Test Bank - Psychiatric Nursing: Contemporary Practice (6th Edition 1
by Boyd)
Table of Contents
Table of 1
Contents
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 92
Behavior Chapter 24: Bipolar Disorders: Management of Mood Lability 96
Chapter 25: Anxiety Disorders: Management of Anxiety, Phobia, and 99
Panic 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 M
Chapter 31: Eating Disorders: Management of Eating and e
Weight Chapter 32: Somatic Symptom and Related Disorders n
Chapter 33: Nursing Care of Persons with Insomnia and Sleep Problems t
Chapter 34: Sexual Disorders: Management of Sexual Dysfunction and a
Paraphilias Chapter 35: Mental Health Assessment of Children and l
Adolescents l
Chapter 36: Mental Health Disorders of Childhood and y
Adolescence Chapter 37: Mental Health Assessment of Older
Adults I
Chapter 38: Neurocognitive Disorders l
Chapter 39: Caring for Persons Who Are Homeless and l
Page 1 of 166
,Test Bank - Psychiatric Nursing: Contemporary Practice (6th Edition 2
byChapter
Boyd) 40: Caring for Persons With Co-occurring Mental 113
Disorders Chapter 41: Caring for Survivors of Violence and 117
Abuse 121
Chapter 42: Caring for Persons With Mental Illness and Criminal 125
Behavior Chapter 43: Caring for Medically Compromised Persons 129
132
135
139
142
146
150
154
158
162
Page 2 of 166
,Test Bank - Psychiatric Nursing: Contemporary Practice (6th Edition 3
by Boyd)
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
Page 3 of 166
, Test Bank - Psychiatric Nursing: Contemporary Practice (6th Edition 4
by Boyd)
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
Page 4 of 166
by Boyd)
Table of Contents
Table of 1
Contents
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 92
Behavior Chapter 24: Bipolar Disorders: Management of Mood Lability 96
Chapter 25: Anxiety Disorders: Management of Anxiety, Phobia, and 99
Panic 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 M
Chapter 31: Eating Disorders: Management of Eating and e
Weight Chapter 32: Somatic Symptom and Related Disorders n
Chapter 33: Nursing Care of Persons with Insomnia and Sleep Problems t
Chapter 34: Sexual Disorders: Management of Sexual Dysfunction and a
Paraphilias Chapter 35: Mental Health Assessment of Children and l
Adolescents l
Chapter 36: Mental Health Disorders of Childhood and y
Adolescence Chapter 37: Mental Health Assessment of Older
Adults I
Chapter 38: Neurocognitive Disorders l
Chapter 39: Caring for Persons Who Are Homeless and l
Page 1 of 166
,Test Bank - Psychiatric Nursing: Contemporary Practice (6th Edition 2
byChapter
Boyd) 40: Caring for Persons With Co-occurring Mental 113
Disorders Chapter 41: Caring for Survivors of Violence and 117
Abuse 121
Chapter 42: Caring for Persons With Mental Illness and Criminal 125
Behavior Chapter 43: Caring for Medically Compromised Persons 129
132
135
139
142
146
150
154
158
162
Page 2 of 166
,Test Bank - Psychiatric Nursing: Contemporary Practice (6th Edition 3
by Boyd)
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
Page 3 of 166
, Test Bank - Psychiatric Nursing: Contemporary Practice (6th Edition 4
by Boyd)
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
Page 4 of 166
