Psychiatric Nursing: Contemporary Practice 8th Edition – Test Bank with Practice Questions and Verified Answers

PSYCHIATRIC NURSING q




Test Bank for Psychiatric Nursing: Contemporary Practice 8th Edition by
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MARY ANN BOYD and REBECCA LUEBBERT isbn-9781975239046 All
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Chapters 1-43 Covered Questions and Answers
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Testbankscove

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Chapter 01: Psychiatric-Mental Health Nursing
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and Evidence-Based Practice
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1. A group of nursing students are reviewing information about the
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evolution of mental health care and are discussing the
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recommendations of the final report of the Joint Commission
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on Mental Illness and Health. The students demonstrate
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understanding of this information when they identify that the
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report recommended an increase in which of the following?
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A) Numbers of mental health hospitals q q q q


B) State funding for mental health care
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C) Clinics supplemented by general hospital units
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D) Use of psychotherapy by psychiatrists
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2. A nurse is reviewing the American Nurses Association’s
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Statement on Psychiatric Nursing Practice published in 1967,
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which sanctioned the involvement of psychiatricmental health nurses in the provision of holistic
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nursing care. Integrating knowledge of the various theories and views of mental health and illness,
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the nurse identifies which of the following as most strongly linked to this holistic approach?
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A) Sigmund Freud’s psychoanalytic theory q q q


B) Florence Nightingale’s Notes on Nursing q q q q


C) Hildegarde
D) Clifford Beers’ A Mind That Found Itself q q q q q q


E) Peplau’s Interpersonal Relations in Nursing q q q q




3. A nursing instructor is preparing a presentation about key events and people that influenced the
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development of contemporary mental health and illness care. When describing the effects of World War
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II, which of the following would the instructor include?
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A) People began to view mental illness as more commonplace and acceptable.
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B) The biologic understanding of mental illness was almost fullydeveloped.
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C) Deinstitutionalization occurred in response to the communityhealth movement. q q q q q q q


D) Mental illnesses became categorized as psychoses or neuroses.
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4. A nursing student is presenting a discussion of the history of psychiatricmental health nursing and its
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place within nursing history. Which of the following would be most appropriate to include?
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A) Certification for the psychiatricmental health nursing specialty was first emphasized by Mary
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Adelaide Nutting.
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B) Psychiatric nurses played a part in seeing that all deinstitutionalized patients got treatment at
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community mental health centers.
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C) There is a historical link between the first nursing program to admit male students and the first
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training school for psychiatric nursing. q q q q q


D) The first graduate program in psychiatric nurses was established in response to the publication of
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psychiatric nursing specialty journals.
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5. Two nursing students are discussing psychiatricmental health nursing and the role it has played in
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nursing’s overall history. Which statement is most accurate?
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A) The importance of using therapeutic communication was stressed by Nightingale.
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B) The use of self-care to enhance the immune system was taught by Dorothea Dix.
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C) The moral treatment of mental illness was a primary focus of deinstitutionalization.
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D) Peplau was the first nurse to stress the importance of therapeutic communication.
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6. When reviewing the evolution of mental health and illness care, which event is associated with mental
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disorders beginning to be viewed as illnesses requiring treatment?
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A) Establishment of Pennsylvania Hospital in Philadelphia q q q q q q

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B) Quaker establishment of asylums q q q


C) Creation of the state hospital system q q q q q


D) Freud’s views on the causes of mental illnesses
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7. A psychiatricmental health nurse is working on a committee that is developing programs that
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integrate the objectives for mental health and mental disorders as identified in Healthy People 2020.
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Which type of program would be least appropriate?
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A) Single substance abuse treatment programs q q q q


B) Depression screening programs for primary care providers q q q q q q


C) Mental health programs for the homeless population
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D) Employment programs for those with serious mental illness q q q q q q q




8. A nursing instructor is describing the concept of evidence-based practice in psychiatricmental health
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nursing. Which of the following would the instructor include as being important? Select all that
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A) Research findings q


B) Expert opinion q

apply.
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C) Clinical experiences q


D) Patient data q


E) Established routines q




9. The following events are important in the development of psychiatricmental health nursing practice.
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Which event occurred first?
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A) Publication of Standards of Psychiatric-Mental Health Nursing bythe ANA q q q q q q q q


B) Publication of Standards of Child and Adolescent Psychiatric and Mental Health Nursing Practice
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C) Establishment of the first graduate program in psychiatric nursing at Rutgers University q q q q q q q q q q q


D) Publication of the first psychiatric nursing text, Nursing Mental Disease, by Harriet Bailey
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10. A nurse is preparing a presentation about the current status of mental health services in the United
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States. Which statement would the nurse include as the most reflective of this status?
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A) Mental health care in the United States is equally accessible to individuals.
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B) Mental illness ranks second in terms of causing disability in comparison.
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C) Mental health care primarily focuses on the cure of mental illness.
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D) Mental health care services are inadequate and fragmented.
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11. A group of students are reviewing the goals identified by the New Freedom Commission on Mental
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Health. The students demonstrate understanding of this report when they identify which of the
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following as a goal?
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A) Mental health is viewed as one component of overall health.
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B) The consumer and family are the driving forces for mental health care.
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C) Screening is of greater importance than assessment and referral for services.
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D) Disparities in mental health services are decreased. q q q q q q




12. The following are important legislative and policy efforts influencing current mental health care. Which
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of the following is the most recent?
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A) Mental Health: A Report of the Surgeon General q q q q q q q q


B) New Freedom Commission on Mental Health
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C) Action for Mental Health q q q


D) Mental Retardation Facilities and Community Mental Health Centers Construction Act
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13. As part of a career day presentation to a group of nursing students, a psychiatricmental health nurse
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plans to describe how this specialty developed. Which individual would the nurse describe as playing a
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major role in the development of specialty training programs for psychiatric nurses?
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A) Mary Adelaide Nutting q q


B) Hildegarde Peplau q

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C) Harriet Bailey q


D) Linda Richards q




14. A psychiatricmental health nurse is asked to be a guest speaker at a community fund-raising event for
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mental health services. Which of the following would the nurse emphasize as the primary goal of
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mental health services?
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A) Access to affordable mental health care q q q q q


B) Removal of exclusions because of preexisting conditions q q q q q q


C) Recovery from mental illness q q q


D) Effective treatment for mental health care needs q q q q q q




15. A psychiatricmental health nurse is implementing evidence-based practice. The nurse understands that
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this approach is developed by doing which of the following first?
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A) Conducting research q


B) Identifying a clinical question q q q


C) Determining outcomes q


D) Collaborating with the patient q q q




16. A group of students are reviewing information about mental health care after World War II. The
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students demonstrate understanding of this information when they identify which of the following as a
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result of the National Mental Health Act?
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A) Discovery of psychopharmacology q q


B) Passage of the Hill-Burton Act q q q q


C) Establishment of the National Institute of Mental Health q q q q q q q


D) Development of community mental health centers q q q q q




17. When providing care to a patient, the psychiatricmental health nurse is implementing the therapeutic use
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of self. The nurse is applying the concepts based on the work of which individual?
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A) Hildegarde Peplau q


B) Florence Nightingale q


C) Dorothea Dix q


D) Sigmund Freud q




18. After teaching a class to a group of nursing students about the historical perspectives of mental
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health care, the instructor determines that the group has understood the information when they
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identify which of the following as a common belief about mental illness during the medieval period?
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A) Mental illness in an individual was the result of being possessed by demons.
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B) A person was removed from a contaminated environment to protect him or her.
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C) Exorcisms were used as primary mode of treatment to cleanse the person of his or her sins.
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D) The focus was on moral treatment to promote the individual’s safety and comfort.
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Answer Keyq




1. C
2. B
3. A
4. C
5. A
6. A
7. A
8. A, B, C, D q q q


9. D
10. D