l O M oA R c P S D | 1 1 7 0 0 5 9 1
Test Bank - Neeb's Mental Health Nursing (6e by Gorman and Anwar) 1
Test Bank For Neeb's Mental Health Nursing
6th Edition By Linda M. Gorman, Robynn Anwar
Chapters 1 - 22
, l O M oA R c P S D | 1 1 7 0 0 5 9 1
Test Bank - Neeb's Mental Health Nursing (6e by Gorman and Anwar) 2
TABLE OF CONTENTS
1. History of Mental Health Nursing
2. Basics of Communication
3. Ethics and Law
4. Developmental Psychology Throughout the Life Span
5. Sociocultural Influences on Mental Health
6. Nursing Process in Mental Health
7. Coping and Defense Mechanisms
8. Mental Health Treatments
9.Complementary and Alternative Treatment Modalities
10. Anxiety, Anxiety-Related, and Somatic Symptom Disorders
11. Depressive Disorders
12. Bipolar Disorders
13. Suicide
14. Personality Disorders
15. Schizophrenia Spectrum and Other Psychotic Disorders
16. Neurocognitive Disorders: Delirium and Dementia
17. Substance Use and Addictive Disorders
18. Eating Disorders
19. Childhood and Adolescent Mental Health Issues
20. Postpartum Issues in Mental Health
21. Aging Population
22. Victims of Abuse and Violence
, l O M oA R c P S D | 1 1 7 0 0 5 9 1
Test Bank - Neeb's Mental Health Nursing (6e by Gorman and Anwar) 3
Chapter 01: History of Mental Health Nursing
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The act of developing a clean environment is a factor in providing effective health care as
demonstrated by:
A. Nightingale.
B. Benner.
C. Swanson.
D. King.
2. What is the name of the publication written by Florence Nightingale?
A. Nursing Sanitation Notes
B. Nursing 101
C. Notes on Nursing
D. Nursing Notes
, l O M oA R c P S D | 1 1 7 0 0 5 9 1
Test Bank - Neeb's Mental Health Nursing (6e by Gorman and Anwar) 4
3. A long-term goal for in-patient mental health treatment is generally to:
A. Return the patient to the community.
B. Locate a facility for long term care.
C. Be arrested and placed in prison.
D. Be completely cured of the disorder.
4. The mentally ill were once housed in mental institutions known as:
A. Hospitals.
B. Long-term care facilities.
C. Asylums.
D. Free-standing treatment centers.
5. Which nursing theorists promoted the interpersonal theory between the nurse and the patient?
A. Hildegard Peplau
B. Hattie Bessent
C. Mary Mahoney
D. Linda Richards
Completion
Complete each statement.
6. Phenothiazines were discovered in what year? .
7. The first psychiatric program of study was established by which nursing leader?
8. Who was the nurse theorist who was the first American-trained nurse credited with teaching how to
provide care for people with mental illness?
9. The greatest advance in the early years of mental health care was the introduction of
.
10. The legislation that provided funding for improving the care of the mentally ill is known as the
National Mental Health Act of what year? .
11. Which nursing organization established the first certification of psychiatric nursing?
12. One of the goals of the American Nurses Association (ANA) is to promote of nursing care in the
United States.
13. has always been called the founder of nursing.
14. A schoolteacher by the name of established asylums and a psychiatric hospital for the mentally ill.
15. Special facilities designed to care for the mentally ill in the past were known as .
, l O M oA R c P S D | 1 1 7 0 0 5 9 1
Test Bank - Neeb's Mental Health Nursing (6e by Gorman and Anwar) 5
16. The first psychotropic drug category was known as .
17. Each state adopts its own set of rules and guidelines that govern the nurses performance. These rules
are known as the Practice Act.
18. The first major federal law to address mental illness was called the Act.
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
19. What trends contributed to the deinstitutionalization of mental health facilities to outpatient care
(select all that apply):
A. Cost of the facilities.
B. The increased use of phenothiazines.
C. Staff cost.
D. Establishment of Outpatient clinics.
Chapter 1: History of Mental Health Nursing Answer Section
MULTIPLE CHOICE
1. ANS: A
Florence Nightingales commitments to improved outcomes at a military hospital were directly related to
introducing sanitation methods.
PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Community Health | Cognitive Level:
Application | Client Need: Safe and Effective Care Environment: Safety and Infection Control
2. ANS: C
Florence Nightingale wrote the book Notes on Nursing, which specified the importance of a clean environment.
PTS: 1
KEY: Integrated Processes: Teaching/Learning| Content Area: Nursing Trends| Cognitive Level: Knowledge|
Client Need: Health Promotion and Maintenance: Health Promotion/Disease Prevention
3. ANS: A
To eventually return the patient to the community by creating a good support system and appropriate
medication if needed is generally the long-term goal.
PTS: 1
KEY: Integrated Processes: Nursing Process: Planning | Content Area: Mental Health | Cognitive Level:
Comprehension | Client Need: Safe and Effective Care Environment: Management of Care: Coordinated Care
4. ANS: C
Asylums were known as a refuge for the mentally ill as well as the poor in the past. PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health | Cognitive Level:
Comprehension | Client Need: Psychosocial Integrity: Therapeutic Environment
, l O M oA R c P S D | 1 1 7 0 0 5 9 1
Test Bank - Neeb's Mental Health Nursing (6e by Gorman and Anwar) 6
5. ANS: A
Dr. Peplau brought together theories from psychiatry and merged them with theories for nursing and
communication.
PTS: 1
KEY: Integrated Processes: Communication and Documentation | Content Area: Nursing Trends | Cognitive
Level: Knowledge | Client Need: Safe and Effective Care Environment: Coordinated Care
COMPLETION
6. ANS:
1955
Phenothiazine is a group of psychotropics that have a calming effect on patients with psychotic through
processes.
PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health Pharmacology | Cognitive Level:
Knowledge | Client Need: Physiological Integrity: Pharmacological and Parenteral Therapies: Expected
Actions/Outcomes
7. ANS:
Effie Jane Taylor
In 1913 the first psychiatric program for nurses was established. Ms. Taylor also believed in patient-centered
care.
PTS: 1
KEY: Integrated Processes: Teaching/Learning
8. ANS:
Linda Richards
Linda Richards wanted to upgrade the nursing education field and the Boston city hospital training school for
nurses to teach the specialty of caring for the mentally ill.
PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Nursing Trends | Cognitive Level: Knowledge |
Client Need: Psychosocial Integrity: Mental Health Concepts
9. ANS:
phenothiazines
This medication controlled psychotic symptoms and led to reductions in the population in mental health
institutions.
PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health: Pharmacology | Cognitive
Level: Knowledge | Client Need: Physiological Integrity: Pharmacological and Parenteral Therapies
10. ANS:
, l O M oA R c P S D | 1 1 7 0 0 5 9 1
Test Bank - Neeb's Mental Health Nursing (6e by Gorman and Anwar) 7
1946
Money was provided by this legislation for research and training for the improvement of care for patients with
mental health issues.
PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health: Treatment | Cognitive Level:
Knowledge | Client Need: Psychosocial Integrity: Mental Health Concepts
11. ANS:
ANA
The American Nurses Association (ANA) developed the certification criteria for psychiatric nurses. The ANA
has developed standards for professional nursing.
PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Nursing Trends | Cognitive Level:
Comprehension | Client Need: Safe and Effective Care Environment: Coordinated Care
12. ANS:
standardization
The ANA has developed standards for a number of different specialties. PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Nursing Trends | Cognitive Level: Knowledge |
Client Need: Safe and Effective Care Management: Management of care: establishing priorities
13. ANS:
Florence Nightingale
Florence Nightingale observed that a clean environment improved the health of the soldiers in the Crimean
War. As a result, deaths from infection decreased.
PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Nursing Trends | Cognitive Level: Knowledge |
Client Need: Safe and Effective Care Environment: Safety and Infection Control
14. ANS:
Dorothea Dix
Dorothea Dix was not a nurse but was concerned about the treatment of the mentally ill and prisoners. PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Nursing Trends | Cognitive Level: Knowledge |
Client Need: Safe and Effective Care Environment: Management of Care: Advocacy
15. ANS:
asylums
In the early days of health care asylums were special facilities designed for care of the needy including
prisoners and the mentally ill.
PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health | Cognitive Level: Knowledge |
, l O M oA R c P S D | 1 1 7 0 0 5 9 1
Test Bank - Neeb's Mental Health Nursing (6e by Gorman and Anwar) 8
Client Need: Psychosocial Integrity: Mental Health Concepts
16. ANS:
phenothiazines
Phenothiazine medications were introduced in the 1950s. These drugs had a calming and tranquilizing effect
and treated psychotic thought processes.
PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health: Pharmacology | Cognitive
Level: Knowledge | Client Need: Physiological Integrity: Pharmacological and Parenteral Therapies: Expected
Actions/Outcomes
17. ANS:
Nurse
The Nurse Practice Act of each state is based on federal guidelines. Each state has its own Nurse Practice Act.
PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Nursing Licensure/Legal | Cognitive Level:
Knowledge | Client Need: Safe and Effective Care Environment: Legal Rights and Responsibilities
18. ANS:
Hill-Burton
The Hill-Burton Act of 1946 provided much needed funding for psychiatric care in the United States. PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health: Legal | Cognitive Level:
Knowledge | Client Need: Safe and Effective Care Environment: Coordinated Care
MULTIPLE RESPONSE
19. ANS: A, B, C, D
All of the above led to the deinstitutionalization of mental health facilities. PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health | Cognitive Level: Synthesis |
Client Need: Safe and Effective Care Environment: Advocacy
Chapter 02: Basics of Communications
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. Which question by the nurse would gain the most information from a patient experiencing a marital
crisis?
A. Do you hate your spouse?
B. Do you get along with your in-laws?
C. Do you talk out your problems with your spouse?
D. What is it like at home with your spouse?
2. Mrs. R., the mother of a young schizophrenic patient, seeks you out and begins to cry. She expresses
concern over her daughters behavior. Your best response to this woman is:
A. What is it that concerns you the most, Mrs. R.?
, l O M oA R c P S D | 1 1 7 0 0 5 9 1
Test Bank - Neeb's Mental Health Nursing (6e by Gorman and Anwar) 9
B. Well, you know, that is part of the illness.
C. Here is a book on schizophrenia. This will help you.
D. Are you afraid your daughter will always be like this?
3. Linda is pacing the floor and appears extremely anxious. The day shift nurse approaches Linda in an
attempt to lessen her anxiety. The most therapeutic statement by the nurse would be:
A. How about watching a football game?
B. Tell me how you are feeling today.
C. What do you have to be upset about now?
D. Ignore the client.
4. A patient states, I dont know what the pills are for or why I am taking them, so I dont want them.
What therapeutic communication would help this patient?
A. Ask for what you need
B. Silence
C. Using general leads
D. Giving information
5. To practice effectively in mental health, the nurse should be able to:
A. Solve his or her own personal problems without assistance from others.
B. Comfortably point out the patient shortcomings and provide advice about how to improve.
C. Bring patients and coworkers into compliance with societal rules and norms.
D. Demonstrate therapeutic communication.
Completion
Complete each statement.
6. The nurse plans to have a therapeutic communication with the client. To begin that therapeutic
communication the nurse must first establish with the client.
7. Communication has three parts: the sender, the message, and the .
8. When appropriate, the nurse can use as part of an interaction when there is no talking. This can
communicate support.
9. A theory of communication that emphasizes the three ways to communicatehearing, seeing, and
touchingis called
10. Expressive, receptive, and global are types of .
11. Advising, asking closed-ended questions, and changing the subject are examples of to therapeutic
communication.
Multiple Response
, l O M oA R c P S D | 1 1 7 0 0 5 9 1
Test Bank - Neeb's Mental Health Nursing (6e by Gorman and Anwar) 10
Identify one or more choices that best complete the statement or answer the question.
12. A nurse is working with a patient and attempts to communicate effectively with him or her.
Techniques the nurse can use to help communication include (select all that apply):
A. Clarifying terms.
B. Remaining silent.
C. Asking open-ended questions.
D. Offering false reassurance
E. Discouraging the person from expressing feelings that are unacceptable.
13. The nurse may find that patients from other countries use different terminology than the nurse born
in the United States. The difference in terminology may seem harmless to us but offensive to the foreign
patient. Differences noted between different cultures are (select all that apply):
A. Eye contact.
B. Slang terms.
C. Hand gestures.
D. Gender references.
14. The three components of communication are (select all that apply):
A. Impairment.
B. Message.
C. Sender.
D. Receiver.
15. Nurses understand that when caring for patients with mental illnesses, a nurses communication is
(select all that apply):
A. An active process that includes participating and listening and speaking.
B. A complex activity.
C. Exchanging information.
D. Verbal and nonverbal.
E. A one way path from nurse to patient.
F. Advising.
16. The patient is concerned about his doctor and what the doctor has prescribed. The nurse making
rounds notices the patient sitting on the side of the bed in deep thought. The nurse comes into the room and the
patient begins to tell her his concerns about a new order. The nurse advises the patient, If I were you, I would
find another doctor.
How does this statement by the nurse block communication (select all that apply)?
A. It tells the patient that his concerns are not valid.
Test Bank - Neeb's Mental Health Nursing (6e by Gorman and Anwar) 1
Test Bank For Neeb's Mental Health Nursing
6th Edition By Linda M. Gorman, Robynn Anwar
Chapters 1 - 22
, l O M oA R c P S D | 1 1 7 0 0 5 9 1
Test Bank - Neeb's Mental Health Nursing (6e by Gorman and Anwar) 2
TABLE OF CONTENTS
1. History of Mental Health Nursing
2. Basics of Communication
3. Ethics and Law
4. Developmental Psychology Throughout the Life Span
5. Sociocultural Influences on Mental Health
6. Nursing Process in Mental Health
7. Coping and Defense Mechanisms
8. Mental Health Treatments
9.Complementary and Alternative Treatment Modalities
10. Anxiety, Anxiety-Related, and Somatic Symptom Disorders
11. Depressive Disorders
12. Bipolar Disorders
13. Suicide
14. Personality Disorders
15. Schizophrenia Spectrum and Other Psychotic Disorders
16. Neurocognitive Disorders: Delirium and Dementia
17. Substance Use and Addictive Disorders
18. Eating Disorders
19. Childhood and Adolescent Mental Health Issues
20. Postpartum Issues in Mental Health
21. Aging Population
22. Victims of Abuse and Violence
, l O M oA R c P S D | 1 1 7 0 0 5 9 1
Test Bank - Neeb's Mental Health Nursing (6e by Gorman and Anwar) 3
Chapter 01: History of Mental Health Nursing
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The act of developing a clean environment is a factor in providing effective health care as
demonstrated by:
A. Nightingale.
B. Benner.
C. Swanson.
D. King.
2. What is the name of the publication written by Florence Nightingale?
A. Nursing Sanitation Notes
B. Nursing 101
C. Notes on Nursing
D. Nursing Notes
, l O M oA R c P S D | 1 1 7 0 0 5 9 1
Test Bank - Neeb's Mental Health Nursing (6e by Gorman and Anwar) 4
3. A long-term goal for in-patient mental health treatment is generally to:
A. Return the patient to the community.
B. Locate a facility for long term care.
C. Be arrested and placed in prison.
D. Be completely cured of the disorder.
4. The mentally ill were once housed in mental institutions known as:
A. Hospitals.
B. Long-term care facilities.
C. Asylums.
D. Free-standing treatment centers.
5. Which nursing theorists promoted the interpersonal theory between the nurse and the patient?
A. Hildegard Peplau
B. Hattie Bessent
C. Mary Mahoney
D. Linda Richards
Completion
Complete each statement.
6. Phenothiazines were discovered in what year? .
7. The first psychiatric program of study was established by which nursing leader?
8. Who was the nurse theorist who was the first American-trained nurse credited with teaching how to
provide care for people with mental illness?
9. The greatest advance in the early years of mental health care was the introduction of
.
10. The legislation that provided funding for improving the care of the mentally ill is known as the
National Mental Health Act of what year? .
11. Which nursing organization established the first certification of psychiatric nursing?
12. One of the goals of the American Nurses Association (ANA) is to promote of nursing care in the
United States.
13. has always been called the founder of nursing.
14. A schoolteacher by the name of established asylums and a psychiatric hospital for the mentally ill.
15. Special facilities designed to care for the mentally ill in the past were known as .
, l O M oA R c P S D | 1 1 7 0 0 5 9 1
Test Bank - Neeb's Mental Health Nursing (6e by Gorman and Anwar) 5
16. The first psychotropic drug category was known as .
17. Each state adopts its own set of rules and guidelines that govern the nurses performance. These rules
are known as the Practice Act.
18. The first major federal law to address mental illness was called the Act.
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
19. What trends contributed to the deinstitutionalization of mental health facilities to outpatient care
(select all that apply):
A. Cost of the facilities.
B. The increased use of phenothiazines.
C. Staff cost.
D. Establishment of Outpatient clinics.
Chapter 1: History of Mental Health Nursing Answer Section
MULTIPLE CHOICE
1. ANS: A
Florence Nightingales commitments to improved outcomes at a military hospital were directly related to
introducing sanitation methods.
PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Community Health | Cognitive Level:
Application | Client Need: Safe and Effective Care Environment: Safety and Infection Control
2. ANS: C
Florence Nightingale wrote the book Notes on Nursing, which specified the importance of a clean environment.
PTS: 1
KEY: Integrated Processes: Teaching/Learning| Content Area: Nursing Trends| Cognitive Level: Knowledge|
Client Need: Health Promotion and Maintenance: Health Promotion/Disease Prevention
3. ANS: A
To eventually return the patient to the community by creating a good support system and appropriate
medication if needed is generally the long-term goal.
PTS: 1
KEY: Integrated Processes: Nursing Process: Planning | Content Area: Mental Health | Cognitive Level:
Comprehension | Client Need: Safe and Effective Care Environment: Management of Care: Coordinated Care
4. ANS: C
Asylums were known as a refuge for the mentally ill as well as the poor in the past. PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health | Cognitive Level:
Comprehension | Client Need: Psychosocial Integrity: Therapeutic Environment
, l O M oA R c P S D | 1 1 7 0 0 5 9 1
Test Bank - Neeb's Mental Health Nursing (6e by Gorman and Anwar) 6
5. ANS: A
Dr. Peplau brought together theories from psychiatry and merged them with theories for nursing and
communication.
PTS: 1
KEY: Integrated Processes: Communication and Documentation | Content Area: Nursing Trends | Cognitive
Level: Knowledge | Client Need: Safe and Effective Care Environment: Coordinated Care
COMPLETION
6. ANS:
1955
Phenothiazine is a group of psychotropics that have a calming effect on patients with psychotic through
processes.
PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health Pharmacology | Cognitive Level:
Knowledge | Client Need: Physiological Integrity: Pharmacological and Parenteral Therapies: Expected
Actions/Outcomes
7. ANS:
Effie Jane Taylor
In 1913 the first psychiatric program for nurses was established. Ms. Taylor also believed in patient-centered
care.
PTS: 1
KEY: Integrated Processes: Teaching/Learning
8. ANS:
Linda Richards
Linda Richards wanted to upgrade the nursing education field and the Boston city hospital training school for
nurses to teach the specialty of caring for the mentally ill.
PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Nursing Trends | Cognitive Level: Knowledge |
Client Need: Psychosocial Integrity: Mental Health Concepts
9. ANS:
phenothiazines
This medication controlled psychotic symptoms and led to reductions in the population in mental health
institutions.
PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health: Pharmacology | Cognitive
Level: Knowledge | Client Need: Physiological Integrity: Pharmacological and Parenteral Therapies
10. ANS:
, l O M oA R c P S D | 1 1 7 0 0 5 9 1
Test Bank - Neeb's Mental Health Nursing (6e by Gorman and Anwar) 7
1946
Money was provided by this legislation for research and training for the improvement of care for patients with
mental health issues.
PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health: Treatment | Cognitive Level:
Knowledge | Client Need: Psychosocial Integrity: Mental Health Concepts
11. ANS:
ANA
The American Nurses Association (ANA) developed the certification criteria for psychiatric nurses. The ANA
has developed standards for professional nursing.
PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Nursing Trends | Cognitive Level:
Comprehension | Client Need: Safe and Effective Care Environment: Coordinated Care
12. ANS:
standardization
The ANA has developed standards for a number of different specialties. PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Nursing Trends | Cognitive Level: Knowledge |
Client Need: Safe and Effective Care Management: Management of care: establishing priorities
13. ANS:
Florence Nightingale
Florence Nightingale observed that a clean environment improved the health of the soldiers in the Crimean
War. As a result, deaths from infection decreased.
PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Nursing Trends | Cognitive Level: Knowledge |
Client Need: Safe and Effective Care Environment: Safety and Infection Control
14. ANS:
Dorothea Dix
Dorothea Dix was not a nurse but was concerned about the treatment of the mentally ill and prisoners. PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Nursing Trends | Cognitive Level: Knowledge |
Client Need: Safe and Effective Care Environment: Management of Care: Advocacy
15. ANS:
asylums
In the early days of health care asylums were special facilities designed for care of the needy including
prisoners and the mentally ill.
PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health | Cognitive Level: Knowledge |
, l O M oA R c P S D | 1 1 7 0 0 5 9 1
Test Bank - Neeb's Mental Health Nursing (6e by Gorman and Anwar) 8
Client Need: Psychosocial Integrity: Mental Health Concepts
16. ANS:
phenothiazines
Phenothiazine medications were introduced in the 1950s. These drugs had a calming and tranquilizing effect
and treated psychotic thought processes.
PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health: Pharmacology | Cognitive
Level: Knowledge | Client Need: Physiological Integrity: Pharmacological and Parenteral Therapies: Expected
Actions/Outcomes
17. ANS:
Nurse
The Nurse Practice Act of each state is based on federal guidelines. Each state has its own Nurse Practice Act.
PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Nursing Licensure/Legal | Cognitive Level:
Knowledge | Client Need: Safe and Effective Care Environment: Legal Rights and Responsibilities
18. ANS:
Hill-Burton
The Hill-Burton Act of 1946 provided much needed funding for psychiatric care in the United States. PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health: Legal | Cognitive Level:
Knowledge | Client Need: Safe and Effective Care Environment: Coordinated Care
MULTIPLE RESPONSE
19. ANS: A, B, C, D
All of the above led to the deinstitutionalization of mental health facilities. PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health | Cognitive Level: Synthesis |
Client Need: Safe and Effective Care Environment: Advocacy
Chapter 02: Basics of Communications
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. Which question by the nurse would gain the most information from a patient experiencing a marital
crisis?
A. Do you hate your spouse?
B. Do you get along with your in-laws?
C. Do you talk out your problems with your spouse?
D. What is it like at home with your spouse?
2. Mrs. R., the mother of a young schizophrenic patient, seeks you out and begins to cry. She expresses
concern over her daughters behavior. Your best response to this woman is:
A. What is it that concerns you the most, Mrs. R.?
, l O M oA R c P S D | 1 1 7 0 0 5 9 1
Test Bank - Neeb's Mental Health Nursing (6e by Gorman and Anwar) 9
B. Well, you know, that is part of the illness.
C. Here is a book on schizophrenia. This will help you.
D. Are you afraid your daughter will always be like this?
3. Linda is pacing the floor and appears extremely anxious. The day shift nurse approaches Linda in an
attempt to lessen her anxiety. The most therapeutic statement by the nurse would be:
A. How about watching a football game?
B. Tell me how you are feeling today.
C. What do you have to be upset about now?
D. Ignore the client.
4. A patient states, I dont know what the pills are for or why I am taking them, so I dont want them.
What therapeutic communication would help this patient?
A. Ask for what you need
B. Silence
C. Using general leads
D. Giving information
5. To practice effectively in mental health, the nurse should be able to:
A. Solve his or her own personal problems without assistance from others.
B. Comfortably point out the patient shortcomings and provide advice about how to improve.
C. Bring patients and coworkers into compliance with societal rules and norms.
D. Demonstrate therapeutic communication.
Completion
Complete each statement.
6. The nurse plans to have a therapeutic communication with the client. To begin that therapeutic
communication the nurse must first establish with the client.
7. Communication has three parts: the sender, the message, and the .
8. When appropriate, the nurse can use as part of an interaction when there is no talking. This can
communicate support.
9. A theory of communication that emphasizes the three ways to communicatehearing, seeing, and
touchingis called
10. Expressive, receptive, and global are types of .
11. Advising, asking closed-ended questions, and changing the subject are examples of to therapeutic
communication.
Multiple Response
, l O M oA R c P S D | 1 1 7 0 0 5 9 1
Test Bank - Neeb's Mental Health Nursing (6e by Gorman and Anwar) 10
Identify one or more choices that best complete the statement or answer the question.
12. A nurse is working with a patient and attempts to communicate effectively with him or her.
Techniques the nurse can use to help communication include (select all that apply):
A. Clarifying terms.
B. Remaining silent.
C. Asking open-ended questions.
D. Offering false reassurance
E. Discouraging the person from expressing feelings that are unacceptable.
13. The nurse may find that patients from other countries use different terminology than the nurse born
in the United States. The difference in terminology may seem harmless to us but offensive to the foreign
patient. Differences noted between different cultures are (select all that apply):
A. Eye contact.
B. Slang terms.
C. Hand gestures.
D. Gender references.
14. The three components of communication are (select all that apply):
A. Impairment.
B. Message.
C. Sender.
D. Receiver.
15. Nurses understand that when caring for patients with mental illnesses, a nurses communication is
(select all that apply):
A. An active process that includes participating and listening and speaking.
B. A complex activity.
C. Exchanging information.
D. Verbal and nonverbal.
E. A one way path from nurse to patient.
F. Advising.
16. The patient is concerned about his doctor and what the doctor has prescribed. The nurse making
rounds notices the patient sitting on the side of the bed in deep thought. The nurse comes into the room and the
patient begins to tell her his concerns about a new order. The nurse advises the patient, If I were you, I would
find another doctor.
How does this statement by the nurse block communication (select all that apply)?
A. It tells the patient that his concerns are not valid.
