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Test bank varcarolis foundations of psychiatric mental health nursing 8th edition $12.99
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varcarolis foundations of psychiatric mental health nursing 8th edition

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  • 29 december 2023
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TableofContents

1
Chapter01:MentalHealthandMentalIllnessChapter02: 2
TheoriesandTherapies 14
Chapter03:PsychobiologyandPsychopharmacologyCh 30
apter04:TreatmentSettings 45
Chapter05:CulturalImplications 62
Chapter06:LegalandEthicalConsiderations 78
Chapter07:TheNursingProcessandStandardsofCareChapter08:T 92
herapeuticRelationships 106
Chapter09:TherapeuticCommunication 120
Chapter10:StressResponsesandStressManagementChapter11: 132
ChildhoodandNeurodevelopmentalDisordersChapter12:Schizop 144
hreniaSpectrumDisorders 157
Chapter13:BipolarandRelatedDisordersCh 175
apter14:DepressiveDisorders 192
Chapter15:AnxietyandObsessive- 207
CompulsiveDisordersChapter16:Trauma,Stressor- 223
Related,andDissociativeDisordersChapter17:SomaticSymptomDiso 237
rders 250
Chapter18:EatingandFeedingDisordersCh 264
apter19:Sleep-WakeDisorders 276
Chapter20:SexualDysfunctions,GenderDysphoria,andParaphiliasChapt 288
er21:ImpulseControlDisorders 299
Chapter22:SubstanceRelatedandAddictiveDisordersChapter23: 315
NeurocognitiveDisorders 329
Chapter24:PersonalityDisorders 344
Chapter25:SuicideandNonsuicidalSelf- 357
InjuryChapter26:CrisisandDisaster 370
Chapter27:Anger,Aggression,andViolence 383
Chapter28:Child,OlderAdult,andIntimatePartnerViolenceChapter 394
29:SexualAssault 405
Chapter30:Dying,Death,andGrievingCh 415
apter31:OlderAdults 431
Chapter32:SeriousMentalIllnessCh 447
apter33:ForensicNursingChapter34 458
:TherapeuticGroupsChapter35:Fa 472
milyInterventionsChapter36:Integra 485
tiveCare

, 2



Chapter01:MentalHealthandMentalIllness
MULTIPLECHOICE

1. Astaffnursecompletesorientationtoapsychiatricunit.Thisnursemayexpectanadvancedpracticenursetoperfor
mwhichadditionalintervention?


a. Conductmentalhealthassessments. c. Establishtherapeuticrelationships.


b. Prescribepsychotropicmedication. d. Individualizenursingcareplans.


ANS:B

In most states, prescriptive privileges are granted to masters-prepared nurse practitioners who have
takenspecialcoursesonprescribingmedication.Thenursepreparedatthebasiclevelispermittedtoperformmentalhe
althassessments,establishrelationships,andprovideindividualizedcareplanning.

PTS:1DIF:CognitiveLevel:Understand(Comprehension)REF:

15TOP:NursingProcess:Implementation

MSC:ClientNeeds:Safe,EffectiveCareEnvironment

2. Whenanursingstudentexpressesconcernsabouthowmentalhealthnurseslosealltheirnursingskills,thebestres
ponsebythementalhealthnurseis:


a. Psychiatricnursespracticeinsaferenvironmentsthanotherspecialties.Nurse-to-
patientratiosmustbebetterbecauseofthenatureofthepatientsproblems.


b. Psychiatricnursesusecomplexcommunicationskillsaswellascriticalthinkingtosolvemulti
dimensionalproblems.Iamchallengedbythosesituations.


c. Thatsamisconception.Psychiatricnursesfrequentlyusehightechnologymonitoringequipmentandmana
gecomplexintravenoustherapies.


d. Psychiatricnursesdonothavetodealwithasmuchpainandsufferingasmedical-
surgicalnursesdo.Thatappealstome.


ANS:B

Thepracticeofpsychiatricnursingrequiresadifferentsetofskillsthanmedical-surgicalnursing,thoughthereis
substantial overlap. Psychiatric nurses must be able to help patients with medical as well as mental
healthproblems, reflecting the holistic perspective these nurses must have. Nurse-patient ratios and
workloads
inpsychiatricsettingshaveincreased,justlikeotherspecialties.Psychiatricnursinginvolvesclinicalpractice,notjustd
ocumentation.Psychosocialpainandsufferingareasrealasphysicalpainandsuffering.

PTS: 1 DIF: Cognitive Level: Apply

(Application)REF: 10 TOP: Nursing Process:

ImplementationMSC:ClientNeeds:Safe,EffectiveCare

Environment

3. WhenanewbillintroducedinCongressreducesfundingforcareofpersonswithmentalillness,agroupof

, 3


nurseswritesletterstotheirelectedrepresentativesinoppositiontothelegislation.Whichrolehavethenursesfulfilled?


a. Recovery c. Advocacy


b. Attending d. Evidence-


basedpracticeANS:C

Anadvocatedefendsorassertsanotherscause,particularlywhentheotherpersonlackstheabilitytodothatforself.Ex
amplesofindividualadvocacyincludehelpingpatientsunderstandtheirrightsormakedecisions.Onacommunitysca
le,advocacyincludespoliticalactivity,publicspeaking,andpublicationintheinterestofimprovingthehumanconditi
on.Sincefundingisnecessarytodeliverqualityprogrammingforpersonswithmental illness, the letter- writing
campaign advocates for that cause on behalf of patients who are unable toarticulatetheirownneeds.

PTS:1DIF:CognitiveLevel:Understand(Comprehension)REF:

16TOP:NursingProcess:Implementation

MSC:ClientNeeds:Safe,EffectiveCareEnvironment

4. Whichcommentbestindicatesthatapatientperceivedthenursewascaring?Mynurse:


a. alwaysasksmewhichtypeofjuiceIwanttohelpmeswallowmymedication.


b. explainedmytreatmentplantomeandaskedformyideasabouthowtomakeitbetter.


c. spendstimelisteningtometalkaboutmyproblems.ThathelpsmefeellikeIamnotalone.


d. toldmethatifItakeallthemedicinesthedoctorprescribes,thenIwillgetdischargedsooner.


ANS:C

Caringevidencesempatheticunderstandingaswellascompetency.Ithelpschangepainandsufferingintoashared
experience, creating a human connection that alleviates feelings of isolation. The distracters
giveexamplesofstatementsthatdemonstrateadvocacyorgivingadvice.

PTS:1DIF:CognitiveLevel:Apply(Application)R

EF:7TOP:NursingProcess:Evaluation

MSC:ClientNeeds:PsychosocialIntegrity

5. Whichassessmentfindingmostclearlyindicatesthatapatientmaybeexperiencingamentalillness?Thepatient:


a. reportsoccasionalsleeplessnessandanxiety.


b. reportsaconsistentlysad,discouraged,andhopelessmood.


c. isabletodescribethedifferencebetweenasifandforreal.

, 4




d. perceivesdifficultymakingadecisionaboutwhethertochangejobs.


ANS:B

Thecorrectresponsedescribesamoodalteration,whichreflectsmentalillness.Thedistractersdescribebehaviorsthatar
ementallyhealthyorwithintheusualscopeofhumanexperience.

PTS:1DIF:CognitiveLevel:Apply(Application)R

EF:2TOP:NursingProcess:Assessment

MSC:ClientNeeds:PsychosocialIntegrity

6. WhichfindingbestindicatesthatthegoalDemonstratementallyhealthybehaviorwasachieved?Apatient:


a. seesselfascapableofachievingidealsandmeetingdemands.


b. behaveswithoutconsideringtheconsequencesofpersonalactions.


c. aggressivelymeetsownneedswithoutconsideringtherightsofothers.


d. seekshelpfromotherswhenassumingresponsibilityformajorareasofownlife.


ANS:A

Thecorrectresponsedescribesanadaptive,healthybehavior.Thedistractersdescribemaladaptivebehaviors.PTS:1DI

F:CognitiveLevel:Apply(Application)

REF: 2 TOP: Nursing Process:

EvaluationMSC:ClientNeeds:PsychosocialI

ntegrity

7. Anurseencountersanunfamiliarpsychiatricdisorderonanewpatientsadmissionform.Whichresourceshould
thenurseconsulttodeterminecriteriausedtoestablishthisdiagnosis?


a. InternationalStatisticalClassificationofDiseasesandRelatedHealthProblems(ICD-10)


b. DiagnosticandStatisticalManualofMentalDisorders(DSM-5)


c. Abehavioralhealthreferencemanual


d. Wikipedia


ANS:B

TheDSM-
5givesthecriteriausedtodiagnoseeachmentaldisorder.Thedistractersmaynotcontaindiagnosticcriteriaforapsychiat
ricillness.

PTS:1DIF:CognitiveLevel:Apply(Application)

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