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Test Bank for Varcarolis' Foundations of Psychiatric Mental Health Nursing 8th Edition
Community Nursing (NUR206)
Fortis College
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Table of Contents
Table of Contents
Chapter 01: Mental Health and Mental Illness
Chapter 02: Theories and Therapies
Chapter 03: Psychobiology and Psychopharmacology
Chapter 04: Treatment Settings
Chapter 05: Cultural Implications
Chapter 06: Legal and Ethical Considerations
Chapter 07: The Nursing Process and Standards of Care
Chapter 08: Therapeutic Relationships
Chapter 09: Therapeutic Communication
Chapter 10: Stress Responses and Stress Management
Chapter 11: Childhood and Neurodevelopmental Disorders
Chapter 12: Schizophrenia Spectrum Disorders
Chapter 13: Bipolar and Related Disorders
Chapter 14: Depressive Disorders
Chapter 15: Anxiety and Obsessive-Compulsive Disorders
Chapter 16: Trauma, Stressor-Related, and Dissociative Disorders
Chapter 17: Somatic Symptom Disorders
Chapter 18: Eating and Feeding Disorders
Chapter 19: Sleep-Wake Disorders
Chapter 20: Sexual Dysfunctions, Gender Dysphoria, and Paraphilias
Chapter 21: Impulse Control Disorders
Chapter 22: Substance Related and Addictive Disorders
Chapter 23: Neurocognitive Disorders
Chapter 24: Personality Disorders
Chapter 25: Suicide and Nonsuicidal Self-Injury
Chapter 26: Crisis and Disaster
Chapter 27: Anger, Aggression, and Violence
Chapter 28: Child, Older Adult, and Intimate Partner Violence
Chapter 29: Sexual Assault
Chapter 30: Dying, Death, and Grieving
Chapter 31: Older Adults
Chapter 32: Serious Mental Illness
Chapter 33: Forensic Nursing
Chapter 34: Therapeutic Groups
Chapter 35: Family Interventions
Chapter 36: Integrative Care
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Chapter 01: Mental Health and Mental Illness
MULTIPLE CHOICE
- 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.
ANS: B
In most states, prescriptive privileges are granted to masters-prepared nurse practitioners who have taken special courses on prescribing medication. The nurse prepared at the basic level is permitted to perform mental health assessments, establish relationships, and provide individualized care planning.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 15 TOP: Nursing Process: Implementation
MSC: Client Needs: Safe, Effective Care Environment
- 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. Thats 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.
ANS: B
The practice of psychiatric nursing requires a different set of skills than medical-surgical nursing, though there is substantial overlap. Psychiatric nurses must be able to help patients with medical as well as mental health problems, reflecting the holistic perspective these nurses must have. Nurse-patient ratios and workloads in psychiatric settings have increased, just like other specialties. Psychiatric nursing involves clinical practice, not just documentation. Psychosocial pain and suffering are as real as physical pain and suffering.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: 10 TOP: Nursing Process: Implementation
MSC: Client Needs: Safe, Effective Care Environment
- When a new bill introduced in Congress reduces funding for care of persons with mental illness, a group of
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d. perceives difficulty making a decision about whether to change jobs.
ANS: B
The correct response describes a mood alteration, which reflects mental illness. The distracters describe behaviors that are mentally healthy or within the usual scope of human experience.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: 2 TOP: Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity
- 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.
ANS: A
The correct response describes an adaptive, healthy behavior. The distracters describe maladaptive behaviors.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: 2 TOP: Nursing Process: Evaluation
MSC: Client Needs: Psychosocial Integrity
- A nurse encounters an unfamiliar psychiatric disorder on a new patients 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
ANS: B
The DSM-5 gives the criteria used to diagnose each mental disorder. The distracters may not contain diagnostic criteria for a psychiatric illness.
PTS: 1 DIF: Cognitive Level: Apply (Application)
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REF: 3 TOP: Nursing Process: Assessment
MSC: Client Needs: Safe, Effective Care Environment
- 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 ANAs Psychiatric-Mental Health Nursing Scope and Standards of Practice
d. International Statistical Classification of Diseases and Related Health Problems (ICD-10)
ANS: B
The DSM-5 details the diagnostic criteria for psychiatric clinical conditions. The other references are good resources but do not define the diagnostic criteria.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 10 TOP: Nursing Process: Implementation
MSC: Client Needs: Safe, Effective Care Environment
- 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.
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.
ANS: D
Resilience is closely associated with the process of adapting and helps people facing tragedies, loss, trauma, and severe stress. It is the ability and capacity for people to secure the resources they need to support their well- being. Repression and depression are unhealthy. Living in a shelter for two years shows a failure to move forward after a tragedy. See related audience response question.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: 3 TOP: Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity
- Complete this analogy. NANDA: clinical judgment: NIC:
a. patient outcomes c. diagnosis
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ANS: C
Culture-bound syndromes occur in specific sociocultural contexts and are easily recognized by people in those cultures. A syndrome recognized in parts of Southeast Asia is running amok, in which a person (usually a male) runs around engaging in furious, almost indiscriminate violent behavior.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 5 TOP: Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity
- The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) classifies:
a. deviant behaviors. c. people with mental disorders.
b. present disability or distress. d. mental disorders people have.
ANS: D
The DSM-5 classifies disorders people have rather than people themselves. The terminology of the tool reflects this distinction by referring to individuals with a disorder rather than as a schizophrenic or alcoholic, for example. Deviant behavior is not generally considered a mental disorder. Present disability or distress is only one aspect of the diagnosis.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 10 TOP: Nursing Process: Implementation
MSC: Client Needs: Safe, Effective Care Environment
- A citizen at a community health fair asks the nurse, What is the most prevalent mental disorder in the United States? Select the nurses best response.
a. Schizophrenia c. Dissociative fugue
b. Bipolar disorder d. Alzheimers disease
ANS: D
The 12-month prevalence for Alzheimers disease is 10% for persons older than 65 and 50% for persons older than 85. The prevalence of schizophrenia is 1% per year. The prevalence of bipolar disorder is 2%. Dissociative fugue is a rare disorder. See related audience response question.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 9 TOP: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
- In the majority culture of the United States, which individual has the greatest risk to be labeled mentally ill? One who:
a. describes hearing Gods voice speaking.
Test Bank for Varcarolis' Foundations of Psychiatric Mental Health Nursing 8th Edition
Course: Community Nursing (NUR206)
University: Fortis College
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