Test Bank - Varcarolis\' Foundations of
Psychiatric Mental Health Nursing
(8th Edition) {Chapters 01-05}
C HAPTER 01: M ENTAL H EALTH AND M ENTAL
I LLNESS
MULTIPLE CHOICE
1. Which disorder is a culture -bound syndrome?
a. Epilepsy
b. Schizophrenia
c. Running amok
d. Major depression
ANS: C
Culture-bound syndromes occur in specific sociocultural contexts and
are easil y recognized by people in those cultures. A syndrome
recognized in parts of Southeast Asia is running amok, in which a
person (usuall y a male) runs around engaging in furious, al most
indiscriminate violent behavior.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 5 TOP: Nursing Process: Assessment MSC:
Client Needs: Psychosocial Integrit y
2. The Diagnostic and Statistical Manual of Mental Disorders (DSM -5)
classifies:
a. deviant behaviors.
b. present disabilit y or distress.
c. people with mental disorders.
, d. mental disorders people have.
ANS: D
The DSM-5 classifies disorders people have rather than people
themselves. The terminology of the tool reflects this distinction by
referring to individuals with a disorder rather than as a schizophrenic
or alcoholic, for example. Deviant behavior is not generall y considered
a mental disorder. Present disabilit y or distress is onl y one aspect of
the diagnosis.
PTS: 1 DIF: Cognitiv e Level: Understand (Comprehension)
REF: 10 TOP: Nursing Process: Implementation
MSC: Client Needs: Safe, Effective Care Environment
3. A citizen at a communit y health fair asks the nurse, What is the most
prevalent mental disorder in the United States? S elect the nurses best
response.
a. Schizophrenia
b. Bipolar disorder
c. Dissociative fugue
d. Alzheimers disease
ANS: D
The 12-month prevalence for Alzheimers disease is 10% for persons
older than 65 and 50% for persons older than 85. The prevalence of
schizophrenia is 1.1% per year. The prevalence of bipolar disorder is
2.6%. Dissociative fugue is a rare disorder. See related audience
response question.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 9 TOP: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
4. In the majorit y culture of the United States, which individual has the
greatest risk to be labeled mentall y ill? One who:
, a. describes hearing Gods voice speaking.
b. is usuall y pessimistic but strives to meet pers onal goals.
c. is wealthy and gives away $20 bills to needy individuals.
d. always has an optimistic viewpoint about life and having own needs
met.
ANS: A
The question asks about risk. Hearing voices is generall y associated
with mental illness, but in charismatic religious groups, hearing the
voice of God or a prophet is a desirable event. Cultural norms vary,
which makes it more difficult to make an accurat e diagnosis. The
individuals described in the other options are less likel y to be labeled
mentall y ill.
PTS: 1 DIF: Cognitive Level: Anal yze (Anal ysis) REF: 4
TOP: Nursing Process: Assessment MSC: Client Needs:
Psychosocial Integrity
5. A patients relationships are intense and unstable. The patient initiall y
idealizes the significant other and then devalues him or her, resulting in
frequent feelings of emptiness. This patient will benefit from
interventions to develop which aspect of mental health?
a. Effectiveness in work
b. Communication skills
c. Productive activities
d. Fulfilling relationships
ANS: D
The information given centers on relationships with others that are
described as intense and unstable. The relationships of mentally
healthy individuals a re stable, satisfying, and sociall y integrated. Data
are not present to describe work effectiveness, communication skills,
or activities.
, PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 2 TOP: Nursing Process: Assessment MSC:
Client Needs : Psychosocial Integrit y
6. Which belief will best support a nurses efforts to provide patient advocacy
during a multidisciplinary patient care planning session?
a. All mental illnesses are culturall y determined.
b. Schizophrenia and bipolar disorder are cross -cultural disorders.
c. Symptoms of mental disorders are unchanged from culture to
culture.
d. Assessment findings in mental disorders reflect a persons cultural
patterns.
ANS: D
A nurse who understands that a patients symptoms are influenced by
culture will be able to advocate for the patient to a greater degree than
a nurse who believes that culture is of little relevance. The distracters
are untrue statements.
PTS: 1 DIF: Cognitive Level: Appl y (Application)
REF: 4 TOP: Nursing Process: Implementation
MSC: Client Needs: Psychosocial Integrity
7. A nurse is part of a multidisciplinary team working with groups of
depressed patients. Half the patients receive supportive interventions and
antidepressant medication. The other half receives onl y medication. The
team measures outcomes for each group. Which t ype of study is evident?
a. Incidence
b. Prevalence
c. Co-morbidit y
d. Clinical epidemiology
ANS: D
Clinical epidemiology is a broad field that addresses studies of the
natural history (or what happens if there is no treatment and the
problem is left to run its course) of an illness, studies of diagnostic
Psychiatric Mental Health Nursing
(8th Edition) {Chapters 01-05}
C HAPTER 01: M ENTAL H EALTH AND M ENTAL
I LLNESS
MULTIPLE CHOICE
1. Which disorder is a culture -bound syndrome?
a. Epilepsy
b. Schizophrenia
c. Running amok
d. Major depression
ANS: C
Culture-bound syndromes occur in specific sociocultural contexts and
are easil y recognized by people in those cultures. A syndrome
recognized in parts of Southeast Asia is running amok, in which a
person (usuall y a male) runs around engaging in furious, al most
indiscriminate violent behavior.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 5 TOP: Nursing Process: Assessment MSC:
Client Needs: Psychosocial Integrit y
2. The Diagnostic and Statistical Manual of Mental Disorders (DSM -5)
classifies:
a. deviant behaviors.
b. present disabilit y or distress.
c. people with mental disorders.
, d. mental disorders people have.
ANS: D
The DSM-5 classifies disorders people have rather than people
themselves. The terminology of the tool reflects this distinction by
referring to individuals with a disorder rather than as a schizophrenic
or alcoholic, for example. Deviant behavior is not generall y considered
a mental disorder. Present disabilit y or distress is onl y one aspect of
the diagnosis.
PTS: 1 DIF: Cognitiv e Level: Understand (Comprehension)
REF: 10 TOP: Nursing Process: Implementation
MSC: Client Needs: Safe, Effective Care Environment
3. A citizen at a communit y health fair asks the nurse, What is the most
prevalent mental disorder in the United States? S elect the nurses best
response.
a. Schizophrenia
b. Bipolar disorder
c. Dissociative fugue
d. Alzheimers disease
ANS: D
The 12-month prevalence for Alzheimers disease is 10% for persons
older than 65 and 50% for persons older than 85. The prevalence of
schizophrenia is 1.1% per year. The prevalence of bipolar disorder is
2.6%. Dissociative fugue is a rare disorder. See related audience
response question.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 9 TOP: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
4. In the majorit y culture of the United States, which individual has the
greatest risk to be labeled mentall y ill? One who:
, a. describes hearing Gods voice speaking.
b. is usuall y pessimistic but strives to meet pers onal goals.
c. is wealthy and gives away $20 bills to needy individuals.
d. always has an optimistic viewpoint about life and having own needs
met.
ANS: A
The question asks about risk. Hearing voices is generall y associated
with mental illness, but in charismatic religious groups, hearing the
voice of God or a prophet is a desirable event. Cultural norms vary,
which makes it more difficult to make an accurat e diagnosis. The
individuals described in the other options are less likel y to be labeled
mentall y ill.
PTS: 1 DIF: Cognitive Level: Anal yze (Anal ysis) REF: 4
TOP: Nursing Process: Assessment MSC: Client Needs:
Psychosocial Integrity
5. A patients relationships are intense and unstable. The patient initiall y
idealizes the significant other and then devalues him or her, resulting in
frequent feelings of emptiness. This patient will benefit from
interventions to develop which aspect of mental health?
a. Effectiveness in work
b. Communication skills
c. Productive activities
d. Fulfilling relationships
ANS: D
The information given centers on relationships with others that are
described as intense and unstable. The relationships of mentally
healthy individuals a re stable, satisfying, and sociall y integrated. Data
are not present to describe work effectiveness, communication skills,
or activities.
, PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 2 TOP: Nursing Process: Assessment MSC:
Client Needs : Psychosocial Integrit y
6. Which belief will best support a nurses efforts to provide patient advocacy
during a multidisciplinary patient care planning session?
a. All mental illnesses are culturall y determined.
b. Schizophrenia and bipolar disorder are cross -cultural disorders.
c. Symptoms of mental disorders are unchanged from culture to
culture.
d. Assessment findings in mental disorders reflect a persons cultural
patterns.
ANS: D
A nurse who understands that a patients symptoms are influenced by
culture will be able to advocate for the patient to a greater degree than
a nurse who believes that culture is of little relevance. The distracters
are untrue statements.
PTS: 1 DIF: Cognitive Level: Appl y (Application)
REF: 4 TOP: Nursing Process: Implementation
MSC: Client Needs: Psychosocial Integrity
7. A nurse is part of a multidisciplinary team working with groups of
depressed patients. Half the patients receive supportive interventions and
antidepressant medication. The other half receives onl y medication. The
team measures outcomes for each group. Which t ype of study is evident?
a. Incidence
b. Prevalence
c. Co-morbidit y
d. Clinical epidemiology
ANS: D
Clinical epidemiology is a broad field that addresses studies of the
natural history (or what happens if there is no treatment and the
problem is left to run its course) of an illness, studies of diagnostic
