TEST BANK FOR ESSENTIALS OF PSYCHIATRIC NURSING 2ND EDITION BY MARY-ANN BOYD |
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ESSENTIALS OF PSYCHIATRIC NURSING 2ND EDITION BY MARY-ANN BOYD
, lOMoAR
TABLE OF CONTENTS
1. Mental Health and Mental Disorders
2. Cultural and Spiritual Issues Related to Mental Health Care
3. Patient Rights and Legal Issues
4. Ethics, Standards, and Nursing Frameworks
5. Theoretical Basis of Psychiatric Nursing
6. Biologic Foundations of Psychiatric Nursing
7. Recovery Framework for Psychiatric–Mental Health Nursing
8. Therapeutic Communication
9. The Nurse–Patient Relationship
10. The Psychiatric–Mental Health Nursing Process
11. Psychopharmacology, Dietary Supplements, and Biologic Interventions
12. Group Interventions
13. Stress and Mental Health
14. Management of Anger, Aggression, and Violence
15. Crisis, Loss, Grief Response, Bereavement, and Disaster Management
16. Suicide Prevention
17. Mental Health Care for Survivors of Violence
18. Anxiety Disorders
19. Trauma- and Stressor-Related Disorders
20. Obsessive-Compulsive and Related Disorders
21. Depression
22. Bipolar Disorders
23. Schizophrenia and Related Disorders
24. Personality and Impulse-Control Disorders
25. Addiction and Substance-Related Disorders
26. Eating Disorders
27. Somatic Symptom and Related Disorders
28. Sleep-Wake Disorders
29. Sexual Disorders
30. Mental Health Disorders of Childhood and Adolescence
31. Mental Health Disorders of Older Adults
ESSENTIALS OF PSYCHIATRIC NURSING 2ND EDITION BY MARY-ANN BOYD
, lOMoAR
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Multiple Choice
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.
a.
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 A .
Chapter: 1
Client Needs: Safe,
specific mental:
Apply
Integrated Process: Teaching/Learning Objective: 4
Page Number: 2
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.
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 of
thefollowing would be most important for the nurse to address?
A) Public stigma
B) Self-stigma
C) Label avoidance
D) Negative life events
ANS C .
>>
Chapter:
A 1
Client Needs: Psychosocial Integrity Cognitive Level:
Understand Integrated Process: Nursing
Process Objective: 5
Page Number: 4
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.
3. A nursing student is assigned to care for a client diagnosed with schizophrenia. When talking
bouil client in a clinical post-conference, the student would use which terminology when referring to
lis
the client?
A) Committed client
B) Schizophrenic
C) Schizophrenic client
D) Person with schizophrenia
ESSENTIALS OF PSYCHIATRIC NURSING 2ND EDITION BY MARY-ANN BOYD
, lOMoAR
Ans: D Chapter: 1
Client Needs: Psychosocial Integrity Cognitive Level:
Apply Objective: 5
Page Number: 4
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.
4. 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
D) Incidence
Ans: D Chapter: 1
Client Needs: Psychosocial Integrity Cognitive Level:
Apply Integrated Process: Nursing
Process Objective: 4
Page Number: 3
Feedback: The article is describing incidence, which refers to a rate that includes only new cases
tail e occurred within a clearly defined time period. The most common time period evaluated is 1
plan
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 that have a disorder at a specific point in time.
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
Ans: B Chapter: 1
Client Needs: Psychosocial Integrity Cognitive Level:
Apply Integrated Process: Nursing
Process Objective: 5
Page Number: 4
Feedback: The receptionist's 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 he or she is what the public thinks he or she is. 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.
6. After educating a group of students on mental health and mental illness, the instructor
determines that the education 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
Ans: C
Chapter: 1
ESSENTIALS OF PSYCHIATRIC NURSING 2ND EDITION BY MARY-ANN BOYD