Exam (elaborations)
Test bank varcarolis foundations of psychiatric mental health nursing 8th edition
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varcarolis foundations of psychiatric mental health nursing 8th edition
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1TableofContents
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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