Test bank Varcarolis\\\' Foundations of
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PsychiatricMentalHealth Nursing 9th Edition Chapter 1-36 |
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Complete Guide Newest
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Test Bank For
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Varcarolis' Foundations of Psychiatric-Mental Health Nursing ?` ?` ?` ?` ?`
9thEdition By Margaret Jordan Halter
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Table Of Contents
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UNIT I: Foundations in Theory
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Chapter 1. Mental Health and Mental
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IllnessChapter 2. Theories and Therapies
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Chapter 3. Psychobiology and Psychopharmacology
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UNIT II: Foundations for
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PracticeChapter 4. Treatment
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Settings Chapter 5. Cultural
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Implications
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Chapter 6. Legal and Ethical Considerations
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UNIT III: Psychosocial Nursing Tools
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Chapter 7. The Nursing Process and Standards of
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CareChapter 8. Therapeutic Relationships
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Chapter 9. Therapeutic Communication
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Chapter 10. Stress Responses and Stress Management
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UNIT IV: Psychobiological Disorders
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Chapter 11. Childhood and Neurodevelopmental
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DisordersChapter 12. Schizophrenia Spectrum Disorders
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Chapter 13. Bipolar and Related
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DisordersChapter 14. Depressive Disorders
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Chapter 15. Anxiety and Obsessive-Compulsive Disorders
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Chapter 16. Trauma, Stressor-Related, and Dissociative
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DisordersChapter 17. Somatic Symptom Disorders
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Chapter 18. Eating and Feeding
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DisordersChapter 19. Sleep-Wake Disorders
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Chapter 20. Sexual Dysfunction, Gender Dysphoria, and Paraphilic
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DisordersChapter 21. Impulse Control Disorders
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Chapter 22. Substance-Related and Addictive
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DisordersChapter 23. Neurocognitive Disorders
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Chapter 24. Personality Disorders
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UNIT V: Trauma Interventions
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Chapter 25. Suicide and Non-suicidal Self-
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InjuryChapter 26. Crisis and Disaster
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Chapter 27. Anger, Aggression, and Violence
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Chapter 28. Child, Older Adult, and Intimate Partner
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ViolenceChapter 29. Sexual Assault
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UNIT VI: Interventions for Special Populations
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Chapter 30. Dying, Death, and
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GrievingChapter 31. Older Adults
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Chapter 32. Serious Mental
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IllnessChapter 33. Forensic
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Nursing
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UNIT VII: Other Intervention Modalities
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Chapter 34. Therapeutic ?` ?`
Groups Chapter 35. Family
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Interventions
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Integrative Care
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Chapter 01: Mental Health and Mental Illness
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Halter: Varcarolis’ Foundations of Psychiatric-Mental Health Nursing: A
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ClinicalApproach, 9th Edition
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MULTIPLE CHOICE ?`
1. The scope of practiced for an advanced nurse practitioner would include which intervention?
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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
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andclinical nurse specialists who have taken special courses on prescribing medication. The
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nurseprepared at the basic level is permitted to perform mental health assessments, establish
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relationships, and provide individualized care planning.
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PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
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TOP: Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment
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2. A nursing student expresses concerns that mental health nurses ―lose all their clinical
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nursingskills.‖ Select the best response by the mental health nurse.
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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.‖
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b. ―Psychiatric nurses use complex communication skills as well as critical ?` ?` ?` ?` ?` ?` ?` ?` ?`
thinkingto solve multidimensional problems. I am challenged by those
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situations.‖ ?`
c. ―That‘s a misconception. Psychiatric nurses frequently use high ?` ?` ?` ?` ?` ?` ?`
technologymonitoring equipment and manage complex intravenous
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therapies.‖ ?`
d. ―Psychiatric nurses do not have to deal with as much pain and suffering ?` ?` ?` ?` ?` ?` ?` ?` ?` ?` ?` ?`
asmedical–surgical nurses do. That appeals to me.‖
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ANS: B ?`
The practice of psychiatric nursing requires a different set of skills than medical–surgical
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nursing, though there is substantial overlap. Psychiatric nurses must be able to help clients
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with medical as well as mental health problems, reflecting the holistic perspective these
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nursesmust have. Nurse–client ratios and workloads in psychiatric settings have increased,
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just like other specialties. Psychiatric nursing involves clinical practice, not just
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documentation.
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Psychosocial pain and suffering are as real as physical pain and suffering. ?` ?` ?` ?` ?` ?` ?` ?` ?` ?` ?`
PTS: 1 DIF: Cognitive Level: Apply (Application)
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TOP: Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment
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3. When a new bill introduced in Congress reduces funding for care of persons diagnosed
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with mental illness, a group of nurses write letters to their elected representatives in
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opposition tothe legislation. Which role have the nurses fulfilled?
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a. Recovery
b. Attending
c. Advocacy
d. Evidence-based practice ?`
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ANS: C ?`
An advocate defends or asserts another‘s cause, particularly when the other person lacks the
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ability to do that for self. Examples of individual advocacy include helping clients understand
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their rights or make decisions. On a community scale, advocacy includes political activity,
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public speaking, and publication in the interest of improving the human condition. Since
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funding is necessary to deliver quality programming for persons with mental illness, the letter-
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writing campaign advocates for that cause on behalf of clients who are unable to articulate
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their own needs.
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PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
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TOP: Nursing Process: Evaluation
? MSC: Client Needs: Safe, Effective Care Environment
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4. A family has a long history of conflicted relationships among the members. Which
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?` familymember‘s comment best reflects a mentally healthy perspective?
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a. ―I‘ve made mistakes but everyone else in this family has also.‖
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b. ―I remember joy and mutual respect from our early years together.‖
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c. ―I will make some changes in my behavior for the good of the family.‖
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d. ―It‘s best for me to move away from my family. Things will never change.‖
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ANS: C ?`
The correct response demonstrates the best evidence of a healthy recognition of the
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importance of relationships. Mental health includes rational thinking, communication skills,
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learning, emotional growth, resilience, and self-esteem. Recalling joy from earlier in life
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maybe healthy, but the correct response shows a higher level of mental health. The other
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incorrectresponses show blaming and avoidance.
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PTS: 1 DIF: Cognitive Level: Analyze (Analysis)
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TOP: Nursing Process: Assessment
? MSC: Client Needs: Psychosocial Integrity
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5. Which assessment finding most clearly indicates that a client may be experiencing a
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?` mentalillness? ?`
a. reporting occasional sleeplessness and anxiety. ?` ?` ?` ?`
b. reporting a consistently sad, discouraged, and hopeless mood. ?` ?` ?` ?` ?` ?` ?`
c. being able to describe the difference between ―as if‖ and ―for real.‖
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d. experiencing difficulty making a decision about whether to change jobs. ?` ?` ?` ?` ?` ?` ?` ?` ?`
ANS: B ?`
The correct response describes a mood alteration, which reflects mental illness. The
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distractersdescribe behaviors that are mentally healthy or within the usual scope of human
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experience.
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PTS: 1 DIF: Cognitive Level: Apply (Application)
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TOP: Nursing Process: Assessment
? MSC: Client Needs: Psychosocial Integrity
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6. Which finding best indicates that the goal ―Demonstrate mentally healthy behavior‖
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wasachieved for an adult client?
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a. being willing to work towards achieving ideals and meeting demands.
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b. behaving without considering the consequences of personal actions. ?` ?` ?` ?` ?` ?` ?`
c. aggressively meeting personal needs without considering the rights of others. ?` ?` ?` ?` ?` ?` ?` ?` ?`
d. seeking help from others to avoid assuming responsibility for major areas of
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ownlife. ?` ?`
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