Test Bank For OpenStax Psychiatric–Mental Health
Nursing.
,Unit 1: Theories, Practice, and Trends
● Chapter 1: Foundations of Psychiatric-Mental Health Nursing
● Chapter 2: Fundamentals of Theories and Therapies
● Chapter 3: Communication, Perception, and Assessment
● Chapter 4: Neurobiology and Pharmacological Standards
Unit 2: Therapeutic Considerations in Mental Health
● Chapter 5: Therapeutic Settings
● Chapter 6: Therapeutic Relationships
● Chapter 7: Interprofessional Care
● Chapter 8: Cultural Considerations
● Chapter 9: Social and Emotional Concerns
Unit 3: Client Rights and Legal Issues
● Chapter 10: Legal and Ethical Guidelines
● Chapter 11: Court Involvement
● Chapter 12: Self-Determination and Advocacy
Unit 4: Psychiatric Nursing Practice
● Chapter 13: Clinical Guidelines and Practice
● Chapter 14: Neurocognitive Disorders
● Chapter 15: Schizophrenia Spectrum Disorder and Other Psychotic Disorders
● Chapter 16: Mood Disorders and Suicide
● Chapter 17: Anxiety, OCD, and Trauma-Stressor Disorders
● Chapter 18: Personality Disorders
● Chapter 19: Substance Use and Misuse
● Chapter 20: Eating Disorders
● Chapter 21: Somatic Symptom Disorders
● Chapter 22: Sexual Dysfunction and Gender Dysphoria
Unit 5: Psychiatric Nursing Practice for Special Populations
● Chapter 23: Children and Adolescents
● Chapter 24: Older Adults
Unit 6: Mental Health Care in the Community
● Chapter 25: Community Mental Health Treatment
● Chapter 26: Adjuncts to Treatments
● Chapter 27: Current Trends and Growing Needs
● Chapter 28: Critical Thinking in Psychiatric-Mental Health Nursing
,Chapter 1: Foundations of Psychiatric-Mental Health Nursing
Question 1
A nurse is explaining the concept of mental health to a group of community members. Which
statement by the nurse best reflects the definition provided by the World Health Organization
(WHO)?
A. Mental health is the complete absence of any diagnosed psychiatric disorder.
B. Mental health is a state of well-being where an individual realizes their abilities and copes
with normal life stresses.
C. Mental health is the ability of an individual to function without the need for psychotropic
medications.
D. Mental health is a health condition involving changes in emotion, thinking, and social
functioning.
Correct Answer: B Rationale: The OpenStax text notes that the WHO defines mental health
as a state of well-being in which individuals realize their own abilities, cope with the normal
stresses of life, work productively, and contribute to their community. Option A is incorrect
because the absence of disease does not alone define health. Option C is incorrect as
medication use does not define the presence or absence of mental health. Option D
describes mental illness rather than mental health.
Question 2
The nurse is reviewing the history of psychiatric nursing. Which individual should the nurse
identify as the “mother of psychiatric nursing” who developed the theory of interpersonal
relations?
A. Edward Cowles
B. Effie Jane Taylor
C. Hildegard Peplau
D. Dorothea Dix
Correct Answer: C Rationale: Hildegard Peplau is recognized as the “mother of psychiatric
nursing” for developing the theory of interpersonal relations, which moved the profession
from being “handmaidens” to physicians to becoming a collaborative part of the healthcare
team. Edward Cowles started the first training program at McLean Asylum, and Effie Jane
Taylor organized the first nurse-taught course, but Peplau established the theoretical
framework. Dorothea Dix is not highlighted as the primary nursing theorist in this chapter.
Question 3
, A client tells the nurse, “I don’t want to go to the support group because everyone will think
I’m ‘crazy’ since I’m in a mental health clinic.” The nurse recognizes this as which type of
stigma?
A. Institutional stigma
B. Public stigma
C. Self-stigma
D. Affiliated stigma
Correct Answer: C Rationale: Self-stigma involves internalized shame and negative
attitudes that individuals with mental illness have about their own condition. Public stigma
refers to discriminatory attitudes held by the general public. Institutional stigma involves
systemic policies that limit opportunities. Affiliated stigma relates to the caretakers or family
members of those with mental illness.
Question 4
During a psychosocial assessment, the nurse asks the client, “What positive coping skills
have you used in the past to get through difficult times?” Which component of the
assessment is the nurse primarily addressing?
A. Risk assessment
B. Strengths assessment
C. Diagnostic overshadowing
D. Clinical judgment measurement
Correct Answer: B Rationale: Assessing and reminding a client of their personal strengths
and support persons is an integral part of a strengths assessment, which helps instill hope. A
risk assessment focuses on identifying factors that increase the chance of illness or self-
harm. Diagnostic overshadowing refers to a clinical bias where medical symptoms are
attributed to a psychiatric diagnosis. Clinical judgment is the process, not the specific
assessment component being used here.
Question 5
A nurse is using the Clinical Judgment Measurement Model (CJMM) to care for a client.
Which action should the nurse take first when evaluating the client’s mental health status?
A. Prioritize hypotheses
B. Generate solutions
C. Recognize cues
D. Take actions
Nursing.
,Unit 1: Theories, Practice, and Trends
● Chapter 1: Foundations of Psychiatric-Mental Health Nursing
● Chapter 2: Fundamentals of Theories and Therapies
● Chapter 3: Communication, Perception, and Assessment
● Chapter 4: Neurobiology and Pharmacological Standards
Unit 2: Therapeutic Considerations in Mental Health
● Chapter 5: Therapeutic Settings
● Chapter 6: Therapeutic Relationships
● Chapter 7: Interprofessional Care
● Chapter 8: Cultural Considerations
● Chapter 9: Social and Emotional Concerns
Unit 3: Client Rights and Legal Issues
● Chapter 10: Legal and Ethical Guidelines
● Chapter 11: Court Involvement
● Chapter 12: Self-Determination and Advocacy
Unit 4: Psychiatric Nursing Practice
● Chapter 13: Clinical Guidelines and Practice
● Chapter 14: Neurocognitive Disorders
● Chapter 15: Schizophrenia Spectrum Disorder and Other Psychotic Disorders
● Chapter 16: Mood Disorders and Suicide
● Chapter 17: Anxiety, OCD, and Trauma-Stressor Disorders
● Chapter 18: Personality Disorders
● Chapter 19: Substance Use and Misuse
● Chapter 20: Eating Disorders
● Chapter 21: Somatic Symptom Disorders
● Chapter 22: Sexual Dysfunction and Gender Dysphoria
Unit 5: Psychiatric Nursing Practice for Special Populations
● Chapter 23: Children and Adolescents
● Chapter 24: Older Adults
Unit 6: Mental Health Care in the Community
● Chapter 25: Community Mental Health Treatment
● Chapter 26: Adjuncts to Treatments
● Chapter 27: Current Trends and Growing Needs
● Chapter 28: Critical Thinking in Psychiatric-Mental Health Nursing
,Chapter 1: Foundations of Psychiatric-Mental Health Nursing
Question 1
A nurse is explaining the concept of mental health to a group of community members. Which
statement by the nurse best reflects the definition provided by the World Health Organization
(WHO)?
A. Mental health is the complete absence of any diagnosed psychiatric disorder.
B. Mental health is a state of well-being where an individual realizes their abilities and copes
with normal life stresses.
C. Mental health is the ability of an individual to function without the need for psychotropic
medications.
D. Mental health is a health condition involving changes in emotion, thinking, and social
functioning.
Correct Answer: B Rationale: The OpenStax text notes that the WHO defines mental health
as a state of well-being in which individuals realize their own abilities, cope with the normal
stresses of life, work productively, and contribute to their community. Option A is incorrect
because the absence of disease does not alone define health. Option C is incorrect as
medication use does not define the presence or absence of mental health. Option D
describes mental illness rather than mental health.
Question 2
The nurse is reviewing the history of psychiatric nursing. Which individual should the nurse
identify as the “mother of psychiatric nursing” who developed the theory of interpersonal
relations?
A. Edward Cowles
B. Effie Jane Taylor
C. Hildegard Peplau
D. Dorothea Dix
Correct Answer: C Rationale: Hildegard Peplau is recognized as the “mother of psychiatric
nursing” for developing the theory of interpersonal relations, which moved the profession
from being “handmaidens” to physicians to becoming a collaborative part of the healthcare
team. Edward Cowles started the first training program at McLean Asylum, and Effie Jane
Taylor organized the first nurse-taught course, but Peplau established the theoretical
framework. Dorothea Dix is not highlighted as the primary nursing theorist in this chapter.
Question 3
, A client tells the nurse, “I don’t want to go to the support group because everyone will think
I’m ‘crazy’ since I’m in a mental health clinic.” The nurse recognizes this as which type of
stigma?
A. Institutional stigma
B. Public stigma
C. Self-stigma
D. Affiliated stigma
Correct Answer: C Rationale: Self-stigma involves internalized shame and negative
attitudes that individuals with mental illness have about their own condition. Public stigma
refers to discriminatory attitudes held by the general public. Institutional stigma involves
systemic policies that limit opportunities. Affiliated stigma relates to the caretakers or family
members of those with mental illness.
Question 4
During a psychosocial assessment, the nurse asks the client, “What positive coping skills
have you used in the past to get through difficult times?” Which component of the
assessment is the nurse primarily addressing?
A. Risk assessment
B. Strengths assessment
C. Diagnostic overshadowing
D. Clinical judgment measurement
Correct Answer: B Rationale: Assessing and reminding a client of their personal strengths
and support persons is an integral part of a strengths assessment, which helps instill hope. A
risk assessment focuses on identifying factors that increase the chance of illness or self-
harm. Diagnostic overshadowing refers to a clinical bias where medical symptoms are
attributed to a psychiatric diagnosis. Clinical judgment is the process, not the specific
assessment component being used here.
Question 5
A nurse is using the Clinical Judgment Measurement Model (CJMM) to care for a client.
Which action should the nurse take first when evaluating the client’s mental health status?
A. Prioritize hypotheses
B. Generate solutions
C. Recognize cues
D. Take actions
