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Test Bank Keltners Psychiatric Nursing 8th, 9th Edition Steele

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Test Bank Keltners Psychiatric Nursing 8th, 9th Edition Steele

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) 1
Test Bank FOR Psychiatric Nursing: Contemporary
h h h h h



Practice (6th Edition by Boyd)
h h h h




Table of Contents
h h




Tableh ofh Contents 1
Chapterh01:hPsychiatric-MentalhHealthhNursinghandhEvidence-BasedhPractice 2
Chapterh02:hMentalhHealthhandhMentalhDisorders 6
Chapterh03:hCulturalhandhSpiritualhIssueshRelatedhtohMentalhHealthhCare 10
Chapterh04:hPatienthRightshandhLegalhIssues 14
Chapterh05:hMentalhHealthhCarehinhthehCommunity 18
Chapterh06:hEthics,hStandards,handhNursinghFrameworks 21
Chapterh07:hPsychosocialhTheoretichBasishofhPsychiatrichNursing 25
Chapterh08:hBiologichFoundationshofhPsychiatrichNursing 29
Chapterh09:hCommunicationhandhthehTherapeutichRelationship 33
Chapterh10:hThehPsychiatric-MentalhHealthhNursinghProcess 37
Chapterh11:hPsychopharmacology,hDietaryhSupplements,handhBiologichInterventions 41
Chapterh12:hCognitivehInterventionshinhPsychiatrichNursing 46
Chapterh13:hGrouphInterventions 50
Chapterh14:hFamilyhAssessmenthandhInterventions 54
Chapterh15:hMentalhHealthhPromotionhforhChildrenhandhAdolescents 58
Chapterh16:hMentalhHealthhPromotionhforhYounghandhMiddle-AgedhAdults 61
Chapterh17:hMentalhHealthhPromotionhforhOlderhAdults 64
Chapterh18:hStresshandhMentalhHealth 68
Chapterh19:hManagementhofhAnger,hAggression,handhViolence 72
Chapterh20:hCrisis,hLoss,hGrief,hResponse,hBereavement,handhDisasterh Management 76
Chapterh21:hSuicidehPrevention:hScreening,hAssessment,handhIntervention 80
Chapterh 22:h Schizophreniah andh Relatedh Disorders:h Nursingh Careh ofh Personsh withh Thought
Disorders 84
Chapterh23:hDepression:hManagementhofhDepressivehMoodshandhSuicidalhBehaviorhChapt 92
erh24:hBipolarhDisorders:hManagementhofhMoodhLability 96
Chapterh25:hAnxietyhDisorders:hManagementhofhAnxiety,hPhobia,handhPanichChapte 99
rh26:hObsessivehCompulsivehandhRelatedhDisorders 103
Chapterh 27:h Traumah andh Stressorh Relatedh Disorders 105
Chapterh28:hPersonalityhandhBorderlinehPersonalityhDisorder:hManagementhofhEmotionalhD
ysregulationhandhSelf-Harm 106
Chapterh 29:h Antisocialh Personalityh andh Disruptive,h Impulseh Control,h andh Conducth Disorders
109
Chapterh 30:h Addictionh andh Substance-Relatedh Disorders 113
Chapterh31:hEatinghDisorders:hManagementhofhEatinghandhWeighth 117
Chapterh32:hSomatichSymptomhandhRelatedhDisorders 121
Chapterh 33:h Nursingh Careh ofh Personsh withh Insomniah andhSleeph Problems 125
Chapterh34:hSexualhDisorders:hManagementhofhSexualhDysfunctionhandhParaphiliashC 129
hapterh35:hMentalhHealthhAssessmenthofhChildrenhandhAdolescents 132
Chapterh36:hMentalhHealthhDisordershofhChildhoodhandhAdolescencehChapte 135
rh37:hMentalhHealthhAssessmenthofhOlderhAdults 139
Chapterh 38:h Neurocognitiveh Disorders 142
Chapterh39:hCaringhforhPersonshWhohArehHomelesshandhMentallyhIllhC 146
hapterh40:hCaringhforhPersonshWithhCo- 150
occurringhMentalhDisordershChapterh41:hCaringhforhSurvivorshofhViolen 154
cehandhAbuse 158
Chapterh42:hCaringhforhPersonshWithhMentalhIllnesshandhCriminalhBehaviorhC 162
hapterh43:hCaringhforhMedicallyhCompromisedhPersons

,) 2



Chapter 01: Psychiatric-Mental Health Nursing and Evidence-
h h h h h h


Based Practice
h




1. Ahgrouphofhnursinghstudentsharehreviewinghinformationhabouththehevolutionhofhmentalhhealthhcarehandharehdi
scussinghthehrecommendationshofhthehfinalhreporthofhthehJointhCommissionhonhMentalhIllnesshandhHealt
h.hThehstudentshdemonstratehunderstandinghofhthishinformationhwhenhtheyhidentifyhthaththehreporthreco
mmendedhanhincreasehinhwhichhofhthehfollowing?
A) Numbersh ofh mentalh healthh hospitals
B) Statehfundingh forh mentalh healthh care
C) Clinicsh supplementedh byh generalh hospitalh units
D) Usehofh psychotherapyh byh psychiatrists

2. AhnursehishreviewinghthehAmericanhNurseshAssociation‟shStatementhonhPsychiatrichNursinghPracticehp
ublishedh inh 1967,h whichh sanctionedh theh involvementh ofh psychiatricmentalh healthh nursesh inh thehpro
visionhofhholistichnursinghcare.hIntegratinghknowledgehofhthehvarioushtheorieshandhviewshofhmentalhhealt
hhandhillness,hthehnursehidentifieshwhichhofhthehfollowinghashmosthstronglyhlinkedhtohthishholistichapproac
h?
A) Sigmundh Freud‟sh psychoanalytich theory
B) FlorencehNightingale‟shNoteshonhNursing
C) Hildegarde
D) CliffordhBeers‟hAhMindh ThathFoundh Itself
E) Peplau‟sh Interpersonalh Relationshinh Nursing

3. Ahnursinghinstructorhishpreparinghahpresentationhabouthkeyheventshandhpeoplehthathinfluencedhthehdevel
opmenthofhcontemporaryhmentalhhealthhandhillnesshcare.hWhenhdescribinghtheheffectshofhWorldhWarhII,hwhi
chhofhthehfollowinghwouldhthehinstructorhinclude?
A) Peopleh beganh toh viewh mentalhillnessh ash moreh commonplaceh andh acceptable.
B) Theh biologich understandingh ofh mentalh illnessh wash almosth fullyh developed.
C) Deinstitutionalizationh occurredh inh responseh toh theh communityh healthh movement.
D) Mentalh illnessesh becameh categorizedh ash psychosesh orh neuroses.

4. Ahnursinghstudenthishpresentinghahdiscussionhofhthehhistoryhofhpsychiatricmentalhhealthhnursinghandhitshpl
acehwithinhnursinghhistory.hWhichhofhthehfollowinghwouldhbehmosthappropriatehtohinclude?
A) CertificationhforhthehpsychiatricmentalhhealthhnursinghspecialtyhwashfirsthemphasizedhbyhMaryhA
delaidehNutting.
B) Psychiatrichnurseshplayedhahparthinhseeinghthathallhdeinstitutionalizedhpatientshgothtreatmenthathc
ommunityhmentalhhealthhcenters.
C) Therehishahhistoricalhlinkhbetweenhthehfirsthnursinghprogramhtohadmithmalehstudentshandhthehfirsthtr
aininghschoolhforhpsychiatrichnursing.
D) Thehfirsthgraduatehprogramhinhpsychiatrichnurseshwashestablishedhinhresponsehtohthehpublicationhofhp
sychiatrichnursinghspecialtyhjournals.

5. Twohnursinghstudentsharehdiscussinghpsychiatricmentalhhealthhnursinghandhthehrolehithhashplayedhinhn
ursing‟shoverallhhistory.hWhichhstatementhishmosthaccurate?
A) Theh importanceh ofh usingh therapeutich communicationh wash stressedh byh Nightingale.
B) Theh useh ofh self-careh toh enhanceh theh immuneh systemh washtaughth byh Dorotheah Dix.
C) Thehmoralhtreatmenth ofh mentalh illnessh washahprimaryhfocushofh deinstitutionalization.
D) Peplauh washthehfirsth nurseh toh stressh theh importanceh ofh therapeutich communication.

6. Whenhreviewinghthehevolutionhofhmentalhhealthhandhillnesshcare,hwhichheventhishassociatedhwithhmentalhdi
sordershbeginninghtohbehviewedhashillnesseshrequiringhtreatment?
A) Establishmenth ofh Pennsylvaniah Hospitalh inh Philadelphia

,) 3


B) Quakerh establishmenth ofh asylums
C) Creationh ofh theh stateh hospitalh system
D) Freud‟shviewsh onhthehcauseshofhmentalhillnesses

7. Ahpsychiatricmentalhhealthhnursehishworkinghonhahcommitteehthathishdevelopinghprogramshthathintegrateh th
ehobjectiveshforh mentalhhealthhandhmentalhdisordershashidentifiedhinhHealthyhPeopleh2020.hWhichhtypeh ofh
programhwouldhbehleasthappropriate?
A) Singleh substanceh abuseh treatmenth programs
B) Depressionh screeningh programsh forh primaryh careh providers
C) Mentalh healthh programsh forh theh homelessh population
D) Employmenth programsh forh thoseh withh serioush mentalh illness

8. Ahnursinghinstructorhishdescribinghthehconcepthofhevidence-
basedhpracticehinhpsychiatricmentalhhealthhnursing.hWhichhofhthehfollowinghwouldhthehinstructorhinclude
hashbeinghimportant?hSelecth allhthath apply.

A) Researchh findings
B) Experth opinion
C) Clinicalh experiences
D) Patienth data
E) Establishedh routines

9. Thehfollowingheventsharehimportanthinhthehdevelopmenthofhpsychiatricmentalhhealthhnursinghpractice.h
Whichheventhoccurredhfirst?
A) Publicationh ofh Standardsh ofh Psychiatric-Mentalh Healthh Nursinghbyh theh ANA
B) Publicationh ofh Standardsh ofh Childh andh Adolescenth Psychiatrich andh Mentalh Healthh Nursingh Practice
C) Establishmenth ofh theh firsth graduateh programh inh psychiatrich nursingh ath Rutgersh University
D) Publicationh ofh theh firsth psychiatrich nursingh text,hNursinghMentalh Disease,h byhHarrieth Bailey

10. AhnursehishpreparinghahpresentationhabouththehcurrenthstatushofhmentalhhealthhserviceshinhthehUnitedhSt
ates.hWhichhstatementhwouldhthehnursehincludehashthehmosthreflectivehofhthishstatus?
A) Mentalh healthh careh inh theh Unitedh Statesh ish equallyh accessibleh toh individuals.
B) Mentalhillnessh ranksh secondh inh termsh ofh causingh disabilityh inh comparison.
C) Mentalh healthh careh primarilyh focusesh onh theh cureh ofh mentalh illness.
D) Mentalh healthh careh servicesh areh inadequateh andh fragmented.

11. AhgrouphofhstudentsharehreviewinghthehgoalshidentifiedhbyhthehNewhFreedomhCommissionhonhMentalhH
ealth.h Theh studentsh demonstrateh understandingh ofh thish reporth whenh theyh identifyh whichh ofh thehfo
llowinghashahgoal?
A) Mentalh healthh ish viewedh ash oneh componenth ofh overallh health.
B) Theh consumerh andh familyh areh theh drivingh forcesh forh mentalh healthh care.
C) Screeningh ish ofh greaterh importanceh thanh assessmenth andh referralh forh services.
D) Disparitiesh inh mentalh healthhservicesh areh decreased.

12. Thehfollowingharehimportanthlegislativehandhpolicyheffortshinfluencinghcurrenthmentalhhealthhcare.hWhichh o
fhthehfollowinghishthehmosthrecent?
A) Mentalh Health:h Ah Reporth ofh theh Surgeonh General
B) NewhFreedomh Commissionh onh Mentalh Health
C) Actionhforh Mentalh Health
D) Mentalh Retardationh Facilitiesh andh Communityh Mentalh Healthh Centersh Constructionh Act

13. Ashparthofhahcareerhdayhpresentationhtohahgrouphofhnursinghstudents,hahpsychiatricmentalhhealthhnurseh
planshtohdescribehhowhthishspecialtyhdeveloped.hWhichhindividualhwouldhthehnursehdescribehashplayinghahm
ajorhrolehinhthehdevelopmenthofhspecialtyhtraininghprogramshforhpsychiatrichnurses?
A) Maryh Adelaideh Nutting
B) Hildegardeh Peplau

, ) 4


C) Harrieth Bailey
D) Lindah Richards

14. Ahpsychiatricmentalhhealthhnursehishaskedhtohbehahguesthspeakerhathahcommunityhfund-
raisingheventhforhmentalhhealthhservices.hWhichhofhthehfollowinghwouldhthehnursehemphasizehashthehp
rimaryhgoalhofhmentalhhealthhservices?
A) Accessh toh affordableh mentalh healthh care
B) Removalh ofh exclusionsh becauseh ofh preexistingh conditions
C) Recoveryh fromh mentalh illness
D) Effectiveh treatmenth forh mentalh healthh careh needs

15. Ahpsychiatricmentalhhealthhnursehishimplementinghevidence-
basedhpractice.hThehnursehunderstandshthaththish approachh ishdevelopedh byhdoingh whichh ofhtheh following
h first?

A) Conductingh research
B) Identifyingh ahclinicalh question
C) Determiningh outcomes
D) Collaboratingh withh theh patient

16. AhgrouphofhstudentsharehreviewinghinformationhabouthmentalhhealthhcarehafterhWorldhWarhII.hThehstu
dentshdemonstratehunderstandinghofhthishinformationhwhenhtheyhidentifyhwhichhofhthehfollowinghashahresul
thofhthehNationalhMentalhHealthhAct?
A) Discoveryh ofh psychopharmacology
B) Passageh ofh theh Hill-Burtonh Act
C) Establishmenth ofh theh Nationalh Instituteh ofh Mentalh Health
D) Developmenth ofh communityh mentalh healthh centers

17. Whenhprovidinghcarehtohahpatient,hthehpsychiatricmentalhhealthhnursehishimplementinghthehtherapeutichuseh o
fhself.hThehnursehishapplyinghthehconceptshbasedhonhthehworkhofhwhichhindividual?
A) Hildegardeh Peplau
B) Florenceh Nightingale
C) Dorotheah Dix
D) Sigmundh Freud

18. Afterhteachinghahclasshtohahgrouphofhnursinghstudentshabouththehhistoricalhperspectiveshofhmentalhhealthh
care,hthehinstructorhdetermineshthaththehgrouphhashunderstoodhthehinformationhwhenhtheyhidentifyhwhichh o
fhthehfollowinghashahcommonhbeliefhabouthmentalhillnesshduringhthehmedievalhperiod?
A) Mentalh illnessh inh anh individualh wash theh resulth ofh beingh possessedh byh demons.
B) Ah personh wash removedh fromh ah contaminatedh environmenth toh protecth himh orh her.
C) Exorcismsh wereh usedh ash primaryh modeh ofh treatmenth toh cleanseh theh personh ofhhish orh herh sins.
D) Theh focush wash onh moralh treatmenth tohpromoteh theh individual‟sh safetyh andhcomfort.


Answerh Key

1. C
2. B
3. A
4. C
5. A
6. A
7. A
8. A,hB,hC,hD
9. D
10. D
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