staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced
practice nurse to perform which additional intervention?
a. Conduct mental health assessments. c. Establish therapeutic relationships.
b. Prescribe psychotropic medication. d. Individualize nursing care p...
Test Bank for Varcarolis' Foundations of
Psychiatric Mental Health Nursing, 7th
Edition Margaret Jordan Halter
YOU CAN FIND MORE QUESTIONS AND ANSWERS, just go HERE
Chapter 01: Mental Health and Mental Illness
1. A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced
practice nurse to perform which additional intervention?
a. Conduct mental health assessments. c. Establish therapeutic relationships.
b. Prescribe psychotropic medication. d. Individualize nursing care plans.
2. When a nursing student expresses concerns about how mental health nurses “lose all their
nursing skills,” the best response by the mental health nurse is:
a. “Psychiatric nurses practice in safer environments than other specialties. Nurse-to-
patient ratios must be better because of the nature of the patients’ problems.”
b. “Psychiatric nurses use complex communication skills as well as critical thinking
to solve multidimensional problems. I am challenged by those situations.”
c. “That’s a misconception. Psychiatric nurses frequently use high technology
monitoring equipment and manage complex intravenous therapies.”
d. “Psychiatric nurses do not have to deal with as much pain and suffering as
medical-surgical nurses do. That appeals to me.”
3. When a new bill introduced in Congress reduces funding for care of persons with mental
illness, a group of nurses writes letters to their elected representatives in opposition to the
legislation. Which role have the nurses fulfilled?
a. Recovery c. Advocacy
b. Attending d. Evidence-based practice
4. Which comment best indicates that a patient perceived the nurse was caring? “My nurse:
a. always asks me which type of juice I want to help me swallow my medication.”
b. explained my treatment plan to me and asked for my ideas about how to make it
better.”
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,c. spends time listening to me talk about my problems. That helps me feel like I am
not alone.”
d. told me that if I take all the medicines the doctor prescribes, then I will get
discharged sooner.”
5. Which assessment finding most clearly indicates that a patient may be experiencing a mental
illness? The patient:
a. reports occasional sleeplessness and anxiety.
b. reports a consistently sad, discouraged, and hopeless mood.
c. is able to describe the difference between “as if” and “for real.”
d. perceives difficulty making a decision about whether to change jobs.
6. Which finding best indicates that the goal “Demonstrate mentally healthy behavior” was
achieved? A patient:
a. sees self as capable of achieving ideals and meeting demands.
b. behaves without considering the consequences of personal actions.
c. aggressively meets own needs without considering the rights of others.
d. seeks help from others when assuming responsibility for major areas of own life.
7. A nurse encounters an unfamiliar psychiatric disorder on a new patient’s admission form.
Which resource should the nurse consult to determine criteria used to establish this diagnosis?
a. International Statistical Classification of Diseases and Related Health Problems
(ICD-10)
b. Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
c. A behavioral health reference manual
d. Wikipedia
8. A nurse wants to find a description of diagnostic criteria for anxiety disorders. Which resource
would have the most complete information?
a. Nursing Outcomes Classification (NOC)
b. Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
c. The ANA’s Psychiatric-Mental Health Nursing Scope and Standards of Practice
d. International Statistical Classification of Diseases and Related Health Problems
(ICD-10)
9. Which individual is demonstrating the highest level of resilience? One who:
a. is able to repress stressors.
b. becomes depressed after the death of a spouse.
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,c. lives in a shelter for two years after the home is destroyed by fire.
d. takes a temporary job to maintain financial stability after loss of a permanent job.
10. Complete this analogy. NANDA: clinical judgment: NIC: _________________
a. patient outcomes c. diagnosis
b. nursing actions d. symptoms
Chapter 02: Relevant Theories and Therapies for Nursing Practice
1. A parent says, “My 2-year-old child refuses toilet training and shouts ‘No!’ when given
directions. What do you think is wrong?” Select the nurse’s best reply.
a. “Your child needs firmer control. It is important to set limits now.”
b. “This is normal for your child’s age. The child is striving for independence.”
c. “There may be developmental problems. Most children are toilet trained by age 2.”
d. “Some undesirable attitudes are developing. A child psychologist can help you
develop a plan.”
2. A 26-month-old displays negative behavior, refuses toilet training, and often says, “No!”
Which stage of psychosexual development is evident?
a. Oral c. Phallic
b. Anal d. Genital
3. A 26-month-old displays negative behavior, refuses toilet training, and often says, “No!”
Which psychosocial crisis is evident?
a. Trust versus mistrust c. Industry versus inferiority
b. Initiative versus guilt d. Autonomy versus shame and doubt
4. A 4-year-old grabs toys from siblings and says, “I want that now!” The siblings cry, and the
child’s parent becomes upset with the behavior. According to Freudian theory, this behavior is a
product of impulses originating in which system of the personality?
a. Id c. Superego
b. Ego d. Preconscious
5. The parent of a 4-year-old rewards and praises the child for helping a younger sibling, being
polite, and using good manners. The nurse supports this use of praise related to these behaviors.
These qualities are likely to be internalized and become part of which system of the personality?
a. Id c. Superego
b. Ego d. Preconscious
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, 6. A nurse supports a parent for praising a child behaving in a helpful way. When this child
behaves with politeness and helpfulness in adulthood, which feeling will most likely result?
a. Guilt c. Humility
b. Anxiety d. Self-esteem
7. An adult says, “I never know the answers,” and “My opinion doesn’t count.” Which
psychosocial crisis was unsuccessfully resolved for this adult?
a. Initiative versus guilt c. Autonomy versus shame and doubt
b. Trust versus mistrust d. Generativity versus self-absorption
8. Which patient statement would lead the nurse to suspect unsuccessful completion of the
developmental task of infancy?
a. “I have very warm and close friendships.”
b. “I’m afraid to allow anyone to really get to know me.”
c. “I’m always absolutely right, so don’t bother saying more.”
d. “I’m ashamed that I didn’t do things correctly in the first place.”
9. A patient is suspicious and frequently manipulates others. To which psychosexual stage do
these traits relate?
a. Oral c. Phallic
b. Anal d. Genital
10. A patient expresses a desire to be cared for by others and often behaves in a helpless fashion.
Which stage of psychosexual development is most relevant to the patient’s needs?
a. Latency c. Anal
b. Phallic d. Oral
Chapter 03: Biological Basis for Understanding Psychiatric Disorders and Treatments
1. A patient asks, “What are neurotransmitters? The doctor said mine are imbalanced.” Select the
nurse’s best response.
a. “How do you feel about having imbalanced neurotransmitters?”
b. “Neurotransmitters protect us from harmful effects of free radicals.”
c. “Neurotransmitters are substances we consume that influence memory and mood.”
d. “Neurotransmitters are natural chemicals that pass messages between brain cells.”
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