ESSENTIALS OF PSYCHIATRIC NURSING,
3RD EDITION
MARY ANN BOYD; REBECCA LUEBBERT
TEST BANK
1. Question 1 — Chapter 1: Mental Health and Wellness,
Recovery From Mental Illness
Type: Conceptual recall
Stem: A nurse explains recovery-oriented care to a newly
diagnosed patient. Which statement best reflects the
recovery model?
Options:
A. “Recovery means you will be cured of your diagnosis
and return to life before illness.”
B. “Recovery is a personal journey focused on hope, self-
direction, and building a meaningful life despite
symptoms.”
C. “Recovery requires lifelong inpatient treatment under
close supervision.”
D. “Recovery is only achieved when all psychiatric
medications are stopped.”
, Correct answer: B
Rationale — Correct: Recovery-oriented care emphasizes
hope, self-direction, and participation in life roles even if
symptoms persist; it’s person-centered and strengths-
based. Wolters Kluwer Content Hub
Rationales — Incorrect:
A. Incorrect — recovery is not synonymous with cure or
returning exactly to pre-illness functioning.
C. Incorrect — recovery does not necessitate lifelong
inpatient care; it often occurs in community settings.
D. Incorrect — recovery is not defined by stopping
medications; medication may be part of a recovery plan.
NCLEX/HESI applicability: Links to Psychosocial Integrity
and Patient-Centered Care — supports therapeutic
relationship and discharge planning competency.
Teaching Point: Recovery focuses on hope, empowerment,
and functional goals.
Cite / Mapping: Essentials of Psychiatric Nursing, 3rd Ed.
— Chapter 1, Recovery From Mental Illness. Key Concept:
Recovery-oriented care and personhood. Wolters Kluwer
Content Hub
2. Question 2 — Chapter 8: Therapeutic Communication —
Therapeutic Communication Techniques
Type: Application
Stem: A client tearfully says, “No one understands me.”
,Which nurse response best uses therapeutic
communication to encourage elaboration?
Options:
A. “That’s not true — I understand more than you think.”
B. “Can you tell me more about what you mean when you
say no one understands you?”
C. “You need to stop feeling sorry for yourself and focus on
solutions.”
D. “I’ll leave you alone until you feel better.”
Correct answer: B
Rationale — Correct: An open, clarifying question invites
exploration and validates feelings, promoting therapeutic
dialogue. Wolters Kluwer Content Hub
Rationales — Incorrect:
A. Incorrect — minimizes the client’s statement and may
block communication.
C. Incorrect — confrontational and non-therapeutic; may
increase shame.
D. Incorrect — abandoning at an emotional moment is
non-therapeutic and unsafe.
NCLEX/HESI applicability: Demonstrates therapeutic
communication and psychosocial integrity skills (effective
patient interviewing).
Teaching Point: Open-ended, clarifying questions
encourage client exploration.
Cite / Mapping: Chapter 8 — Therapeutic Communication.
, Key Concept: Active listening and open questions. Wolters
Kluwer Content Hub
3. Question 3 — Chapter 9: Nurse–Patient Relationship —
Boundaries & Professionalism
Type: Clinical scenario
Stem: A client offers the nurse a handmade gift after
discharge. The nurse knows the unit policy allows small
tokens of appreciation. Which action is most appropriate?
Options:
A. Accept the gift and promise extra time for the client in
future visits.
B. Accept the gift with thanks, document acceptance per
policy, and avoid preferential treatment.
C. Refuse the gift and explain that any gift is unethical.
D. Accept the gift and post a photo of it on the unit’s social
media.
Correct answer: B
Rationale — Correct: Accepting small gifts per policy with
documentation and maintaining professional boundaries is
appropriate; promising preferential treatment or
publicizing it is unprofessional. Wolters Kluwer Content
Hub
Rationales — Incorrect:
A. Incorrect — promising preferential care violates
professional boundaries.
3RD EDITION
MARY ANN BOYD; REBECCA LUEBBERT
TEST BANK
1. Question 1 — Chapter 1: Mental Health and Wellness,
Recovery From Mental Illness
Type: Conceptual recall
Stem: A nurse explains recovery-oriented care to a newly
diagnosed patient. Which statement best reflects the
recovery model?
Options:
A. “Recovery means you will be cured of your diagnosis
and return to life before illness.”
B. “Recovery is a personal journey focused on hope, self-
direction, and building a meaningful life despite
symptoms.”
C. “Recovery requires lifelong inpatient treatment under
close supervision.”
D. “Recovery is only achieved when all psychiatric
medications are stopped.”
, Correct answer: B
Rationale — Correct: Recovery-oriented care emphasizes
hope, self-direction, and participation in life roles even if
symptoms persist; it’s person-centered and strengths-
based. Wolters Kluwer Content Hub
Rationales — Incorrect:
A. Incorrect — recovery is not synonymous with cure or
returning exactly to pre-illness functioning.
C. Incorrect — recovery does not necessitate lifelong
inpatient care; it often occurs in community settings.
D. Incorrect — recovery is not defined by stopping
medications; medication may be part of a recovery plan.
NCLEX/HESI applicability: Links to Psychosocial Integrity
and Patient-Centered Care — supports therapeutic
relationship and discharge planning competency.
Teaching Point: Recovery focuses on hope, empowerment,
and functional goals.
Cite / Mapping: Essentials of Psychiatric Nursing, 3rd Ed.
— Chapter 1, Recovery From Mental Illness. Key Concept:
Recovery-oriented care and personhood. Wolters Kluwer
Content Hub
2. Question 2 — Chapter 8: Therapeutic Communication —
Therapeutic Communication Techniques
Type: Application
Stem: A client tearfully says, “No one understands me.”
,Which nurse response best uses therapeutic
communication to encourage elaboration?
Options:
A. “That’s not true — I understand more than you think.”
B. “Can you tell me more about what you mean when you
say no one understands you?”
C. “You need to stop feeling sorry for yourself and focus on
solutions.”
D. “I’ll leave you alone until you feel better.”
Correct answer: B
Rationale — Correct: An open, clarifying question invites
exploration and validates feelings, promoting therapeutic
dialogue. Wolters Kluwer Content Hub
Rationales — Incorrect:
A. Incorrect — minimizes the client’s statement and may
block communication.
C. Incorrect — confrontational and non-therapeutic; may
increase shame.
D. Incorrect — abandoning at an emotional moment is
non-therapeutic and unsafe.
NCLEX/HESI applicability: Demonstrates therapeutic
communication and psychosocial integrity skills (effective
patient interviewing).
Teaching Point: Open-ended, clarifying questions
encourage client exploration.
Cite / Mapping: Chapter 8 — Therapeutic Communication.
, Key Concept: Active listening and open questions. Wolters
Kluwer Content Hub
3. Question 3 — Chapter 9: Nurse–Patient Relationship —
Boundaries & Professionalism
Type: Clinical scenario
Stem: A client offers the nurse a handmade gift after
discharge. The nurse knows the unit policy allows small
tokens of appreciation. Which action is most appropriate?
Options:
A. Accept the gift and promise extra time for the client in
future visits.
B. Accept the gift with thanks, document acceptance per
policy, and avoid preferential treatment.
C. Refuse the gift and explain that any gift is unethical.
D. Accept the gift and post a photo of it on the unit’s social
media.
Correct answer: B
Rationale — Correct: Accepting small gifts per policy with
documentation and maintaining professional boundaries is
appropriate; promising preferential treatment or
publicizing it is unprofessional. Wolters Kluwer Content
Hub
Rationales — Incorrect:
A. Incorrect — promising preferential care violates
professional boundaries.
