TestpBankp-pVarcarolis'pFoundationspofpPsychiatricpMentalpHealthpNursingp(8thpEdition) 1
MENTAL HEALTH NURSING (PSYCHIATRIC)
p p p
Tablep ofp Contents
1
Chapterp 01:p Mentalp Healthp andp Mentalp IllnesspChapter 2
p 02:p Theoriesp andp Therapies 14
Chapterp 03:p Psychobiologyp andp Psychopharmacologyp 30
Chapterp04:pTreatmentpSettings 45
Chapterp 05:p Culturalp Implications 62
Chapterp 06:p Legalp andp Ethicalp Considerations 78
Chapterp 07:p Thep Nursingp Processp andp Standardsp ofp CarepChapt 92
erp08:pTherapeuticpRelationships 106
Chapterp 09:p Therapeuticp Communication 120
Chapterp 10:p Stressp Responsesp andp Stressp ManagementpChapte 132
rp 11:p Childhoodp andp Neurodevelopmentalp DisorderspChapterp12: 144
p Schizophreniap Spectrum p Disorders 157
Chapterp 13:p Bipolarp andp Relatedp Disordersp 175
Chapterp14:pDepressivepDisorders 192
Chapterp15:pAnxietyp andp Obsessive- 207
Compulsivep DisorderspChapterp 16:p Trauma,p Stressor- 223
Related,p andp Dissociativep DisorderspChapterp17:pSomaticpSymptomp 237
Disorders 250
Chapterp 18:p Eatingp andp Feedingp Disordersp 264
Chapterp19:pSleep-WakepDisorders 276
Chapterp 20:p Sexualp Dysfunctions,p Genderp Dysphoria,p andp Paraphiliasp 288
Chapterp21:pImpulsepControlpDisorders 299
Chapterp 22:p Substancep Relatedp andp Addictivep DisorderspChapte 315
rp23:pNeurocognitivepDisorders 329
Chapterp 24:p Personalityp Disorders 344
Chapterp 25:p Suicidep andp Nonsuicidalp Self- 357
InjurypChapterp26:pCrisispandpDisaster 370
Chapterp 27:p Anger,p Aggression,p andp Violence 383
Chapterp 28:p Child,p Olderp Adult,p andp Intimatep Partnerp ViolencepCh 394
apterp29:pSexualpAssault 405
Chapterp 30:p Dying,p Death,p andp Grievingp 415
Chapterp31:pOlderpAdults 431
Chapterp 32:p Seriousp Mentalp Illnessp 447
Chapterp33:pForensicpNursingpCha 458
pterp 34:p Therapeuticp GroupspChapt 472
erp 35:p Familyp InterventionspChapter 485
p 36:p Integrativep Care
,TestpBankp-pVarcarolis'pFoundationspofpPsychiatricpMentalpHealthpNursingp(8thpEdition) 2
Chapter 01: Mental Health and Mental Illness
p p p p p p
MULTIPLEp CHOICE
1. Apstaffpnursepcompletesporientationptopappsychiatricpunit.pThispnursepmaypexpectpanpadvancedppracticepnursept
opperformpwhichpadditionalpintervention?
a. Conductpmentalphealthpassessments. c. Establishp therapeuticp relationships.
b. Prescribeppsychotropicpmedication. d. Individualizepnursingpcarepplans.
ANS:pB
Inpmostpstates,pprescriptivepprivilegesparepgrantedptopmasters-
preparedpnurseppractitionerspwhophaveptakenpspecialpcoursesponpprescribingpmedication.pThepnurseppreparedpatpt
hepbasicplevelpisppermittedptopperformpmentalphealthpassessments,pestablishprelationships,pandpprovidepindividua
lizedpcarepplanning.
PTS:p 1p DIF:p Cognitivep Level:p Understandp (Comprehension)p
REF:p15pTOP:pNursingpProcess:pImplementation
MSC:pClientpNeeds:pSafe,pEffectivepCarepEnvironment
2. Whenpapnursingpstudentpexpressespconcernspaboutphowpmentalphealthpnursesplosepallptheirpnursingpskills,pthep
bestpresponsepbypthepmentalphealthpnursepis:
a. Psychiatricpnursesppracticepinpsaferpenvironmentspthanpotherpspecialties.pNurse-to-
patientpratiospmustpbepbetterpbecausepofpthepnaturepofptheppatientspproblems.
b. Psychiatricpnursespusepcomplexpcommunicationpskillspaspwellpaspcriticalpthinkingptopsolvep
multidimensionalpproblems.pIpampchallengedpbypthosepsituations.
c. Thatspapmisconception.pPsychiatricpnursespfrequentlypusephighptechnologypmonitoringpequipmentpandp
managepcomplexpintravenousptherapies.
d. Psychiatricpnursespdopnotphaveptopdealpwithpaspmuchppainpandpsufferingpaspmedical-
surgicalpnursespdo.pThatpappealsptopme.
ANS:pB
Theppracticepofppsychiatricpnursingprequirespapdifferentpsetpofpskillspthanpmedical-
surgicalpnursing,pthoughptherepispsubstantialpoverlap.pPsychiatricpnursespmustpbepableptophelpppatientspwithpme
dicalpaspwellpaspmentalphealthpproblems,preflectingpthepholisticpperspectivepthesepnursespmustphave.pNurse-
patientpratiospandpworkloadspinppsychiatricpsettingsphavepincreased,pjustplikepotherpspecialties.pPsychiatricpnursin
gpinvolvespclinicalppractice,pnotpjustpdocumentation.pPsychosocialppainpandpsufferingparepasprealpaspphysicalppain
pandpsuffering.
PTS:p1pDIF:pCognitivepLevel:pApplyp(Application)pR
EF:p10pTOP:pNursingpProcess:pImplementationpMSC:
ClientpNeeds:pSafe,pEffectivepCarepEnvironment
p
3. WhenpapnewpbillpintroducedpinpCongresspreducespfundingpforpcarepofppersonspwithpmentalpillness,papgrouppof
,TestpBankp-pVarcarolis'pFoundationspofpPsychiatricpMentalpHealthpNursingp(8thpEdition) 3
nursespwritesplettersptoptheirpelectedprepresentativespinpoppositionptoptheplegislation.pWhichprolephavepthepnursespful
filled?
a. Recovery c. Advocacy
b. Attending d. Evidence-
basedppracticepANS:pC
Anpadvocatepdefendsporpassertspanotherspcause,pparticularlypwhenpthepotherppersonplackspthepabilityptopdopthatpfo
rpself.pExamplespofpindividualpadvocacypincludephelpingppatientspunderstandptheirprightsporpmakepdecisions.pOnp
apcommunitypscale,padvocacypincludesppoliticalpactivity,ppublicpspeaking,pandppublicationpinpthepinterestpofpimpr
ovingpthephumanpcondition.pSincepfundingpispnecessaryptopdeliverpqualitypprogrammingpforppersonspwithpmental
pillness,pthepletter-
pwritingpcampaign padvocates pforpthatpcauseponpbehalfpofppatientspwhoparepunableptoparticulateptheirpownpneeds.
PTS:p 1p DIF:p Cognitivep Level:p Understandp (Comprehension)p
REF:p16pTOP:pNursingpProcess:pImplementation
MSC:pClientpNeeds:pSafe,pEffectivepCarepEnvironment
4. Whichpcommentpbestpindicatespthatpappatientpperceivedpthepnursepwaspcaring?pMypnurse:
a. alwayspaskspmepwhichptypepofpjuicepIpwantptophelppmepswallowpmypmedication.
b. explainedpmyptreatmentpplanptopmepandpaskedpforpmypideaspaboutphowptopmakepitpbetter.
c. spendsptimeplisteningptopmeptalkpaboutpmypproblems.pThatphelpspmepfeelplikepIpampnotpalone.
d. toldpmepthatpifpIptakepallpthepmedicinespthepdoctorpprescribes,pthenpIpwillpgetpdischargedpsooner.
ANS:pC
Caringpevidencespempatheticpunderstandingpaspwellpaspcompetency.pItphelpspchangeppainpandpsufferingpintopapshare
dpexperience,pcreatingpaphumanpconnectionpthatpalleviatespfeelingspofpisolation.pThepdistracterspgivepexamplespo
fpstatementspthatpdemonstratepadvocacyporpgivingpadvice.
PTS:p1pDIF:pCognitivepLevel:pApplyp(Application)p
REF:p7pTOP:pNursingpProcess:pEvaluation
MSC:pClientpNeeds:pPsychosocialpIntegrity
5. Whichpassessmentpfindingpmostpclearlypindicatespthatpappatientpmaypbepexperiencingpapmentalpillness?pThep
patient:
a. reportspoccasionalpsleeplessnesspandpanxiety.
b. reportspapconsistentlypsad,pdiscouraged,pandphopelesspmood.
c. ispableptopdescribepthepdifferencepbetweenpaspifpandpforpreal.
, TestpBankp-pVarcarolis'pFoundationspofpPsychiatricpMentalpHealthpNursingp(8thpEdition) 4
d. perceivespdifficultypmakingpapdecisionpaboutpwhetherptopchangepjobs.
ANS:pB
Thepcorrectpresponsepdescribespapmoodpalteration,pwhichpreflectspmentalpillness.pThepdistracterspdescribepbehaviors
pthatparepmentally phealthyporpwithinpthepusualpscopepofphumanpexperience.
PTS:p1pDIF:pCognitivepLevel:pApplyp(Application)p
REF:p2pTOP:pNursingpProcess:pAssessment
MSC:p Clientp Needs:p Psychosocialp Integrity
6. Whichp findingp bestp indicatesp thatp thep goalpDemonstratep mentallyp healthyp behaviorpwasp achieved?p Ap patient:
a. seespselfpaspcapablepofpachievingpidealspandpmeetingpdemands.
b. behavespwithoutpconsideringpthepconsequencespofppersonalpactions.
c. aggressivelypmeetspownpneedspwithoutpconsideringptheprightspofpothers.
d. seeksphelppfrompotherspwhenpassumingpresponsibilitypforpmajorpareaspofpownplife.
ANS:pA
Thepcorrectpresponsepdescribespanpadaptive,phealthypbehavior.pThepdistracterspdescribepmaladaptivepbehaviors.pPT
S:p1pDIF:pCognitivepLevel:pApplyp(Application)
REF:p2pTOP:pNursingpProcess:pEvaluationp
MSC:p Clientp Needs:p Psychosocialp Integrity
7. Apnursepencounterspanpunfamiliarppsychiatricpdisorderponpapnewppatientspadmissionpform.pWhichpresourcep
shouldpthepnursepconsultptopdeterminepcriteriapusedptopestablishpthispdiagnosis?
a. Internationalp Statisticalp Classificationp ofp Diseasesp andp Relatedp Healthp Problemsp (ICD-10)
b. DiagnosticpandpStatisticalpManualpofpMentalpDisordersp(DSM-5)
c. Apbehavioralphealthpreferencepmanual
d. Wikipediap
ANS:pB
ThepDSM-
5pgivespthepcriteriapusedptopdiagnosepeachpmentalpdisorder.pThepdistracterspmaypnotpcontainpdiagnosticpcriteriapforpa
ppsychiatric pillness.
PTS:p1pDIF:pCognitivepLevel:pApplyp(Application)
MENTAL HEALTH NURSING (PSYCHIATRIC)
p p p
Tablep ofp Contents
1
Chapterp 01:p Mentalp Healthp andp Mentalp IllnesspChapter 2
p 02:p Theoriesp andp Therapies 14
Chapterp 03:p Psychobiologyp andp Psychopharmacologyp 30
Chapterp04:pTreatmentpSettings 45
Chapterp 05:p Culturalp Implications 62
Chapterp 06:p Legalp andp Ethicalp Considerations 78
Chapterp 07:p Thep Nursingp Processp andp Standardsp ofp CarepChapt 92
erp08:pTherapeuticpRelationships 106
Chapterp 09:p Therapeuticp Communication 120
Chapterp 10:p Stressp Responsesp andp Stressp ManagementpChapte 132
rp 11:p Childhoodp andp Neurodevelopmentalp DisorderspChapterp12: 144
p Schizophreniap Spectrum p Disorders 157
Chapterp 13:p Bipolarp andp Relatedp Disordersp 175
Chapterp14:pDepressivepDisorders 192
Chapterp15:pAnxietyp andp Obsessive- 207
Compulsivep DisorderspChapterp 16:p Trauma,p Stressor- 223
Related,p andp Dissociativep DisorderspChapterp17:pSomaticpSymptomp 237
Disorders 250
Chapterp 18:p Eatingp andp Feedingp Disordersp 264
Chapterp19:pSleep-WakepDisorders 276
Chapterp 20:p Sexualp Dysfunctions,p Genderp Dysphoria,p andp Paraphiliasp 288
Chapterp21:pImpulsepControlpDisorders 299
Chapterp 22:p Substancep Relatedp andp Addictivep DisorderspChapte 315
rp23:pNeurocognitivepDisorders 329
Chapterp 24:p Personalityp Disorders 344
Chapterp 25:p Suicidep andp Nonsuicidalp Self- 357
InjurypChapterp26:pCrisispandpDisaster 370
Chapterp 27:p Anger,p Aggression,p andp Violence 383
Chapterp 28:p Child,p Olderp Adult,p andp Intimatep Partnerp ViolencepCh 394
apterp29:pSexualpAssault 405
Chapterp 30:p Dying,p Death,p andp Grievingp 415
Chapterp31:pOlderpAdults 431
Chapterp 32:p Seriousp Mentalp Illnessp 447
Chapterp33:pForensicpNursingpCha 458
pterp 34:p Therapeuticp GroupspChapt 472
erp 35:p Familyp InterventionspChapter 485
p 36:p Integrativep Care
,TestpBankp-pVarcarolis'pFoundationspofpPsychiatricpMentalpHealthpNursingp(8thpEdition) 2
Chapter 01: Mental Health and Mental Illness
p p p p p p
MULTIPLEp CHOICE
1. Apstaffpnursepcompletesporientationptopappsychiatricpunit.pThispnursepmaypexpectpanpadvancedppracticepnursept
opperformpwhichpadditionalpintervention?
a. Conductpmentalphealthpassessments. c. Establishp therapeuticp relationships.
b. Prescribeppsychotropicpmedication. d. Individualizepnursingpcarepplans.
ANS:pB
Inpmostpstates,pprescriptivepprivilegesparepgrantedptopmasters-
preparedpnurseppractitionerspwhophaveptakenpspecialpcoursesponpprescribingpmedication.pThepnurseppreparedpatpt
hepbasicplevelpisppermittedptopperformpmentalphealthpassessments,pestablishprelationships,pandpprovidepindividua
lizedpcarepplanning.
PTS:p 1p DIF:p Cognitivep Level:p Understandp (Comprehension)p
REF:p15pTOP:pNursingpProcess:pImplementation
MSC:pClientpNeeds:pSafe,pEffectivepCarepEnvironment
2. Whenpapnursingpstudentpexpressespconcernspaboutphowpmentalphealthpnursesplosepallptheirpnursingpskills,pthep
bestpresponsepbypthepmentalphealthpnursepis:
a. Psychiatricpnursesppracticepinpsaferpenvironmentspthanpotherpspecialties.pNurse-to-
patientpratiospmustpbepbetterpbecausepofpthepnaturepofptheppatientspproblems.
b. Psychiatricpnursespusepcomplexpcommunicationpskillspaspwellpaspcriticalpthinkingptopsolvep
multidimensionalpproblems.pIpampchallengedpbypthosepsituations.
c. Thatspapmisconception.pPsychiatricpnursespfrequentlypusephighptechnologypmonitoringpequipmentpandp
managepcomplexpintravenousptherapies.
d. Psychiatricpnursespdopnotphaveptopdealpwithpaspmuchppainpandpsufferingpaspmedical-
surgicalpnursespdo.pThatpappealsptopme.
ANS:pB
Theppracticepofppsychiatricpnursingprequirespapdifferentpsetpofpskillspthanpmedical-
surgicalpnursing,pthoughptherepispsubstantialpoverlap.pPsychiatricpnursespmustpbepableptophelpppatientspwithpme
dicalpaspwellpaspmentalphealthpproblems,preflectingpthepholisticpperspectivepthesepnursespmustphave.pNurse-
patientpratiospandpworkloadspinppsychiatricpsettingsphavepincreased,pjustplikepotherpspecialties.pPsychiatricpnursin
gpinvolvespclinicalppractice,pnotpjustpdocumentation.pPsychosocialppainpandpsufferingparepasprealpaspphysicalppain
pandpsuffering.
PTS:p1pDIF:pCognitivepLevel:pApplyp(Application)pR
EF:p10pTOP:pNursingpProcess:pImplementationpMSC:
ClientpNeeds:pSafe,pEffectivepCarepEnvironment
p
3. WhenpapnewpbillpintroducedpinpCongresspreducespfundingpforpcarepofppersonspwithpmentalpillness,papgrouppof
,TestpBankp-pVarcarolis'pFoundationspofpPsychiatricpMentalpHealthpNursingp(8thpEdition) 3
nursespwritesplettersptoptheirpelectedprepresentativespinpoppositionptoptheplegislation.pWhichprolephavepthepnursespful
filled?
a. Recovery c. Advocacy
b. Attending d. Evidence-
basedppracticepANS:pC
Anpadvocatepdefendsporpassertspanotherspcause,pparticularlypwhenpthepotherppersonplackspthepabilityptopdopthatpfo
rpself.pExamplespofpindividualpadvocacypincludephelpingppatientspunderstandptheirprightsporpmakepdecisions.pOnp
apcommunitypscale,padvocacypincludesppoliticalpactivity,ppublicpspeaking,pandppublicationpinpthepinterestpofpimpr
ovingpthephumanpcondition.pSincepfundingpispnecessaryptopdeliverpqualitypprogrammingpforppersonspwithpmental
pillness,pthepletter-
pwritingpcampaign padvocates pforpthatpcauseponpbehalfpofppatientspwhoparepunableptoparticulateptheirpownpneeds.
PTS:p 1p DIF:p Cognitivep Level:p Understandp (Comprehension)p
REF:p16pTOP:pNursingpProcess:pImplementation
MSC:pClientpNeeds:pSafe,pEffectivepCarepEnvironment
4. Whichpcommentpbestpindicatespthatpappatientpperceivedpthepnursepwaspcaring?pMypnurse:
a. alwayspaskspmepwhichptypepofpjuicepIpwantptophelppmepswallowpmypmedication.
b. explainedpmyptreatmentpplanptopmepandpaskedpforpmypideaspaboutphowptopmakepitpbetter.
c. spendsptimeplisteningptopmeptalkpaboutpmypproblems.pThatphelpspmepfeelplikepIpampnotpalone.
d. toldpmepthatpifpIptakepallpthepmedicinespthepdoctorpprescribes,pthenpIpwillpgetpdischargedpsooner.
ANS:pC
Caringpevidencespempatheticpunderstandingpaspwellpaspcompetency.pItphelpspchangeppainpandpsufferingpintopapshare
dpexperience,pcreatingpaphumanpconnectionpthatpalleviatespfeelingspofpisolation.pThepdistracterspgivepexamplespo
fpstatementspthatpdemonstratepadvocacyporpgivingpadvice.
PTS:p1pDIF:pCognitivepLevel:pApplyp(Application)p
REF:p7pTOP:pNursingpProcess:pEvaluation
MSC:pClientpNeeds:pPsychosocialpIntegrity
5. Whichpassessmentpfindingpmostpclearlypindicatespthatpappatientpmaypbepexperiencingpapmentalpillness?pThep
patient:
a. reportspoccasionalpsleeplessnesspandpanxiety.
b. reportspapconsistentlypsad,pdiscouraged,pandphopelesspmood.
c. ispableptopdescribepthepdifferencepbetweenpaspifpandpforpreal.
, TestpBankp-pVarcarolis'pFoundationspofpPsychiatricpMentalpHealthpNursingp(8thpEdition) 4
d. perceivespdifficultypmakingpapdecisionpaboutpwhetherptopchangepjobs.
ANS:pB
Thepcorrectpresponsepdescribespapmoodpalteration,pwhichpreflectspmentalpillness.pThepdistracterspdescribepbehaviors
pthatparepmentally phealthyporpwithinpthepusualpscopepofphumanpexperience.
PTS:p1pDIF:pCognitivepLevel:pApplyp(Application)p
REF:p2pTOP:pNursingpProcess:pAssessment
MSC:p Clientp Needs:p Psychosocialp Integrity
6. Whichp findingp bestp indicatesp thatp thep goalpDemonstratep mentallyp healthyp behaviorpwasp achieved?p Ap patient:
a. seespselfpaspcapablepofpachievingpidealspandpmeetingpdemands.
b. behavespwithoutpconsideringpthepconsequencespofppersonalpactions.
c. aggressivelypmeetspownpneedspwithoutpconsideringptheprightspofpothers.
d. seeksphelppfrompotherspwhenpassumingpresponsibilitypforpmajorpareaspofpownplife.
ANS:pA
Thepcorrectpresponsepdescribespanpadaptive,phealthypbehavior.pThepdistracterspdescribepmaladaptivepbehaviors.pPT
S:p1pDIF:pCognitivepLevel:pApplyp(Application)
REF:p2pTOP:pNursingpProcess:pEvaluationp
MSC:p Clientp Needs:p Psychosocialp Integrity
7. Apnursepencounterspanpunfamiliarppsychiatricpdisorderponpapnewppatientspadmissionpform.pWhichpresourcep
shouldpthepnursepconsultptopdeterminepcriteriapusedptopestablishpthispdiagnosis?
a. Internationalp Statisticalp Classificationp ofp Diseasesp andp Relatedp Healthp Problemsp (ICD-10)
b. DiagnosticpandpStatisticalpManualpofpMentalpDisordersp(DSM-5)
c. Apbehavioralphealthpreferencepmanual
d. Wikipediap
ANS:pB
ThepDSM-
5pgivespthepcriteriapusedptopdiagnosepeachpmentalpdisorder.pThepdistracterspmaypnotpcontainpdiagnosticpcriteriapforpa
ppsychiatric pillness.
PTS:p1pDIF:pCognitivepLevel:pApplyp(Application)
