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Essentials of Psychiatric Nursing 2nd Edition Boyd Test
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Bank
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Table of Contents
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Chapter 1 Mental Health and Mental Disorders
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Chapter 2 Cultural and Spiritual Issues Related to Mental
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Chapter 3 Patient Rights and Legal Issues
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Chapter 4 Ethics, Standards, and Nursing Frameworks
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Chapter 5 Theoretical Basis of Psychiatric Nursing
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Chapter 6 Biologic Foundations of Psychiatric
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Chapter 7 Recovery Framework for Mental Health
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Chapter 8 Therapeutic Communication
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Chapter 9 The Nurse–Patient Relationship
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Chapter 10 The Psychiatric–Mental Health Nursing
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Chapter 11 Psychopharmacology, Dietary Supplements, and Biologic Interventions
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Chapter 12 Group Interventions
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Chapter 13 Stress and Mental Health
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Chapter 14 Management of Anger, Aggression, and Violence
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Chapter 15 Crisis, Loss, Grief, Response, Bereavement, and Disaster Management
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Chapter 16 Suicide Prevention
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Chapter 17 Mental Health Care for Survivors of Violence
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Chapter 18 Anxiety Disorders
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Chapter 19 Trauma and Stressor-Related Disorders
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Chapter 20 Obsessive–Compulsive and Related Disorders
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Chapter 21 Depression
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Chapter 22 Bipolar Disorders
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Chapter 23 Schizophrenia and Related Disorders
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Chapter 24 Personality and Impulse-Control Disorders
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Chapter 25 Addiction and Substance-Related Disorders
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Chapter 26 Eating Disorders
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Chapter 27 Somatic Symptom and Dissociative Disorders
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Chapter 28 Sleep–Wake Disorders
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Chapter 29 Sexual Disorders
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Chapter 30 Mental Health Disorders of Childhood and Adolescence
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Chapter 31 Mental Health Disorders of Older Adults
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Test Generator Questions, Chapter 1, Mental Health and Mental Disorders
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Multiple Choice L
1. As part of a class activity, nursing students are engaged in a small group discussion about the
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epidemiology of mental illness. Which statement best explains the importance of epidemiology in
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understanding the impact of mental disorders? Epidemiology:
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A) Helps promote understanding of the patterns of occurrence associated with mental disorders.
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B) Helps explain research findings about the neurophysiology that causes mental disorders.
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C) Provides a thorough theoretical explanation of why specific mental disorders occur.
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D) Predicts when a specific psychiatric client will recover from a specific mental disorder.
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Ans: A
Chapter: 1
Client Needs: Safe, Effective
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Cognitive Level:
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Integrated Process: Teaching/Learning Objective:
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Page Number: 2
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Feedback: Epidemiology is the study of patterns of disease distribution and determinants of health L L L L L L L L L L L L
within populations. It contributes to the overall understanding of the mental health status of population
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groups, or aggregates, and it examines the associations among possible factors. Epidemiology does not
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explain research findings about neurophysiology, provide theoretical explanations for why specific
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disorders occur, or predict recovery.
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2. A nurse is working in a community mental health center that provides care to a large population of
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people of Asian descent. When developing programs for this community, which of the following would be
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most important for the nurse to address?
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A) Public stigma L
B) Self-stigma
C) Label avoidance L
D) Negative life events L L
Ans: C
Chapter: 1
Client Needs: Psychosocial Integrity Cognitive Level:
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Integrated Process: Nursing Process Objective: 5
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Page Number: 4
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Feedback: Although public stigma and self-stigma may be areas needing to be addressed, in this L L L L L L L L L L L L L
cultural group, label avoidance would be most important. Label avoidance or avoiding treatment/care so as
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not to be labeled mentally ill is a type of stigma that influences why so few people with mental health
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problems actually receive assistance. Asian cultures commonly have negative views of mental illness that
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influence the willingness of members to seek treatment; they possibly ignore the symptoms or refuse to
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seek treatment because of this stigma. Negative life events affect anyone, not just those of the Asian
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culture.
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3. A nursing student is assigned to care for a client diagnosed with schizophrenia. When talking about
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this client in a clinical post-conference, the student would use which terminology when referring to the
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client?
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A) Committed client L
B) Schizophrenic
C) Schizophrenic client L
D) Person with schizophrenia L L
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Ans: D Chapter: 1 L
Client Needs: Psychosocial Integrity Cognitive Level:
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Objective:
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Page Number: 4 L L
Feedback: Just as a person with diabetes should not be referred to as a <diabetic= but rather as a L L L L L L L L L L L L L L L L L
<person with diabetes,= a person with a mental disorder should never be referred to as a <schizophrenic= or
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<bipolar,= but rather as a <person with schizophrenia= or a <person with bipolar disorder.= Doing so helps
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to counteract the negative effects of stigma.
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4. A nursing student is reviewing journal articles about major depression. One of the articles describes
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the number of persons newly diagnosed with the disorder during the past year. The student interprets this
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Las which of the following?
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A) Rate
B) Prevalence
C) Point prevalence L
D) Incidence
Ans: D Chapter: 1 L
Client Needs: Psychosocial Integrity Cognitive Level:
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Integrated Process: Nursing Process Objective: 4
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Feedback: The article is describing incidence, which refers to a rate that includes only new cases that
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have occurred within a clearly defined time period. The most common time period evaluated is 1 year.
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Rate reflects the proportion of cases in the population compared with the total population. Prevalence refers
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to the total number of people with the disorder within a given population at a specified time, regardless of
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how long ago the disorder started. Point prevalence refers to the proportion of individuals in the population
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that have a disorder at a specific point in time.
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5. While working in a community mental health treatment center, the nurse overhears one of the
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receptionists saying that one of the clients is <really psycho.= Later in the day, the nurse talks with the
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receptionist about the comment. This action by the nurse demonstrates an attempt to address which issue?
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A) Lack of knowledge L L
B) Public stigma L
C) Label avoidance L
D) Self-stigma
Ans: B Chapter: 1 L
Client Needs: Psychosocial Integrity Cognitive Level:
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Integrated Process: Nursing Process Objective: 5
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Page Number: 4 L L
Feedback: The receptionist's negative effects of stigmatization, more specifically public stigma. Self-
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stigma reflects a person's internalization of a negative stereotype; that is, the person with the mental illness
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begins to believe that he or she is what the public thinks he or she is. Label avoidance refers to avoiding
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treatment or care so as not to be labeled mentally ill. Lack of knowledge is often the underlying theme
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associated with any type of stigma.
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6. After educating a group of students on mental health and mental illness, the instructor determines
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that the education was successful when the group identifies which of the following as reflecting mental
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disorders?
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A) Capacity to interact with others L L L L
B) Ability to deal with ordinary stress L L L L L
C) Alteration in mood or thinking L L L L
D) Lack of impaired functioning L L L
Ans: C
Chapter: 1