Varcarolis' Foundations of Psychiatric Mental Health Nursing (8th Edition)
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Module
Psychiatric Mental Health
Institution
Psychiatric Mental Health
Varcarolis' Foundations of Psychiatric Mental Health Nursing (8th Edition) 2 Chapter 01: Mental Health and Mental Illness MULTIPLE CHOICE 1. A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced practice nurse to perform which additional intervention? a. Condu...
TestBank-Varcarolis'FoundationsofPsychiatricMentalHealthNursing(8thEdition)
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TableofContents b b
TableofContents
b b 1
Chapter01:MentalHealthandMentalIllness Chapter
b b b b b b b 2
02: Theories and Therapies
b b b b 14
Chapter03:PsychobiologyandPsychopharmacologyChapter 04:
b b b b b b 30
TreatmentSettings
b b 45
Chapter05: CulturalImplications b b b 62
Chapter06:LegalandEthical Considerationsb b b b b 78
Chapter07:TheNursingProcessandStandardsofCare Chapter
b b b b b b b b b 92
08: Therapeutic Relationships
b b b 106
Chapter 09: Therapeutic Communication b b b 120
Chapter 10: Stress Responses andStress Management Chapter
b b b b b b b 132
11:ChildhoodandNeurodevelopmentalDisorders Chapter 12:
b b b b b b b 144
Schizophrenia Spectrum Disorders
b b b 157
Chapter13:BipolarandRelatedDisordersChapter 14:
b b b b b b b 175
DepressiveDisorders
b b 192
Chapter 15: Anxiety and Obsessive-Compulsive Disorders
b b b b b 207
Chapter16:Trauma,Stressor-Related,andDissociativeDisorders
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223
Chapter 17: Somatic Symptom Disorders
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237
Chapter18:EatingandFeedingDisordersChapter 19:
b b b b b b b 250
Sleep-WakeDisorders
b b 264
Chapter20:SexualDysfunctions,GenderDysphoria,andParaphilias
b b b b b b b 276
Chapter 21: Impulse Control Disorders
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288
Chapter22:SubstanceRelatedandAddictiveDisorders Chapter
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299
23: Neurocognitive Disorders
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315
Chapter 24: Personality Disorders b b b
329
Chapter25:SuicideandNonsuicidalSelf-Injury
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344
Chapter 26: Crisis and Disaster
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357
Chapter 27: Anger, Aggression, and Violence
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370
Chapter28:Child,OlderAdult,andIntimatePartnerViolenceChapter 29:
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383
SexualAssault
b b
394
Chapter30:Dying,Death,andGrievingChapter 31:
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405
OlderAdults
b b
415
Chapter32:SeriousMentalIllness b b b b
431
Chapter 33: Forensic Nursing Chapter
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447
34: Therapeutic Groups Chapter 35:
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458
Family Interventions Chapter 36:
b b b b
472
Integrative Care
b b
485
,TestBank-Varcarolis'FoundationsofPsychiatricMentalHealthNursing(8thEdition)
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Chapter01:MentalHealthandMentalIllness b b b b b b
MULTIPLE CHOICE b
1. A staffnursecompletesorientation to a psychiatric unit. Thisnursemay expect an advanced practice nurse
b b b b b b b b b b b b B b b b to
perform which additional intervention?
b b b b
a. Conduct mental health assessments. b b b c. Establish therapeutic relationships. b b
b. Prescribe psychotropic medication. b b d. Individualize nursing care plans. b b b
ANS: B b
In most states, prescriptive privileges are granted to masters-prepared nurse practitioners who have taken
b b b b b b b b b b b b b
bspecialcoursesonprescribingmedication.Thenursepreparedatthebasiclevelispermittedtoperformmental health
b b b b b b b b b b b b b b b b b
bassessments, establish relationships, and provide individualized care planning. b b b b b b b
PTS:1DIF:CognitiveLevel:Understand(Comprehension)
b b b b b b
bREF: 15 TOP: Nursing Process: Implementation
b b b b b
MSC:Client Needs: Safe, Effective Care Environment
b b b b b b
2. Whenanursingstudentexpressesconcernsabouthowmentalhealthnurseslosealltheirnursingskills,the best
b b b b b b b b b b b b b b b b b
response by the mental health nurse is:
b b b b b b b
a. Psychiatricnursespracticeinsaferenvironmentsthanotherspecialties.Nurse-to-patient ratiosmust be b b b b b b b b b B b b
better because of the nature of the patients problems.
b b b b b b b b b
b. Psychiatricnursesusecomplexcommunicationskillsaswellascriticalthinkingtosolve b b b b b b b b b b b b
multidimensional problems. I am challenged by those situations.
b b b b b b b b
c. Thatsamisconception.Psychiatricnursesfrequentlyusehightechnologymonitoringequipmentand
b b b b b b b b b b b
manage complex intravenous therapies.
b b b b
d. Psychiatricnursesdonothavetodealwithasmuchpainandsufferingasmedical-surgicalnursesdo.That b b b b b b b b b b b b b b b b b
appeals to me.
b b b
ANS: B b
The practice of psychiatric nursing requires a different set of skills than medical-surgical nursing, though there is
b b b b b b b b b b b b b b b b
substantialoverlap.Psychiatricnursesmustbeabletohelppatientswithmedicalaswellasmentalhealth problems,
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reflecting theholistic perspectivethese nurses must have. Nurse-patientratios andworkloadsin psychiatricsettingshave
b b b b b b b B b b b b b b b b
increased,justlikeotherspecialties.Psychiatricnursinginvolvesclinicalpractice,notjust documentation.Psychosocial
b b b b b b b b b b b b b b
painand sufferingare asreal asphysicalpainandsuffering.
b b b b b b b b b b b
PTS: 1 DIF: Cognitive Level: Apply (Application) REF:
b b b b b b b
b 10 TOP: Nursing Process: Implementation MSC:
b b b b b
ClientNeeds:Safe,EffectiveCareEnvironment
b b b b b b
3. Whenanewbill introduced in Congressreducesfunding for careofpersonswithmental illness, a groupof
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,TestBank-Varcarolis'FoundationsofPsychiatricMentalHealthNursing(8thEdition)
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nurseswritesletterstotheirelectedrepresentativesinoppositiontothelegislation.Whichrolehavethenurses fulfilled?
b b b b b b b b b b b b b b b b b
a. Recovery c. Advocacy
b. Attending d. Evidence-based practice b
ANS: C b
An advocate defends or asserts anothers cause, particularly when the other person lacks the ability to do
b b b b b b b b b b b b b b b b
thatforself.Examplesofindividualadvocacyincludehelpingpatientsunderstandtheirrightsormakedecisions. Ona
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communityscale,advocacyincludespoliticalactivity, public speaking,andpublicationin theinterest of improving
b b b b b b b b b b b b b B b
thehumancondition.Sincefundingisnecessarytodeliverqualityprogrammingforpersonswith mentalillness,the
b b b b b b b b b b b b b b b b b
letter-writingcampaignadvocatesforthat causeonbehalfofpatientswhoareunableto articulate their own needs.
b b b b b b B b b b b b b b b b b b b
PTS:1DIF:CognitiveLevel:Understand(Comprehension)
b b b b b b
bREF: 16 TOP: Nursing Process: Implementation
b b b b b
MSC:Client Needs: Safe, Effective Care Environment
b b b b b b
4. Whichcommentbest indicates that a patientperceivedthe nursewas caring?My nurse:
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a. alwaysasksmewhichtypeofjuiceIwanttohelpmeswallowmymedication.
b b b b b b b b b b b b b b
b. explainedmytreatmentplantomeandaskedformyideasabouthowtomakeitbetter. b b b b b b b b b b b b b b b b
c. spendstimelisteningtometalk aboutmyproblems.Thathelps mefeellikeIamnotalone.
b b b b b b b b b b b b b b b b b
d. toldmethatifItakeallthemedicinesthedoctorprescribes,thenIwillgetdischargedsooner.
b b b b b b b b b b b b b b b b b
ANS: C b
Caringevidencesempatheticunderstandingaswellascompetency.Ithelpschangepainandsufferingintoa shared
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experience,creatingahumanconnectionthatalleviatesfeelingsofisolation.Thedistractersgive examples of
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statements that demonstrate advocacy or giving advice.
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PTS:1DIF:CognitiveLevel:Apply(Application)REF:
b b b b b b b
7TOP:NursingProcess:Evaluation
b b b b
MSC: Client Needs: Psychosocial Integrity
b b b b
5. Whichassessmentfindingmost clearlyindicatesthatapatientmaybeexperiencingamentalillness?The
b b b B b b b b b b b b b b b
patient:
b
a. reports occasional sleeplessness and anxiety. b b b b
b. reports a consistently sad, discouraged, and hopeless mood.
b b b b b b b
c. isabletodescribethedifferencebetweenasifandforreal.
b b b b b b b b b b b
, TestBank-Varcarolis'FoundationsofPsychiatricMentalHealthNursing(8thEdition)
b b b b b b b b b b b 4
d. perceivesdifficulty makinga decision aboutwhether tochange jobs. b b b b b b b b b
ANS: B b
Thecorrectresponsedescribesamoodalteration,whichreflectsmentalillness.Thedistractersdescribebehaviors thatare
b b b b b b b b b b b b b b b b
mentally healthy or within the usualscope ofhuman experience.
b b b b b b b b b b
PTS:1DIF:CognitiveLevel:Apply(Application)REF:
b b b b b b b
2 TOP: Nursing Process: Assessment MSC:
b b b b b
ClientNeeds:PsychosocialIntegrity
b b b b
6. Whichfinding best indicates that the goalDemonstrate mentally healthy behaviorwas achieved? A patient:
b b b b b b b b b b b b b b
a. seesselfascapableofachievingidealsandmeetingdemands.
b b b b b b b b b
b. behaveswithout considering the consequences of personal actions. b b b b b b b
c. aggressivelymeets own needs without considering the rights of others. b b b b b b b b b
d. seekshelp from others when assuming responsibility formajorareas of own life.
b b b b b b b b b b b b
ANS: A b
Thecorrectresponsedescribesanadaptive,healthybehavior.Thedistractersdescribemaladaptivebehaviors. PTS: 1
b b b b b b b b b b b b b b
b DIF: Cognitive Level: Apply (Application)
b b b b
REF:2TOP:NursingProcess:EvaluationMSC:
b b b b b b
ClientNeeds:PsychosocialIntegrity b b b
7. Anurseencountersanunfamiliarpsychiatricdisorderonanewpatientsadmissionform.Whichresource
b b b b b b b b b b b b b b
shouldthenurseconsultto determinecriteria usedtoestablish thisdiagnosis?
b b b b b b b b b b b b
a. International Statistical Classification of Diseases and Related Health Problems (ICD-10) b b b b b b b b b
b. Diagnosticand Statistical Manual of Mental Disorders (DSM-5) b b b b b b b
c. A behavioral health reference manual
b b b b
d. Wikipedia
ANS: B b
TheDSM-5givesthecriteriausedtodiagnoseeachmentaldisorder.Thedistractersmaynot containdiagnostic criteria for a
b b b b b b b b b b b b b b B b b b b
psychiatric illness.
b b
PTS:1 DIF: Cognitive Level: Apply (Application)
b b b b b b
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