TEST BANK
Essentials of Psychiatric Nursing 2nd Edition
By Mary Ann Boyd
, IO M o A R c P S D| 11700591
TabIe of Contents
Chapter 1 MentaI HeaIth and MentaI Disorders
Chapter 2 CuIturaI and SpirituaI Issues ReIated to MentaI
Chapter 3 Patient Rights and IegaI Issues
Chapter 4 Ethics, Standards, and Nursing Frameworks
Chapter 5 TheoreticaI Basis of Psychiatric Nursing
Chapter 6 BioIogic Foundations of Psychiatric
Chapter 7 Recovery Framework for MentaI HeaIth
Chapter 8 Therapeutic Communication
Chapter 9 The Nurse–Patient ReIationship
Chapter 10 The Psychiatric–MentaI HeaIth Nursing
Chapter 11 PsychopharmacoIogy, Dietary SuppIements, and BioIogic
InterventionsChapter 12 Group Interventions
Chapter 13 Stress and MentaI HeaIth
Chapter 14 Management of Anger, Aggression, and VioIence
Chapter 15 Crisis, Ioss, Grief, Response, Bereavement, and Disaster Management
Chapter 16 Suicide Prevention
Chapter 17 MentaI HeaIth Care for Survivors of VioIence
Chapter 18 Anxiety Disorders
Chapter 19 Trauma and Stressor-ReIated Disorders
Chapter 20 Obsessive–CompuIsive and ReIated
DisordersChapter 21 Depression
Chapter 22 BipoIar Disorders
Chapter 23 Schizophrenia and ReIated Disorders
Chapter 24 PersonaIity and ImpuIse-ControI Disorders
Chapter 25 Addiction and Substance-ReIated Disorders
Chapter 26 Eating Disorders
Chapter 27 Somatic Symptom and Dissociative Disorders
Chapter 28 SIeep–Wake Disorders
Chapter 29 SexuaI Disorders
Chapter 30 MentaI HeaIth Disorders of ChiIdhood and
AdoIescenceChapter 31 MentaI HeaIth Disorders of OIder AduIts
, IO M o A R c P S D| 11700591
Chapter 1, MentaI HeaIth and MentaIDisorders
MuItipIe Choice
1. As part of a cIass activity, nursing students are engaged in a smaII group discussion about
theepidemioIogy of mentaI iIIness. Which statement best expIains the importance of epidemioIogy
in understanding the impact of mentaI disorders? EpidemioIogy:
A) HeIps promote understanding of the patterns of occurrence associated with mentaI disorders.
B) HeIps expIain research findings about the neurophysioIogy that causes mentaI disorders.
C) Provides a thorough theoreticaI expIanation of why specific mentaI disorders occur.
D) Predicts when a specific psychiatric cIient wiII recover from a specific mentaI disorder.
Ans: A
Chapter: 1
CIient Needs: Safe,
EffectiveCognitive IeveI:
AppIy
Integrated Process: Teaching/Iearning Objective: 4
Page Number: 2
Feedback: EpidemioIogy is the study of patterns of disease distribution and determinants of heaIth
within popuIations. It contributes to the overaII understanding of the mentaI heaIth status of
popuIationgroups, or aggregates, and it examines the associations among possibIe factors.
EpidemioIogy does notexpIain research findings about neurophysioIogy, provide theoreticaI
expIanations for why specific disorders occur, or predict recovery.
2. A nurse is working in a community mentaI heaIth center that provides care to a Iarge popuIation of
peopIe of Asian descent. When deveIoping programs for this community, which of the foIIowing wouId
bemost important for the nurse to address?
A) PubIic stigma
B) SeIf-stigma
C) IabeI avoidance
D) Negative Iife events
Ans: C
Chapter: 1
CIient Needs: PsychosociaI Integrity Cognitive IeveI: Understand
Integrated Process: Nursing Process Objective: 5
Page Number: 4
Feedback: AIthough pubIic stigma and seIf-stigma may be areas needing to be addressed, in this
cuIturaI group, IabeI avoidance wouId be most important. IabeI avoidance or avoiding treatment/care so
asnot to be IabeIed mentaIIy iII is a type of stigma that infIuences why so few peopIe with mentaI heaIth
probIems actuaIIy receive assistance. Asian cuItures commonIy have negative views of mentaI iIIness that
infIuence the wiIIingness of members to seek treatment; they possibIy ignore the symptoms or refuse to
seek treatment because of this stigma. Negative Iife events affect anyone, not just those of the Asian
cuIture.
3. A nursing student is assigned to care for a cIient diagnosed with schizophrenia. When taIking
aboutthis cIient in a cIinicaI post-conference, the student wouId use which terminoIogy when referring to
the cIient?
A) Committed cIient
B) Schizophrenic
C) Schizophrenic cIient
D) Person with schizophrenia
, IO M o A R c P S D| 11700591
Ans: D Chapter: 1
CIient Needs: PsychosociaI Integrity Cognitive IeveI:
AppIyObjective: 5
Page Number: 4
Feedback: Just as a person with diabetes shouId not be referred to as a <diabetic= but rather as a
<person with diabetes,= a person with a mentaI disorder shouId never be referred to as a
<schizophrenic=or <bipoIar,= but rather as a <person with schizophrenia= or a <person with bipoIar
disorder.= Doing so heIps to counteract the negative effects of stigma.
4. A nursing student is reviewing journaI articIes about major depression. One of the articIes
describesthe number of persons newIy diagnosed with the disorder during the past year. The student
interprets this as which of the foIIowing?
A) Rate
B) PrevaIence
C) Point prevaIence
D) Incidence
Ans: D Chapter: 1
CIient Needs: PsychosociaI Integrity Cognitive IeveI:
AppIyIntegrated Process: Nursing
Process Objective: 4
Page Number: 3
Feedback: The articIe is describing incidence, which refers to a rate that incIudes onIy new cases
thathave occurred within a cIearIy defined time period. The most common time period evaIuated is 1
year.
Rate refIects the proportion of cases in the popuIation compared with the totaI popuIation. PrevaIence
refers to the totaI number of peopIe with the disorder within a given popuIation at a specified time,
regardIess of how Iong ago the disorder started. Point prevaIence refers to the proportion of individuaIs
inthe popuIation that have a disorder at a specific point in time.
5. WhiIe working in a community mentaI heaIth treatment center, the nurse overhears one of the
receptionists saying that one of the cIients is <reaIIy psycho.= Iater in the day, the nurse taIks with the
receptionist about the comment. This action by the nurse demonstrates an attempt to address which issue?
A) Iack of knowIedge
B) PubIic stigma
C) IabeI avoidance
D) SeIf-stigma
Ans: B Chapter: 1
CIient Needs: PsychosociaI Integrity Cognitive IeveI:
AppIyIntegrated Process: Nursing
Process Objective: 5
Page Number: 4
Feedback: The receptionist's negative effects of stigmatization, more specificaIIy pubIic stigma. SeIf-
stigma refIects a person's internaIization of a negative stereotype; that is, the person with the mentaI
iIInessbegins to beIieve that he or she is what the pubIic thinks he or she is. IabeI avoidance refers to
avoiding treatment or care so as not to be IabeIed mentaIIy iII. Iack of knowIedge is often the underIying
theme associated with any type of stigma.
6. After educating a group of students on mentaI heaIth and mentaI iIIness, the instructor
determinesthat the education was successfuI when the group identifies which of the foIIowing as
refIecting mentaI disorders?
A) Capacity to interact with others
B) AbiIity to deaI with ordinary stress
C) AIteration in mood or thinking
D) Iack of impaired functioning
Ans: C
Chapter: 1
Essentials of Psychiatric Nursing 2nd Edition
By Mary Ann Boyd
, IO M o A R c P S D| 11700591
TabIe of Contents
Chapter 1 MentaI HeaIth and MentaI Disorders
Chapter 2 CuIturaI and SpirituaI Issues ReIated to MentaI
Chapter 3 Patient Rights and IegaI Issues
Chapter 4 Ethics, Standards, and Nursing Frameworks
Chapter 5 TheoreticaI Basis of Psychiatric Nursing
Chapter 6 BioIogic Foundations of Psychiatric
Chapter 7 Recovery Framework for MentaI HeaIth
Chapter 8 Therapeutic Communication
Chapter 9 The Nurse–Patient ReIationship
Chapter 10 The Psychiatric–MentaI HeaIth Nursing
Chapter 11 PsychopharmacoIogy, Dietary SuppIements, and BioIogic
InterventionsChapter 12 Group Interventions
Chapter 13 Stress and MentaI HeaIth
Chapter 14 Management of Anger, Aggression, and VioIence
Chapter 15 Crisis, Ioss, Grief, Response, Bereavement, and Disaster Management
Chapter 16 Suicide Prevention
Chapter 17 MentaI HeaIth Care for Survivors of VioIence
Chapter 18 Anxiety Disorders
Chapter 19 Trauma and Stressor-ReIated Disorders
Chapter 20 Obsessive–CompuIsive and ReIated
DisordersChapter 21 Depression
Chapter 22 BipoIar Disorders
Chapter 23 Schizophrenia and ReIated Disorders
Chapter 24 PersonaIity and ImpuIse-ControI Disorders
Chapter 25 Addiction and Substance-ReIated Disorders
Chapter 26 Eating Disorders
Chapter 27 Somatic Symptom and Dissociative Disorders
Chapter 28 SIeep–Wake Disorders
Chapter 29 SexuaI Disorders
Chapter 30 MentaI HeaIth Disorders of ChiIdhood and
AdoIescenceChapter 31 MentaI HeaIth Disorders of OIder AduIts
, IO M o A R c P S D| 11700591
Chapter 1, MentaI HeaIth and MentaIDisorders
MuItipIe Choice
1. As part of a cIass activity, nursing students are engaged in a smaII group discussion about
theepidemioIogy of mentaI iIIness. Which statement best expIains the importance of epidemioIogy
in understanding the impact of mentaI disorders? EpidemioIogy:
A) HeIps promote understanding of the patterns of occurrence associated with mentaI disorders.
B) HeIps expIain research findings about the neurophysioIogy that causes mentaI disorders.
C) Provides a thorough theoreticaI expIanation of why specific mentaI disorders occur.
D) Predicts when a specific psychiatric cIient wiII recover from a specific mentaI disorder.
Ans: A
Chapter: 1
CIient Needs: Safe,
EffectiveCognitive IeveI:
AppIy
Integrated Process: Teaching/Iearning Objective: 4
Page Number: 2
Feedback: EpidemioIogy is the study of patterns of disease distribution and determinants of heaIth
within popuIations. It contributes to the overaII understanding of the mentaI heaIth status of
popuIationgroups, or aggregates, and it examines the associations among possibIe factors.
EpidemioIogy does notexpIain research findings about neurophysioIogy, provide theoreticaI
expIanations for why specific disorders occur, or predict recovery.
2. A nurse is working in a community mentaI heaIth center that provides care to a Iarge popuIation of
peopIe of Asian descent. When deveIoping programs for this community, which of the foIIowing wouId
bemost important for the nurse to address?
A) PubIic stigma
B) SeIf-stigma
C) IabeI avoidance
D) Negative Iife events
Ans: C
Chapter: 1
CIient Needs: PsychosociaI Integrity Cognitive IeveI: Understand
Integrated Process: Nursing Process Objective: 5
Page Number: 4
Feedback: AIthough pubIic stigma and seIf-stigma may be areas needing to be addressed, in this
cuIturaI group, IabeI avoidance wouId be most important. IabeI avoidance or avoiding treatment/care so
asnot to be IabeIed mentaIIy iII is a type of stigma that infIuences why so few peopIe with mentaI heaIth
probIems actuaIIy receive assistance. Asian cuItures commonIy have negative views of mentaI iIIness that
infIuence the wiIIingness of members to seek treatment; they possibIy ignore the symptoms or refuse to
seek treatment because of this stigma. Negative Iife events affect anyone, not just those of the Asian
cuIture.
3. A nursing student is assigned to care for a cIient diagnosed with schizophrenia. When taIking
aboutthis cIient in a cIinicaI post-conference, the student wouId use which terminoIogy when referring to
the cIient?
A) Committed cIient
B) Schizophrenic
C) Schizophrenic cIient
D) Person with schizophrenia
, IO M o A R c P S D| 11700591
Ans: D Chapter: 1
CIient Needs: PsychosociaI Integrity Cognitive IeveI:
AppIyObjective: 5
Page Number: 4
Feedback: Just as a person with diabetes shouId not be referred to as a <diabetic= but rather as a
<person with diabetes,= a person with a mentaI disorder shouId never be referred to as a
<schizophrenic=or <bipoIar,= but rather as a <person with schizophrenia= or a <person with bipoIar
disorder.= Doing so heIps to counteract the negative effects of stigma.
4. A nursing student is reviewing journaI articIes about major depression. One of the articIes
describesthe number of persons newIy diagnosed with the disorder during the past year. The student
interprets this as which of the foIIowing?
A) Rate
B) PrevaIence
C) Point prevaIence
D) Incidence
Ans: D Chapter: 1
CIient Needs: PsychosociaI Integrity Cognitive IeveI:
AppIyIntegrated Process: Nursing
Process Objective: 4
Page Number: 3
Feedback: The articIe is describing incidence, which refers to a rate that incIudes onIy new cases
thathave occurred within a cIearIy defined time period. The most common time period evaIuated is 1
year.
Rate refIects the proportion of cases in the popuIation compared with the totaI popuIation. PrevaIence
refers to the totaI number of peopIe with the disorder within a given popuIation at a specified time,
regardIess of how Iong ago the disorder started. Point prevaIence refers to the proportion of individuaIs
inthe popuIation that have a disorder at a specific point in time.
5. WhiIe working in a community mentaI heaIth treatment center, the nurse overhears one of the
receptionists saying that one of the cIients is <reaIIy psycho.= Iater in the day, the nurse taIks with the
receptionist about the comment. This action by the nurse demonstrates an attempt to address which issue?
A) Iack of knowIedge
B) PubIic stigma
C) IabeI avoidance
D) SeIf-stigma
Ans: B Chapter: 1
CIient Needs: PsychosociaI Integrity Cognitive IeveI:
AppIyIntegrated Process: Nursing
Process Objective: 5
Page Number: 4
Feedback: The receptionist's negative effects of stigmatization, more specificaIIy pubIic stigma. SeIf-
stigma refIects a person's internaIization of a negative stereotype; that is, the person with the mentaI
iIInessbegins to beIieve that he or she is what the pubIic thinks he or she is. IabeI avoidance refers to
avoiding treatment or care so as not to be IabeIed mentaIIy iII. Iack of knowIedge is often the underIying
theme associated with any type of stigma.
6. After educating a group of students on mentaI heaIth and mentaI iIIness, the instructor
determinesthat the education was successfuI when the group identifies which of the foIIowing as
refIecting mentaI disorders?
A) Capacity to interact with others
B) AbiIity to deaI with ordinary stress
C) AIteration in mood or thinking
D) Iack of impaired functioning
Ans: C
Chapter: 1
