TEST BANK
Advanced Practice Psychiatric Nursing
Kathleen R. Tusaie, and Joyce J. Fitzpatrick
3rd Edition
,Table of Contents
Chapter 01 Introduction to the Development of Science, Education, and Credentialing for
Psychiatric-Mental Health Advanced Practi 1
Chapter 02 Shared Decision-Making: Concordance Between Psychiatric-Mental Health
Advanced Practice Registered Nurse and Client 8
Chapter 03 Synergy of Integrative Treatment 18
Chapter 04 Overview of Psychotherapy 26
Chapter 05 Overview of Psychopharmacology 34
Chapter 06 Overview of Complementary, Alternative, and Integrative Approaches 43
Chapter 07 Stages of Treatment 58
Chapter 08 Legal and Ethical Decision-Making 75
Chapter 09 Integrative Management of Disordered Mood 87
Chapter 10 Integrative Management of Anxiety-Related Conditions 97
Chapter 11 Integrative Management of Psychotic Symptoms 107
Chapter 12 Integrative Management of Sleep Disturbances 115
Chapter 13 Integrative Management of Disordered Eating 129
Chapter 14 Integrative Management of Disordered Cognition 140
Chapter 15 Integrative Management of Disordered Impulse Control 156
Chapter 16 Integrative Management of Disordered Attention 171
Chapter 17 Integrative Management of Self-Directed Injury 186
Chapter 18 Integrative Management of Other-Directed Violence 198
Chapter 19 Integrative Management of Substance Use Disorders and Co-Occurring
Mental Health Disorders 214
Chapter 20 Medical Problems and Psychiatric Syndromes 223
Chapter 21 Integrative Management of Pregnancy During Psychiatric Syndromes 231
Chapter 22 Forensic Issues and Psychiatric Syndromes 245
Chapter 23 Telehealth 255
Chapter 24 LGBTQ+ Issues: Care of Sexual and Gender Minority Clients 269
Chapter 25 Increasing Resilience in Psychiatric-Mental Health Advanced Practice Nurses 284
Chapter 26 Global Perspectives and the Future of Psychiatric-Mental Health Advanced
Practice Nursing 298
,Test Bank to Accompany
Advanced
Practice
Psychiatric
Nursing
Third Edition
Kathleen R. Tusaie,
PhD, PMHCNS/NP-BC
Joyce J. Fitzpatrick,
PhD, MBA, RN, FAAN,
FNAP, FAANP(H)
,______________________________________________________________________________________________
Test Bank - Advanced Practice Psychiatric Nursing, 3rd Edition (Tusaie, 2023)
Chapter 1
Introduction to the Development of Science, Education, and
Credentialing for Psychiatric-Mental Health Advanced
Practice Nursing
1. The interpersonal relations theory is considered the first nursing theory used to guide
psychiatric-mental health nursing. Which theorist developed this theory?
*A. Peplau @ Yes. The interpersonal relations theory was introduced by Peplau in 1952. It is
considered the first theory used to guide psychiatric-mental health advanced practice registered
nurses. Jung, Erickson, and Pavlov are theorists of psychodynamic theories, developmental
theories, and behavioral theories.
B. Jung @ No. The interpersonal relations theory was introduced by Peplau in 1952. It is
considered the first theory used to guide psychiatric-mental health advanced practice registered
nurses. Jung, Erickson, and Pavlov are theorists of psychodynamic theories, developmental
theories, and behavioral theories.
C. Erickson @ No. The interpersonal relations theory was introduced by Peplau in 1952. It is
considered the first theory used to guide psychiatric-mental health advanced practice registered
nurses. Jung, Erickson, and Pavlov are theorists of psychodynamic theories, developmental
theories, and behavioral theories.
D. Pavlov @ No. The interpersonal relations theory was introduced by Peplau in 1952. It is
considered the first theory used to guide psychiatric-mental health advanced practice registered
nurses. Jung, Erickson, and Pavlov are theorists of psychodynamic theories, developmental
theories, and behavioral theories.
______________________________________________________________________________________________
1|Page
,______________________________________________________________________________________________
Test Bank - Advanced Practice Psychiatric Nursing, 3rd Edition (Tusaie, 2023)
2. Which best defines Harry Stack Sullivan’s interpersonal theory?
*A. Behavior is dynamic, and personality is energy. @ Yes. Maslow theorized that individuals
progress through other developmental stages and the lower-level needs must be met first.
Sullivan created the interpersonal theory which believes a personality has energy and can
manifest as tension or transformation. Azjen theorized that in order for an individual to change
behavior, there must be a positive attitude toward the behavior.
B. Focus on the positive and the human potential for goodness. @ No. Maslow theorized that
individuals progress through other developmental stages and the lower-level needs must be met
first. Sullivan created the interpersonal theory which believes a personality has energy and can
manifest as tension or transformation. Azjen theorized that in order for an individual to change
behavior, there must be a positive attitude toward the behavior.
C. Lower-level needs must be met first in order for the individual to progress. @ No. Maslow
theorized that individuals progress through other developmental stages and the lower-level needs
must be met first. Sullivan created the interpersonal theory which believes a personality has
energy and can manifest as tension or transformation. Azjen theorized that in order for an
individual to change behavior, there must be a positive attitude toward the behavior.
D. The intention to change determines behavior change. @ No. Maslow theorized that
individuals progress through other developmental stages and the lower-level needs must be met
first. Sullivan created the interpersonal theory which believes a personality has energy and can
manifest as tension or transformation. Azjen theorized that in order for an individual to change
behavior, there must be a positive attitude toward the behavior.
______________________________________________________________________________________________
2|Page
,______________________________________________________________________________________________
Test Bank - Advanced Practice Psychiatric Nursing, 3rd Edition (Tusaie, 2023)
3. The psychiatric-mental health advanced practice registered nurse is teaching a client to gain
self-awareness and focus on only one aspect of their life. Which model fits this theory?
*A. Transtheoretical @ Yes. Several components of the transtheoretical mode can be used in
therapy to assist the individual in gaining self-awareness and focusing on one aspect of their life.
B. Biological @ No. Several components of the transtheoretical mode can be used in therapy to
assist the individual in gaining self-awareness and focusing on one aspect of their life.
C. General Systems @ No. Several components of the transtheoretical mode can be used in
therapy to assist the individual in gaining self-awareness and focusing on one aspect of their life.
D. Crisis Systems @ No. Several components of the transtheoretical mode can be used in therapy
to assist the individual in gaining self-awareness and focusing on one aspect of their life.
4. The psychiatric-mental health advanced practice registered nurse is preparing a plan of care
for an adult client with a mental illness. The client is not aware that their actions are problematic.
Which stage of personal change best describes this behavior?
*A. Precontemplation @ Yes. At the precontemplation stage, the individual is not aware that
their actions are problematic. They, most likely, will not take action. Contemplation is when the
individual is becoming more aware that their behavior is causing problems. An individual who is
in preparation intends to take actions very soon. During action, the individual begins to change
their problematic behavior.
B. Contemplation @ No. At the precontemplation stage, the individual is not aware that their
actions are problematic. They, most likely, will not take action. Contemplation is when the
individual is becoming more aware that their behavior is causing problems. An individual who is
______________________________________________________________________________________________
3|Page
,______________________________________________________________________________________________
Test Bank - Advanced Practice Psychiatric Nursing, 3rd Edition (Tusaie, 2023)
in preparation intends to take actions very soon. During action, the individual begins to change
their problematic behavior.
C. Preparation @ No. At the precontemplation stage, the individual is not aware that their
actions are problematic. They, most likely, will not take action. Contemplation is when the
individual is becoming more aware that their behavior is causing problems. An individual who is
in preparation intends to take actions very soon. During action, the individual begins to change
their problematic behavior.
D. Action @ No. At the precontemplation stage, the individual is not aware that their actions are
problematic. They, most likely, will not take action. Contemplation is when the individual is
becoming more aware that their behavior is causing problems. An individual who is in
preparation intends to take actions very soon. During action, the individual begins to change their
problematic behavior.
5. Peplau defined six roles for the nurse and created four phases of development in the nursing
process. According to Peplau, which was the cornerstone of therapeutic work?
*A. Communication @ Yes. For Peplau, communication, both verbal and nonverbal, was a
cornerstone of therapeutic work. Privacy, analysis of resilience, and deductive processing were
not components of Peplau’s work.
B. Privacy @ No. For Peplau, communication, both verbal and nonverbal, was a cornerstone of
therapeutic work. Privacy, analysis of resilience, and deductive processing were not components
of Peplau’s work.
______________________________________________________________________________________________
4|Page
,______________________________________________________________________________________________
Test Bank - Advanced Practice Psychiatric Nursing, 3rd Edition (Tusaie, 2023)
C. Analysis of resilience @ No. For Peplau, communication, both verbal and nonverbal, was a
cornerstone of therapeutic work. Privacy, analysis of resilience, and deductive processing were
not components of Peplau’s work.
D. Deductive processing @ No. For Peplau, communication, both verbal and nonverbal, was a
cornerstone of therapeutic work. Privacy, analysis of resilience, and deductive processing were
not components of Peplau’s work.
6. The PICO model is used in evidence-based practice and as a guide to new professionals. What
does the P indicate in the PICO model?
*A. Patient population @ Yes. The P in PICO is the patient population, the I in PICO is the
potential intervention, the C is the comparison or control group, and the O is the desired
outcome.
B. Preventative measures @ No. The P in PICO is the patient population, the I in PICO is the
potential intervention, the C is the comparison or control group, and the O is the desired
outcome.
C. Physical location @ No. The P in PICO is the patient population, the I in PICO is the
potential intervention, the C is the comparison or control group, and the O is the desired
outcome.
D. Psychotherapy @ No. The P in PICO is the patient population, the I in PICO is the potential
intervention, the C is the comparison or control group, and the O is the desired outcome.
7. The courses for a psychiatric-mental health advanced practice registered nurse will include
competencies in quality and safety education. Which QSEN competency addresses technology?
______________________________________________________________________________________________
5|Page
,______________________________________________________________________________________________
Test Bank - Advanced Practice Psychiatric Nursing, 3rd Edition (Tusaie, 2023)
A. Quality improvement @ No. Informatics describes how to use data, information, and
knowledge to improve health and the delivery of healthcare services. Technology is part of
informatics.
B. Safety @ No. Informatics describes how to use data, information, and knowledge to improve
health and the delivery of healthcare services. Technology is part of informatics.
*C. Informatics @ Yes. Informatics describes how to use data, information, and knowledge to
improve health and the delivery of healthcare services. Technology is part of informatics.
D. Teamwork @ No. Informatics describes how to use data, information, and knowledge to
improve health and the delivery of healthcare services. Technology is part of informatics.
8. The nurse is caring for an infant who is having difficulty with drinking from a bottle. Erikson
would characterize this as which stage of development?
*A. Trust versus mistrust @ Yes. The developmental phases in the theory by Erikson begin in
infancy with trust versus mistrust, in which the infant is uncertain about the world and looks
toward the primary caregiver for needs and stability.
B. Autonomy versus shame and doubt @ No. The developmental phases in the theory by Erikson
begin in infancy with trust versus mistrust, in which the infant is uncertain about the world and
looks toward the primary caregiver for needs and stability.
C. Initiative versus guilt @ No. The developmental phases in the theory by Erikson begin in
infancy with trust versus mistrust, in which the infant is uncertain about the world and looks
toward the primary caregiver for needs and stability.
______________________________________________________________________________________________
6|Page
, ______________________________________________________________________________________________
Test Bank - Advanced Practice Psychiatric Nursing, 3rd Edition (Tusaie, 2023)
D. Industry versus inferiority @ No. The developmental phases in the theory by Erikson begin in
infancy with trust versus mistrust, in which the infant is uncertain about the world and looks
toward the primary caregiver for needs and stability.
______________________________________________________________________________________________
7|Page
Advanced Practice Psychiatric Nursing
Kathleen R. Tusaie, and Joyce J. Fitzpatrick
3rd Edition
,Table of Contents
Chapter 01 Introduction to the Development of Science, Education, and Credentialing for
Psychiatric-Mental Health Advanced Practi 1
Chapter 02 Shared Decision-Making: Concordance Between Psychiatric-Mental Health
Advanced Practice Registered Nurse and Client 8
Chapter 03 Synergy of Integrative Treatment 18
Chapter 04 Overview of Psychotherapy 26
Chapter 05 Overview of Psychopharmacology 34
Chapter 06 Overview of Complementary, Alternative, and Integrative Approaches 43
Chapter 07 Stages of Treatment 58
Chapter 08 Legal and Ethical Decision-Making 75
Chapter 09 Integrative Management of Disordered Mood 87
Chapter 10 Integrative Management of Anxiety-Related Conditions 97
Chapter 11 Integrative Management of Psychotic Symptoms 107
Chapter 12 Integrative Management of Sleep Disturbances 115
Chapter 13 Integrative Management of Disordered Eating 129
Chapter 14 Integrative Management of Disordered Cognition 140
Chapter 15 Integrative Management of Disordered Impulse Control 156
Chapter 16 Integrative Management of Disordered Attention 171
Chapter 17 Integrative Management of Self-Directed Injury 186
Chapter 18 Integrative Management of Other-Directed Violence 198
Chapter 19 Integrative Management of Substance Use Disorders and Co-Occurring
Mental Health Disorders 214
Chapter 20 Medical Problems and Psychiatric Syndromes 223
Chapter 21 Integrative Management of Pregnancy During Psychiatric Syndromes 231
Chapter 22 Forensic Issues and Psychiatric Syndromes 245
Chapter 23 Telehealth 255
Chapter 24 LGBTQ+ Issues: Care of Sexual and Gender Minority Clients 269
Chapter 25 Increasing Resilience in Psychiatric-Mental Health Advanced Practice Nurses 284
Chapter 26 Global Perspectives and the Future of Psychiatric-Mental Health Advanced
Practice Nursing 298
,Test Bank to Accompany
Advanced
Practice
Psychiatric
Nursing
Third Edition
Kathleen R. Tusaie,
PhD, PMHCNS/NP-BC
Joyce J. Fitzpatrick,
PhD, MBA, RN, FAAN,
FNAP, FAANP(H)
,______________________________________________________________________________________________
Test Bank - Advanced Practice Psychiatric Nursing, 3rd Edition (Tusaie, 2023)
Chapter 1
Introduction to the Development of Science, Education, and
Credentialing for Psychiatric-Mental Health Advanced
Practice Nursing
1. The interpersonal relations theory is considered the first nursing theory used to guide
psychiatric-mental health nursing. Which theorist developed this theory?
*A. Peplau @ Yes. The interpersonal relations theory was introduced by Peplau in 1952. It is
considered the first theory used to guide psychiatric-mental health advanced practice registered
nurses. Jung, Erickson, and Pavlov are theorists of psychodynamic theories, developmental
theories, and behavioral theories.
B. Jung @ No. The interpersonal relations theory was introduced by Peplau in 1952. It is
considered the first theory used to guide psychiatric-mental health advanced practice registered
nurses. Jung, Erickson, and Pavlov are theorists of psychodynamic theories, developmental
theories, and behavioral theories.
C. Erickson @ No. The interpersonal relations theory was introduced by Peplau in 1952. It is
considered the first theory used to guide psychiatric-mental health advanced practice registered
nurses. Jung, Erickson, and Pavlov are theorists of psychodynamic theories, developmental
theories, and behavioral theories.
D. Pavlov @ No. The interpersonal relations theory was introduced by Peplau in 1952. It is
considered the first theory used to guide psychiatric-mental health advanced practice registered
nurses. Jung, Erickson, and Pavlov are theorists of psychodynamic theories, developmental
theories, and behavioral theories.
______________________________________________________________________________________________
1|Page
,______________________________________________________________________________________________
Test Bank - Advanced Practice Psychiatric Nursing, 3rd Edition (Tusaie, 2023)
2. Which best defines Harry Stack Sullivan’s interpersonal theory?
*A. Behavior is dynamic, and personality is energy. @ Yes. Maslow theorized that individuals
progress through other developmental stages and the lower-level needs must be met first.
Sullivan created the interpersonal theory which believes a personality has energy and can
manifest as tension or transformation. Azjen theorized that in order for an individual to change
behavior, there must be a positive attitude toward the behavior.
B. Focus on the positive and the human potential for goodness. @ No. Maslow theorized that
individuals progress through other developmental stages and the lower-level needs must be met
first. Sullivan created the interpersonal theory which believes a personality has energy and can
manifest as tension or transformation. Azjen theorized that in order for an individual to change
behavior, there must be a positive attitude toward the behavior.
C. Lower-level needs must be met first in order for the individual to progress. @ No. Maslow
theorized that individuals progress through other developmental stages and the lower-level needs
must be met first. Sullivan created the interpersonal theory which believes a personality has
energy and can manifest as tension or transformation. Azjen theorized that in order for an
individual to change behavior, there must be a positive attitude toward the behavior.
D. The intention to change determines behavior change. @ No. Maslow theorized that
individuals progress through other developmental stages and the lower-level needs must be met
first. Sullivan created the interpersonal theory which believes a personality has energy and can
manifest as tension or transformation. Azjen theorized that in order for an individual to change
behavior, there must be a positive attitude toward the behavior.
______________________________________________________________________________________________
2|Page
,______________________________________________________________________________________________
Test Bank - Advanced Practice Psychiatric Nursing, 3rd Edition (Tusaie, 2023)
3. The psychiatric-mental health advanced practice registered nurse is teaching a client to gain
self-awareness and focus on only one aspect of their life. Which model fits this theory?
*A. Transtheoretical @ Yes. Several components of the transtheoretical mode can be used in
therapy to assist the individual in gaining self-awareness and focusing on one aspect of their life.
B. Biological @ No. Several components of the transtheoretical mode can be used in therapy to
assist the individual in gaining self-awareness and focusing on one aspect of their life.
C. General Systems @ No. Several components of the transtheoretical mode can be used in
therapy to assist the individual in gaining self-awareness and focusing on one aspect of their life.
D. Crisis Systems @ No. Several components of the transtheoretical mode can be used in therapy
to assist the individual in gaining self-awareness and focusing on one aspect of their life.
4. The psychiatric-mental health advanced practice registered nurse is preparing a plan of care
for an adult client with a mental illness. The client is not aware that their actions are problematic.
Which stage of personal change best describes this behavior?
*A. Precontemplation @ Yes. At the precontemplation stage, the individual is not aware that
their actions are problematic. They, most likely, will not take action. Contemplation is when the
individual is becoming more aware that their behavior is causing problems. An individual who is
in preparation intends to take actions very soon. During action, the individual begins to change
their problematic behavior.
B. Contemplation @ No. At the precontemplation stage, the individual is not aware that their
actions are problematic. They, most likely, will not take action. Contemplation is when the
individual is becoming more aware that their behavior is causing problems. An individual who is
______________________________________________________________________________________________
3|Page
,______________________________________________________________________________________________
Test Bank - Advanced Practice Psychiatric Nursing, 3rd Edition (Tusaie, 2023)
in preparation intends to take actions very soon. During action, the individual begins to change
their problematic behavior.
C. Preparation @ No. At the precontemplation stage, the individual is not aware that their
actions are problematic. They, most likely, will not take action. Contemplation is when the
individual is becoming more aware that their behavior is causing problems. An individual who is
in preparation intends to take actions very soon. During action, the individual begins to change
their problematic behavior.
D. Action @ No. At the precontemplation stage, the individual is not aware that their actions are
problematic. They, most likely, will not take action. Contemplation is when the individual is
becoming more aware that their behavior is causing problems. An individual who is in
preparation intends to take actions very soon. During action, the individual begins to change their
problematic behavior.
5. Peplau defined six roles for the nurse and created four phases of development in the nursing
process. According to Peplau, which was the cornerstone of therapeutic work?
*A. Communication @ Yes. For Peplau, communication, both verbal and nonverbal, was a
cornerstone of therapeutic work. Privacy, analysis of resilience, and deductive processing were
not components of Peplau’s work.
B. Privacy @ No. For Peplau, communication, both verbal and nonverbal, was a cornerstone of
therapeutic work. Privacy, analysis of resilience, and deductive processing were not components
of Peplau’s work.
______________________________________________________________________________________________
4|Page
,______________________________________________________________________________________________
Test Bank - Advanced Practice Psychiatric Nursing, 3rd Edition (Tusaie, 2023)
C. Analysis of resilience @ No. For Peplau, communication, both verbal and nonverbal, was a
cornerstone of therapeutic work. Privacy, analysis of resilience, and deductive processing were
not components of Peplau’s work.
D. Deductive processing @ No. For Peplau, communication, both verbal and nonverbal, was a
cornerstone of therapeutic work. Privacy, analysis of resilience, and deductive processing were
not components of Peplau’s work.
6. The PICO model is used in evidence-based practice and as a guide to new professionals. What
does the P indicate in the PICO model?
*A. Patient population @ Yes. The P in PICO is the patient population, the I in PICO is the
potential intervention, the C is the comparison or control group, and the O is the desired
outcome.
B. Preventative measures @ No. The P in PICO is the patient population, the I in PICO is the
potential intervention, the C is the comparison or control group, and the O is the desired
outcome.
C. Physical location @ No. The P in PICO is the patient population, the I in PICO is the
potential intervention, the C is the comparison or control group, and the O is the desired
outcome.
D. Psychotherapy @ No. The P in PICO is the patient population, the I in PICO is the potential
intervention, the C is the comparison or control group, and the O is the desired outcome.
7. The courses for a psychiatric-mental health advanced practice registered nurse will include
competencies in quality and safety education. Which QSEN competency addresses technology?
______________________________________________________________________________________________
5|Page
,______________________________________________________________________________________________
Test Bank - Advanced Practice Psychiatric Nursing, 3rd Edition (Tusaie, 2023)
A. Quality improvement @ No. Informatics describes how to use data, information, and
knowledge to improve health and the delivery of healthcare services. Technology is part of
informatics.
B. Safety @ No. Informatics describes how to use data, information, and knowledge to improve
health and the delivery of healthcare services. Technology is part of informatics.
*C. Informatics @ Yes. Informatics describes how to use data, information, and knowledge to
improve health and the delivery of healthcare services. Technology is part of informatics.
D. Teamwork @ No. Informatics describes how to use data, information, and knowledge to
improve health and the delivery of healthcare services. Technology is part of informatics.
8. The nurse is caring for an infant who is having difficulty with drinking from a bottle. Erikson
would characterize this as which stage of development?
*A. Trust versus mistrust @ Yes. The developmental phases in the theory by Erikson begin in
infancy with trust versus mistrust, in which the infant is uncertain about the world and looks
toward the primary caregiver for needs and stability.
B. Autonomy versus shame and doubt @ No. The developmental phases in the theory by Erikson
begin in infancy with trust versus mistrust, in which the infant is uncertain about the world and
looks toward the primary caregiver for needs and stability.
C. Initiative versus guilt @ No. The developmental phases in the theory by Erikson begin in
infancy with trust versus mistrust, in which the infant is uncertain about the world and looks
toward the primary caregiver for needs and stability.
______________________________________________________________________________________________
6|Page
, ______________________________________________________________________________________________
Test Bank - Advanced Practice Psychiatric Nursing, 3rd Edition (Tusaie, 2023)
D. Industry versus inferiority @ No. The developmental phases in the theory by Erikson begin in
infancy with trust versus mistrust, in which the infant is uncertain about the world and looks
toward the primary caregiver for needs and stability.
______________________________________________________________________________________________
7|Page
