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