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Test Bank Boyd Psychiatric Nursing
Contemporary Practice6e 2017
Mental health Psychiatric-Nursing
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Test Bank - Psychiatric Nursing: Contemporary Practice (6th Edition by Boyd) 1
Table of Contents
Table of Contents 1
Chapter 01: Psychiatric-Mental Health Nursing and Evidence-Based Practice 2
Chapter 02: Mental Health and Mental Disorders 6
Chapter 03: Cultural and Spiritual Issues Related to Mental Health Care 10
Chapter 04: Patient Rights and Legal Issues 14
Chapter 05: Mental Health Care in the Community 18
Chapter 06: Ethics, Standards, and Nursing Frameworks 21
Chapter 07: Psychosocial Theoretic Basis of Psychiatric Nursing 25
Chapter 08: Biologic Foundations of Psychiatric Nursing 29
Chapter 09: Communication and the Therapeutic Relationship 33
Chapter 10: The Psychiatric-Mental Health Nursing Process 37
Chapter 11: Psychopharmacology, Dietary Supplements, and Biologic Interventions 41
Chapter 12: Cognitive Interventions in Psychiatric Nursing 46
Chapter 13: Group Interventions 50
Chapter 14: Family Assessment and Interventions 54
Chapter 15: Mental Health Promotion for Children and Adolescents 58
Chapter 16: Mental Health Promotion for Young and Middle-Aged Adults 61
Chapter 17: Mental Health Promotion for Older Adults 64
Chapter 18: Stress and Mental Health 68
Chapter 19: Management of Anger, Aggression, and Violence 72
Chapter 20: Crisis, Loss, Grief, Response, Bereavement, and Disaster Management 76
Chapter 21: Suicide Prevention: Screening, Assessment, and Intervention 80
Chapter 22: Schizophrenia and Related Disorders: Nursing Care of Persons with Thought
Disorders 84
Chapter 23: Depression: Management of Depressive Moods and Suicidal Behavior 92
Chapter 24: Bipolar Disorders: Management of Mood Lability 96
Chapter 25: Anxiety Disorders: Management of Anxiety, Phobia, and Panic 99
Chapter 26: Obsessive Compulsive and Related Disorders 103
Chapter 27: Trauma and Stressor Related Disorders 105
Chapter 28: Personality and Borderline Personality Disorder: Management of Emotional
Dysregulation and Self-Harm 106
Chapter 29: Antisocial Personality and Disruptive, Impulse Control, and Conduct Disorders
109
Chapter 30: Addiction and Substance-Related Disorders 113
Chapter 31: Eating Disorders: Management of Eating and Weight 117
Chapter 32: Somatic Symptom and Related Disorders 121
Chapter 33: Nursing Care of Persons with Insomnia and Sleep Problems 125
Chapter 34: Sexual Disorders: Management of Sexual Dysfunction and Paraphilias 129
Chapter 35: Mental Health Assessment of Children and Adolescents 132
Chapter 36: Mental Health Disorders of Childhood and Adolescence 135
Chapter 37: Mental Health Assessment of Older Adults 139
Chapter 38: Neurocognitive Disorders 142
Chapter 39: Caring for Persons Who Are Homeless and Mentally Ill 146
Chapter 40: Caring for Persons With Co-occurring Mental Disorders 150
Chapter 41: Caring for Survivors of Violence and Abuse 154
Chapter 42: Caring for Persons With Mental Illness and Criminal Behavior 158
Chapter 43: Caring for Medically Compromised Persons 162
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Test Bank - Psychiatric Nursing: Contemporary Practice (6th Edition by Boyd) 2
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?
A) Numbers/ of/ mental/ health/ hospitals
B) State/ funding/ for/ mental/ health/ care
C) Clinics/ supplemented/ by/ general/ hospital/ units
D) Use/ of/ psychotherapy/ by/ psychiatrists
2. A/ nurse/ is/ reviewing/ the/ American/ Nurses/ Association’s/ Statement/ on/ Psychiatric/ Nursing/ Practice/
published/ in/ 1967,/ which/ sanctioned/ the/ involvement/ of/ psychiatricmental/ 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?
A) Sigmund/ Freud’s/ psychoanalytic/ theory
B) Florence/ Nightingale’s/ Notes/ on/ Nursing
C) Hildegarde
D) Clifford/ Beers’/ A/ Mind/ That/ Found/ Itself
E) Peplau’s/ Interpersonal/ Relations/ in/ 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?
A) People/ began/ to/ view/ mental/ illness/ as/ more/ commonplace/ and/ acceptable.
B) The/ biologic/ understanding/ of/ mental/ illness/ was/ almost/ fully/ developed.
C) Deinstitutionalization/ occurred/ in/ response/ to/ the/ community/ health/ movement.
D) Mental/ illnesses/ became/ categorized/ as/ psychoses/ or/ neuroses.
4. A/ nursing/ student/ is/ presenting/ a/ discussion/ of/ the/ history/ of/ psychiatricmental/ health/ nursing/ and/ its/
place/ within/ nursing/ history. / Which/ of/ the/ following/ would/ be/ most/ appropriate/ to/ include?
A) Certification/ for/ the/ psychiatricmental/ health/ nursing/ specialty/ was/ first/ emphasized/ by/ Mary/
Adelaide/ Nutting.
B) Psychiatric/ nurses/ played/ a/ part/ in/ seeing/ that/ all/ deinstitutionalized/ patients/ got/ treatment/ at/
community/ mental/ health/ centers.
C) There/ is/ a/ historical/ link/ between/ the/ first/ nursing/ program/ to/ admit/ male/ students/ and/ the/ first/
training/ school/ for/ psychiatric/ nursing.
D) The/ first/ graduate/ program/ in/ psychiatric/ nurses/ was/ established/ in/ response/ to/ the/ publication/ of/
psychiatric/ nursing/ specialty/ journals.
5. Two/ nursing/ students/ are/ discussing/ psychiatricmental/ health/ nursing/ and/ the/ role/ it/ has/ played/ in/
nursing’s/ overall/ history./ Which/ statement/ is/ most/ accurate?
A) The/ importance/ of/ using/ therapeutic/ communication/ was/ stressed/ by/ Nightingale.
B) The/ use/ of/ self-care/ to/ enhance/ the/ immune/ system/ was/ taught/ by/ Dorothea/ Dix.
C) The/ moral/ treatment/ of/ mental/ illness/ was/ a/ primary/ focus/ of/ deinstitutionalization.
D) Peplau/ was/ the/ first/ nurse/ to/ stress/ the/ importance/ of/ therapeutic/ communication.
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?
A) Establishment/ of/ Pennsylvania/ Hospital/ in/ Philadelphia
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Test Bank - Psychiatric Nursing: Contemporary Practice (6th Edition by Boyd) 3
B) Quaker/ establishment/ of/ asylums
C) Creation/ of/ the/ state/ hospital/ system
D) Freud’s/ views/ on/ the/ causes/ of/ mental/ illnesses
7. A/ psychiatricmental/ 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?
A) Single/ substance/ abuse/ treatment/ programs
B) Depression/ screening/ programs/ for/ primary/ care/ providers
C) Mental/ health/ programs/ for/ the/ homeless/ population
D) Employment/ programs/ for/ those/ with/ serious/ mental/ illness
8. A/ nursing/ instructor/ is/ describing/ the/ concept/ of/ evidence-based/ practice/ in/ psychiatricmental/ health/
nursing./ Which/ of/ the/ following/ would/ the/ instructor/ include/ as/ being/ important?/ Select/ all/ that/ apply.
A) Research/ findings
B) Expert/ opinion
C) Clinical/ experiences
D) Patient/ data
E) Established/ routines
9. The/ following/ events/ are/ important/ in/ the/ development/ of/ psychiatricmental/ health/ nursing/ practice./
Which/ event/ occurred/ first?
A) Publication/ of/ Standards/ of/ Psychiatric-Mental/ Health/ Nursing/ by/ the/ ANA
B) Publication/ of/ Standards/ of/ Child/ and/ Adolescent/ Psychiatric/ and/ Mental/ Health/ Nursing/ Practice
C) Establishment/ of/ the/ first/ graduate/ program/ in/ psychiatric/ nursing/ at/ Rutgers/ University
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?
A) Mental/ health/ care/ in/ the/ United/ States/ is/ equally/ accessible/ to/ individuals.
B) Mental/ illness/ ranks/ second/ in/ terms/ of/ causing/ disability/ in/ comparison.
C) Mental/ health/ care/ primarily/ focuses/ on/ the/ cure/ of/ mental/ illness.
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/ the/ following/ as/ a/ goal?
A) Mental/ health/ is/ viewed/ as/ one/ component/ of/ overall/ health.
B) The/ consumer/ and/ family/ are/ the/ driving/ forces/ for/ mental/ health/ care.
C) Screening/ is/ of/ greater/ importance/ than/ assessment/ and/ referral/ for/ services.
D) Disparities/ in/ mental/ health/ services/ are/ decreased.
12. The/ following/ are/ important/ legislative/ and/ policy/ efforts/ influencing/ current/ mental/ health/ care./ Which/
of/ the/ following/ is/ the/ most/ recent?
A) Mental/ Health:/ A/ Report/ of/ the/ Surgeon/ General
B) New/ Freedom/ Commission/ on/ Mental/ Health
C) Action/ for/ Mental/ Health
D) Mental/ Retardation/ Facilities/ and/ Community/ Mental/ Health/ Centers/ Construction/ Act
13. As/ part/ of/ a/ career/ day/ presentation/ to/ a/ group/ of/ nursing/ students, / a/ psychiatricmental/ 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?
A) Mary/ Adelaide/ Nutting
B) Hildegarde/ Peplau