,Varcarolis: Foundations of Psychiatric Mental Health Nursing, 6th Edition
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Chapter 01: Mental Health and Mental Illness
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1. A new staff nurse completes orientation to a psychiatric unit. This nurse may expect an
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advanced practice nurse to perform which additional interventions?
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d. Prescribe psychotropic medication
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2. Two nursing students discuss their career plans after graduation. One student wants to enter
g g g g g g g g g g g g g
psychiatric nursing. The other asks, “Why would you want to be a psychiatric nurse? The
g g g g g g g g g g g g g g g
only thing they do is talk. You’ll lose all your skills.” Select the best response.
g g g g g g g g g g g g g g g
b. “Psychiatric nurses use complex communication skills as well as critical thinking
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to solve multidimensional problems. I am challenged by those situations.”
g g g g g g g g g g
3. A new bill introduced in Congress would reduce funding for care of persons with mental
g g g g g g g g g g g g g g
illness. Groups of nurses write letters to their elected representatives in opposition to the
g g g g g g g g g g g g g g
legislation. Which role have the nurses fulfilled?
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a. Advocacy
4. An informal group of patients discusses their perceptions of nursing care. Which comment
g g g g g g g g g g g g
best indicates a patient perceived the nurse was caring? “My nurse:
g g g g g g g g g g g
d. spends time listening to me talk about my problems. That helps me feel like I’m
g g g g g g g g g g g g g g g
not alone.”
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5. Which finding best indicates that a patient has a mental illness? The patient:
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b. reports mood is consistently sad, discouraged, and hopeless.
g g g g g g g
6. Which finding best indicates that the goal “Demonstrate mentally healthy behavior” was
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achieved? A patient:
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a. sees self as approaching ideals and capable of meeting demands.
g g g g g g g g g
7. A nurse encounters an unfamiliar psychiatric disorder on a new patient’s admission form. To
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determine criteria used to establish this diagnosis, the nurse should consult which resource?
g g g g g g g g g g g g g
a. Diagnostic and Statistical Manual of Mental Disorders
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8. Which documentation of diagnosis would a nurse expect in a psychiatric treatment setting?
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d. I Major Depression
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II Avoidant Personality Disorder g g
III Hypertension
IV Home destroyed by hurricane last year g g g g g
V 80
ANS:
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gD
9. A nurse explains the multiaxial DSM-IV-TR to a psychiatric technician and includes
g g g g g g g g g g g
information that it:
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c. classifies problems in multiple areas of functioning.
g g g g g g
,10. A nurse wants to find a description of diagnostic criteria for anxiety disorders. Which
g g g g g g g g g g g g g
resource would have the most complete information?
g g g g g g g
c. Diagnostic and Statistical Manual of Mental Disorders g g g g g g
11. Which comment most clearly shows a speaker views mental illness with stigma?
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b. “Most people with mental illness are unmotivated.”
g g g g g g g g
12. Complete this analogy. NANDA : clinical judgment :: NIC : g g g g g g g g g g
b. nursing actions
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13. A college student said, “Most of the time I’m happy and feel good about myself. I have
g g g g g g g g g g g g g g g g
learned that what I get out of something is proportional to the effort I put into it.” Which
g g g g g g g g g g g g g g g g g g
number on this mental health continuum should the nurse select?
g g g g g g g g g g
Mental Illness Mental Healthg g g
12345
g g g g g
e. 5
14. A newly admitted patient is uncommunicative about recent life events. The nurse suspects
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marital and economic problems, but the social worker’s assessment is not yet available.
g g g g g g g g g g g g g
Select the nurse’s best action.
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d. Refer to axis IV of the DSM-IV-TR in the medical record.
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15. The Diagnostic and Statistical Manual of Mental Disorders classifies:
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d. mental disorders people have.
g g g g g
16. A nurse participating in a community health fair is asked, “What is the most prevalent
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mental disorder in the United States?” Select the nurse’s best response.
g g g g g g g g g g g
d. Alzheimer’s disease
g g g
17. In the majority culture of the United States, which individual has the greatest risk to be
g g g g g g g g g g g g g g g
labeled mentally ill? One who:
g g g g g
a. describes hearing God’s voice speaking. g g g g
18. A patient’s relationships are intense and unstable. The patient initially idealizes the
g g g g g g g g g g g
significant other and then devalues them, resulting in frequent feelings of emptiness. This
g g g g g g g g g g g g g
patient will benefit from interventions to develop which aspect of mental health?
g g g g g g g g g g g g
d. Fulfilling relationships
g g g
19. A patient is depressed, mute, and motionless. According to family members, the patient has
g g g g g g g g g g g g g
refused to bathe or eat for a week. The patient’s global assessment of functioning score is:
g g g g g g g g g g g g g g g g
d. 10 g g
20. Which belief will best support a nurse’s efforts to provide patient advocacy during a
g g g g g g g g g g g g g
multidisciplinary patient care planning session?
g g g g g
, d. Assessment findings in mental disorders reflect a person’s cultural patterns.
g g g g g g g g g g
21. A nurse is part of a multidisciplinary team working with groups of depressed patients. Half
g g g g g g g g g g g g g g
the patients receive supportive interventions and antidepressant medication. The other half
g g g g g g g g g g g
receives only medication. The team measures outcomes for each group. Which type of study
g g g g g g g g g g g g g g
is evident? g g
b. Clinical epidemiology
g g g
22. The spouse of a patient with schizophrenia says, “I don’t understand how nurturing or toilet
g g g g g g g g g g g g g g
training in childhood has anything to do with this incredibly disabling illness.” Which
g g g g g g g g g g g g g
response by the nurse will best help the spouse understand this disorder?
g g g g g g g g g g g g
d. “New findings show that this condition more likely has biological rather than
g g g g g g g g g g g
psychological origins.”
g g
23. A 40-year-old who lives with parents and works at an unchallenging job says, “I’m as happy
g g g g g g g g g g g g g g g
as anyone else, even though I don’t socialize much outside of work. My work is routine, but
g g g g g g g g g g g g g g g g g
when new things come up, my boss explains things a few times to make sure I catch on. At
g g g g g g g g g g g g g g g g g g g
home, my parents make decisions for me, and I go along with their ideas.” The nurse should
g g g g g g g g g g g g g g g g g
identify interventions to improve this patient’s:
g g g g g g
a. self-concept.
24. The psychiatric nurse addresses axis I of the DSM as the focus of treatment but must also
g g g g g g g g g g g g g g g g
consider physical health problems that may affect treatment. Which axis contains the desired
g g g g g g g g g g g g g
information? g
b. g g III
25. Select the best response for the nurse who receives a query from another mental health
g g g g g g g g g g g g g g
professional seeking to understand the difference between a DSM-IV-TR diagnosis and a
g g g g g g g g g g g g
nursing diagnosis.
g g
d. “The DSM-IV-TR diagnosis affects the choice of medical treatment, whereas the
g g g g g g g g g g
nursing diagnosis offers a framework for identifying interventions for phenomena
g g g g g g g g g g
a patient is experiencing.”
g g g g
1. An experienced nurse says to a new graduate, “When you’ve practiced as long as I have,
g g g g g g g g g g g g g g g
you’ll instantly know how to take care of psychotic patients.” Which information should the
g g g g g g g g g g g g g g
new graduate consider when analyzing this comment? You may select more than one answer.
g g g g g g g g g g g g g g
a. The experienced nurse may have lost sight of patients’ individuality, which may
g g g g g g g g g g g
compromise the integrity of practice.
g g g g g
b. New research findings should be integrated continuously into a nurse’s practice to
g g g g g g g g g g g
provide the most effective care.
g g g g g
g g g g g g g g
Chapter 01: Mental Health and Mental Illness
g g g g g g
1. A new staff nurse completes orientation to a psychiatric unit. This nurse may expect an
g g g g g g g g g g g g g g
advanced practice nurse to perform which additional interventions?
g g g g g g g g
d. Prescribe psychotropic medication
g g g g
2. Two nursing students discuss their career plans after graduation. One student wants to enter
g g g g g g g g g g g g g
psychiatric nursing. The other asks, “Why would you want to be a psychiatric nurse? The
g g g g g g g g g g g g g g g
only thing they do is talk. You’ll lose all your skills.” Select the best response.
g g g g g g g g g g g g g g g
b. “Psychiatric nurses use complex communication skills as well as critical thinking
g g g g g g g g g g g
to solve multidimensional problems. I am challenged by those situations.”
g g g g g g g g g g
3. A new bill introduced in Congress would reduce funding for care of persons with mental
g g g g g g g g g g g g g g
illness. Groups of nurses write letters to their elected representatives in opposition to the
g g g g g g g g g g g g g g
legislation. Which role have the nurses fulfilled?
g g g g g g g
a. Advocacy
4. An informal group of patients discusses their perceptions of nursing care. Which comment
g g g g g g g g g g g g
best indicates a patient perceived the nurse was caring? “My nurse:
g g g g g g g g g g g
d. spends time listening to me talk about my problems. That helps me feel like I’m
g g g g g g g g g g g g g g g
not alone.”
g g
5. Which finding best indicates that a patient has a mental illness? The patient:
g g g g g g g g g g g g
b. reports mood is consistently sad, discouraged, and hopeless.
g g g g g g g
6. Which finding best indicates that the goal “Demonstrate mentally healthy behavior” was
g g g g g g g g g g g
achieved? A patient:
g g g
a. sees self as approaching ideals and capable of meeting demands.
g g g g g g g g g
7. A nurse encounters an unfamiliar psychiatric disorder on a new patient’s admission form. To
g g g g g g g g g g g g g
determine criteria used to establish this diagnosis, the nurse should consult which resource?
g g g g g g g g g g g g g
a. Diagnostic and Statistical Manual of Mental Disorders
g g g g g g
8. Which documentation of diagnosis would a nurse expect in a psychiatric treatment setting?
g g g g g g g g g g g g
d. I Major Depression
g g
II Avoidant Personality Disorder g g
III Hypertension
IV Home destroyed by hurricane last year g g g g g
V 80
ANS:
g
gD
9. A nurse explains the multiaxial DSM-IV-TR to a psychiatric technician and includes
g g g g g g g g g g g
information that it:
g g g
c. classifies problems in multiple areas of functioning.
g g g g g g
,10. A nurse wants to find a description of diagnostic criteria for anxiety disorders. Which
g g g g g g g g g g g g g
resource would have the most complete information?
g g g g g g g
c. Diagnostic and Statistical Manual of Mental Disorders g g g g g g
11. Which comment most clearly shows a speaker views mental illness with stigma?
g g g g g g g g g g g
b. “Most people with mental illness are unmotivated.”
g g g g g g g g
12. Complete this analogy. NANDA : clinical judgment :: NIC : g g g g g g g g g g
b. nursing actions
g g g
13. A college student said, “Most of the time I’m happy and feel good about myself. I have
g g g g g g g g g g g g g g g g
learned that what I get out of something is proportional to the effort I put into it.” Which
g g g g g g g g g g g g g g g g g g
number on this mental health continuum should the nurse select?
g g g g g g g g g g
Mental Illness Mental Healthg g g
12345
g g g g g
e. 5
14. A newly admitted patient is uncommunicative about recent life events. The nurse suspects
g g g g g g g g g g g g
marital and economic problems, but the social worker’s assessment is not yet available.
g g g g g g g g g g g g g
Select the nurse’s best action.
g g g g g
d. Refer to axis IV of the DSM-IV-TR in the medical record.
g g g g g g g g g g
15. The Diagnostic and Statistical Manual of Mental Disorders classifies:
g g g g g g g g
d. mental disorders people have.
g g g g g
16. A nurse participating in a community health fair is asked, “What is the most prevalent
g g g g g g g g g g g g g g
mental disorder in the United States?” Select the nurse’s best response.
g g g g g g g g g g g
d. Alzheimer’s disease
g g g
17. In the majority culture of the United States, which individual has the greatest risk to be
g g g g g g g g g g g g g g g
labeled mentally ill? One who:
g g g g g
a. describes hearing God’s voice speaking. g g g g
18. A patient’s relationships are intense and unstable. The patient initially idealizes the
g g g g g g g g g g g
significant other and then devalues them, resulting in frequent feelings of emptiness. This
g g g g g g g g g g g g g
patient will benefit from interventions to develop which aspect of mental health?
g g g g g g g g g g g g
d. Fulfilling relationships
g g g
19. A patient is depressed, mute, and motionless. According to family members, the patient has
g g g g g g g g g g g g g
refused to bathe or eat for a week. The patient’s global assessment of functioning score is:
g g g g g g g g g g g g g g g g
d. 10 g g
20. Which belief will best support a nurse’s efforts to provide patient advocacy during a
g g g g g g g g g g g g g
multidisciplinary patient care planning session?
g g g g g
, d. Assessment findings in mental disorders reflect a person’s cultural patterns.
g g g g g g g g g g
21. A nurse is part of a multidisciplinary team working with groups of depressed patients. Half
g g g g g g g g g g g g g g
the patients receive supportive interventions and antidepressant medication. The other half
g g g g g g g g g g g
receives only medication. The team measures outcomes for each group. Which type of study
g g g g g g g g g g g g g g
is evident? g g
b. Clinical epidemiology
g g g
22. The spouse of a patient with schizophrenia says, “I don’t understand how nurturing or toilet
g g g g g g g g g g g g g g
training in childhood has anything to do with this incredibly disabling illness.” Which
g g g g g g g g g g g g g
response by the nurse will best help the spouse understand this disorder?
g g g g g g g g g g g g
d. “New findings show that this condition more likely has biological rather than
g g g g g g g g g g g
psychological origins.”
g g
23. A 40-year-old who lives with parents and works at an unchallenging job says, “I’m as happy
g g g g g g g g g g g g g g g
as anyone else, even though I don’t socialize much outside of work. My work is routine, but
g g g g g g g g g g g g g g g g g
when new things come up, my boss explains things a few times to make sure I catch on. At
g g g g g g g g g g g g g g g g g g g
home, my parents make decisions for me, and I go along with their ideas.” The nurse should
g g g g g g g g g g g g g g g g g
identify interventions to improve this patient’s:
g g g g g g
a. self-concept.
24. The psychiatric nurse addresses axis I of the DSM as the focus of treatment but must also
g g g g g g g g g g g g g g g g
consider physical health problems that may affect treatment. Which axis contains the desired
g g g g g g g g g g g g g
information? g
b. g g III
25. Select the best response for the nurse who receives a query from another mental health
g g g g g g g g g g g g g g
professional seeking to understand the difference between a DSM-IV-TR diagnosis and a
g g g g g g g g g g g g
nursing diagnosis.
g g
d. “The DSM-IV-TR diagnosis affects the choice of medical treatment, whereas the
g g g g g g g g g g
nursing diagnosis offers a framework for identifying interventions for phenomena
g g g g g g g g g g
a patient is experiencing.”
g g g g
1. An experienced nurse says to a new graduate, “When you’ve practiced as long as I have,
g g g g g g g g g g g g g g g
you’ll instantly know how to take care of psychotic patients.” Which information should the
g g g g g g g g g g g g g g
new graduate consider when analyzing this comment? You may select more than one answer.
g g g g g g g g g g g g g g
a. The experienced nurse may have lost sight of patients’ individuality, which may
g g g g g g g g g g g
compromise the integrity of practice.
g g g g g
b. New research findings should be integrated continuously into a nurse’s practice to
g g g g g g g g g g g
provide the most effective care.
g g g g g
