Test Bank For Essentials of Psychiatric Mental Health 1 Nursing 3 rd By Varcarolis All Chapters With Complete Solutions

Test Bank For Essentials of Psychiatric
Mental Health 1 Nursing 3
rd By Varcarolis
All Chapters With Complete Solutions

Latest Updated 2024
Chapter 01: Mental Health and Mental Illness
MULTIPLE CHOICE
1. An 86-year-old, previously healthy and independent, falls after an episode of vertigo.
Which behavior by this patient best demonstrates resilience? The patient: a. says, I knew
this would happen eventually.
b. stops attending her weekly water aerobics class.
c. refuses to use a walker and says, I dont need that silly thing.
d. says, Maybe some physical therapy will help me with my balance.
ANS: D
Resiliency is the ability to recover from or adjust to misfortune and change. The correct
response indicates that the patient is hopeful and thinking positively about ways to adapt to
the vertigo. Saying I knew this would happen eventually and discontinuing healthy
activities suggest a hopeless perspective on the health change.
Refusing to use a walker indicates denial.
DIF: Cognitive Level: Comprehension (Understanding) REF: 14
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity 2. A patient is
admitted to the psychiatric hospital. Which assessment finding best indicates that the
patient has a mental illness? The patient:
a. describes coping and relaxation strategies used when feeling anxious.
b. describes mood as consistently sad, discouraged, and hopeless.
c. can perform tasks attempted within the limits of own abilities.
d. reports occasional problems with insomnia.
ANS: B
A patient who reports having a consistently negative mood is describing a mood alteration.
The incorrect options describe mentally healthy behaviors and common problems that do
not indicate mental illness.
DIF: Cognitive Level: Application (Applying) REF: 11
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity 3. The goal for a
patient is to increase resiliency. Which outcome should a nurse add to the plan of care?
Within 3 days, the patient will:
a. describe feelings associated with loss and stress.
b. meet own needs without considering the rights of others.
c. identify healthy coping behaviors in response to stressful events.
d. allow others to assume responsibility for major areas of own life.
ANS: C
The patients ability to identify healthy coping behaviors indicates adaptive, healthy
behavior and demonstrates an increased ability to recover from severe stress. Describing
feelings associated with loss and stress does not move the patient toward adaptation. The
remaining options are maladaptive behaviors.
DIF: Cognitive Level: Analysis (Analyzing) REF: 14
TOP: Nursing Process: Outcomes Identification
MSC: NCLEX: Psychosocial Integrity
4. Which organization actively seeks to reduce the stigma associated with mental illness
through public presentations such as In Our Own Voice (IOOV)?
a. American Psychiatric Association (APA)
b. National Alliance on Mental Illness (NAMI)
c. United States Department of Health and Human Services (USDHHS) d. North American
Nursing Diagnosis Association International (NANDA-I) ANS: B
Stigma represents the bias and prejudice commonly held regarding mental illness. NAMI
actively seeks to
Test Bank: Essentials of Psychiatric Mental Health Nursing (3rd Edition by Varcarolis) 8
dispel misconceptions about mental illness. NANDA-I defines approved nursing diagnoses.
The APA publishes the DSM 5. The USDHHS regulates and administers health policies.
DIF: Cognitive Level: Knowledge (Remembering) REF: 19
TOP: Nursing Process: Evaluation MSC: NCLEX: Safe, Effective Care Environment 5. A nurse
must assess several new patients at a community mental health center. Conclusions
concerning current functioning should be made on the basis of:
a. the degree of conformity of the individual to societys norms.
b. the degree to which an individual is logical and rational.
c. a continuum from mentally healthy to unhealthy.
d. the rate of intellectual and emotional growth.
ANS: C
Because mental health and mental illness are relative concepts, assessment of functioning
is made by using a continuum. Mental health is not based on conformity; some mentally
healthy individuals do not conform to societys norms. Most individuals occasionally display
illogical or irrational thinking. The rate of intellectual and emotional growth is not the most
useful criterion to assess mental health or mental illness.
DIF: Cognitive Level: Application (Applying) REF: 11
TOP: Nursing Process: Diagnosis| Nursing Process: Analysis MSC: NCLEX: Psychosocial
Integrity
6. A nurse at a behavioral health clinic sees an unfamiliar psychiatric diagnosis on a
patients insurance form.
Which resource should the nurse consult to discern the criteria used to establish this
diagnosis?
a. A psychiatric nursing textbook
b. NANDA International (NANDA-I)
c. A behavioral health reference manual
d. Diagnostic and Statistical Manual of Mental Disorders (DSM-5) ANS: D
The DSM-5 gives the criteria used to diagnose each mental disorder. The NANDA-I focuses
on nursing diagnoses. A psychiatric nursing textbook or behavioral health reference manual
may not contain diagnostic criteria.
DIF: Cognitive Level: Application (Applying) REF: 12
TOP: Nursing Process: Analysis| Nursing Process: Diagnosis MSC: NCLEX: Safe, Effective
Care Environment
7. A 40-year-old adult living with parents states, Im happy but I dont socialize much. My
work is routine.
When new things come up, my boss explains them a few times to make sure I understand.
At home, my parents make decisions for me, and I go along with them. A nurse should
identify interventions to improve this patients:
a. self-concept.
b. overall happiness.
c. appraisal of reality.
d. control over behavior.
ANS: A
The patient feels the need for multiple explanations of new tasks at work and, despite being
40 years of age, allows both parents to make all decisions. These behaviors indicate a
poorly developed self-concept. Although the patient reports being happy, the subsequent
comments refute that self-appraisal. The patients comments do not indicate that he/she is
out of touch with reality. The patients needs are broader than control over own behavior.
DIF: Cognitive Level: Application (Applying) REF: 11
TOP: Nursing Process: Planning MSC: NCLEX: Psychosocial Integrity 8. A patient tells a
nurse, I have psychiatric problems and am in and out of hospitals all the time. Not one of
Test Bank: Essentials of Psychiatric Mental Health Nursing (3rd Edition by Varcarolis) 9
my friends or relatives has these problems. Select the nurses best response.
a. Comparing yourself with others has no real advantages.
b. Why do you blame yourself for having a psychiatric illness?
c. Mental illness affects 50% of the adult population in any given year.
d. It sounds like you are concerned that others dont experience the same challenges as you.
ANS: D
Mental illness affects many people at various times in their lives. No class, culture, or creed
is immune to the challenges of mental illness. The correct response also demonstrates the
use of reflection, a therapeutic communication technique. It is not true that mental illness
affects 50% of the population in any given year.
Asking patients if they blame themselves is an example of probing.
DIF: Cognitive Level: Application (Applying) REF: 11