TEST BANK VARCAROLIS' FOUNDATIONS OF PSYCHIATRIC-MENTAL HEALTH
NURSING A CLINICAL 9TH EDITION BY MARGARET JORDAN HALTER |TEST
BANK|CHAPTER 1-36 UPDATED
,CONTENTS
CHAPTER 01: MENTAL HEALTH AND MENTAL ILLNESS ................................................... 4
CHAPTER 02: THEORIES AND THERAPIES .......................................................................19
CHAPTER 03: PSYCHOBIOLOGY AND PSYCHOPHARMACOLOGY .................................44
CHAPTER 04: TREATMENT SETTINGS ..............................................................................69
CHAPTER 05: CULTURAL IMPLICATIONS ..........................................................................98
CHAPTER 06: LEGAL AND ETHICAL CONSIDERATIONS ................................................122
CHAPTER 07: THE NURSING PROCESS AND STANDARDS OF CARE ..........................146
CHAPTER 08: THERAPEUTIC RELATIONSHIPS ..............................................................168
CHAPTER 09: THERAPEUTIC COMMUNICATION ............................................................190
CHAPTER 10: STRESS RESPONSES AND STRESS MANAGEMENT .............................208
CHAPTER 11: CHILDHOOD AND NEURODEVELOPMENTAL DISORDERS ....................229
CHAPTER 12: SCHIZOPHRENIA SPECTRUM DISORDERS ............................................250
CHAPTER 13: BIPOLAR AND RELATED DISORDERS .....................................................280
CHAPTER 14: DEPRESSIVE DISORDERS ........................................................................307
CHAPTER 15: ANXIETY AND OBSESSIVE-COMPULSIVE DISORDERS .........................332
CHAPTER 16: TRAUMA, STRESSOR-RELATED, AND DISSOCIATIVE DISORDERS......359
CHAPTER 17: SOMATIC SYMPTOM DISORDERS ...........................................................383
CHAPTER 18: EATING AND FEEDING DISORDERS ........................................................405
CHAPTER 19: SLEEP–WAKE DISORDERS.......................................................................426
CHAPTER 20: SEXUAL DYSFUNCTIONS, GENDER DYSPHORIA, AND PARAPHILIAS .446
CHAPTER 21: IMPULSE CONTROL DISORDERS.............................................................467
CHAPTER 22: SUBSTANCE-RELATED AND ADDICTIVE DISORDERS ...........................484
CHAPTER 23: NEUROCOGNITIVE DISORDERS ..............................................................509
CHAPTER 24: PERSONALITY DISORDERS......................................................................533
CHAPTER 25: SUICIDE AND NONSUICIDAL SELF-INJURY .............................................557
CHAPTER 26: CRISIS AND DISASTER .............................................................................577
CHAPTER 27: ANGER, AGGRESSION, AND VIOLENCE ..................................................597
CHAPTER 28: CHILD, OLDER ADULT, AND INTIMATE PARTNER VIOLENCE ...............618
CHAPTER 29: SEXUAL ASSAULT .....................................................................................635
CHAPTER 30: DYING, DEATH, AND GRIEVING ...............................................................653
CHAPTER 31: OLDER ADULTS .........................................................................................669
CHAPTER 32: SERIOUS MENTAL ILLNESS......................................................................695
CHAPTER 33: FORENSIC NURSING .................................................................................723
CHAPTER 34: THERAPEUTIC GROUPS ...........................................................................743
, CHAPTER 35: FAMILY INTERVENTIONS ..........................................................................767
CHAPTER 36: INTEGRATIVE CARE ..................................................................................789
TEST BANK VARCAROLIS' FOUNDATIONS OF PSYCHIATRIC-MENTAL
HEALTH NURSING A CLINICAL 9TH EDITION BY MARGARET JORDAN
,CHAPTER 01: MENTAL HEALTH AND MENTAL ILLNESS
MULTIPLE CHOICE
1. A STAFF NURSE COMPLETES ORIENTATION TO A PSYCHIATRIC UNIT. THIS NURSE
MAY EXPECT AN ADVANCED
PRACTICE NURSE TO PERFORM WHICH ADDITIONAL INTERVENTION? A. CONDUCT
MENTAL HEALTH
ASSESSMENTS.
B. PRESCRIBE PSYCHOTROPIC MEDICATION.
C. ESTABLISH THERAPEUTIC RELATIONSHIPS.
D. INDIVIDUALIZE NURSING CARE PLANS.
ANS:B
IN MOST STATES, PRESCRIPTIVE PRIVILEGES ARE GRANTED TO MASTER‘S-
PREPARED NURSE PRACTITIONERS AND
CLINICAL NURSE SPECIALISTS WHO HAVE TAKEN SPECIAL COURSES ON
PRESCRIBING MEDICATION. THE NURSE
PREPARED AT THE BASIC LEVEL IS PERMITTED TO PERFORM MENTAL HEALTH
ASSESSMENTS, ESTABLISH
RELATIONSHIPS, AND PROVIDE INDIVIDUALIZED CARE PLANNING.
2. A NURSING STUDENT EXPRESSES CONCERNS THAT MENTAL HEALTH NURSES
―LOSE ALL THEIR CLINICAL NURSING
SKILLS.‖ SELECT THE BEST RESPONSE BY THE MENTAL HEALTH NURSE.
A. ―PSYCHIATRIC NURSES PRACTICE IN SAFER ENVIRONMENTS THAN OTHER
SPECIALTIES. NURSE-TO-PATIENT
RATIOS MUST BE BETTER BECAUSE OF THE NATURE OF THE PATIENTS‘ PROBLEMS.‖
B. ―PSYCHIATRIC NURSES USE COMPLEX COMMUNICATION SKILLS AS WELL AS
CRITICAL THINKING TO SOLVE
MULTIDIMENSIONAL PROBLEMS. I AM CHALLENGED BY THOSE SITUATIONS.‖
C. ―THAT‘S A MISCONCEPTION. PSYCHIATRIC NURSES FREQUENTLY USE HIGH
TECHNOLOGY MONITORING
EQUIPMENT AND MANAGE COMPLEX INTRAVENOUS THERAPIES.‖
D. ―PSYCHIATRIC NURSES DO NOT HAVE TO DEAL WITH AS MUCH PAIN AND
SUFFERING AS MEDICAL–
,SURGICAL NURSES DO. THAT APPEALS TO ME.‖
ANS:B
THE PRACTICE OF PSYCHIATRIC NURSING REQUIRES A DIFFERENT SET OF SKILLS
THAN MEDICAL–SURGICAL
NURSING, THOUGH THERE IS SUBSTANTIAL OVERLAP. PSYCHIATRIC NURSES MUST
BE ABLE TO HELP PATIENTS
WITH MEDICAL AS WELL AS MENTAL HEALTH PROBLEMS, REFLECTING THE HOLISTIC
PERSPECTIVE THESE
NURSES MUST HAVE. NURSE–PATIENT RATIOS AND WORKLOADS IN PSYCHIATRIC
SETTINGS HAVE INCREASED,
JUST LIKE OTHER SPECIALTIES. PSYCHIATRIC NURSING INVOLVES CLINICAL
PRACTICE, NOT JUST
DOCUMENTATION. PSYCHOSOCIAL PAIN AND SUFFERING ARE AS REAL AS PHYSICAL
PAIN AND SUFFERING.
3. WHEN A NEW BILL INTRODUCED IN CONGRESS REDUCES FUNDING FOR CARE OF
PERSONS DIAGNOSED WITH
MENTAL ILLNESS, A GROUP OF NURSES WRITE LETTERS TO THEIR ELECTED
REPRESENTATIVES IN OPPOSITION TO
THE LEGISLATION. WHICH ROLE HAVE THE NURSES FULFILLED?
A. RECOVERY
B. ATTENDING
C. ADVOCACY
D. EVIDENCE-BASED PRACTICE
ANS:C
AN ADVOCATE DEFENDS OR ASSERTS ANOTHER‘S CAUSE, PARTICULARLY WHEN THE
OTHER PERSON LACKS THE
ABILITY TO DO THAT FOR SELF. EXAMPLES OF INDIVIDUAL ADVOCACY INCLUDE
HELPING PATIENTS
UNDERSTAND THEIR RIGHTS OR MAKE DECISIONS. ON A COMMUNITY SCALE,
ADVOCACY INCLUDES POLITICAL
ACTIVITY, PUBLIC SPEAKING, AND PUBLICATION IN THE INTEREST OF IMPROVING THE
HUMAN CONDITION.
SINCE FUNDING IS NECESSARY TO DELIVER QUALITY PROGRAMMING FOR PERSONS
WITH MENTAL ILLNESS, THE
, LETTER-WRITING CAMPAIGN ADVOCATES FOR THAT CAUSE ON BEHALF OF PATIENTS
WHO ARE UNABLE TO
ARTICULATE THEIR OWN NEEDS.
4. A FAMILY HAS A LONG HISTORY OF CONFLICTED RELATIONSHIPS AMONG THE
MEMBERS. WHICH FAMILY
MEMBER‘S COMMENT BEST REFLECTS A MENTALLY HEALTHY PERSPECTIVE?
A. ―I‘VE MADE MISTAKES BUT EVERYONE ELSE IN THIS FAMILY HAS ALSO.‖
B. ―I REMEMBER JOY AND MUTUAL RESPECT FROM OUR EARLY YEARS TOGETHER.‖
C. ―I WILL MAKE SOME CHANGES IN MY BEHAVIOR FOR THE GOOD OF THE FAMILY.‖
D. ―IT‘S BEST FOR ME TO MOVE AWAY FROM MY FAMILY. THINGS WILL NEVER
CHANGE.‖
ANS:C
THE CORRECT RESPONSE DEMONSTRATES THE BEST EVIDENCE OF A HEALTHY
RECOGNITION OF THE
IMPORTANCE OF RELATIONSHIPS. MENTAL HEALTH INCLUDES RATIONAL THINKING,
COMMUNICATION SKILLS,
LEARNING, EMOTIONAL GROWTH, RESILIENCE, AND SELF-ESTEEM. RECALLING JOY
FROM EARLIER IN LIFE MAY
BE HEALTHY, BUT THE CORRECT RESPONSE SHOWS A HIGHER LEVEL OF MENTAL
HEALTH. THE OTHER INCORRECT
RESPONSES SHOW BLAMING AND AVOIDANCE.
CLIENT NEEDS: PSYCHOSOCIAL INTEGRITY
5. WHICH ASSESSMENT FINDING MOST CLEARLY INDICATES THAT A PATIENT MAY BE
EXPERIENCING A MENTAL
ILLNESS? THE PATIENT
A. REPORTS OCCASIONAL SLEEPLESSNESS AND ANXIETY.
B. REPORTS A CONSISTENTLY SAD, DISCOURAGED, AND HOPELESS MOOD.
C. IS ABLE TO DESCRIBE THE DIFFERENCE BETWEEN ―AS IF‖ AND ―FOR REAL.‖
D. PERCEIVES DIFFICULTY MAKING A DECISION ABOUT WHETHER TO CHANGE JOBS.
ANS:B
THE CORRECT RESPONSE DESCRIBES A MOOD ALTERATION, WHICH REFLECTS
MENTAL ILLNESS. THE
DISTRACTERS DESCRIBE BEHAVIORS THAT ARE MENTALLY HEALTHY OR WITHIN THE
USUAL SCOPE OF HUMAN
NURSING A CLINICAL 9TH EDITION BY MARGARET JORDAN HALTER |TEST
BANK|CHAPTER 1-36 UPDATED
,CONTENTS
CHAPTER 01: MENTAL HEALTH AND MENTAL ILLNESS ................................................... 4
CHAPTER 02: THEORIES AND THERAPIES .......................................................................19
CHAPTER 03: PSYCHOBIOLOGY AND PSYCHOPHARMACOLOGY .................................44
CHAPTER 04: TREATMENT SETTINGS ..............................................................................69
CHAPTER 05: CULTURAL IMPLICATIONS ..........................................................................98
CHAPTER 06: LEGAL AND ETHICAL CONSIDERATIONS ................................................122
CHAPTER 07: THE NURSING PROCESS AND STANDARDS OF CARE ..........................146
CHAPTER 08: THERAPEUTIC RELATIONSHIPS ..............................................................168
CHAPTER 09: THERAPEUTIC COMMUNICATION ............................................................190
CHAPTER 10: STRESS RESPONSES AND STRESS MANAGEMENT .............................208
CHAPTER 11: CHILDHOOD AND NEURODEVELOPMENTAL DISORDERS ....................229
CHAPTER 12: SCHIZOPHRENIA SPECTRUM DISORDERS ............................................250
CHAPTER 13: BIPOLAR AND RELATED DISORDERS .....................................................280
CHAPTER 14: DEPRESSIVE DISORDERS ........................................................................307
CHAPTER 15: ANXIETY AND OBSESSIVE-COMPULSIVE DISORDERS .........................332
CHAPTER 16: TRAUMA, STRESSOR-RELATED, AND DISSOCIATIVE DISORDERS......359
CHAPTER 17: SOMATIC SYMPTOM DISORDERS ...........................................................383
CHAPTER 18: EATING AND FEEDING DISORDERS ........................................................405
CHAPTER 19: SLEEP–WAKE DISORDERS.......................................................................426
CHAPTER 20: SEXUAL DYSFUNCTIONS, GENDER DYSPHORIA, AND PARAPHILIAS .446
CHAPTER 21: IMPULSE CONTROL DISORDERS.............................................................467
CHAPTER 22: SUBSTANCE-RELATED AND ADDICTIVE DISORDERS ...........................484
CHAPTER 23: NEUROCOGNITIVE DISORDERS ..............................................................509
CHAPTER 24: PERSONALITY DISORDERS......................................................................533
CHAPTER 25: SUICIDE AND NONSUICIDAL SELF-INJURY .............................................557
CHAPTER 26: CRISIS AND DISASTER .............................................................................577
CHAPTER 27: ANGER, AGGRESSION, AND VIOLENCE ..................................................597
CHAPTER 28: CHILD, OLDER ADULT, AND INTIMATE PARTNER VIOLENCE ...............618
CHAPTER 29: SEXUAL ASSAULT .....................................................................................635
CHAPTER 30: DYING, DEATH, AND GRIEVING ...............................................................653
CHAPTER 31: OLDER ADULTS .........................................................................................669
CHAPTER 32: SERIOUS MENTAL ILLNESS......................................................................695
CHAPTER 33: FORENSIC NURSING .................................................................................723
CHAPTER 34: THERAPEUTIC GROUPS ...........................................................................743
, CHAPTER 35: FAMILY INTERVENTIONS ..........................................................................767
CHAPTER 36: INTEGRATIVE CARE ..................................................................................789
TEST BANK VARCAROLIS' FOUNDATIONS OF PSYCHIATRIC-MENTAL
HEALTH NURSING A CLINICAL 9TH EDITION BY MARGARET JORDAN
,CHAPTER 01: MENTAL HEALTH AND MENTAL ILLNESS
MULTIPLE CHOICE
1. A STAFF NURSE COMPLETES ORIENTATION TO A PSYCHIATRIC UNIT. THIS NURSE
MAY EXPECT AN ADVANCED
PRACTICE NURSE TO PERFORM WHICH ADDITIONAL INTERVENTION? A. CONDUCT
MENTAL HEALTH
ASSESSMENTS.
B. PRESCRIBE PSYCHOTROPIC MEDICATION.
C. ESTABLISH THERAPEUTIC RELATIONSHIPS.
D. INDIVIDUALIZE NURSING CARE PLANS.
ANS:B
IN MOST STATES, PRESCRIPTIVE PRIVILEGES ARE GRANTED TO MASTER‘S-
PREPARED NURSE PRACTITIONERS AND
CLINICAL NURSE SPECIALISTS WHO HAVE TAKEN SPECIAL COURSES ON
PRESCRIBING MEDICATION. THE NURSE
PREPARED AT THE BASIC LEVEL IS PERMITTED TO PERFORM MENTAL HEALTH
ASSESSMENTS, ESTABLISH
RELATIONSHIPS, AND PROVIDE INDIVIDUALIZED CARE PLANNING.
2. A NURSING STUDENT EXPRESSES CONCERNS THAT MENTAL HEALTH NURSES
―LOSE ALL THEIR CLINICAL NURSING
SKILLS.‖ SELECT THE BEST RESPONSE BY THE MENTAL HEALTH NURSE.
A. ―PSYCHIATRIC NURSES PRACTICE IN SAFER ENVIRONMENTS THAN OTHER
SPECIALTIES. NURSE-TO-PATIENT
RATIOS MUST BE BETTER BECAUSE OF THE NATURE OF THE PATIENTS‘ PROBLEMS.‖
B. ―PSYCHIATRIC NURSES USE COMPLEX COMMUNICATION SKILLS AS WELL AS
CRITICAL THINKING TO SOLVE
MULTIDIMENSIONAL PROBLEMS. I AM CHALLENGED BY THOSE SITUATIONS.‖
C. ―THAT‘S A MISCONCEPTION. PSYCHIATRIC NURSES FREQUENTLY USE HIGH
TECHNOLOGY MONITORING
EQUIPMENT AND MANAGE COMPLEX INTRAVENOUS THERAPIES.‖
D. ―PSYCHIATRIC NURSES DO NOT HAVE TO DEAL WITH AS MUCH PAIN AND
SUFFERING AS MEDICAL–
,SURGICAL NURSES DO. THAT APPEALS TO ME.‖
ANS:B
THE PRACTICE OF PSYCHIATRIC NURSING REQUIRES A DIFFERENT SET OF SKILLS
THAN MEDICAL–SURGICAL
NURSING, THOUGH THERE IS SUBSTANTIAL OVERLAP. PSYCHIATRIC NURSES MUST
BE ABLE TO HELP PATIENTS
WITH MEDICAL AS WELL AS MENTAL HEALTH PROBLEMS, REFLECTING THE HOLISTIC
PERSPECTIVE THESE
NURSES MUST HAVE. NURSE–PATIENT RATIOS AND WORKLOADS IN PSYCHIATRIC
SETTINGS HAVE INCREASED,
JUST LIKE OTHER SPECIALTIES. PSYCHIATRIC NURSING INVOLVES CLINICAL
PRACTICE, NOT JUST
DOCUMENTATION. PSYCHOSOCIAL PAIN AND SUFFERING ARE AS REAL AS PHYSICAL
PAIN AND SUFFERING.
3. WHEN A NEW BILL INTRODUCED IN CONGRESS REDUCES FUNDING FOR CARE OF
PERSONS DIAGNOSED WITH
MENTAL ILLNESS, A GROUP OF NURSES WRITE LETTERS TO THEIR ELECTED
REPRESENTATIVES IN OPPOSITION TO
THE LEGISLATION. WHICH ROLE HAVE THE NURSES FULFILLED?
A. RECOVERY
B. ATTENDING
C. ADVOCACY
D. EVIDENCE-BASED PRACTICE
ANS:C
AN ADVOCATE DEFENDS OR ASSERTS ANOTHER‘S CAUSE, PARTICULARLY WHEN THE
OTHER PERSON LACKS THE
ABILITY TO DO THAT FOR SELF. EXAMPLES OF INDIVIDUAL ADVOCACY INCLUDE
HELPING PATIENTS
UNDERSTAND THEIR RIGHTS OR MAKE DECISIONS. ON A COMMUNITY SCALE,
ADVOCACY INCLUDES POLITICAL
ACTIVITY, PUBLIC SPEAKING, AND PUBLICATION IN THE INTEREST OF IMPROVING THE
HUMAN CONDITION.
SINCE FUNDING IS NECESSARY TO DELIVER QUALITY PROGRAMMING FOR PERSONS
WITH MENTAL ILLNESS, THE
, LETTER-WRITING CAMPAIGN ADVOCATES FOR THAT CAUSE ON BEHALF OF PATIENTS
WHO ARE UNABLE TO
ARTICULATE THEIR OWN NEEDS.
4. A FAMILY HAS A LONG HISTORY OF CONFLICTED RELATIONSHIPS AMONG THE
MEMBERS. WHICH FAMILY
MEMBER‘S COMMENT BEST REFLECTS A MENTALLY HEALTHY PERSPECTIVE?
A. ―I‘VE MADE MISTAKES BUT EVERYONE ELSE IN THIS FAMILY HAS ALSO.‖
B. ―I REMEMBER JOY AND MUTUAL RESPECT FROM OUR EARLY YEARS TOGETHER.‖
C. ―I WILL MAKE SOME CHANGES IN MY BEHAVIOR FOR THE GOOD OF THE FAMILY.‖
D. ―IT‘S BEST FOR ME TO MOVE AWAY FROM MY FAMILY. THINGS WILL NEVER
CHANGE.‖
ANS:C
THE CORRECT RESPONSE DEMONSTRATES THE BEST EVIDENCE OF A HEALTHY
RECOGNITION OF THE
IMPORTANCE OF RELATIONSHIPS. MENTAL HEALTH INCLUDES RATIONAL THINKING,
COMMUNICATION SKILLS,
LEARNING, EMOTIONAL GROWTH, RESILIENCE, AND SELF-ESTEEM. RECALLING JOY
FROM EARLIER IN LIFE MAY
BE HEALTHY, BUT THE CORRECT RESPONSE SHOWS A HIGHER LEVEL OF MENTAL
HEALTH. THE OTHER INCORRECT
RESPONSES SHOW BLAMING AND AVOIDANCE.
CLIENT NEEDS: PSYCHOSOCIAL INTEGRITY
5. WHICH ASSESSMENT FINDING MOST CLEARLY INDICATES THAT A PATIENT MAY BE
EXPERIENCING A MENTAL
ILLNESS? THE PATIENT
A. REPORTS OCCASIONAL SLEEPLESSNESS AND ANXIETY.
B. REPORTS A CONSISTENTLY SAD, DISCOURAGED, AND HOPELESS MOOD.
C. IS ABLE TO DESCRIBE THE DIFFERENCE BETWEEN ―AS IF‖ AND ―FOR REAL.‖
D. PERCEIVES DIFFICULTY MAKING A DECISION ABOUT WHETHER TO CHANGE JOBS.
ANS:B
THE CORRECT RESPONSE DESCRIBES A MOOD ALTERATION, WHICH REFLECTS
MENTAL ILLNESS. THE
DISTRACTERS DESCRIBE BEHAVIORS THAT ARE MENTALLY HEALTHY OR WITHIN THE
USUAL SCOPE OF HUMAN
