Test Bank - Varcarolis' Foundations of Psychiatric Mental Health Nursing (8th Edition)
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Table of Contents B B
Table of Contents
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Chapter 01: Mental Health and Mental Illness
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Chapter 02: Theories and Therapies
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Chapter 03: Psychobiology and Psychopharmacology Chapter
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04: Treatment Settings
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Chapter 05: Cultural Implications
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Chapter 06: Legal and Ethical Considerations
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Chapter 07: The Nursing Process and Standards of Care
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Chapter 08: Therapeutic Relationships
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Chapter 09: Therapeutic Communication
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Chapter 10: Stress Responses and Stress Management
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Chapter 11: Childhood and Neurodevelopmental Disorders
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Chapter 12: Schizophrenia Spectrum Disorders
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Chapter 13: Bipolar and Related Disorders Chapter
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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 Disorders
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Chapter 17: Somatic Symptom Disorders
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Chapter 18: Eating and Feeding Disorders Chapter
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19: Sleep-Wake Disorders
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Chapter 20: Sexual Dysfunctions, Gender Dysphoria, and Paraphilias
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Chapter 21: Impulse Control Disorders
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Chapter 22: Substance Related and Addictive Disorders
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Chapter 23: Neurocognitive Disorders
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Chapter 24: Personality Disorders
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Chapter 25: Suicide and Nonsuicidal Self-Injury
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Chapter 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 Violence Chapter
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29: Sexual Assault
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Chapter 30: Dying, Death, and Grieving Chapter
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31: Older Adults
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Chapter 32: Serious Mental Illness
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Chapter 33: Forensic Nursing
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Chapter 34: Therapeutic Groups
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Chapter 35: Family Interventions
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Chapter 36: Integrative Care
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,Test Bank - Varcarolis' Foundations of Psychiatric Mental Health Nursing (8th Edition)
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Chapter 01: Mental Health and Mental Illness B B B B B B
MULTIPLE CHOICE B
1. A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced practice nurse to
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perform which additional intervention?
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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
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special courses on prescribing medication. The nurse prepared at the basic level is permitted to perform mental health
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assessments, establish relationships, and provide individualized care planning.
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PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
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REF: 15 TOP: Nursing Process: Implementation
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MSC: Client Needs: Safe, Effective Care Environment
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2. When a nursing student expresses concerns about how mental health nurses lose all their nursing skills, the best
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response by the mental health nurse is:
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a. Psychiatric nurses practice in safer environments than other specialties. Nurse-to-patient ratios must be
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better because of the nature of the patients problems.
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b. Psychiatric nurses use complex communication skills as well as critical thinking to solve
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multidimensional problems. I am challenged by those situations.
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c. Thats a misconception. Psychiatric nurses frequently use high technology monitoring equipment and
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manage complex intravenous therapies.
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d. Psychiatric nurses do not have to deal with as much pain and suffering as medical-surgical nurses do. That
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appeals to me.
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ANS: B B
The practice of psychiatric nursing requires a different set of skills than medical-surgical nursing, though there
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is substantial overlap. Psychiatric nurses must be able to help patients with medical as well as mental health
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problems, reflecting the holistic perspective these nurses must have. Nurse-patient ratios and workloads in
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psychiatric settings have increased, just like other specialties. Psychiatric nursing involves clinical practice, not just
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documentation. Psychosocial pain and suffering are as real as physical pain and suffering.
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PTS: 1 DIF: Cognitive Level: Apply (Application)
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B REF: 10 TOP: Nursing Process: Implementation
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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 with mental illness, a group of
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,Test Bank - Varcarolis' Foundations of Psychiatric Mental Health Nursing (8th Edition)
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nurses writes letters to their elected representatives in opposition to the legislation. Which role have the nurses
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fulfilled?
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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
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that for self. Examples of individual advocacy include helping patients understand their rights or make decisions.
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BOn a community scale, advocacy includes political activity, public speaking, and publication in the interest of
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improving the human condition. Since funding is necessary to deliver quality programming for persons with
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Bmental illness, the letter- writing campaign advocates for that cause on behalf of patients who are unable to
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articulate their own needs.
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PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
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REF: 16 TOP: Nursing Process: Implementation
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MSC: Client Needs: Safe, Effective Care Environment
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4. Which comment best indicates that a patient perceived the nurse was caring? My nurse:
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a. always asks me which type of juice I want to help me swallow my medication.
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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.
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d. told me that if I take all the medicines the doctor prescribes, then I will get discharged sooner.
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ANS: C B
Caring evidences empathetic understanding as well as competency. It helps change pain and suffering into a
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shared experience, creating a human connection that alleviates feelings of isolation. The distracters give
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examples of statements that demonstrate advocacy or giving advice.
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PTS: 1 DIF: Cognitive Level: Apply (Application) REF:
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7 TOP: Nursing Process: Evaluation
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MSC: Client Needs: Psychosocial Integrity
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5. Which assessment finding most clearly indicates that a patient may be experiencing a mental illness? The
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patient:
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a. reports occasional sleeplessness and anxiety.
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b. reports a consistently sad, discouraged, and hopeless mood.
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c. is able to describe the difference between as if and for real.
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, Test Bank - Varcarolis' Foundations of Psychiatric Mental Health Nursing (8th Edition)
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d. perceives difficulty making a decision about whether to change jobs.
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ANS: B B
The correct response describes a mood alteration, which reflects mental illness. The distracters describe behaviors
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that are mentally healthy or within the usual scope of human experience.
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PTS: 1 DIF: Cognitive Level: Apply (Application) REF:
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2 TOP: Nursing Process: Assessment
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MSC: Client Needs: Psychosocial Integrity
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6. Which finding best indicates that the goal Demonstrate mentally healthy behavior was achieved? A patient:
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a. sees self as capable of achieving ideals and meeting demands.
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b. behaves without considering the consequences of personal actions.
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c. aggressively meets own needs without considering the rights of others. B B B B B B B B B
d. seeks help from others when assuming responsibility for major areas of own life.
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ANS: A B
The correct response describes an adaptive, healthy behavior. The distracters describe maladaptive behaviors.
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B PTS: 1 DIF: Cognitive Level: Apply (Application)
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REF: 2 TOP: Nursing Process: Evaluation MSC:
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Client Needs: Psychosocial Integrity
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7. A nurse encounters an unfamiliar psychiatric disorder on a new patients admission form. Which resource
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should the nurse consult to determine criteria used to establish this diagnosis?
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a. International Statistical Classification of Diseases and Related Health Problems (ICD-10)
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b. Diagnostic and Statistical Manual of Mental Disorders (DSM-5) B B B B B B B
c. A behavioral health reference manual
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d. Wikipedia
ANS: B B
The DSM-5 gives the criteria used to diagnose each mental disorder. The distracters may not contain diagnostic
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Bcriteria for a psychiatric illness. B B B B
PTS: 1 DIF: Cognitive Level: Apply (Application)
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