TEST BANK
Essentials of Psychiatric Nursing
Mary Ann Boyd, and Rebecca Luebbert
3rd Edition
,Table of Contents
Chapter 01 Mental Health and Mental Disorders: Fighting Stigma and Promoting Recovery 1
Chapter 02 Cultural Communities and Spiritual Considerations Related to Mental Health
Care 12
Chapter 03 Patient Rights and Legal Issues 23
Chapter 04 Ethics, Standards, and Nursing Frameworks 35
Chapter 05 Psychosocial Theoretic Basis of Psychiatric Nursing 47
Chapter 06 Biologic Foundations of Psychiatric Nursing 58
Chapter 07 Recovery Framework for Psychiatric–Mental Health Nursing 70
Chapter 08 Therapeutic Communication 82
Chapter 09 The Nurse-Patient Relationship 93
Chapter 10 The Psychiatric-Mental Health Nursing Process 105
Chapter 11 Psychopharmacology, Dietary Supplements, and Biologic Interventions 116
Chapter 12 Group Interventions 127
Chapter 13 Stress and Mental Health 139
Chapter 14 Anger, Aggression, and Violence 151
Chapter 15 Crisis, Loss, Grief, Bereavement, and Disaster Management 162
Chapter 16 Suicide Prevention: Screening, Assessment, and Intervention 174
Chapter 17 Mental Health Care for Survivors of Violence 186
Chapter 18 Anxiety Disorders: Nursing Care of Patients With Anxiety, Phobia, and Panic 198
Chapter 19 Traumaand Stressor-Related Disorders 210
Chapter 20 Obsessive-Compulsive and Related Disorders: Nursing Care of Persons With
Obsessions and Compulsions 222
Chapter 21 Depression: Nursing Care of Persons With Depressive Moods and Suicidal
Behavior 235
Chapter 22 Bipolar and Related Disorders: Nursing Care of Persons With Mood Lability 247
Chapter 23 Schizophrenia and Related Disorders: Nursing Care of Persons With Thought
Disorders 259
Chapter 24 Personality and Impulse-Control Disorders: Nursing Care of Persons With
Personality and Impulse-Control Disorders 275
Chapter 25 Addiction and Substance Use-Related Disorders: Nursing Care of Persons
With Alcohol and Drug Use Disorders 293
Chapter 26 Eating Disorders: Nursing Care of Persons With Eating and Weight-Related
Disorders 305
Chapter 27 Somatic Symptom and Dissociative Disorders: Nursing Care of Persons With
Somatization 317
Chapter 28 Sleep–Wake Disorders: Nursing Care of Persons With Insomnia and Sleep
Problems 329
Chapter 29 Sexual Disorders: Nursing Care of Persons With Sexual Dysfunctions and
Paraphilias 341
Chapter 30 Mental Health Disorders of Childhood and Adolescence 353
Chapter 31 Mental Health Disorders of Older Adults 365
,Chapter 32 Care of Veterans With Mental Health Needs 377
,______________________________________________________________________________________________
Test Bank - Essentials of Psychiatric Nursing, 3rd Edition (Boyd, 2023)
Chapter 1, Mental Health and Mental Disorders: Fighting Stigma and Promoting
Recovery
1. 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
epidemiology in understanding the impact of mental disorders? Epidemiology:
A) helps promote understanding of the patterns of occurrence associated with mental
disorders.
B) helps explain research findings about the neurophysiology that causes mental
disorders.
C) provides a thorough theoretical explanation of why specific mental disorders
occur.
D) predicts when a specific psychiatric client will recover from a specific mental
disorder.
ANS: A
Feedback: Epidemiology is the study of patterns of disease distribution and determinants of
health within populations. It contributes to the overall understanding of the mental health
status of population groups, or aggregates, and it examines the associations among possible
factors. Epidemiology does not explain research findings about neurophysiology, provide
theoretical explanations for why specific disorders occur, or predict recovery.
PTS: 1 REF: Page and Header: 3, Overview of Mental Health Disorders
OBJ: Learning Objective: 5
NAT: Client Needs: Safe and Effective Care Environment: Management of Care
TOP: Chapter: 1 KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Apply NOT: Multiple Choice
2. A nurse is working in a community mental health center that provides care to a large
population of people of Asian descent. When developing programs for this community,
which area would be most important for the nurse to address?
A) Public stigma
B) Self-stigma
C) Label avoidance
D) Negative life events
ANS: C
Feedback: Although public stigma and self-stigma may be areas needing to be addressed, in
this cultural group, label avoidance would be most important. Label avoidance or avoiding
treatment/care so as not to be labeled mentally ill is a type of stigma that influences why so
few people with mental health problems actually receive assistance. Asian cultures
commonly have negative views of mental illness that influence the willingness of members
to seek treatment; they possibly ignore the symptoms or refuse to seek treatment because of
this stigma. Negative life events affect anyone, not just those of the Asian culture.
PTS: 1 REF: Page and Header: 4, Label Avoidance
OBJ: Learning Objective: 6 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter: 1 KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Understand NOT: Multiple Choice
______________________________________________________________________________________________
1|Page
,______________________________________________________________________________________________
Test Bank - Essentials of Psychiatric Nursing, 3rd Edition (Boyd, 2023)
3. A new graduate nurse is assigned to care for a client diagnosed with schizophrenia. When
talking about this client with the nurse manager, the new graduate would use which
terminology?
A) Committed client
B) Schizophrenic
C) Schizophrenic client
D) Person with schizophrenia
ANS: D
Feedback: Just as a person with diabetes should not be referred to as a “diabetic” but rather
as a “person with diabetes,” a person with a mental disorder should never be referred to as a
“schizophrenic” or “bipolar,” but rather as a “person with schizophrenia” or a “person with
bipolar disorder.” Doing so helps to counteract the negative effects of stigma.
PTS: 1 REF: Page and Header: 4, Public Stigma
OBJ: Learning Objective: 6 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter: 1 KEY: Integrated Process: Communication and Documentation
BLM: Cognitive Level: Understand NOT: Multiple Choice
4. A nurse 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
D) Incidence
ANS: D
Feedback: The article is describing incidence, which refers to a rate that includes only new
cases that have occurred within a clearly defined time period. The most common time
period evaluated is 1 year. Rate reflects the proportion of cases in the population compared
with the total population. Prevalence refers to the total number of people with the disorder
within a given population at a specified time, regardless of how long ago the disorder
started. Point prevalence refers to the proportion of individuals in the population who have a
disorder at a specific point in time.
PTS: 1 REF: Page and Header: 3, Overview of Mental Health Disorders
OBJ: Learning Objective: 5 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter: 1 KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply NOT: Multiple Choice
5. While working in a community mental health treatment center, the nurse overhears one of
the receptionists saying that one of the clients 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
______________________________________________________________________________________________
2|Page
,______________________________________________________________________________________________
Test Bank - Essentials of Psychiatric Nursing, 3rd Edition (Boyd, 2023)
ANS: B
Feedback: The receptionist's statement reflects the negative effects of stigmatization, more
specifically public stigma. Self-stigma reflects a person's internalization of a negative
stereotype; that is, the person with the mental illness begins to believe that they are what the
public thinks they are. Label avoidance refers to avoiding treatment or care so as not to be
labeled mentally ill. Lack of knowledge is often the underlying theme associated with any
type of stigma.
PTS: 1 REF: Page and Header: 4, Public Stigma
OBJ: Learning Objective: 6 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter: 1 KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply NOT: Multiple Choice
6. After educating a local community group about mental health and mental illness, the
instructor determines that the education was successful when the group identifies which
concept 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
ANS: C
Feedback: Mental disorders are health conditions characterized by alterations in thinking,
mood, or behavior and are associated with distress or impaired functioning. Mental health is
the emotional and psychological well-being of an individual who has the capacity to interact
with others, deal with ordinary stress, and perceive one's surroundings realistically.
PTS: 1 REF: Page and Header: 3, Diagnosis of Mental Health Conditions
OBJ: Learning Objective: 3 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter: 1 KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Analyze NOT: Multiple Choice
7. 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 biologic pathology.”
B) “Numerous laboratory tests are used to help diagnose mental disorders.”
C) “Clusters of behaviors, thoughts, and feelings characterize mental disorders.”
D) “Manifestations of mental disorders are within normal, expected parameters.”
ANS: C
Feedback: Unlike many medical disorders, mental disorders are defined by clusters of
behaviors, thoughts, and feelings, not underlying biologic pathology. The alterations in
thoughts, behaviors, and feelings are unexpected and outside the normal, culturally defined
limits. Laboratory tests are not used in diagnosing mental disorders.
PTS: 1 REF: Page and Header: 3, Overview of Mental Health Disorders
OBJ: Learning Objective: 3 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter: 1 KEY: Integrated Process: Teaching/Learning
______________________________________________________________________________________________
3|Page
,______________________________________________________________________________________________
Test Bank - Essentials of Psychiatric Nursing, 3rd Edition (Boyd, 2023)
BLM: Cognitive Level: Apply NOT: Multiple Choice
8. A psychiatric–mental health nurse is providing care for a client with a mental disorder. The
client is participating in the decision-making process. The nurse interprets this as which
component of recovery?
A) Self-direction
B) Collaborative
C) Person-centered
D) Holistic
ANS: B
Feedback: In recovery-oriented care, the person with a mental health problem develops a
partnership with a clinician to manage the illness, strengthen coping abilities, and build
resilience for life’s challenges. Being involved in decision making helps the client transition
from a dependent-driven relationship to a collaborative recovery-oriented one. Self-direction
is reflected as individuals define their own goals and design a path to meet those goals.
Individualized and person-centered is reflected by the individual's use of his or her own
unique strengths and resilience as well as needs, preferences, experiences, and cultural
background. Holistic involves the whole life of the individual—mind, body, spirit, and
community.
PTS: 1 REF: Page and Header: 5, Recovery from Mental Illness
OBJ: Learning Objective: 7 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter: 1 KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply NOT: Multiple Choice
9. A nurse is explaining recovery to the family of a client 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.”
B) “The client focuses mainly on the emotional aspects of their condition.”
C) “The client is helped to live a meaningful life to their fullest potential.”
D) “Although peer support is important, self-acceptance is essential.”
ANS: C
Feedback: Recovery from mental disorders and/or substance use disorders is a process of
change through which individuals improve their health and wellness, live a self- directed
life, and strive to reach their full potential. It is a nonlinear process with setbacks. It also is
strength-based. Peer support is important, but so is respect by the community and
consumers, along with self-acceptance to ensure inclusion and participation in all aspects of
life.
PTS: 1 REF: Page and Header: 5, Recovery from Mental Illness
OBJ: Learning Objective: 7 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter: 1 KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Apply NOT: Multiple Choice
10. After teaching a group of families of clients with mental disorder about recovery, the nurse
determines that more education is needed when the group identifies which concept as a
characteristic?
A) Self-direction in life
______________________________________________________________________________________________
4|Page
,______________________________________________________________________________________________
Test Bank - Essentials of Psychiatric Nursing, 3rd Edition (Boyd, 2023)
B) Improvement in health and wellness
C) Achievement of full potential
D) One-time change situation
ANS: D
Feedback: Recovery from mental disorders and/or substance use disorders is a process of
change through which individuals improve their health and wellness, live a self- directed
life, and strive to reach their full potential.
PTS: 1 REF: Page and Header: 5, Recovery from Mental Illness
OBJ: Learning Objective: 7 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter: 1 KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Apply NOT: Multiple Choice
11. When describing the treatment of mental illness, which goal would a nurse identify as the
priority?
A) Functional status
B) Stigma reduction
C) Stress reduction
D) Recovery
ANS: D
Feedback: Although reducing stigma, reducing stress, and improving functional status are
important components involved in the treatment of mental illness, recovery is the single
most important goal for individuals with mental disorders.
PTS: 1 REF: Page and Header: 5, Recovery from Mental Illness
OBJ: Learning Objective: 7 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter: 1 KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Understand NOT: Multiple Choice
12. A nurse is working as part of a multidisciplinary team and developing a plan of care for a
client who is receiving recovery-oriented treatment. Which principle would the nurse
integrate into this plan?
A) Focusing primarily on the mind
B) Limiting support from others
C) Using hope as motivation
D) Avoiding underlying trauma
ANS: C
Feedback: Recovery emerges from hope: The belief that recovery is real provides the
essential and motivating message of a better future—that people can and do overcome the
internal and external challenges, barriers, and obstacles that confront them. Recovery is also
holistic, addressing an individual's whole life, including body, mind, spirit, and community.
Recovery is supported by peers and allies and through relationships and social networks.
Finally, recovery is supported by addressing trauma, such that services and supports should
be trauma-informed to foster safety.
PTS: 1 REF: Page and Header: 6, Box 1.4: Guiding Principles of Recovery
OBJ: Learning Objective: 7 NAT: Client Needs: Psychosocial Integrity
______________________________________________________________________________________________
5|Page
,______________________________________________________________________________________________
Test Bank - Essentials of Psychiatric Nursing, 3rd Edition (Boyd, 2023)
TOP: Chapter: 1 KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply NOT: Multiple Choice
13. A nurse is assessing a client to evaluate the client's mental health and wellness. Applying the
eight dimensions of wellness, which would the nurse assess to determine emotional
wellness?
A) Finding ways to expand creative abilities
B) Recognizing the need for sleep and nutrition
C) Searching for meaning in life
D) Developing skills for dealing with stress
ANS: D
Feedback: The emotional dimension of wellness focuses on developing skills and strategies
to cope with stress. The intellectual dimension focuses on recognizing creative abilities and
finding ways to expand one's knowledge and skills. The physical dimension focuses on
recognizing the need for physical activity, diet, sleep, and nutrition. The spiritual dimension
focuses on the search for meaning and purpose in the human experience.
PTS: 1 REF: Page and Header: 2, Mental Health and Wellness, Figure 1.1
OBJ: Learning Objective: 1 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter: 1 KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply NOT: Multiple Choice
14. Which would be a major barrier affecting the treatment of individuals with mental health
problems?
A) Lack of a diagnostic criteria
B) Inability to obtain epidemiologic data
C) Stigma associated with mental health problems
D) Limited hope for recovery
ANS: C
Feedback: Stigma is one of the major treatment barriers faced by individuals with mental
health problems and their families. Diagnostic criteria have been established for mental
disorders, and evidence through epidemiologic research provides valuable information about
the mental health status of population groups and associated factors. A guiding principle of
recovery is hope, the belief that recovery is real and that the people can and do overcome the
internal and external challenges, barriers, and obstacles confronting them.
PTS: 1 REF: Page and Header: 4, Stigma
OBJ: Learning Objective: 6 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter: 1 KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Understand NOT: Multiple Choice
15. A nurse manager of a local community mental health center is working with the staff on
ways to address public stigma. Which statement by a staff member would the nurse manager
identify as reflecting success?
A) “The client with schizophrenia needs additional assistance.”
B) “The bipolar client in the examination room is very excitable today.”
C) “That client down the hall is screaming like a mad man.”
D) “Trying to get that hyperactive client to sit still is impossible.”
______________________________________________________________________________________________
6|Page
, ______________________________________________________________________________________________
Test Bank - Essentials of Psychiatric Nursing, 3rd Edition (Boyd, 2023)
ANS: A
Feedback: One way to reduce public stigma is to use nonstigmatizing language. Rather than
referring to the client as schizophrenic, bipolar, or hyperactive, it is more appropriate to say
"the client with schizophrenia," "the client with bipolar disorder,” or “the client with
hyperactivity.” Terms such as shouting like a mad man, psycho, nuts, funny farm, and
maniac reinforce the negative images of mental illness.
PTS: 1 REF: Page and Header: 4, Public Stigma
OBJ: Learning Objective: 6 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter: 1 KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Analyze NOT: Multiple Choice
16. When assessing a client with a mental illness, the nurse determines that the client is
experiencing label avoidance when the client states which of the following?
A) “I'm at the cause of my illness.”
B) “I'll never be able to function in the world.”
C) “I'm as crazy as everybody thinks I am.”
D) “I really don't need to see anyone.”
ANS: D
Feedback: Label avoidance involves an individual not seeking treatment so as not to be
labeled as mentally ill. The statement about not really needing to see anyone suggests label
avoidance. The statements about being the cause of the illness, not being able to function in
the world, and being as crazy as everyone says reflect self-stigma, the internalization of
negative stereotypes by individuals with mental illness.
PTS: 1 REF: Page and Header: 4, Label Avoidance
OBJ: Learning Objective: 6 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter: 1 KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply NOT: Multiple Choice
17. A nurse is describing the four dimensions of recovery to a group of new psychiatric–mental
health nurses. As part of a group exercise, the nurse asks for examples for each dimension.
The nurse determines that the teaching was successful based on which example(s) stated as
reflecting the dimension of purpose? Select all that apply.
A) Living healthy
B) Having a safe place to live
C) Participating in meaningful daily activities
D) Having adequate resources for living
E) Maintaining independence
ANS: C, D, E
Feedback: There are four dimensions that support recovery: health (managing disease and
living in a physically and emotionally healthy way), home (a safe and stable place to live),
purpose (meaningful daily activities and independence, resources, and income), and
community (relationships and social networks). Having a safe place to live reflects the
dimension of home. Living healthy reflects the dimension of health.
PTS: 1 REF: Page and Header: 5, Recovery from Mental Illness
______________________________________________________________________________________________
7|Page
Essentials of Psychiatric Nursing
Mary Ann Boyd, and Rebecca Luebbert
3rd Edition
,Table of Contents
Chapter 01 Mental Health and Mental Disorders: Fighting Stigma and Promoting Recovery 1
Chapter 02 Cultural Communities and Spiritual Considerations Related to Mental Health
Care 12
Chapter 03 Patient Rights and Legal Issues 23
Chapter 04 Ethics, Standards, and Nursing Frameworks 35
Chapter 05 Psychosocial Theoretic Basis of Psychiatric Nursing 47
Chapter 06 Biologic Foundations of Psychiatric Nursing 58
Chapter 07 Recovery Framework for Psychiatric–Mental Health Nursing 70
Chapter 08 Therapeutic Communication 82
Chapter 09 The Nurse-Patient Relationship 93
Chapter 10 The Psychiatric-Mental Health Nursing Process 105
Chapter 11 Psychopharmacology, Dietary Supplements, and Biologic Interventions 116
Chapter 12 Group Interventions 127
Chapter 13 Stress and Mental Health 139
Chapter 14 Anger, Aggression, and Violence 151
Chapter 15 Crisis, Loss, Grief, Bereavement, and Disaster Management 162
Chapter 16 Suicide Prevention: Screening, Assessment, and Intervention 174
Chapter 17 Mental Health Care for Survivors of Violence 186
Chapter 18 Anxiety Disorders: Nursing Care of Patients With Anxiety, Phobia, and Panic 198
Chapter 19 Traumaand Stressor-Related Disorders 210
Chapter 20 Obsessive-Compulsive and Related Disorders: Nursing Care of Persons With
Obsessions and Compulsions 222
Chapter 21 Depression: Nursing Care of Persons With Depressive Moods and Suicidal
Behavior 235
Chapter 22 Bipolar and Related Disorders: Nursing Care of Persons With Mood Lability 247
Chapter 23 Schizophrenia and Related Disorders: Nursing Care of Persons With Thought
Disorders 259
Chapter 24 Personality and Impulse-Control Disorders: Nursing Care of Persons With
Personality and Impulse-Control Disorders 275
Chapter 25 Addiction and Substance Use-Related Disorders: Nursing Care of Persons
With Alcohol and Drug Use Disorders 293
Chapter 26 Eating Disorders: Nursing Care of Persons With Eating and Weight-Related
Disorders 305
Chapter 27 Somatic Symptom and Dissociative Disorders: Nursing Care of Persons With
Somatization 317
Chapter 28 Sleep–Wake Disorders: Nursing Care of Persons With Insomnia and Sleep
Problems 329
Chapter 29 Sexual Disorders: Nursing Care of Persons With Sexual Dysfunctions and
Paraphilias 341
Chapter 30 Mental Health Disorders of Childhood and Adolescence 353
Chapter 31 Mental Health Disorders of Older Adults 365
,Chapter 32 Care of Veterans With Mental Health Needs 377
,______________________________________________________________________________________________
Test Bank - Essentials of Psychiatric Nursing, 3rd Edition (Boyd, 2023)
Chapter 1, Mental Health and Mental Disorders: Fighting Stigma and Promoting
Recovery
1. 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
epidemiology in understanding the impact of mental disorders? Epidemiology:
A) helps promote understanding of the patterns of occurrence associated with mental
disorders.
B) helps explain research findings about the neurophysiology that causes mental
disorders.
C) provides a thorough theoretical explanation of why specific mental disorders
occur.
D) predicts when a specific psychiatric client will recover from a specific mental
disorder.
ANS: A
Feedback: Epidemiology is the study of patterns of disease distribution and determinants of
health within populations. It contributes to the overall understanding of the mental health
status of population groups, or aggregates, and it examines the associations among possible
factors. Epidemiology does not explain research findings about neurophysiology, provide
theoretical explanations for why specific disorders occur, or predict recovery.
PTS: 1 REF: Page and Header: 3, Overview of Mental Health Disorders
OBJ: Learning Objective: 5
NAT: Client Needs: Safe and Effective Care Environment: Management of Care
TOP: Chapter: 1 KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Apply NOT: Multiple Choice
2. A nurse is working in a community mental health center that provides care to a large
population of people of Asian descent. When developing programs for this community,
which area would be most important for the nurse to address?
A) Public stigma
B) Self-stigma
C) Label avoidance
D) Negative life events
ANS: C
Feedback: Although public stigma and self-stigma may be areas needing to be addressed, in
this cultural group, label avoidance would be most important. Label avoidance or avoiding
treatment/care so as not to be labeled mentally ill is a type of stigma that influences why so
few people with mental health problems actually receive assistance. Asian cultures
commonly have negative views of mental illness that influence the willingness of members
to seek treatment; they possibly ignore the symptoms or refuse to seek treatment because of
this stigma. Negative life events affect anyone, not just those of the Asian culture.
PTS: 1 REF: Page and Header: 4, Label Avoidance
OBJ: Learning Objective: 6 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter: 1 KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Understand NOT: Multiple Choice
______________________________________________________________________________________________
1|Page
,______________________________________________________________________________________________
Test Bank - Essentials of Psychiatric Nursing, 3rd Edition (Boyd, 2023)
3. A new graduate nurse is assigned to care for a client diagnosed with schizophrenia. When
talking about this client with the nurse manager, the new graduate would use which
terminology?
A) Committed client
B) Schizophrenic
C) Schizophrenic client
D) Person with schizophrenia
ANS: D
Feedback: Just as a person with diabetes should not be referred to as a “diabetic” but rather
as a “person with diabetes,” a person with a mental disorder should never be referred to as a
“schizophrenic” or “bipolar,” but rather as a “person with schizophrenia” or a “person with
bipolar disorder.” Doing so helps to counteract the negative effects of stigma.
PTS: 1 REF: Page and Header: 4, Public Stigma
OBJ: Learning Objective: 6 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter: 1 KEY: Integrated Process: Communication and Documentation
BLM: Cognitive Level: Understand NOT: Multiple Choice
4. A nurse 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
D) Incidence
ANS: D
Feedback: The article is describing incidence, which refers to a rate that includes only new
cases that have occurred within a clearly defined time period. The most common time
period evaluated is 1 year. Rate reflects the proportion of cases in the population compared
with the total population. Prevalence refers to the total number of people with the disorder
within a given population at a specified time, regardless of how long ago the disorder
started. Point prevalence refers to the proportion of individuals in the population who have a
disorder at a specific point in time.
PTS: 1 REF: Page and Header: 3, Overview of Mental Health Disorders
OBJ: Learning Objective: 5 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter: 1 KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply NOT: Multiple Choice
5. While working in a community mental health treatment center, the nurse overhears one of
the receptionists saying that one of the clients 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
______________________________________________________________________________________________
2|Page
,______________________________________________________________________________________________
Test Bank - Essentials of Psychiatric Nursing, 3rd Edition (Boyd, 2023)
ANS: B
Feedback: The receptionist's statement reflects the negative effects of stigmatization, more
specifically public stigma. Self-stigma reflects a person's internalization of a negative
stereotype; that is, the person with the mental illness begins to believe that they are what the
public thinks they are. Label avoidance refers to avoiding treatment or care so as not to be
labeled mentally ill. Lack of knowledge is often the underlying theme associated with any
type of stigma.
PTS: 1 REF: Page and Header: 4, Public Stigma
OBJ: Learning Objective: 6 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter: 1 KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply NOT: Multiple Choice
6. After educating a local community group about mental health and mental illness, the
instructor determines that the education was successful when the group identifies which
concept 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
ANS: C
Feedback: Mental disorders are health conditions characterized by alterations in thinking,
mood, or behavior and are associated with distress or impaired functioning. Mental health is
the emotional and psychological well-being of an individual who has the capacity to interact
with others, deal with ordinary stress, and perceive one's surroundings realistically.
PTS: 1 REF: Page and Header: 3, Diagnosis of Mental Health Conditions
OBJ: Learning Objective: 3 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter: 1 KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Analyze NOT: Multiple Choice
7. 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 biologic pathology.”
B) “Numerous laboratory tests are used to help diagnose mental disorders.”
C) “Clusters of behaviors, thoughts, and feelings characterize mental disorders.”
D) “Manifestations of mental disorders are within normal, expected parameters.”
ANS: C
Feedback: Unlike many medical disorders, mental disorders are defined by clusters of
behaviors, thoughts, and feelings, not underlying biologic pathology. The alterations in
thoughts, behaviors, and feelings are unexpected and outside the normal, culturally defined
limits. Laboratory tests are not used in diagnosing mental disorders.
PTS: 1 REF: Page and Header: 3, Overview of Mental Health Disorders
OBJ: Learning Objective: 3 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter: 1 KEY: Integrated Process: Teaching/Learning
______________________________________________________________________________________________
3|Page
,______________________________________________________________________________________________
Test Bank - Essentials of Psychiatric Nursing, 3rd Edition (Boyd, 2023)
BLM: Cognitive Level: Apply NOT: Multiple Choice
8. A psychiatric–mental health nurse is providing care for a client with a mental disorder. The
client is participating in the decision-making process. The nurse interprets this as which
component of recovery?
A) Self-direction
B) Collaborative
C) Person-centered
D) Holistic
ANS: B
Feedback: In recovery-oriented care, the person with a mental health problem develops a
partnership with a clinician to manage the illness, strengthen coping abilities, and build
resilience for life’s challenges. Being involved in decision making helps the client transition
from a dependent-driven relationship to a collaborative recovery-oriented one. Self-direction
is reflected as individuals define their own goals and design a path to meet those goals.
Individualized and person-centered is reflected by the individual's use of his or her own
unique strengths and resilience as well as needs, preferences, experiences, and cultural
background. Holistic involves the whole life of the individual—mind, body, spirit, and
community.
PTS: 1 REF: Page and Header: 5, Recovery from Mental Illness
OBJ: Learning Objective: 7 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter: 1 KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply NOT: Multiple Choice
9. A nurse is explaining recovery to the family of a client 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.”
B) “The client focuses mainly on the emotional aspects of their condition.”
C) “The client is helped to live a meaningful life to their fullest potential.”
D) “Although peer support is important, self-acceptance is essential.”
ANS: C
Feedback: Recovery from mental disorders and/or substance use disorders is a process of
change through which individuals improve their health and wellness, live a self- directed
life, and strive to reach their full potential. It is a nonlinear process with setbacks. It also is
strength-based. Peer support is important, but so is respect by the community and
consumers, along with self-acceptance to ensure inclusion and participation in all aspects of
life.
PTS: 1 REF: Page and Header: 5, Recovery from Mental Illness
OBJ: Learning Objective: 7 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter: 1 KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Apply NOT: Multiple Choice
10. After teaching a group of families of clients with mental disorder about recovery, the nurse
determines that more education is needed when the group identifies which concept as a
characteristic?
A) Self-direction in life
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Test Bank - Essentials of Psychiatric Nursing, 3rd Edition (Boyd, 2023)
B) Improvement in health and wellness
C) Achievement of full potential
D) One-time change situation
ANS: D
Feedback: Recovery from mental disorders and/or substance use disorders is a process of
change through which individuals improve their health and wellness, live a self- directed
life, and strive to reach their full potential.
PTS: 1 REF: Page and Header: 5, Recovery from Mental Illness
OBJ: Learning Objective: 7 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter: 1 KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Apply NOT: Multiple Choice
11. When describing the treatment of mental illness, which goal would a nurse identify as the
priority?
A) Functional status
B) Stigma reduction
C) Stress reduction
D) Recovery
ANS: D
Feedback: Although reducing stigma, reducing stress, and improving functional status are
important components involved in the treatment of mental illness, recovery is the single
most important goal for individuals with mental disorders.
PTS: 1 REF: Page and Header: 5, Recovery from Mental Illness
OBJ: Learning Objective: 7 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter: 1 KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Understand NOT: Multiple Choice
12. A nurse is working as part of a multidisciplinary team and developing a plan of care for a
client who is receiving recovery-oriented treatment. Which principle would the nurse
integrate into this plan?
A) Focusing primarily on the mind
B) Limiting support from others
C) Using hope as motivation
D) Avoiding underlying trauma
ANS: C
Feedback: Recovery emerges from hope: The belief that recovery is real provides the
essential and motivating message of a better future—that people can and do overcome the
internal and external challenges, barriers, and obstacles that confront them. Recovery is also
holistic, addressing an individual's whole life, including body, mind, spirit, and community.
Recovery is supported by peers and allies and through relationships and social networks.
Finally, recovery is supported by addressing trauma, such that services and supports should
be trauma-informed to foster safety.
PTS: 1 REF: Page and Header: 6, Box 1.4: Guiding Principles of Recovery
OBJ: Learning Objective: 7 NAT: Client Needs: Psychosocial Integrity
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Test Bank - Essentials of Psychiatric Nursing, 3rd Edition (Boyd, 2023)
TOP: Chapter: 1 KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply NOT: Multiple Choice
13. A nurse is assessing a client to evaluate the client's mental health and wellness. Applying the
eight dimensions of wellness, which would the nurse assess to determine emotional
wellness?
A) Finding ways to expand creative abilities
B) Recognizing the need for sleep and nutrition
C) Searching for meaning in life
D) Developing skills for dealing with stress
ANS: D
Feedback: The emotional dimension of wellness focuses on developing skills and strategies
to cope with stress. The intellectual dimension focuses on recognizing creative abilities and
finding ways to expand one's knowledge and skills. The physical dimension focuses on
recognizing the need for physical activity, diet, sleep, and nutrition. The spiritual dimension
focuses on the search for meaning and purpose in the human experience.
PTS: 1 REF: Page and Header: 2, Mental Health and Wellness, Figure 1.1
OBJ: Learning Objective: 1 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter: 1 KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply NOT: Multiple Choice
14. Which would be a major barrier affecting the treatment of individuals with mental health
problems?
A) Lack of a diagnostic criteria
B) Inability to obtain epidemiologic data
C) Stigma associated with mental health problems
D) Limited hope for recovery
ANS: C
Feedback: Stigma is one of the major treatment barriers faced by individuals with mental
health problems and their families. Diagnostic criteria have been established for mental
disorders, and evidence through epidemiologic research provides valuable information about
the mental health status of population groups and associated factors. A guiding principle of
recovery is hope, the belief that recovery is real and that the people can and do overcome the
internal and external challenges, barriers, and obstacles confronting them.
PTS: 1 REF: Page and Header: 4, Stigma
OBJ: Learning Objective: 6 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter: 1 KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Understand NOT: Multiple Choice
15. A nurse manager of a local community mental health center is working with the staff on
ways to address public stigma. Which statement by a staff member would the nurse manager
identify as reflecting success?
A) “The client with schizophrenia needs additional assistance.”
B) “The bipolar client in the examination room is very excitable today.”
C) “That client down the hall is screaming like a mad man.”
D) “Trying to get that hyperactive client to sit still is impossible.”
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Test Bank - Essentials of Psychiatric Nursing, 3rd Edition (Boyd, 2023)
ANS: A
Feedback: One way to reduce public stigma is to use nonstigmatizing language. Rather than
referring to the client as schizophrenic, bipolar, or hyperactive, it is more appropriate to say
"the client with schizophrenia," "the client with bipolar disorder,” or “the client with
hyperactivity.” Terms such as shouting like a mad man, psycho, nuts, funny farm, and
maniac reinforce the negative images of mental illness.
PTS: 1 REF: Page and Header: 4, Public Stigma
OBJ: Learning Objective: 6 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter: 1 KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Analyze NOT: Multiple Choice
16. When assessing a client with a mental illness, the nurse determines that the client is
experiencing label avoidance when the client states which of the following?
A) “I'm at the cause of my illness.”
B) “I'll never be able to function in the world.”
C) “I'm as crazy as everybody thinks I am.”
D) “I really don't need to see anyone.”
ANS: D
Feedback: Label avoidance involves an individual not seeking treatment so as not to be
labeled as mentally ill. The statement about not really needing to see anyone suggests label
avoidance. The statements about being the cause of the illness, not being able to function in
the world, and being as crazy as everyone says reflect self-stigma, the internalization of
negative stereotypes by individuals with mental illness.
PTS: 1 REF: Page and Header: 4, Label Avoidance
OBJ: Learning Objective: 6 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter: 1 KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply NOT: Multiple Choice
17. A nurse is describing the four dimensions of recovery to a group of new psychiatric–mental
health nurses. As part of a group exercise, the nurse asks for examples for each dimension.
The nurse determines that the teaching was successful based on which example(s) stated as
reflecting the dimension of purpose? Select all that apply.
A) Living healthy
B) Having a safe place to live
C) Participating in meaningful daily activities
D) Having adequate resources for living
E) Maintaining independence
ANS: C, D, E
Feedback: There are four dimensions that support recovery: health (managing disease and
living in a physically and emotionally healthy way), home (a safe and stable place to live),
purpose (meaningful daily activities and independence, resources, and income), and
community (relationships and social networks). Having a safe place to live reflects the
dimension of home. Living healthy reflects the dimension of health.
PTS: 1 REF: Page and Header: 5, Recovery from Mental Illness
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