Test Bank - Psychiatric Nursing Contemporary Practice 6th Edition (Boyd, 2018)
TEST BANK
Psychiatric Nursing
Contemporary Practice
Mary Ann Boyd
6th Edition
Page 1
, Test Bank - Psychiatric Nursing Contemporary Practice 6th Edition (Boyd, 2018)
Table of Contents
Chapter 01: Psychiatric-Mental Health Nursing and Evidence-Based Practice
Chapter 02: Mental Health and Mental Disorders
Chapter 03: Cultural and Spiritual Issues Related to Mental Health Care
Chapter 04: Patient Rights and Legal Issues
Chapter 05: Mental Health Care in the Community
Chapter 06: Ethics, Standards, and Nursing Frameworks
Chapter 07: Psychosocial Theoretic Basis of Psychiatric Nursing
Chapter 08: Biologic Foundations of Psychiatric Nursing
Chapter 09: Communication and the Therapeutic Relationship
Chapter 10: The Psychiatric-Mental Health Nursing Process
Chapter 11: Psychopharmacology, Dietary Supplements, and Biologic Interventions
Chapter 12: Cognitive Interventions in Psychiatric Nursing
Chapter 13: Group Interventions
Chapter 14: Family Assessment and Interventions
Chapter 15: Mental Health Promotion for Children and Adolescents
Chapter 16: Mental Health Promotion for Young and Middle-Aged Adults
Chapter 17: Mental Health Promotion for Older Adults
Chapter 18: Stress and Mental Health
Chapter 19: Management of Anger, Aggression, and Violence
Chapter 20: Crisis, Loss, Grief, Response, Bereavement, and Disaster Management
Chapter 21: Suicide Prevention: Screening, Assessment, and Intervention
Chapter 22: Schizophrenia and Related Disorders: Nursing Care of Persons with Thought
Disorders
Chapter 23: Depression: Management of Depressive Moods and Suicidal Behavior
Chapter 24: Bipolar Disorders: Management of Mood Lability
Chapter 25: Anxiety Disorders: Management of Anxiety, Phobia, and Panic
Chapter 26: Obsessive Compulsive and Related Disorders
Chapter 27: Trauma and Stressor Related Disorders
Chapter 28: Personality and Borderline Personality Disorder: Management of Emotional
Dysregulation and Self-Harm
Chapter 29: Antisocial Personality and Disruptive, Impulse Control, and Conduct Disorders
Chapter 30: Addiction and Substance-Related Disorders
Chapter 31: Eating Disorders: Management of Eating and Weight
Chapter 32: Somatic Symptom and Related Disorders
Chapter 33: Nursing Care of Persons with Insomnia and Sleep Problems
Chapter 34: Sexual Disorders: Management of Sexual Dysfunction and Paraphilias
Chapter 35: Mental Health Assessment of Children and Adolescents
Chapter 36: Mental Health Disorders of Childhood and Adolescence
Chapter 37: Mental Health Assessment of Older Adults
Chapter 38: Neurocognitive Disorders
Chapter 39: Caring for Persons Who Are Homeless and Mentally Ill
Chapter 40: Caring for Persons With Co-occurring Mental Disorders
Chapter 41: Caring for Survivors of Violence and Abuse
Chapter 42: Caring for Persons With Mental Illness and Criminal Behavior
Chapter 43: Caring for Medically Compromised Persons
Page 2
, Test Bank - Psychiatric Nursing Contemporary Practice 6th Edition (Boyd, 2018)
Chapter 01: Psychiatric-Mental Health Nursing and Evidence-Based Practice
1. A group of nursing students are reviewing information about the evolution of mental health care
and are discussing the recommendations of the final report of the Joint Commission on Mental
Illness and Health. The students demonstrate understanding of this information when they identify
that the report recommended an increase in which of the following?
A) Numbers of mental health hospitals
B) State funding for mental health care
C) Clinics supplemented by general hospital units
D) Use of psychotherapy by psychiatrists
2. A nurse is reviewing the American Nurses Association9s Statement on Psychiatric Nursing
Practice published in 1967, which sanctioned the involvement of psychiatricmental health
nurses in the provision of holistic nursing care. Integrating knowledge of the various theories
and views of mental health and illness, the nurse identifies which of the following as most
strongly linked to this holistic approach?
A) Sigmund Freud9s psychoanalytic theory
B) Florence Nightingale9s Notes on Nursing
C) Hildegarde
D) Clifford Beers9 A Mind That Found Itself
E) Peplau9s Interpersonal Relations in Nursing
3. A nursing instructor is preparing a presentation about key events and people that influenced the
development of contemporary mental health and illness care. When describing the effects of World
War II, which of the following would the instructor include?
A) People began to view mental illness as more commonplace and acceptable.
B) The biologic understanding of mental illness was almost fully developed.
C) Deinstitutionalization occurred in response to the community health movement.
D) Mental illnesses became categorized as psychoses or neuroses.
4. A nursing student is presenting a discussion of the history of psychiatricmental health nursing
and its place within nursing history. Which of the following would be most appropriate to
include?
A) Certification for the psychiatricmental health nursing specialty was first emphasized by Mary
Adelaide Nutting.
B) Psychiatric nurses played a part in seeing that all deinstitutionalized patients got treatment at
community mental health centers.
C) There is a historical link between the first nursing program to admit male students and the first
training school for psychiatric nursing.
D) The first graduate program in psychiatric nurses was established in response to the publication of
psychiatric nursing specialty journals.
5. Two nursing students are discussing psychiatricmental health nursing and the role it has
played in nursing9s overall history. Which statement is most accurate?
A) The importance of using therapeutic communication was stressed by Nightingale.
B) The use of self-care to enhance the immune system was taught by Dorothea Dix.
C) The moral treatment of mental illness was a primary focus of deinstitutionalization.
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, Test Bank - Psychiatric Nursing Contemporary Practice 6th Edition (Boyd, 2018)
D) Peplau was the first nurse to stress the importance of therapeutic communication.
6. When reviewing the evolution of mental health and illness care, which event is associated with
mental disorders beginning to be viewed as illnesses requiring treatment?
A) Establishment of Pennsylvania Hospital in Philadelphia
B) Quaker establishment of asylums
C) Creation of the state hospital system
D) Freud9s views on the causes of mental illnesses
7. A psychiatricmental health nurse is working on a committee that is developing programs that
integrate the objectives for mental health and mental disorders as identified in Healthy People 2020.
Which type of program would be least appropriate?
A) Single substance abuse treatment programs
B) Depression screening programs for primary care providers
C) Mental health programs for the homeless population
D) Employment programs for those with serious mental illness
8. A nursing instructor is describing the concept of evidence-based practice in psychiatricmental
health nursing. Which of the following would the instructor include as being important? Select all that
apply.
A) Research findings
B) Expert opinion
C) Clinical experiences
D) Patient data
E) Established routines
9. The following events are important in the development of psychiatricmental health nursing
practice. Which event occurred first?
A) Publication of Standards of Psychiatric-Mental Health Nursing by the ANA
B) Publication of Standards of Child and Adolescent Psychiatric and Mental Health Nursing Practice
C) Establishment of the first graduate program in psychiatric nursing at Rutgers University
D) Publication of the first psychiatric nursing text, Nursing Mental Disease, by Harriet Bailey
10. A nurse is preparing a presentation about the current status of mental health services in the
United States. Which statement would the nurse include as the most reflective of this status?
A) Mental health care in the United States is equally accessible to individuals.
B) Mental illness ranks second in terms of causing disability in comparison.
C) Mental health care primarily focuses on the cure of mental illness.
D) Mental health care services are inadequate and fragmented.
11. A group of students are reviewing the goals identified by the New Freedom Commission on
Mental Health. The students demonstrate understanding of this report when they identify
which of the following as a goal?
A) Mental health is viewed as one component of overall health.
B) The consumer and family are the driving forces for mental health care.
C) Screening is of greater importance than assessment and referral for services.
D) Disparities in mental health services are decreased.
Page 4
, Test Bank - Psychiatric Nursing Contemporary Practice 6th Edition (Boyd, 2018)
12. The following are important legislative and policy efforts influencing current mental health care.
Which of the following is the most recent?
A) Mental Health: A Report of the Surgeon General
B) New Freedom Commission on Mental Health
C) Action for Mental Health
D) Mental Retardation Facilities and Community Mental Health Centers Construction Act
13. As part of a career day presentation to a group of nursing students, a psychiatricmental health
nurse plans to describe how this specialty developed. Which individual would the nurse describe as
playing a major role in the development of specialty training programs for psychiatric nurses?
A) Mary Adelaide Nutting
B) Hildegarde Peplau
C) Harriet Bailey
D) Linda Richards
14. A psychiatricmental health nurse is asked to be a guest speaker at a community fund-raising
event for mental health services. Which of the following would the nurse emphasize as the
primary goal of mental health services?
A) Access to affordable mental health care
B) Removal of exclusions because of preexisting conditions
C) Recovery from mental illness
D) Effective treatment for mental health care needs
15. A psychiatricmental health nurse is implementing evidence-based practice. The nurse understands
that this approach is developed by doing which of the following first?
A) Conducting research
B) Identifying a clinical question
C) Determining outcomes
D) Collaborating with the patient
16. A group of students are reviewing information about mental health care after World War II. The
students demonstrate understanding of this information when they identify which of the following
as a result of the National Mental Health Act?
A) Discovery of psychopharmacology
B) Passage of the Hill-Burton Act
C) Establishment of the National Institute of Mental Health
D) Development of community mental health centers
17. When providing care to a patient, the psychiatricmental health nurse is implementing the
therapeutic use of self. The nurse is applying the concepts based on the work of which individual?
A) Hildegarde Peplau
B) Florence Nightingale
C) Dorothea Dix
D) Sigmund Freud
18. After teaching a class to a group of nursing students about the historical perspectives of mental
health care, the instructor determines that the group has understood the information when they
Page 5
, Test Bank - Psychiatric Nursing Contemporary Practice 6th Edition (Boyd, 2018)
identify which of the following as a common belief about mental illness during the medieval
period?
A) Mental illness in an individual was the result of being possessed by demons.
B) A person was removed from a contaminated environment to protect him or her.
C) Exorcisms were used as primary mode of treatment to cleanse the person of his or her sins.
D) The focus was on moral treatment to promote the individual9s safety and comfort.
Answer Key
1. C
2. B
3. A
4. C
5. A
6. A
7. A
8. A, B, C, D
9. D
10. D
11. B
12. A
13. B
14. C
15. B
16. C
17. A
18. B
Page 6
, Test Bank - Psychiatric Nursing Contemporary Practice 6th Edition (Boyd, 2018)
Chapter 02: Mental Health and Mental Disorders
1. A nursing instructor is describing the DSM-IV-TR to a group of nursing students. Which of
the following would the instructor include as the primary purpose of this classification?
A) Provide a commonly understood diagnostic category for clinical practice.
B) Describe treatment modalities for psychiatric disorders and mental illnesses.
C) Identify various etiologies for mental disorders based on family histories.
D) Provide optimal outcomes for treatment for individuals with mental illnesses.
2. A nurse is providing care to a patient with a mental disorder classified by the DSM-IV-TR. The
nurse understands that although the first three axes appear to contain all the diagnostic
information about a patient, a truly accurate picture of the client is incomplete without
considering other factors such as an estimate of current functioning and:
A) Life stressors
B) Cultural background
C) Marital status
D) Genetic history
3. A patient9s global assessment functioning reveals that he has minimal symptoms with good
functioning in all areas. Which score would the nurse correlate with these findings?
A) 94
B) 82
C) 75
D) 63
4. A female patient was admitted to the hospital with pneumonia, and in the course of her treatment, it
was determined that she was experiencing alcohol dependence because she began experiencing
alcohol withdrawal while she was in the hospital. When the psychiatrist who was called in as a
consultant documented the patient9s mental disorder, he identified her alcohol dependence on
which axis?
A) Axis I
B) Axis II
C) Axis III
D) Axis IV
5. A 25-year-old woman who recently had abdominal surgery was admitted to the psychiatric unit,
where it was determined that she had a borderline personality disorder. During the first week on
the unit, it was determined that she also has diabetes. Her diabetes mellitus would be listed in
which axis of her DSM-IV-TR diagnosis?
A) Axis I
B) Axis II
C) Axis III
D) Axis IV
6. As part of a class activity, nursing students are engaged in a small group discussion about
the epidemiology of mental illness. Which statement best explains the importance of
Page 7
, Test Bank - Psychiatric Nursing Contemporary Practice 6th Edition (Boyd, 2018)
epidemiology in understanding the impact of mental disorders?
A) Epidemiology helps promote understanding of the patterns of occurrence associated with mental
disorders.
B) Epidemiology helps explain research findings about the neurophysiology that causes mental
disorders.
C) Epidemiology provides a thorough theoretical explanation of why specific mental disorders occur.
D) Epidemiology predicts when a specific psychiatric client will recover from a specific mental
disorder.
7. A nurse is working in a community mental health center that provides care to a large population
of Asian descent. When developing programs for this community, which of the following would be
most important for the nurse to address?
A) Public stigma
B) Self-stigma
C) Label avoidance
D) Negative life events
8. A group of students are reviewing the multiaxial diagnostic system of the DSM-IV-TR. The
students demonstrate understanding of the axes when they identify that each axis represents
which of the following?
A) An evidence-based research finding
B) An experimental design to guide care
C) A domain of information
D) A laboratory test finding
9. A nursing student is assigned to care for a patient diagnosed with schizophrenia. When talking
about this patient in a clinical postconference, the student would use which terminology when
referring to the patient?
A) Committed patient
B) Schizophrenic
C) Schizophrenic patient
D) Person with schizophrenia
10. Mrs. Green is a patient on a psychiatric unit. At the time of her admission, her dog was killed
when a car accidentally ran over it; in addition to that, she just found out that her mother has
been diagnosed with colon cancer. This information would be addressed in which DSM-IV axis?
A) Axis I
B) Axis II
C) Axis III
D) Axis IV
11. A nursing student is reviewing journal articles about major depression. One of the articles describes
the number of persons newly diagnosed with the disorder during the past year. The student interprets
this as which of the following?
A) Rate
B) Prevalence
C) Point prevalence
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, Test Bank - Psychiatric Nursing Contemporary Practice 6th Edition (Boyd, 2018)
D) Incidence
12. While working in a community mental health treatment center, the nurse overhears one of the
receptionists saying that one of the patients is really psycho. Later in the day, the nurse talks
with the receptionist about the comment. This action by the nurse demonstrates an attempt to
address which issue?
A) Lack of knowledge
B) Public stigma
C) Label avoidance
D) Self-stigma
13. After teaching a group of students about mental health and mental illness, the instructor determines
that the teaching was successful when the group identifies which of the following as reflecting
mental disorders?
A) Capacity to interact with others
B) Ability to deal with ordinary stress
C) Alteration in mood or thinking
D) Lack of impaired functioning
14. A nurse is preparing a presentation for a local community group about mental disorders and
plans to include how mental disorders are different from medical disorders. Which statement
would be most appropriate for the nurse to include?
A) Mental disorders are defined by an underlying biological pathology.
B) Numerous laboratory tests are used to aid in the diagnosis of mental disorders.
C) Cluster of behaviors, thoughts, and feelings characterize mental disorders.
D) Manifestations of mental disorders are within normal, expected parameters.
15. Which of the following would a nurse identify as being categorized as Axis I in the DSM-IV-TR?
Select all that apply.
A) Paranoid personality disorder
B) Posttraumatic stress disorder
C) Anorexia nervosa
D) Mental retardation
E) Unemployment
F) Coronary artery disease
16. A psychiatricmental health nurse is providing care for a patient with a mental disorder. The
patient is participating in the decision-making process. The nurse interprets this as which
component of recovery?
A) Self-direction
B) Empowerment
C) Person-centered
D) Holistic
17. A nurse is explaining recovery to the family of a patient diagnosed with a mental disorder.
Which statement would be most appropriate for the nurse to include about this process?
A) It is a step-by-step process from being ill to being well.
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, Test Bank - Psychiatric Nursing Contemporary Practice 6th Edition (Boyd, 2018)
B) The patient focuses mainly on the emotional aspects of his condition.
C) The patient is helped to live a meaningful life to his fullest potential.
D) Although peer support is important, the self-acceptance is essential.
18. A psychiatricmental health nurse is preparing a presentation about recovery for a group of newly
hired nurses for the mental health facility. Which of the following would the nurse identify as one of
the most important concepts?
A) Self-direction
B) Peer support
C) Respect
D) Hope
19. The nurse is reviewing the medical record of a patient and notes the information below. Which of
the following would be found on Axis III? Select all that apply.
A) Cocaine dependence
B) Bipolar I disorder
C) Chronic obstructive pulmonary disorder
D) Cellulitis
E) Homelessness
F) Arrest for cocaine possession with intent to sell
20. A college-aged student and his friend arrive at the student health center. The friend reports that the
patient has been having difficulties concentrating, remembering, and thinking. He9s had quite a few
research papers due this past week. After ruling out other problems, the nurse determines that the
patient is experiencing a culture-bound syndrome. Which of the following would the nurse most likely
suspect?
A) Ataque de nervios
B) Brain fog
C) Mal de ojo
D) Shenjing shuairo
Page 10
TEST BANK
Psychiatric Nursing
Contemporary Practice
Mary Ann Boyd
6th Edition
Page 1
, Test Bank - Psychiatric Nursing Contemporary Practice 6th Edition (Boyd, 2018)
Table of Contents
Chapter 01: Psychiatric-Mental Health Nursing and Evidence-Based Practice
Chapter 02: Mental Health and Mental Disorders
Chapter 03: Cultural and Spiritual Issues Related to Mental Health Care
Chapter 04: Patient Rights and Legal Issues
Chapter 05: Mental Health Care in the Community
Chapter 06: Ethics, Standards, and Nursing Frameworks
Chapter 07: Psychosocial Theoretic Basis of Psychiatric Nursing
Chapter 08: Biologic Foundations of Psychiatric Nursing
Chapter 09: Communication and the Therapeutic Relationship
Chapter 10: The Psychiatric-Mental Health Nursing Process
Chapter 11: Psychopharmacology, Dietary Supplements, and Biologic Interventions
Chapter 12: Cognitive Interventions in Psychiatric Nursing
Chapter 13: Group Interventions
Chapter 14: Family Assessment and Interventions
Chapter 15: Mental Health Promotion for Children and Adolescents
Chapter 16: Mental Health Promotion for Young and Middle-Aged Adults
Chapter 17: Mental Health Promotion for Older Adults
Chapter 18: Stress and Mental Health
Chapter 19: Management of Anger, Aggression, and Violence
Chapter 20: Crisis, Loss, Grief, Response, Bereavement, and Disaster Management
Chapter 21: Suicide Prevention: Screening, Assessment, and Intervention
Chapter 22: Schizophrenia and Related Disorders: Nursing Care of Persons with Thought
Disorders
Chapter 23: Depression: Management of Depressive Moods and Suicidal Behavior
Chapter 24: Bipolar Disorders: Management of Mood Lability
Chapter 25: Anxiety Disorders: Management of Anxiety, Phobia, and Panic
Chapter 26: Obsessive Compulsive and Related Disorders
Chapter 27: Trauma and Stressor Related Disorders
Chapter 28: Personality and Borderline Personality Disorder: Management of Emotional
Dysregulation and Self-Harm
Chapter 29: Antisocial Personality and Disruptive, Impulse Control, and Conduct Disorders
Chapter 30: Addiction and Substance-Related Disorders
Chapter 31: Eating Disorders: Management of Eating and Weight
Chapter 32: Somatic Symptom and Related Disorders
Chapter 33: Nursing Care of Persons with Insomnia and Sleep Problems
Chapter 34: Sexual Disorders: Management of Sexual Dysfunction and Paraphilias
Chapter 35: Mental Health Assessment of Children and Adolescents
Chapter 36: Mental Health Disorders of Childhood and Adolescence
Chapter 37: Mental Health Assessment of Older Adults
Chapter 38: Neurocognitive Disorders
Chapter 39: Caring for Persons Who Are Homeless and Mentally Ill
Chapter 40: Caring for Persons With Co-occurring Mental Disorders
Chapter 41: Caring for Survivors of Violence and Abuse
Chapter 42: Caring for Persons With Mental Illness and Criminal Behavior
Chapter 43: Caring for Medically Compromised Persons
Page 2
, Test Bank - Psychiatric Nursing Contemporary Practice 6th Edition (Boyd, 2018)
Chapter 01: Psychiatric-Mental Health Nursing and Evidence-Based Practice
1. A group of nursing students are reviewing information about the evolution of mental health care
and are discussing the recommendations of the final report of the Joint Commission on Mental
Illness and Health. The students demonstrate understanding of this information when they identify
that the report recommended an increase in which of the following?
A) Numbers of mental health hospitals
B) State funding for mental health care
C) Clinics supplemented by general hospital units
D) Use of psychotherapy by psychiatrists
2. A nurse is reviewing the American Nurses Association9s Statement on Psychiatric Nursing
Practice published in 1967, which sanctioned the involvement of psychiatricmental health
nurses in the provision of holistic nursing care. Integrating knowledge of the various theories
and views of mental health and illness, the nurse identifies which of the following as most
strongly linked to this holistic approach?
A) Sigmund Freud9s psychoanalytic theory
B) Florence Nightingale9s Notes on Nursing
C) Hildegarde
D) Clifford Beers9 A Mind That Found Itself
E) Peplau9s Interpersonal Relations in Nursing
3. A nursing instructor is preparing a presentation about key events and people that influenced the
development of contemporary mental health and illness care. When describing the effects of World
War II, which of the following would the instructor include?
A) People began to view mental illness as more commonplace and acceptable.
B) The biologic understanding of mental illness was almost fully developed.
C) Deinstitutionalization occurred in response to the community health movement.
D) Mental illnesses became categorized as psychoses or neuroses.
4. A nursing student is presenting a discussion of the history of psychiatricmental health nursing
and its place within nursing history. Which of the following would be most appropriate to
include?
A) Certification for the psychiatricmental health nursing specialty was first emphasized by Mary
Adelaide Nutting.
B) Psychiatric nurses played a part in seeing that all deinstitutionalized patients got treatment at
community mental health centers.
C) There is a historical link between the first nursing program to admit male students and the first
training school for psychiatric nursing.
D) The first graduate program in psychiatric nurses was established in response to the publication of
psychiatric nursing specialty journals.
5. Two nursing students are discussing psychiatricmental health nursing and the role it has
played in nursing9s overall history. Which statement is most accurate?
A) The importance of using therapeutic communication was stressed by Nightingale.
B) The use of self-care to enhance the immune system was taught by Dorothea Dix.
C) The moral treatment of mental illness was a primary focus of deinstitutionalization.
Page 3
, Test Bank - Psychiatric Nursing Contemporary Practice 6th Edition (Boyd, 2018)
D) Peplau was the first nurse to stress the importance of therapeutic communication.
6. When reviewing the evolution of mental health and illness care, which event is associated with
mental disorders beginning to be viewed as illnesses requiring treatment?
A) Establishment of Pennsylvania Hospital in Philadelphia
B) Quaker establishment of asylums
C) Creation of the state hospital system
D) Freud9s views on the causes of mental illnesses
7. A psychiatricmental health nurse is working on a committee that is developing programs that
integrate the objectives for mental health and mental disorders as identified in Healthy People 2020.
Which type of program would be least appropriate?
A) Single substance abuse treatment programs
B) Depression screening programs for primary care providers
C) Mental health programs for the homeless population
D) Employment programs for those with serious mental illness
8. A nursing instructor is describing the concept of evidence-based practice in psychiatricmental
health nursing. Which of the following would the instructor include as being important? Select all that
apply.
A) Research findings
B) Expert opinion
C) Clinical experiences
D) Patient data
E) Established routines
9. The following events are important in the development of psychiatricmental health nursing
practice. Which event occurred first?
A) Publication of Standards of Psychiatric-Mental Health Nursing by the ANA
B) Publication of Standards of Child and Adolescent Psychiatric and Mental Health Nursing Practice
C) Establishment of the first graduate program in psychiatric nursing at Rutgers University
D) Publication of the first psychiatric nursing text, Nursing Mental Disease, by Harriet Bailey
10. A nurse is preparing a presentation about the current status of mental health services in the
United States. Which statement would the nurse include as the most reflective of this status?
A) Mental health care in the United States is equally accessible to individuals.
B) Mental illness ranks second in terms of causing disability in comparison.
C) Mental health care primarily focuses on the cure of mental illness.
D) Mental health care services are inadequate and fragmented.
11. A group of students are reviewing the goals identified by the New Freedom Commission on
Mental Health. The students demonstrate understanding of this report when they identify
which of the following as a goal?
A) Mental health is viewed as one component of overall health.
B) The consumer and family are the driving forces for mental health care.
C) Screening is of greater importance than assessment and referral for services.
D) Disparities in mental health services are decreased.
Page 4
, Test Bank - Psychiatric Nursing Contemporary Practice 6th Edition (Boyd, 2018)
12. The following are important legislative and policy efforts influencing current mental health care.
Which of the following is the most recent?
A) Mental Health: A Report of the Surgeon General
B) New Freedom Commission on Mental Health
C) Action for Mental Health
D) Mental Retardation Facilities and Community Mental Health Centers Construction Act
13. As part of a career day presentation to a group of nursing students, a psychiatricmental health
nurse plans to describe how this specialty developed. Which individual would the nurse describe as
playing a major role in the development of specialty training programs for psychiatric nurses?
A) Mary Adelaide Nutting
B) Hildegarde Peplau
C) Harriet Bailey
D) Linda Richards
14. A psychiatricmental health nurse is asked to be a guest speaker at a community fund-raising
event for mental health services. Which of the following would the nurse emphasize as the
primary goal of mental health services?
A) Access to affordable mental health care
B) Removal of exclusions because of preexisting conditions
C) Recovery from mental illness
D) Effective treatment for mental health care needs
15. A psychiatricmental health nurse is implementing evidence-based practice. The nurse understands
that this approach is developed by doing which of the following first?
A) Conducting research
B) Identifying a clinical question
C) Determining outcomes
D) Collaborating with the patient
16. A group of students are reviewing information about mental health care after World War II. The
students demonstrate understanding of this information when they identify which of the following
as a result of the National Mental Health Act?
A) Discovery of psychopharmacology
B) Passage of the Hill-Burton Act
C) Establishment of the National Institute of Mental Health
D) Development of community mental health centers
17. When providing care to a patient, the psychiatricmental health nurse is implementing the
therapeutic use of self. The nurse is applying the concepts based on the work of which individual?
A) Hildegarde Peplau
B) Florence Nightingale
C) Dorothea Dix
D) Sigmund Freud
18. After teaching a class to a group of nursing students about the historical perspectives of mental
health care, the instructor determines that the group has understood the information when they
Page 5
, Test Bank - Psychiatric Nursing Contemporary Practice 6th Edition (Boyd, 2018)
identify which of the following as a common belief about mental illness during the medieval
period?
A) Mental illness in an individual was the result of being possessed by demons.
B) A person was removed from a contaminated environment to protect him or her.
C) Exorcisms were used as primary mode of treatment to cleanse the person of his or her sins.
D) The focus was on moral treatment to promote the individual9s safety and comfort.
Answer Key
1. C
2. B
3. A
4. C
5. A
6. A
7. A
8. A, B, C, D
9. D
10. D
11. B
12. A
13. B
14. C
15. B
16. C
17. A
18. B
Page 6
, Test Bank - Psychiatric Nursing Contemporary Practice 6th Edition (Boyd, 2018)
Chapter 02: Mental Health and Mental Disorders
1. A nursing instructor is describing the DSM-IV-TR to a group of nursing students. Which of
the following would the instructor include as the primary purpose of this classification?
A) Provide a commonly understood diagnostic category for clinical practice.
B) Describe treatment modalities for psychiatric disorders and mental illnesses.
C) Identify various etiologies for mental disorders based on family histories.
D) Provide optimal outcomes for treatment for individuals with mental illnesses.
2. A nurse is providing care to a patient with a mental disorder classified by the DSM-IV-TR. The
nurse understands that although the first three axes appear to contain all the diagnostic
information about a patient, a truly accurate picture of the client is incomplete without
considering other factors such as an estimate of current functioning and:
A) Life stressors
B) Cultural background
C) Marital status
D) Genetic history
3. A patient9s global assessment functioning reveals that he has minimal symptoms with good
functioning in all areas. Which score would the nurse correlate with these findings?
A) 94
B) 82
C) 75
D) 63
4. A female patient was admitted to the hospital with pneumonia, and in the course of her treatment, it
was determined that she was experiencing alcohol dependence because she began experiencing
alcohol withdrawal while she was in the hospital. When the psychiatrist who was called in as a
consultant documented the patient9s mental disorder, he identified her alcohol dependence on
which axis?
A) Axis I
B) Axis II
C) Axis III
D) Axis IV
5. A 25-year-old woman who recently had abdominal surgery was admitted to the psychiatric unit,
where it was determined that she had a borderline personality disorder. During the first week on
the unit, it was determined that she also has diabetes. Her diabetes mellitus would be listed in
which axis of her DSM-IV-TR diagnosis?
A) Axis I
B) Axis II
C) Axis III
D) Axis IV
6. As part of a class activity, nursing students are engaged in a small group discussion about
the epidemiology of mental illness. Which statement best explains the importance of
Page 7
, Test Bank - Psychiatric Nursing Contemporary Practice 6th Edition (Boyd, 2018)
epidemiology in understanding the impact of mental disorders?
A) Epidemiology helps promote understanding of the patterns of occurrence associated with mental
disorders.
B) Epidemiology helps explain research findings about the neurophysiology that causes mental
disorders.
C) Epidemiology provides a thorough theoretical explanation of why specific mental disorders occur.
D) Epidemiology predicts when a specific psychiatric client will recover from a specific mental
disorder.
7. A nurse is working in a community mental health center that provides care to a large population
of Asian descent. When developing programs for this community, which of the following would be
most important for the nurse to address?
A) Public stigma
B) Self-stigma
C) Label avoidance
D) Negative life events
8. A group of students are reviewing the multiaxial diagnostic system of the DSM-IV-TR. The
students demonstrate understanding of the axes when they identify that each axis represents
which of the following?
A) An evidence-based research finding
B) An experimental design to guide care
C) A domain of information
D) A laboratory test finding
9. A nursing student is assigned to care for a patient diagnosed with schizophrenia. When talking
about this patient in a clinical postconference, the student would use which terminology when
referring to the patient?
A) Committed patient
B) Schizophrenic
C) Schizophrenic patient
D) Person with schizophrenia
10. Mrs. Green is a patient on a psychiatric unit. At the time of her admission, her dog was killed
when a car accidentally ran over it; in addition to that, she just found out that her mother has
been diagnosed with colon cancer. This information would be addressed in which DSM-IV axis?
A) Axis I
B) Axis II
C) Axis III
D) Axis IV
11. A nursing student is reviewing journal articles about major depression. One of the articles describes
the number of persons newly diagnosed with the disorder during the past year. The student interprets
this as which of the following?
A) Rate
B) Prevalence
C) Point prevalence
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D) Incidence
12. While working in a community mental health treatment center, the nurse overhears one of the
receptionists saying that one of the patients is really psycho. Later in the day, the nurse talks
with the receptionist about the comment. This action by the nurse demonstrates an attempt to
address which issue?
A) Lack of knowledge
B) Public stigma
C) Label avoidance
D) Self-stigma
13. After teaching a group of students about mental health and mental illness, the instructor determines
that the teaching was successful when the group identifies which of the following as reflecting
mental disorders?
A) Capacity to interact with others
B) Ability to deal with ordinary stress
C) Alteration in mood or thinking
D) Lack of impaired functioning
14. A nurse is preparing a presentation for a local community group about mental disorders and
plans to include how mental disorders are different from medical disorders. Which statement
would be most appropriate for the nurse to include?
A) Mental disorders are defined by an underlying biological pathology.
B) Numerous laboratory tests are used to aid in the diagnosis of mental disorders.
C) Cluster of behaviors, thoughts, and feelings characterize mental disorders.
D) Manifestations of mental disorders are within normal, expected parameters.
15. Which of the following would a nurse identify as being categorized as Axis I in the DSM-IV-TR?
Select all that apply.
A) Paranoid personality disorder
B) Posttraumatic stress disorder
C) Anorexia nervosa
D) Mental retardation
E) Unemployment
F) Coronary artery disease
16. A psychiatricmental health nurse is providing care for a patient with a mental disorder. The
patient is participating in the decision-making process. The nurse interprets this as which
component of recovery?
A) Self-direction
B) Empowerment
C) Person-centered
D) Holistic
17. A nurse is explaining recovery to the family of a patient diagnosed with a mental disorder.
Which statement would be most appropriate for the nurse to include about this process?
A) It is a step-by-step process from being ill to being well.
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, Test Bank - Psychiatric Nursing Contemporary Practice 6th Edition (Boyd, 2018)
B) The patient focuses mainly on the emotional aspects of his condition.
C) The patient is helped to live a meaningful life to his fullest potential.
D) Although peer support is important, the self-acceptance is essential.
18. A psychiatricmental health nurse is preparing a presentation about recovery for a group of newly
hired nurses for the mental health facility. Which of the following would the nurse identify as one of
the most important concepts?
A) Self-direction
B) Peer support
C) Respect
D) Hope
19. The nurse is reviewing the medical record of a patient and notes the information below. Which of
the following would be found on Axis III? Select all that apply.
A) Cocaine dependence
B) Bipolar I disorder
C) Chronic obstructive pulmonary disorder
D) Cellulitis
E) Homelessness
F) Arrest for cocaine possession with intent to sell
20. A college-aged student and his friend arrive at the student health center. The friend reports that the
patient has been having difficulties concentrating, remembering, and thinking. He9s had quite a few
research papers due this past week. After ruling out other problems, the nurse determines that the
patient is experiencing a culture-bound syndrome. Which of the following would the nurse most likely
suspect?
A) Ataque de nervios
B) Brain fog
C) Mal de ojo
D) Shenjing shuairo
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