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Varcarolis'FoundationsofPsychiatric-
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Table Of Contents qi qi
UNIT I: Foundations in Theory
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Chapter 1. Mental Health and Mental qi qi qi qi qi
IllnessChapter 2. Theories and Therapies
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Chapter3. PsychobiologyandPsychopharmacology
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UNIT II: Foundations for
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PracticeChapter 4.
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TreatmentSettings Chapter 5.
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Cultural Implications
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Chapter6. Legaland EthicalConsiderations
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UNIT III: Psychosocial Nursing Tools
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Chapter 7. TheNursing Process andStandards of CareChapter
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8. Therapeutic Relationships
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Chapter9. TherapeuticCommunication
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Chapter 10. StressResponses and Stress Management
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UNITIV: Psychobiological Disorders
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Chapter 11. Childhood and Neurodevelopmental
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DisordersChapter 12. Schizophrenia Spectrum
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DisordersChapter 13. Bipolar andRelated DisordersChapter
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14. Depressive Disorders
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Chapter 15. Anxiety and Obsessive-Compulsive Disorders Chapter
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16. Trauma, Stressor-Related, andDissociative DisordersC hapter qi qi qi qi `
17. Somatic Symptom Disorders qi qi
Chapter 18. Eating andFeeding DisordersC hapter
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19. Sleep-WakeDisorders
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Chapter 20. SexualDysfunction, Gender Dysphoria, and
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ParaphilicDisordersChapter21.Impulse ControlDisorders
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Chapter 22. Substance-Related and Addictive DisordersC hapter
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23. Neurocognitive Disorders
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Chapter 24. Personality
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DisordersUNIT V: Trauma
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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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Chapter27.Anger, Aggression, andViolence
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Chapter 28.Child, OlderAdult, and Intimate
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PartnerViolenceChapter 29. SexualAssault
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UNIT VI: Interventions for Special Populations
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Chapter 30. Dying, Death, and GrievingChapter
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31. Older Adults qi
Chapter 32. Serious qi qi
Mental IllnessChapter 33.
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ForensicNursing
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UNIT VII: Other Intervention
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ModalitiesChapter 34.
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Therapeutic Groups Chapter qi
35. Family Interventions qi
Chapter 36.
Integrative Care qi
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Chapter 01: Mental Healthand Mental Illness
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Halter: Varcarolis’ Foundations of Psychiatric-Mental Health Nursing:
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AClinicalApproach,9thEdition
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MULTIPLE CHOICE qi
1. The scope ofpracticed for an advancednursepractitionerwouldincludewhich intervention?
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a. Conductingamental healthassessment. qi
b. Prescribingpsychotropicmedication.
c. Establishingatherapeuticrelationship. qi
d. Individualizing anursing careplan. qi qi
ANS: B qi
In most states, prescriptive privileges are granted to master‘s-prepared nurse
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practitionersandclinicalnursespecialists whohavetakenspecial
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coursesonprescribingmedication. The nursepreparedatthebasiclevelis permittedtoperform
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mentalhealth assessments, establishrelationships,andprovide individualizedcareplanning.
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PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
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TOP: NursingProcess: Implementation MSC: Client Needs: Safe, Effective Care Environment qi qi qi qi qi qi qi qi
2. Anursing studentexpressesconcerns that mentalhealth nurses ―losealltheir clinical qi qi qi qi qi
nursingskills.‖Select thebestresponsebythementalhealth nurse.
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a. ―Psychiatricnurses practice in safer environments thanother specialties.Nurse-to- qi qi
client ratios must bebetterbecauseofthenatureoftheclients‘problems.‖
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b. ―Psychiatricnursesusecomplexcommunicationskillsaswellascriticalthinkingto qi qi qi qi qi qi qi qi qi
solvemultidimensionalproblems. Iam challenged bythosesituations.‖
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c. ―That‘s a misconception.Psychiatric nursesfrequentlyusehigh qi qi
technologymonitoringequipment andmanagecomplex
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intravenoustherapies.‖
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d. ―Psychiatricnursesdonothave to deal withasmuchpain andsuffering qi qi qi qi qi qi qi qi
asmedical–surgical nursesdo.That appealstome.‖
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ANS: B qi
Thepracticeofpsychiatricnursingrequires adifferent setofskillsthanmedical–surgical
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nursing,though thereissubstantialoverlap. Psychiatricnurses mustbeabletohelp clients
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withmedicalas well as mental healthproblems,
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reflectingtheholisticperspectivethesenursesmust have. Nurse– clientratios and workloadsin
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psychiatricsettingshaveincreased, justlikeotherspecialties.
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Psychiatric nursinginvolves clinical practice, not just documentation. qi qi qi qi qi qi
Psychosocialpainandsufferingare as real as physicalpainand suffering.
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PTS: 1 DIF: Cognitive Level: Apply(Application)
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TOP: NursingProcess: Implementation MSC: Client Needs: Safe, Effective Care Environment qi qi qi qi qi qi qi qi
3. When a new bill introduced in Congress reduces funding for care of persons diagnosed
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withmental illness, a group of nurses write letters to their elected representatives in
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oppositiontothelegislation.Whichrolehavethenurses fulfilled?
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a. Recovery
b. Attending
c. Advocacy
d. Evidence-basedpractice
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, Test bank Varcarolis' Foundations of Psychiatric-Mental Health Nursing 9th Edition
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qi Stuvia.com - The Marketplace to Buy and Sell your Study Material qi qi qi qi qi qi qi qi qi qi
ANS: C qi
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
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understandtheir rights or make decisions. On a communityscale, advocacyincludes political
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activity, publicspeaking, and publication in the interest of improving the human condition.
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Since fundingis necessarytodeliverqualityprogrammingforpersons withmental illness,
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theletter-writing campaign advocates for that cause on behalf of clients 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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TOP: NursingProcess: Evaluation MSC: Client Needs: Safe, Effective Care Environment
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4. Afamilyhas a long historyof conflicted relationships amongthemembers.
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Whichfamilymember‘s commentbest reflects amentallyhealthyperspective?
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―I‘vemade mistakesbuteveryoneelse in thisfamilyhasalso.‖
a. qi qi qi qi qi qi
―Irememberjoyandmutualrespect from ourearlyyears together.‖
b. q i q i q i
―Iwill makesomechanges inmy behaviorforthe goodofthe family.‖
c. q i q i q i q i q i
―It‘sbestfor meto move awayfrom myfamily.Thingswillneverchange.‖
d. qi qi qi qi qi qi qi
ANS: C qi
Thecorrectresponse demonstratesthebestevidenceofahealthyrecognition oftheimportance of
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relationships. Mental health includes rational thinking, communication skills, learning,
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emotional growth, resilience, andself-esteem. Recallingjoyfrom earlierinlifemaybehealthy,
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butthecorrect responseshowsahigherlevelof mentalhealth.
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Theotherincorrectresponsesshowblamingandavoidance.
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PTS: 1 DIF: Cognitive Level: Analyze (Analysis)
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TOP: NursingProcess: Assessment MSC: Client Needs: Psychosocial Integrity qi qi qi qi qi qi
5. Whichassessment findingmost clearlyindicates that qi qi qi
aclientmaybeexperiencingamentalillness?
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a. reportingoccasionalsleeplessnessandanxiety.
b. reportinga consistentlysad,discouraged, andhopeless mood. qi qi qi qi
c. being able to describe thedifference between ―as if‖and ―forreal.‖ qi qi qi
d. experiencingdifficultymakingadecisionabout whethertochangejobs. q i
ANS: B qi
Thecorrectresponsedescribesamoodalteration, whichreflectsmentalillness. Thedistractersdescribe qi qi
behaviorsthat arementallyhealthyorwithintheusualscopeofhumanexperience.
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PTS: 1 DIF: Cognitive Level: Apply(Application)
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TOP: NursingProcess: Assessment MSC: Client Needs: Psychosocial Integrity qi qi qi qi qi qi
6. Which findingbestindicatesthat the goal―Demonstrate mentally healthy behavior‖ qi qi qi
qi wasachievedforanadult client? qi qi qi qi
a. beingwillingtoworktowards achievingidealsand meeting demands. qi qi qi
b. behavingwithout consideringtheconsequences ofpersonalactions. qi qi
c. aggressivelymeetingpersonalneedswithout consideringtherights ofothers. q i q i
d. seekinghelpfrom otherstoavoid assumingresponsibilityformajorareasof qi q i
ownlife.
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