc(8thcEdition) 2
Chapter 01: Mental Health and Mental Illness
c c c c c c
MULTIPLEc CHOICE
1. Acstaffcnurseccompletescorientationctocacpsychiatriccunit.cThiscnursecmaycexpectcancadvancedcpracticecnursecto
cperformcwhichcadditionalcintervention?
a. Conductcmentalchealthcassessments. c. Establishc therapeuticc relationships.
b. Prescribecpsychotropiccmedication. d. Individualizecnursingccarecplans.
ANS:cB
Incmostcstates,cprescriptivecprivilegescarecgrantedctocmasters-
preparedcnursecpractitionerscwhochavectakencspecialccoursesconcprescribingcmedication.cThecnursecpreparedcatct
hecbasicclevelciscpermittedctocperformcmentalchealthcassessments,cestablishcrelationships,candcprovidecindividuali
zedccarecplanning.
PTS:c 1c DIF:c Cognitivec Level:c Understandc (Comprehension)cR
EF:c15cTOP:cNursingcProcess:cImplementation
MSC:cClientcNeeds:cSafe,cEffectivecCarecEnvironment
2. Whencacnursingcstudentcexpressescconcernscaboutchowcmentalchealthcnursesclosecallctheircnursingcskills,cthecb
estcresponsecbycthecmentalchealthcnursecis:
a. Psychiatriccnursescpracticecincsafercenvironmentscthancothercspecialties.cNurse-to-
patientcratioscmustcbecbettercbecausecofcthecnaturecofcthecpatientscproblems.
b. Psychiatriccnursescuseccomplexccommunicationcskillscascwellcasccriticalcthinkingctocsolvec
multidimensionalcproblems.cIcamcchallengedcbycthosecsituations.
c. Thatscacmisconception.cPsychiatriccnursescfrequentlycusechighctechnologycmonitoringcequipmentcandc
manageccomplexcintravenousctherapies.
d. Psychiatriccnursescdocnotchavectocdealcwithcascmuchcpaincandcsufferingcascmedical-
surgicalcnursescdo.cThatcappealsctocme.
ANS:cB
Thecpracticecofcpsychiatriccnursingcrequirescacdifferentcsetcofcskillscthancmedical-
surgicalcnursing,cthoughcthereciscsubstantialcoverlap.cPsychiatriccnursescmustcbecablectochelpcpatientscwithcmedi
calcascwellcascmentalchealthcproblems,creflectingcthecholisticcperspectivecthesecnursescmustchave.cNurse-
patientcratioscandcworkloadscincpsychiatriccsettingschavecincreased,cjustclikecothercspecialties.cPsychiatriccnursin
gcinvolvescclinicalcpractice,cnotcjustcdocumentation.cPsychosocialcpaincandcsufferingcarecascrealcascphysicalcpainc
andcsuffering.
PTS:c1cDIF:cCognitivecLevel:cApplyc(Application)cR
EF:c10cTOP:cNursingcProcess:cImplementationcMSC:c
ClientcNeeds:cSafe,cEffectivecCarecEnvironment
3. WhencacnewcbillcintroducedcincCongresscreducescfundingcforccarecofcpersonscwithcmentalcillness,cacgroupcof
, TestcBankc-cVarcarolis'cFoundationscofcPsychiatriccMentalcHealthcNursingc(8thcEdition) 3
nursescwritesclettersctoctheircelectedcrepresentativescincoppositionctoctheclegislation.cWhichcrolechavecthecnursescfulfi
lled?
a. Recovery c. Advocacy
b. Attending d. Evidence-
basedcpracticecANS:cC
Ancadvocatecdefendscorcassertscanothersccause,cparticularlycwhencthecothercpersonclackscthecabilityctocdocthatcforc
self.cExamplescofcindividualcadvocacycincludechelpingcpatientscunderstandctheircrightscorcmakecdecisions.cOncacc
ommunitycscale,cadvocacycincludescpoliticalcactivity,cpubliccspeaking,candcpublicationcincthecinterestcofcimprovi
ngcthechumanccondition.cSincecfundingciscnecessaryctocdelivercqualitycprogrammingcforcpersonscwithcmentalcilln
ess,cthecletter-
cwriting ccampaign cadvocates cforcthatccauseconcbehalf cofcpatients cwhocarecunablectocarticulate ctheircowncneeds.
PTS:c 1c DIF:c Cognitivec Level:c Understandc (Comprehension)cR
EF:c16cTOP:cNursingcProcess:cImplementation
MSC:cClientcNeeds:cSafe,cEffectivecCarecEnvironment
4. Whichccommentcbestcindicatescthatcacpatientcperceivedcthecnursecwasccaring?cMycnurse:
a. alwayscaskscmecwhichctypecofcjuicecIcwantctochelpcmecswallowcmycmedication.
b. explainedcmyctreatmentcplanctocmecandcaskedcforcmycideascaboutchowctocmakecitcbetter.
c. spendsctimeclisteningctocmectalkcaboutcmycproblems.cThatchelpscmecfeelclikecIcamcnotcalone.
d. toldcmecthatcifcIctakecallcthecmedicinescthecdoctorcprescribes,cthencIcwillcgetcdischargedcsooner.
ANS:cC
Caringcevidencescempatheticcunderstandingcascwellcasccompetency.cItchelpscchangecpaincandcsufferingcintocacshare
dcexperience,ccreatingcachumancconnectioncthatcalleviatescfeelingscofcisolation.cThecdistracterscgivecexamplescofc
statementscthatcdemonstratecadvocacycorcgivingcadvice.
PTS:c1cDIF:cCognitivecLevel:cApplyc(Application)c
REF:c7cTOP:cNursingcProcess:cEvaluation
MSC:cClientcNeeds:cPsychosocialcIntegrity
5. Whichcassessmentcfindingcmostcclearlycindicatescthatcacpatientcmaycbecexperiencingcacmentalcillness?cThecp
atient:
a. reportscoccasionalcsleeplessnesscandcanxiety.
b. reportscacconsistentlycsad,cdiscouraged,candchopelesscmood.
c. iscablectocdescribecthecdifferencecbetweencascifcandcforcreal.
