TestmBankm- 1
mVarcarolis'mFoundationsmofmPsychiatricmMentalmHealthmNursingm(8thmEdition)
MENTAL HEALTH NURSING (PSYCHIATRIC
m m m
)
Tablem ofm Contents
1
Chapterm 01:m Mentalm Healthm andm Mentalm IllnessmChapt 2
erm 02:mTheoriesm andm Therapies 14
Chapterm 03:m Psychobiologym andm Psychopharmacolog 30
ymChapterm04:mTreatmentmSettings 45
Chapterm 05:m Culturalm Implications 62
Chapterm 06:m Legalm andm Ethicalm Considerations 78
Chapterm 07:m Them Nursingm Processm andm Standardsm ofm CaremCha 92
pterm08:mTherapeuticmRelationships 106
Chapterm 09:m Therapeuticm Communication 120
Chapterm 10:m Stressm Responsesm andm Stressm ManagementmChap 132
term 11:m Childhoodm andm Neurodevelopmentalm DisordersmChapter 144
m 12:m Schizophreniam Spectrum m Disorders 157
Chapterm 13:m Bipolarm andm Relatedm Disorder 175
smChapterm 14:m Depressivem Disorders 192
Chapterm15:mAnxietym andm Obsessive- 207
Compulsivem DisordersmChapterm 16:m Trauma,m Stressor- 223
Related,m andm Dissociativem DisordersmChapterm17:mSomaticmSympto 237
mmDisorders 250
Chapterm 18:m Eatingm andm Feedingm Disorder 264
smChapterm 19:m Sleep-Wakem Disorders 276
Chapterm 20:m Sexualm Dysfunctions,m Genderm Dysphoria,m andm Paraphilia 288
smChapterm21:mImpulsemControlmDisorders 299
Chapterm 22:m Substancem Relatedm andm Addictivem DisordersmChapt 315
erm23:mNeurocognitivemDisorders 329
Chapterm 24:m Personalitym Disorders 344
Chapterm 25:m Suicidem andm Nonsuicidalm Self- 357
InjurymChapterm26:mCrisismandmDisaster 370
Chapterm 27:m Anger,m Aggression,m andm Violence 383
Chapterm 28:m Child,m Olderm Adult,m andm Intimatem Partnerm Violencem 394
Chapterm29:mSexualmAssault 405
Chapterm 30:m Dying,m Death,m andm Grievin 415
gmChapterm31:mOldermAdults 431
Chapterm 32:m Seriousm Mentalm Illnes 447
smChapterm 33:m Forensicm NursingmCh 458
apterm 34:m Therapeuticm GroupsmCha 472
pterm 35:m Familym InterventionsmCha 485
pterm 36:m Integrativem Care
,TestmBankm- 2
mVarcarolis'mFoundationsmofmPsychiatricmMentalmHealthmNursingm(8thmEdition)
Chapter 01: Mental Health and Mental Illness
m m m m m m
MULTIPLEm CHOICE
1. Amstaffmnursemcompletesmorientationmtomampsychiatricmunit.mThismnursemmaymexpectmanmadvancedmpracticem
nursemtomperformmwhichmadditionalmintervention?
a. Conductmmentalmhealthmassessments. c. Establishm therapeuticm relationships.
b. Prescribempsychotropicmmedication. d. Individualizemnursingmcaremplans.
ANS:mB
Inmmostmstates,mprescriptivemprivilegesmaremgrantedmtommasters-
preparedmnursempractitionersmwhomhavemtakenmspecialmcoursesmonmprescribingmmedication.mThemnursemprepare
dmatmthembasicmlevelmismpermittedmtomperformmmentalmhealthmassessments,mestablishmrelationships,mandmprovidem
individualizedmcaremplanning.
PTS:m 1m DIF:m Cognitivem Level:m Understandm (Comprehension
)mREF:m15mTOP:mNursingmProcess:mImplementation
MSC:mClientmNeeds:mSafe,mEffectivemCaremEnvironment
2. Whenmamnursingmstudentmexpressesmconcernsmaboutmhowmmentalmhealthmnursesmlosemallmtheirmnursingmskills
,mthembestmresponsembymthemmentalmhealthmnursemis:
a. Psychiatricmnursesmpracticeminmsafermenvironmentsmthanmothermspecialties.mNurse-to-
patientmratiosmmustmbembettermbecausemofmthemnaturemofmthempatientsmproblems.
b. Psychiatricmnursesmusemcomplexmcommunicationmskillsmasmwellmasmcriticalmthinkingmtoms
olvemmultidimensionalmproblems.mImammchallengedmbymthosemsituations.
c. Thatsmammisconception.mPsychiatricmnursesmfrequentlymusemhighmtechnologymmonitoringmequipmentm
andmmanagemcomplexmintravenousmtherapies.
d. Psychiatricmnursesmdomnotmhavemtomdealmwithmasmmuchmpainmandmsufferingmasmmedical-
surgicalmnursesmdo.mThatmappealsmtomme.
ANS:mB
Thempracticemofmpsychiatricmnursingmrequiresmamdifferentmsetmofmskillsmthanmmedical-
surgicalmnursing,mthoughmtheremismsubstantialmoverlap.mPsychiatricmnursesmmustmbemablemtomhelpmpatientsmwit
hmmedicalmasmwellmasmmentalmhealthmproblems,mreflectingmthemholisticmperspectivemthesemnursesmmustmhave.m
Nurse-
patientmratiosmandmworkloadsminmpsychiatricmsettingsmhavemincreased,mjustmlikemothermspecialties.mPsychiatricmn
ursingminvolvesmclinicalmpractice,mnotmjustmdocumentation.mPsychosocialmpainmandmsufferingmaremasmrealmasmph
ysicalmpainmandmsuffering.
PTS:m1mDIF:mCognitivemLevel:mApplym(Application)m
REF:m10mTOP:mNursingmProcess:mImplementationmM
SC:mClientmNeeds:mSafe,mEffectivemCaremEnvironment
3. WhenmamnewmbillmintroducedminmCongressmreducesmfundingmformcaremofmpersonsmwithmmentalmillness,mamgroup
mof
,TestmBankm- 3
mVarcarolis'mFoundationsmofmPsychiatricmMentalmHealthmNursingm(8thmEdition)
nursesmwritesmlettersmtomtheirmelectedmrepresentativesminmoppositionmtomthemlegislation.mWhichmrolemhavemthemnurs
esmfulfilled?
a. Recovery c. Advocacy
b. Attending d. Evidence-
basedmpracticemANS:mC
Anmadvocatemdefendsmormassertsmanothersmcause,mparticularlymwhenmthemothermpersonmlacksmthemabilitymtomdomt
hatmformself.mExamplesmofmindividualmadvocacymincludemhelpingmpatientsmunderstandmtheirmrightsmormmakemdec
isions.mOnmamcommunitymscale,madvocacymincludesmpoliticalmactivity,mpublicmspeaking,mandmpublicationminmthe
minterest mofm
improvingmthemhumanmcondition.mSincemfundingmismnecessarymtomdelivermqualitymprogrammingmfor
mpersonsmwithm mentalm illness,mthem letter-
m writingm campaignm advocates mformthatm causem onm behalf m ofm patientsm whom arem unablemtomarticulate mtheirmownm
needs.
PTS:m 1m DIF:m Cognitivem Level:m Understandm (Comprehension
)mREF:m16mTOP:mNursingmProcess:mImplementation
MSC:mClientmNeeds:mSafe,mEffectivemCaremEnvironment
4. Whichmcommentmbestmindicatesmthatmampatientmperceivedmthemnursemwasmcaring?mMymnurse:
a. alwaysmasksmmemwhichmtypemofmjuicemImwantmtomhelpmmemswallowmmymmedication.
b. explainedmmymtreatmentmplanmtommemandmaskedmformmymideasmaboutmhowmtommakemitmbetter.
c. spendsmtimemlisteningmtommemtalkmaboutmmymproblems.mThatmhelpsmmemfeelmlikemImammnotmalone.
d. toldmmemthatmifmImtakemallmthemmedicinesmthemdoctormprescribes,mthenmImwillmgetmdischargedmsooner.
ANS:mC
Caringmevidencesmempatheticmunderstandingmasmwellmasmcompetency.mItmhelpsmchangempainmandmsufferingmintomam
sharedmexperience,mcreatingmamhumanmconnectionmthatmalleviatesmfeelingsmofmisolation.mThemdistractersmgiveme
xamplesmofmstatementsmthatmdemonstratemadvocacymormgivingmadvice.
PTS:m1mDIF:mCognitivemLevel:mApplym(Applicatio
n)mREF:m7mTOP:mNursingmProcess:mEvaluation
MSC:mClientmNeeds:mPsychosocialmIntegrity
5. Whichmassessmentmfindingmmostmclearlymindicatesmthatmampatientmmaymbemexperiencingmammentalmillness?
mThempatient:
a. reportsmoccasionalmsleeplessnessmandmanxiety.
b. reportsmamconsistentlymsad,mdiscouraged,mandmhopelessmmood.
c. ismablemtomdescribemthemdifferencembetweenmasmifmandmformreal.
, TestmBankm- 4
mVarcarolis'mFoundationsmofmPsychiatricmMentalmHealthmNursingm(8thmEdition)
d. perceivesmdifficultymmakingmamdecisionmaboutmwhethermtomchangemjobs.
ANS:mB
Themcorrectmresponsemdescribesmammoodmalteration,mwhichmreflectsmmentalmillness.mThemdistractersmdescribembeha
viorsmthatmaremmentallymhealthymormwithinmthemusualmscopemofmhumanmexperience.
PTS:m1mDIF:mCognitivemLevel:mApplym(Applicatio
n)mREF:m2mTOP:mNursingmProcess:mAssessment
MSC:m Clientm Needs:m Psychosocialm Integrity
6. Whichm findingm bestm indicatesm thatm them goalmDemonstratem mentallym healthym behaviormwasm achieved?m Am patient
:
a. seesmselfmasmcapablemofmachievingmidealsmandmmeetingmdemands.
b. behavesmwithoutmconsideringmthemconsequencesmofmpersonalmactions.
c. aggressivelymmeetsmownmneedsmwithoutmconsideringmthemrightsmofmothers.
d. seeksmhelpmfrommothersmwhenmassumingmresponsibilitymformmajormareasmofmownmlife.
ANS:mA
Themcorrectmresponsemdescribesmanmadaptive,mhealthymbehavior.mThemdistractersmdescribemmaladaptivembehaviors.
PTS:m1mDIF:mCognitivemLevel:mApplym(Application)
m
REF:m2mTOP:mNursingmProcess:mEvaluati
onmMSC:m Clientm Needs:m Psychosocialm Inte
grity
7. Amnursemencountersmanmunfamiliarmpsychiatricmdisordermonmamnewmpatientsmadmissionmform.mWhichmreso
urcemshouldmthemnursemconsultmtomdeterminemcriteriamusedmtomestablishmthismdiagnosis?
a. Internationalm Statisticalm Classificationm ofm Diseasesm andm Relatedm Healthm Problemsm (ICD-10)
b. DiagnosticmandmStatisticalmManualmofmMentalmDisordersm(DSM-5)
c. Ambehavioralmhealthmreferencemmanual
d. Wikipedia
ANS:mB
m
ThemDSM-
5mgivesmthemcriteriamusedmtomdiagnosemeachmmentalmdisorder.mThemdistractersmmaymnotmcontainmdiagnosticmcriteria
mformampsychiatric millness.
mVarcarolis'mFoundationsmofmPsychiatricmMentalmHealthmNursingm(8thmEdition)
MENTAL HEALTH NURSING (PSYCHIATRIC
m m m
)
Tablem ofm Contents
1
Chapterm 01:m Mentalm Healthm andm Mentalm IllnessmChapt 2
erm 02:mTheoriesm andm Therapies 14
Chapterm 03:m Psychobiologym andm Psychopharmacolog 30
ymChapterm04:mTreatmentmSettings 45
Chapterm 05:m Culturalm Implications 62
Chapterm 06:m Legalm andm Ethicalm Considerations 78
Chapterm 07:m Them Nursingm Processm andm Standardsm ofm CaremCha 92
pterm08:mTherapeuticmRelationships 106
Chapterm 09:m Therapeuticm Communication 120
Chapterm 10:m Stressm Responsesm andm Stressm ManagementmChap 132
term 11:m Childhoodm andm Neurodevelopmentalm DisordersmChapter 144
m 12:m Schizophreniam Spectrum m Disorders 157
Chapterm 13:m Bipolarm andm Relatedm Disorder 175
smChapterm 14:m Depressivem Disorders 192
Chapterm15:mAnxietym andm Obsessive- 207
Compulsivem DisordersmChapterm 16:m Trauma,m Stressor- 223
Related,m andm Dissociativem DisordersmChapterm17:mSomaticmSympto 237
mmDisorders 250
Chapterm 18:m Eatingm andm Feedingm Disorder 264
smChapterm 19:m Sleep-Wakem Disorders 276
Chapterm 20:m Sexualm Dysfunctions,m Genderm Dysphoria,m andm Paraphilia 288
smChapterm21:mImpulsemControlmDisorders 299
Chapterm 22:m Substancem Relatedm andm Addictivem DisordersmChapt 315
erm23:mNeurocognitivemDisorders 329
Chapterm 24:m Personalitym Disorders 344
Chapterm 25:m Suicidem andm Nonsuicidalm Self- 357
InjurymChapterm26:mCrisismandmDisaster 370
Chapterm 27:m Anger,m Aggression,m andm Violence 383
Chapterm 28:m Child,m Olderm Adult,m andm Intimatem Partnerm Violencem 394
Chapterm29:mSexualmAssault 405
Chapterm 30:m Dying,m Death,m andm Grievin 415
gmChapterm31:mOldermAdults 431
Chapterm 32:m Seriousm Mentalm Illnes 447
smChapterm 33:m Forensicm NursingmCh 458
apterm 34:m Therapeuticm GroupsmCha 472
pterm 35:m Familym InterventionsmCha 485
pterm 36:m Integrativem Care
,TestmBankm- 2
mVarcarolis'mFoundationsmofmPsychiatricmMentalmHealthmNursingm(8thmEdition)
Chapter 01: Mental Health and Mental Illness
m m m m m m
MULTIPLEm CHOICE
1. Amstaffmnursemcompletesmorientationmtomampsychiatricmunit.mThismnursemmaymexpectmanmadvancedmpracticem
nursemtomperformmwhichmadditionalmintervention?
a. Conductmmentalmhealthmassessments. c. Establishm therapeuticm relationships.
b. Prescribempsychotropicmmedication. d. Individualizemnursingmcaremplans.
ANS:mB
Inmmostmstates,mprescriptivemprivilegesmaremgrantedmtommasters-
preparedmnursempractitionersmwhomhavemtakenmspecialmcoursesmonmprescribingmmedication.mThemnursemprepare
dmatmthembasicmlevelmismpermittedmtomperformmmentalmhealthmassessments,mestablishmrelationships,mandmprovidem
individualizedmcaremplanning.
PTS:m 1m DIF:m Cognitivem Level:m Understandm (Comprehension
)mREF:m15mTOP:mNursingmProcess:mImplementation
MSC:mClientmNeeds:mSafe,mEffectivemCaremEnvironment
2. Whenmamnursingmstudentmexpressesmconcernsmaboutmhowmmentalmhealthmnursesmlosemallmtheirmnursingmskills
,mthembestmresponsembymthemmentalmhealthmnursemis:
a. Psychiatricmnursesmpracticeminmsafermenvironmentsmthanmothermspecialties.mNurse-to-
patientmratiosmmustmbembettermbecausemofmthemnaturemofmthempatientsmproblems.
b. Psychiatricmnursesmusemcomplexmcommunicationmskillsmasmwellmasmcriticalmthinkingmtoms
olvemmultidimensionalmproblems.mImammchallengedmbymthosemsituations.
c. Thatsmammisconception.mPsychiatricmnursesmfrequentlymusemhighmtechnologymmonitoringmequipmentm
andmmanagemcomplexmintravenousmtherapies.
d. Psychiatricmnursesmdomnotmhavemtomdealmwithmasmmuchmpainmandmsufferingmasmmedical-
surgicalmnursesmdo.mThatmappealsmtomme.
ANS:mB
Thempracticemofmpsychiatricmnursingmrequiresmamdifferentmsetmofmskillsmthanmmedical-
surgicalmnursing,mthoughmtheremismsubstantialmoverlap.mPsychiatricmnursesmmustmbemablemtomhelpmpatientsmwit
hmmedicalmasmwellmasmmentalmhealthmproblems,mreflectingmthemholisticmperspectivemthesemnursesmmustmhave.m
Nurse-
patientmratiosmandmworkloadsminmpsychiatricmsettingsmhavemincreased,mjustmlikemothermspecialties.mPsychiatricmn
ursingminvolvesmclinicalmpractice,mnotmjustmdocumentation.mPsychosocialmpainmandmsufferingmaremasmrealmasmph
ysicalmpainmandmsuffering.
PTS:m1mDIF:mCognitivemLevel:mApplym(Application)m
REF:m10mTOP:mNursingmProcess:mImplementationmM
SC:mClientmNeeds:mSafe,mEffectivemCaremEnvironment
3. WhenmamnewmbillmintroducedminmCongressmreducesmfundingmformcaremofmpersonsmwithmmentalmillness,mamgroup
mof
,TestmBankm- 3
mVarcarolis'mFoundationsmofmPsychiatricmMentalmHealthmNursingm(8thmEdition)
nursesmwritesmlettersmtomtheirmelectedmrepresentativesminmoppositionmtomthemlegislation.mWhichmrolemhavemthemnurs
esmfulfilled?
a. Recovery c. Advocacy
b. Attending d. Evidence-
basedmpracticemANS:mC
Anmadvocatemdefendsmormassertsmanothersmcause,mparticularlymwhenmthemothermpersonmlacksmthemabilitymtomdomt
hatmformself.mExamplesmofmindividualmadvocacymincludemhelpingmpatientsmunderstandmtheirmrightsmormmakemdec
isions.mOnmamcommunitymscale,madvocacymincludesmpoliticalmactivity,mpublicmspeaking,mandmpublicationminmthe
minterest mofm
improvingmthemhumanmcondition.mSincemfundingmismnecessarymtomdelivermqualitymprogrammingmfor
mpersonsmwithm mentalm illness,mthem letter-
m writingm campaignm advocates mformthatm causem onm behalf m ofm patientsm whom arem unablemtomarticulate mtheirmownm
needs.
PTS:m 1m DIF:m Cognitivem Level:m Understandm (Comprehension
)mREF:m16mTOP:mNursingmProcess:mImplementation
MSC:mClientmNeeds:mSafe,mEffectivemCaremEnvironment
4. Whichmcommentmbestmindicatesmthatmampatientmperceivedmthemnursemwasmcaring?mMymnurse:
a. alwaysmasksmmemwhichmtypemofmjuicemImwantmtomhelpmmemswallowmmymmedication.
b. explainedmmymtreatmentmplanmtommemandmaskedmformmymideasmaboutmhowmtommakemitmbetter.
c. spendsmtimemlisteningmtommemtalkmaboutmmymproblems.mThatmhelpsmmemfeelmlikemImammnotmalone.
d. toldmmemthatmifmImtakemallmthemmedicinesmthemdoctormprescribes,mthenmImwillmgetmdischargedmsooner.
ANS:mC
Caringmevidencesmempatheticmunderstandingmasmwellmasmcompetency.mItmhelpsmchangempainmandmsufferingmintomam
sharedmexperience,mcreatingmamhumanmconnectionmthatmalleviatesmfeelingsmofmisolation.mThemdistractersmgiveme
xamplesmofmstatementsmthatmdemonstratemadvocacymormgivingmadvice.
PTS:m1mDIF:mCognitivemLevel:mApplym(Applicatio
n)mREF:m7mTOP:mNursingmProcess:mEvaluation
MSC:mClientmNeeds:mPsychosocialmIntegrity
5. Whichmassessmentmfindingmmostmclearlymindicatesmthatmampatientmmaymbemexperiencingmammentalmillness?
mThempatient:
a. reportsmoccasionalmsleeplessnessmandmanxiety.
b. reportsmamconsistentlymsad,mdiscouraged,mandmhopelessmmood.
c. ismablemtomdescribemthemdifferencembetweenmasmifmandmformreal.
, TestmBankm- 4
mVarcarolis'mFoundationsmofmPsychiatricmMentalmHealthmNursingm(8thmEdition)
d. perceivesmdifficultymmakingmamdecisionmaboutmwhethermtomchangemjobs.
ANS:mB
Themcorrectmresponsemdescribesmammoodmalteration,mwhichmreflectsmmentalmillness.mThemdistractersmdescribembeha
viorsmthatmaremmentallymhealthymormwithinmthemusualmscopemofmhumanmexperience.
PTS:m1mDIF:mCognitivemLevel:mApplym(Applicatio
n)mREF:m2mTOP:mNursingmProcess:mAssessment
MSC:m Clientm Needs:m Psychosocialm Integrity
6. Whichm findingm bestm indicatesm thatm them goalmDemonstratem mentallym healthym behaviormwasm achieved?m Am patient
:
a. seesmselfmasmcapablemofmachievingmidealsmandmmeetingmdemands.
b. behavesmwithoutmconsideringmthemconsequencesmofmpersonalmactions.
c. aggressivelymmeetsmownmneedsmwithoutmconsideringmthemrightsmofmothers.
d. seeksmhelpmfrommothersmwhenmassumingmresponsibilitymformmajormareasmofmownmlife.
ANS:mA
Themcorrectmresponsemdescribesmanmadaptive,mhealthymbehavior.mThemdistractersmdescribemmaladaptivembehaviors.
PTS:m1mDIF:mCognitivemLevel:mApplym(Application)
m
REF:m2mTOP:mNursingmProcess:mEvaluati
onmMSC:m Clientm Needs:m Psychosocialm Inte
grity
7. Amnursemencountersmanmunfamiliarmpsychiatricmdisordermonmamnewmpatientsmadmissionmform.mWhichmreso
urcemshouldmthemnursemconsultmtomdeterminemcriteriamusedmtomestablishmthismdiagnosis?
a. Internationalm Statisticalm Classificationm ofm Diseasesm andm Relatedm Healthm Problemsm (ICD-10)
b. DiagnosticmandmStatisticalmManualmofmMentalmDisordersm(DSM-5)
c. Ambehavioralmhealthmreferencemmanual
d. Wikipedia
ANS:mB
m
ThemDSM-
5mgivesmthemcriteriamusedmtomdiagnosemeachmmentalmdisorder.mThemdistractersmmaymnotmcontainmdiagnosticmcriteria
mformampsychiatric millness.
