TEST BANK
Varcarolis' Foundations of Psychiatric-Mental Health Nursing
Margaret Jordan Halter
9th Edition
NURSEDOCS Table of Contents
Chapter 01 Mental Health and Mental Illness 2
Chapter 02 Theories and Therapies Approach 12
Chapter 03 Psychobiology and Psychopharmacology 25
Chapter 04 Treatment Settings 37
Chapter 05 Cultural Implications 50
Chapter 06 Legal and Ethical Considerations 61
Chapter 07 The Nursing Process and Standards of Care 72
Chapter 08 Therapeutic Relationships 83
Chapter 09 Therapeutic Communication 94
Chapter 10 Stress Responses and Stress Management 103
Chapter 11 Childhood and Neurodevelopmental Disorders 113
Chapter 12 Schizophrenia Spectrum Disorders 123
Chapter 13 Bipolar and Related Disorders 137
Chapter 14 Depressive Disorders 150
Chapter 15 Anxiety and Obsessive-Compulsive Disorders 162
Chapter 16 Trauma, Stressor-Related, and Dissociative Disorders 175
Chapter 17 Somatic Symptom Disorders 187
Chapter 18 Eating and Feeding Disorders 197
Chapter 19 Sleep–Wake Disorders 207
Chapter 20 Sexual Dysfunctions, Gender Dysphoria, and Paraphilic Disorders 216
Chapter 21 Impulse Control Disorders 226
Chapter 22 Substance-Related and Addictive Disorders 236
Chapter 23 Neurocognitive Disorders 248
Chapter 24 Personality Disorders 259
Chapter 25 Suicide and Nonsuicidal Self-Injury 270
Chapter 26 Crisis and Disaster 280
Chapter 27 Anger, Aggression, and Violence 290
Chapter 28 Child, Older Adult, and Intimate Partner Violence 300
Chapter 29 Sexual Assault 309
Chapter 30 Dying, Death, and Grieving 318
Chapter 31 Older Adults 326
Chapter 32 Serious Mental Illness 338
Chapter 33 Forensic Nursing 351
Chapter 34 Therapeutic Groups 360
Chapter 35 Family Interventions 371
Chapter 36 Integrative Care 382NURSEDOCS Chapter 01: Mental Health and Mental Illness Halter: Varcarolis’ Foundations of Psychiatric-Ment al Health Nursing: A Clinical Approach, 9th Edition MULTIPLE CHOICE 1. The scope of practiced for an advanced nurse practi tioner would include which intervention? a. Conducting a mental health assessment. b. Prescribing psychotropic medication. c. Establishing a therapeutic relationship. d. Individualizing a nursing care plan. ANS: B In most states, prescriptive privileges are granted to master’s-prepared nurse practitioners and clinical nurse specialists who have taken special c ourses on prescribing medication. The nurse prepared at the basic level is permitted to perform mental health assessments, establish relationships, and provide individualized care plan ning. PTS: 1 DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment 2. A nursing student expresses concerns that mental he alth nurses “lose all their clinical nursing skills.” Select the best response by the mental hea lth nurse. a. “Psychiatric nurses practice in safer environments than other specialties. Nurse-to- client ratios must be better because of the nature of the clients’ problems.” b. “Psychiatric nurses use complex communication skill s as well as critical thinking to solve multidimensional problems. I am challenged by those situations.” c. “That’s a misconception. Psychiatric nurses frequen tly use high technology monitoring equipment and manage complex intravenous therapies.” d. “Psychiatric nurses do not have to deal with as muc h pain and suffering as medical–surgical nurses do. That appeals to me.” ANS: B The practice of psychiatric nursing requires a diff erent set of skills than medical–surgical nursing, though there is substantial overlap. Psych iatric nurses must be able to help clients with medical as well as mental health problems, ref lecting the holistic perspective these nurses must have. Nurse–client ratios and workloads in psy chiatric settings have increased, just like other specialties. Psychiatric nursing involves cli nical practice, not just documentation. Psychosocial pain and suffering are as real as phys ical pain and suffering. PTS: 1 DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment 3. When a new bill introduced in Congress reduces fund ing for care of persons diagnosed with mental illness, a group of nurses write letters to their elected representatives in opposition to the legislation. Which role have the nurses fulfill ed? a. Recovery b. Attending c. Advocacy d. Evidence-based practice ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Varcarolis' Foundations of Psychiatric Mental Health Nursing, 9e (Halter, 2022)
1 | P a g eNURSEDOCS ANS: C An advocate defends or asserts another’s cause, par ticularly when the other person lacks the ability to do that for self. Examples of individual advocacy include helping clients understand their rights or make decisions. On a community scal e, advocacy includes political activity, public speaking, and publication in the interest of improving the human condition. Since funding is necessary to deliver quality programming for persons with mental illness, the letter- writing campaign advocates for that cause on behalf of clients who are unable to articulate their own needs. PTS: 1 DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Evaluation MSC: Client Needs: Safe, Effective Care Environment 4. A family has a long history of conflicted relations hips among the members. Which family member’s comment best reflects a mentally healthy p erspective? a. “I’ve made mistakes but everyone else in this famil y has also.” b. “I remember joy and mutual respect from our early y ears together.” c. “I will make some changes in my behavior for the go od of the family.” d. “It’s best for me to move away from my family. Thin gs will never change.” ANS: C The correct response demonstrates the best evidence of a healthy recognition of the importance of relationships. Mental health includes rational thinking, communication skills, learning, emotional growth, resilience, and self-es teem. Recalling joy from earlier in life may be healthy, but the correct response shows a higher level of mental health. The other incorrect responses show blaming and avoidance. PTS: 1 DIF: Cognitive Level: Analyze (Analysis) TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity 5. Which assessment finding most clearly indicates tha t a client may be experiencing a mental illness? a. reporting occasional sleeplessness and anxiety. b. reporting a consistently sad, discouraged, and hope less mood. c. being able to describe the difference between “as i f” and “for real.” d. experiencing difficulty making a decision about whe ther to change jobs. ANS: B The correct response describes a mood alteration, w hich reflects mental illness. The distracters describe behaviors that are mentally healthy or wit hin the usual scope of human experience. PTS: 1 DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity 6. Which finding best indicates that the goal “ Demonstrate mentally healthy behavior ” was achieved for an adult client? a. being willing to work towards achieving ideals and meeting demands. b. behaving without considering the consequences of pe rsonal actions. c. aggressively meeting personal needs without conside ring the rights of others. d. seeking help from others to avoid assuming responsi bility for major areas of own life. ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Varcarolis' Foundations of Psychiatric Mental Health Nursing, 9e (Halter, 2022)
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