TEST BANK Varcarolis’ Essentials of Psychiatric Mental
Health Nursing 2025/2026: A Communication Approach
to Evidence-Based Care 5th Edition By Chyllia D Fosbre |
Complete Guide chapter 1-28
A client in the outpatient clinic is denying that he is addicted to alcohol.
He tells the nurse that he is not an alcoholic and that it is his nagging
wife who causes him to drink. What is the most therapeutic response
by the nurse? - ANSWER-"Everyone is responsible for his own
actions."
Why is observation an especially important aspect of nursing care for a
withdrawn client? - ANSWER-It helps the nurse understand the client's
behavior
A client is admitted to a mental health facility for depression. What
action should a nurse take to help the client develop a positive self-
regard? - ANSWER-Involve the client in activities that promote success
1|Page
,A 5-foot 5-inch 15-year-old girl who weighs 80 lb is admitted to a
mental health facility with a diagnosis of anorexia nervosa. The nurse
recognizes that her problem most likely is caused by: - ANSWER-A
desire to control her life
A client is admitted to the psychiatric hospital after many self-inflicted
nonlethal injuries over the preceding month. Of which level of suicidal
behavior is the client's behavior reflective? - ANSWER-Gestures
A depressed client has feelings of failure and a low self-esteem. In what
activity should the client initially be encouraged to become involved? -
ANSWER-Assisting a staff member in working on the monthly bulletin
board
During the orientation tour for three new staff members, a young,
hyperactive manic client greets them by saying, "Welcome to the funny
farm. I'm Jo-Jo, the head yo-yo." Which meaning can the nurse assign
to the client's statement? - ANSWER-Anxious over the arrival of new
staff members
Which client characteristic is an initial concern for the nurse when
caring for a client with the diagnosis of paranoid schizophrenia? -
ANSWER-Suspicious feelings
A nurse is caring for an older adult with the diagnosis of dementia.
Which manifestations are expected in this client? (Select all that apply.)
- ANSWER-Resistance to change
2|Page
,Inability to recognize familiar objects
Inability to concentrate on new activities or interests
Tendency to dwell on the past and ignore the present
People who are involved in a bioterrorism attack exhibit immediate
reactions to the traumatic event. Which responses can a nurse expect
in survivors during the period immediately following a traumatic event?
(Select all that apply.) - ANSWER-Denial
Confusion
Helplessness
A client who attempted suicide by slashing her wrists is transferred
from the emergency department to a mental health unit. What
important nursing interventions must be implanted when the client
arrives on the unit? (Select all that apply.) - ANSWER-Obtaining vital
signs
Assessing for suicidal thoughts
Instituting continuous monitoring
Initiating a therapeutic relationship
Inspecting the bandages for bleeding
A client with schizophrenia is experiencing auditory hallucinations. A
nurse makes the following statements when interacting with this client.
Place these statements in the order in which they should be made. -
ANSWER-"Hearing voices must be frightening
3|Page
, "The voices you hear are part of your illness.
"I don't hear any voices.'
"Come with me for a walk.'
"Let's play cards with another client in the recreation room."
A depressed client often sleeps past the expected time of awakening
and spends excessive time resting and sleeping. Which nursing
intervention is appropriate for this client? - ANSWER-Restricting the
client's access to the bedroom
A client newly admitted to the psychiatric unit because of an acute
psychotic episode is actively hallucinating. The admitting nurse has
documented the content of the auditory hallucinations, which center
on the theme of powerlessness. Later the primary nurse approaches
the client, who appears to be listening to voices, and comments, "You
seem to be listening to something. Tell me what you hear." The primary
nurse requests feedback from the psychiatric clinical specialist
regarding this nursing intervention. How should the clinical specialist
respond? - ANSWER-By reminding the nurse that once the content is
known, there is no need to focus on the hallucinations because doing
so reinforces them
A client tells the nurse, "A man is speaking to me from the corner of the
room. Can you hear him?" How should the nurse respond? - ANSWER-
4|Page
Health Nursing 2025/2026: A Communication Approach
to Evidence-Based Care 5th Edition By Chyllia D Fosbre |
Complete Guide chapter 1-28
A client in the outpatient clinic is denying that he is addicted to alcohol.
He tells the nurse that he is not an alcoholic and that it is his nagging
wife who causes him to drink. What is the most therapeutic response
by the nurse? - ANSWER-"Everyone is responsible for his own
actions."
Why is observation an especially important aspect of nursing care for a
withdrawn client? - ANSWER-It helps the nurse understand the client's
behavior
A client is admitted to a mental health facility for depression. What
action should a nurse take to help the client develop a positive self-
regard? - ANSWER-Involve the client in activities that promote success
1|Page
,A 5-foot 5-inch 15-year-old girl who weighs 80 lb is admitted to a
mental health facility with a diagnosis of anorexia nervosa. The nurse
recognizes that her problem most likely is caused by: - ANSWER-A
desire to control her life
A client is admitted to the psychiatric hospital after many self-inflicted
nonlethal injuries over the preceding month. Of which level of suicidal
behavior is the client's behavior reflective? - ANSWER-Gestures
A depressed client has feelings of failure and a low self-esteem. In what
activity should the client initially be encouraged to become involved? -
ANSWER-Assisting a staff member in working on the monthly bulletin
board
During the orientation tour for three new staff members, a young,
hyperactive manic client greets them by saying, "Welcome to the funny
farm. I'm Jo-Jo, the head yo-yo." Which meaning can the nurse assign
to the client's statement? - ANSWER-Anxious over the arrival of new
staff members
Which client characteristic is an initial concern for the nurse when
caring for a client with the diagnosis of paranoid schizophrenia? -
ANSWER-Suspicious feelings
A nurse is caring for an older adult with the diagnosis of dementia.
Which manifestations are expected in this client? (Select all that apply.)
- ANSWER-Resistance to change
2|Page
,Inability to recognize familiar objects
Inability to concentrate on new activities or interests
Tendency to dwell on the past and ignore the present
People who are involved in a bioterrorism attack exhibit immediate
reactions to the traumatic event. Which responses can a nurse expect
in survivors during the period immediately following a traumatic event?
(Select all that apply.) - ANSWER-Denial
Confusion
Helplessness
A client who attempted suicide by slashing her wrists is transferred
from the emergency department to a mental health unit. What
important nursing interventions must be implanted when the client
arrives on the unit? (Select all that apply.) - ANSWER-Obtaining vital
signs
Assessing for suicidal thoughts
Instituting continuous monitoring
Initiating a therapeutic relationship
Inspecting the bandages for bleeding
A client with schizophrenia is experiencing auditory hallucinations. A
nurse makes the following statements when interacting with this client.
Place these statements in the order in which they should be made. -
ANSWER-"Hearing voices must be frightening
3|Page
, "The voices you hear are part of your illness.
"I don't hear any voices.'
"Come with me for a walk.'
"Let's play cards with another client in the recreation room."
A depressed client often sleeps past the expected time of awakening
and spends excessive time resting and sleeping. Which nursing
intervention is appropriate for this client? - ANSWER-Restricting the
client's access to the bedroom
A client newly admitted to the psychiatric unit because of an acute
psychotic episode is actively hallucinating. The admitting nurse has
documented the content of the auditory hallucinations, which center
on the theme of powerlessness. Later the primary nurse approaches
the client, who appears to be listening to voices, and comments, "You
seem to be listening to something. Tell me what you hear." The primary
nurse requests feedback from the psychiatric clinical specialist
regarding this nursing intervention. How should the clinical specialist
respond? - ANSWER-By reminding the nurse that once the content is
known, there is no need to focus on the hallucinations because doing
so reinforces them
A client tells the nurse, "A man is speaking to me from the corner of the
room. Can you hear him?" How should the nurse respond? - ANSWER-
4|Page
