Test Bank for Psychiatric Nursing: Contemporary
Practice
8th Edition by Mary Ann Boyd and Rebecca Luebbert
ISBN: 978-1-9752-3904-6
Chapter 01: Psychiatric-Mental Health Nursing and Evidence-Based Practice
Question 1: A nursing student asks an instructor, "What is the best definition of evidence-based practice
(EBP) in psychiatric nursing?" Which response by the instructor is most accurate?
A) "Following the policies and procedures written by the hospital."
B) "Using the most recent nursing textbook to plan all care."
C) "Integrating the best research evidence with clinical expertise and patient preferences."
D) "Relying on advice from the most experienced nurse on the unit."
ANSWER✔: C
Rationale:
Option A is incorrect because hospital policies and procedures, while important, do not constitute
evidence-based practice. They may be based on tradition or institutional preference rather than current
research evidence.
Option B is incorrect because using a single textbook, even a recent one, does not represent the full
scope of EBP. EBP requires synthesizing evidence from multiple sources, not relying on one reference.
,Option C is correct because evidence-based practice is defined as a problem-solving approach that
integrates the best available research evidence, clinical expertise, and patient values and preferences.
This definition reflects the core components of EBP as taught in contemporary psychiatric nursing .
Option D is incorrect because relying on advice from an experienced colleague, while valuable, does not
constitute EBP. Clinical expertise is one component, but it must be combined with research evidence
and patient preferences.
Question 2: A nurse implements a new de-escalation protocol based on a single research study from
1985. Which step of evidence-based practice did the nurse most likely neglect?
A) Formulating a clinical question.
B) Critically appraising the evidence for currency, validity, and relevance.
C) Involving the patient in the decision-making process.
D) Disseminating the results to the interdisciplinary team.
ANSWER✔: B
Rationale:
Option A is incorrect because formulating a clinical question is an important first step, but the question
here concerns the evaluation of evidence quality, not the formulation of the question itself.
Option B is correct because critical appraisal includes evaluating the recency and validity of evidence. A
study from 1985 is likely outdated, and the nurse failed to assess whether the evidence was current and
applicable to contemporary practice .
Option C is incorrect because while patient involvement is a component of EBP, the primary issue here is
the nurse's failure to evaluate the quality and timeliness of the evidence.
Option D is incorrect because dissemination is a later step in the EBP process. The fundamental problem
occurred earlier in the process when the nurse failed to critically appraise the evidence.
,Question 3: A group of nursing students are reviewing information about the evolution of mental health
care and are discussing the recommendations of the final report of the Joint Commission on Mental
Illness and Health. The students demonstrate understanding of this information when they identify that
the report recommended an increase in which of the following?
A) Numbers of mental health hospitals
B) State funding for mental health care
C) Clinics supplemented by general hospital units
D) Use of psychotherapy by psychiatrists
ANSWER✔: C
Rationale:
Option A is incorrect because the Joint Commission's report did not primarily recommend increasing the
number of dedicated mental health hospitals. The focus was shifting toward community-based care.
Option B is incorrect because while funding was a concern, the specific recommendation was not
primarily about increased state funding.
Option C is correct because the final report of the Joint Commission on Mental Illness and Health
recommended the development of community-based clinics supplemented by general hospital
psychiatric units. This represented a shift from institutional care toward community-based treatment.
Option D is incorrect because the report's focus was on structural and systemic changes to mental
health care delivery, not specifically on increasing psychotherapy provision by psychiatrists.
Question 4: A nurse is reviewing the American Nurses Association's Statement on Psychiatric Nursing
Practice published in 1967, which sanctioned the involvement of psychiatric mental health nurses in the
provision of holistic nursing care. Integrating knowledge of the various theories and views of mental
health and illness, the nurse identifies which of the following as most strongly linked to this holistic
approach?
, A) Sigmund Freud's psychoanalytic theory
B) Florence Nightingale's Notes on Nursing
C) Hildegarde Peplau's Interpersonal Relations in Nursing
D) Clifford Beers' A Mind That Found Itself
ANSWER✔: C
Rationale:
Option A is incorrect because Freud's psychoanalytic theory focuses primarily on unconscious drives and
psychosexual development. While influential, it does not emphasize the holistic, interpersonal approach
that characterized the 1967 ANA statement.
Option B is incorrect because Nightingale's work, while foundational to nursing, focused more on
environmental factors and sanitation rather than the specific interpersonal and holistic approach to
psychiatric nursing.
Option C is correct because Hildegarde Peplau's Interpersonal Relations in Nursing (1952) established
the framework for the therapeutic nurse-patient relationship and holistic care. Her work directly
influenced the 1967 ANA Statement on Psychiatric Nursing Practice, which emphasized the nurse's role
in providing holistic, interpersonal care.
Option D is incorrect because Beers' work, while important to the mental health reform movement,
focused on patient advocacy and reform rather than the theoretical framework for psychiatric nursing
practice.
Question 5: A nursing instructor is preparing a presentation about key events and people that influenced
the development of contemporary mental health and illness care. When describing the effects of World
War II, which of the following would the instructor include?
A) People began to view mental illness as more commonplace and acceptable.
B) The biologic understanding of mental illness was almost fully developed.
Practice
8th Edition by Mary Ann Boyd and Rebecca Luebbert
ISBN: 978-1-9752-3904-6
Chapter 01: Psychiatric-Mental Health Nursing and Evidence-Based Practice
Question 1: A nursing student asks an instructor, "What is the best definition of evidence-based practice
(EBP) in psychiatric nursing?" Which response by the instructor is most accurate?
A) "Following the policies and procedures written by the hospital."
B) "Using the most recent nursing textbook to plan all care."
C) "Integrating the best research evidence with clinical expertise and patient preferences."
D) "Relying on advice from the most experienced nurse on the unit."
ANSWER✔: C
Rationale:
Option A is incorrect because hospital policies and procedures, while important, do not constitute
evidence-based practice. They may be based on tradition or institutional preference rather than current
research evidence.
Option B is incorrect because using a single textbook, even a recent one, does not represent the full
scope of EBP. EBP requires synthesizing evidence from multiple sources, not relying on one reference.
,Option C is correct because evidence-based practice is defined as a problem-solving approach that
integrates the best available research evidence, clinical expertise, and patient values and preferences.
This definition reflects the core components of EBP as taught in contemporary psychiatric nursing .
Option D is incorrect because relying on advice from an experienced colleague, while valuable, does not
constitute EBP. Clinical expertise is one component, but it must be combined with research evidence
and patient preferences.
Question 2: A nurse implements a new de-escalation protocol based on a single research study from
1985. Which step of evidence-based practice did the nurse most likely neglect?
A) Formulating a clinical question.
B) Critically appraising the evidence for currency, validity, and relevance.
C) Involving the patient in the decision-making process.
D) Disseminating the results to the interdisciplinary team.
ANSWER✔: B
Rationale:
Option A is incorrect because formulating a clinical question is an important first step, but the question
here concerns the evaluation of evidence quality, not the formulation of the question itself.
Option B is correct because critical appraisal includes evaluating the recency and validity of evidence. A
study from 1985 is likely outdated, and the nurse failed to assess whether the evidence was current and
applicable to contemporary practice .
Option C is incorrect because while patient involvement is a component of EBP, the primary issue here is
the nurse's failure to evaluate the quality and timeliness of the evidence.
Option D is incorrect because dissemination is a later step in the EBP process. The fundamental problem
occurred earlier in the process when the nurse failed to critically appraise the evidence.
,Question 3: A group of nursing students are reviewing information about the evolution of mental health
care and are discussing the recommendations of the final report of the Joint Commission on Mental
Illness and Health. The students demonstrate understanding of this information when they identify that
the report recommended an increase in which of the following?
A) Numbers of mental health hospitals
B) State funding for mental health care
C) Clinics supplemented by general hospital units
D) Use of psychotherapy by psychiatrists
ANSWER✔: C
Rationale:
Option A is incorrect because the Joint Commission's report did not primarily recommend increasing the
number of dedicated mental health hospitals. The focus was shifting toward community-based care.
Option B is incorrect because while funding was a concern, the specific recommendation was not
primarily about increased state funding.
Option C is correct because the final report of the Joint Commission on Mental Illness and Health
recommended the development of community-based clinics supplemented by general hospital
psychiatric units. This represented a shift from institutional care toward community-based treatment.
Option D is incorrect because the report's focus was on structural and systemic changes to mental
health care delivery, not specifically on increasing psychotherapy provision by psychiatrists.
Question 4: A nurse is reviewing the American Nurses Association's Statement on Psychiatric Nursing
Practice published in 1967, which sanctioned the involvement of psychiatric mental health nurses in the
provision of holistic nursing care. Integrating knowledge of the various theories and views of mental
health and illness, the nurse identifies which of the following as most strongly linked to this holistic
approach?
, A) Sigmund Freud's psychoanalytic theory
B) Florence Nightingale's Notes on Nursing
C) Hildegarde Peplau's Interpersonal Relations in Nursing
D) Clifford Beers' A Mind That Found Itself
ANSWER✔: C
Rationale:
Option A is incorrect because Freud's psychoanalytic theory focuses primarily on unconscious drives and
psychosexual development. While influential, it does not emphasize the holistic, interpersonal approach
that characterized the 1967 ANA statement.
Option B is incorrect because Nightingale's work, while foundational to nursing, focused more on
environmental factors and sanitation rather than the specific interpersonal and holistic approach to
psychiatric nursing.
Option C is correct because Hildegarde Peplau's Interpersonal Relations in Nursing (1952) established
the framework for the therapeutic nurse-patient relationship and holistic care. Her work directly
influenced the 1967 ANA Statement on Psychiatric Nursing Practice, which emphasized the nurse's role
in providing holistic, interpersonal care.
Option D is incorrect because Beers' work, while important to the mental health reform movement,
focused on patient advocacy and reform rather than the theoretical framework for psychiatric nursing
practice.
Question 5: A nursing instructor is preparing a presentation about key events and people that influenced
the development of contemporary mental health and illness care. When describing the effects of World
War II, which of the following would the instructor include?
A) People began to view mental illness as more commonplace and acceptable.
B) The biologic understanding of mental illness was almost fully developed.
