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Bank for Psychiatric Nursing, 8th Edition Author Boyd Luebbert.pdf
Test Bank for Psychiatric Nursing, 8th Edition
Author: Boyd Luebbert
Chapter 01: Psychiatric–Mental Health Nursing and Evidence-Based Practice
1. 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?
Answer: C) Clinics supplemented by general hospital units
2. 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?
Answer: B) Florence Nightingale’s Notes on Nursing
3. 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?
Answer: A) People began to view mental illness as more commonplace and acceptable.
4. A nursing student is presenting a discussion of the history of psychiatric–mental health nursing
and its place within nursing history. Which of the following would be most appropriate to include?
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Answer: C) There is a historical link between the first nursing program to admit male students
and the first training school for psychiatric nursing.
5. Two nursing students are discussing psychiatric–mental health nursing and the role it has played
in nursing’s overall history. Which statement is most accurate?
Answer: A) The importance of using therapeutic communication was stressed by Nightingale.
6. When reviewing the evolution of mental health and illness care, which event is associated with
mental disorders beginning to be viewed as illnesses requiring treatment?
Answer: A) Establishment of Pennsylvania Hospital in Philadelphia
7. A psychiatric–mental health nurse is working on a committee that is developing programs that
integrate the objectives for mental health and mental disorders as identified in Healthy People
2020. Which type of program would be least appropriate?
Answer: A) Single substance abuse treatment programs
8. A nursing instructor is describing the concept of evidence-based practice in psychiatric–mental
health nursing. Which of the following would the instructor include as being important? Select all
that apply.
Answer: A, B, C, D) Research findings, Expert opinion, Clinical experiences, Patient data
9. The following events are important in the development of psychiatric–mental health nursing
practice. Which event occurred first?
Answer: D) Publication of the first psychiatric nursing text, Nursing Mental Disease, by Harriet
Bailey
10. A nurse is preparing a presentation about the current status of mental health services in the
United States. Which statement would the nurse include as the most reflective of this status?
Answer: D) Mental health care services are inadequate and fragmented.
11. A group of students are reviewing the goals identified by the New Freedom Commission on
Mental Health. The students demonstrate understanding of this report when they identify which of
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the following as a goal?
Answer: B) The consumer and family are the driving forces for mental health care.
12. The following are important legislative and policy efforts influencing current mental health care.
Which of the following is the most recent?
Answer: A) Mental Health: A Report of the Surgeon General
13. As part of a career day presentation to a group of nursing students, a psychiatric–mental health
nurse plans to describe how this specialty developed. Which individual would the nurse describe
as playing a major role in the development of specialty training programs for psychiatric nurses?
Answer: B) Hildegarde Peplau
14. A psychiatric–mental health nurse is asked to be a guest speaker at a community fund-raising
event for mental health services. Which of the following would the nurse emphasize as the primary
goal of mental health services?
Answer: C) Recovery from mental illness
15. A psychiatric–mental health nurse is implementing evidence-based practice. The nurse
understands that this approach is developed by doing which of the following first?
Answer: B) Identifying a clinical question
16. A group of students are reviewing information about mental health care after World War II. The
students demonstrate understanding of this information when they identify which of the following
as a result of the National Mental Health Act?
Answer: C) Establishment of the National Institute of Mental Health
17. When providing care to a patient, the psychiatric–mental health nurse is implementing the
therapeutic use of self. The nurse is applying the concepts based on the work of which individual?
Answer: A) Hildegarde Peplau
18. After teaching a class to a group of nursing students about the historical perspectives of mental
health care, the instructor determines that the group has understood the information when they
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identify which of the following as a common belief about mental illness during the medieval
period?
Answer: B) A person was removed from a contaminated environment to protect him or her.
Chapter 02: Mental Health and Mental Disorders
1. A nursing instructor is describing the DSM-IV-TR to a group of nursing students. Which of the
following would the instructor include as the primary purpose of this classification?
Answer: A) Provide a commonly understood diagnostic category for clinical practice
2. A nurse is providing care to a patient with a mental disorder classified by the DSM-IV-TR. The
nurse understands that although the first three axes appear to contain all the diagnostic
information about a patient, a truly accurate picture of the client is incomplete without
considering other factors such as an estimate of current functioning and:
Answer: A) Life stressors
3. A patient’s global assessment functioning reveals that he has minimal symptoms with good
functioning in all areas. Which score would the nurse correlate with these findings?
Answer: B) 82
4. A female patient was admitted to the hospital with pneumonia, and in the course of her treatment,
it was determined that she was experiencing alcohol dependence because she began experiencing
alcohol withdrawal while she was in the hospital. When the psychiatrist who was called in as a
consultant documented the patient’s mental disorder, he identified her alcohol dependence on
which axis?
Answer: A) Axis I
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