TEST BANK
PSYCHIATRIC NURSING: CONTEMPORARY PRACTICE 7TH EDITION
Author(s): Mary Ann Boyd, Rebecca Ann Luebbert
,TABLE OF CONTENTS
Chapter 1, Psychiatric–Mental Health Nursing and Evidence-Based Practice.................................................... 1
Chapter 2, Mental Health and Mental Disorders: Fighting Stigma and Promoting Recovery ............................ 9
Chapter 3, Cultural and Spiritual Issues Related to Mental Health Care........................................................... 17
Chapter 4, Patient Rights and Legal Issues ........................................................................................................ 25
Chapter 5, Mental Health Care in the Community ............................................................................................ 37
Chapter 6, Ethics, Standards, and Nursing Frameworks ................................................................................... 47
Chapter 7, Psychosocial Theoretic Basis of Psychiatric Nursing ...................................................................... 55
Chapter 8, Biologic Foundations of Psychiatric Nursing .................................................................................. 64
Chapter 9, Recovery Framework for Mental Health Nursing............................................................................ 73
Chapter 10, Communication and the Therapeutic Relationship ........................................................................ 81
Chapter 11, The Psychiatric–Mental Health Nursing Process ........................................................................... 89
Chapter 12, Psychopharmacology, Dietary Supplements, and Biologic Interventions ..................................... 98
Chapter 13, Cognitive Interventions in Psychiatric Nursing ........................................................................... 109
Chapter 14, Group Interventions...................................................................................................................... 118
Chapter 15, Family Assessment and Interventions .......................................................................................... 128
Chapter 16, Mental Health Promotion for Children and Adolescents ............................................................. 137
Chapter 17, Mental Health Promotion for Young and Middle-Aged Adults .................................................. 147
Chapter 18, Mental Health Promotion for Older Adults.................................................................................. 155
Chapter 19, Stress and Mental Health.............................................................................................................. 164
Chapter 20, Management of Anger, Aggression, and Violence ...................................................................... 173
Chapter 21, Crisis, Loss, Grief, Bereavement, and Disaster Management ...................................................... 182
Chapter 22, Suicide Prevention: Screening, Assessment, and Intervention .................................................... 191
Chapter 23, Mental Health Care for Survivors of Violence ............................................................................ 200
Chapter 24, Schizophrenia and Related Disorders: Nursing Care of Persons with Thought Disorders .......... 209
Chapter 25, Depression: Nursing Care of Persons with Depressive Moods and Suicidal Behavior ............... 227
Chapter 26, Bipolar Disorders: Nursing Care of Person with Mood Lability ................................................. 235
Chapter 27, Anxiety Disorders: Nursing Care of Patients with Anxiety, Phobia, and Panic .......................... 244
Chapter 28, Obsessive-Compulsive and Related Disorders: Nursing Care of Persons with Obsessions and
Compulsions .................................................................................................................................................... 253
Chapter 29, Trauma and Stressor-Related Disorders: Nursing Care of Persons with Posttraumatic Stress and
Other Trauma-Related Disorders ..................................................................................................................... 263
Chapter 30, Personality and Impulse-Control Disorders: Nursing Care of Persons with Personality and
Impulse-Control Disorders............................................................................................................................... 272
Chapter 31, Addiction and Substance Use-Related Disorders: Nursing Care of Persons with Alcohol and Drug
Use Disorders ................................................................................................................................................... 285
Chapter 32, Eating Disorders: Nursing Care of Persons with Eating and Weight-Related Disorders ............ 293
Chapter 33, Somatic Symptom and Dissociative Disorders: Nursing Care of Persons with Somatization..... 301
Chapter 34, Sleep-Wake Disorders: Nursing Care of Persons with Insomnia and Sleep Problems ................ 310
,Chapter 35, Sexual Disorders: Management of Persons with Sexual Dysfunctions and Paraphilias .............. 319
Chapter 36, Mental Health Assessment of Children and Adolescents ............................................................ 328
Chapter 37, Mental Health Disorders of Childhood and Adolescence ............................................................ 337
Chapter 38, Mental Health Assessment of Older Adults ................................................................................. 346
Chapter 39, Neurocognitive Disorders ............................................................................................................ 355
Chapter 40, Care of Veterans with Mental Health Needs ................................................................................ 364
Chapter 41, Caring for Persons Who Are Experiencing Homelessness and Mental Illness............................ 374
Chapter 42, Caring for Persons with Co-occurring Mental Disorders............................................................. 383
Chapter 43, Care of Persons Who Are Medically Compromised .................................................................... 393
, Chapter 1, Psychiatric–Mental Health Nursing and Evidence-Based Practice
MULTIPLE CHOICE
1. A group of nurses 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 nurses demonstrate an understanding of this information when they
identify that the report recommended an increase in what?
a. Number of mental health hospitals
b. Institutionalization of clients with mental health problems
c. Number of clinics supplemented by general hospital units
d. Use of psychotherapy by psychiatrists
ANS: C
The final report of the Joint Commission on Mental Illness and Health, called Action for
Mental Health, recommended increased numbers of community clinics supplemented by
general hospital units for mental illness care. The ideas in the report shifted responsibility
for mental health care to the federal, state, and local governments.
PTS: 1 REF: p. 9, A New National Objective: Community Treatment
OBJ: 5 NAT: Client Needs: Psychosocial Integrity
KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Remember NOT: Multiple Choice
2. A nurse is reviewing literature that sanctions 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 as most strongly
linked to this holistic approach?
a. Sigmund Freud’s psychoanalytic theory
b. Florence Nightingale’s Notes on Nursing
c. Lavinia Lloyd Dock’s Materia Medica for Nurses
d. Clifford Beers’ A Mind That Found Itself
ANS: B
The American Nurses Association’s Statement on Psychiatric Nursing Practice (1967)
officially sanctioned a holistic approach to nursing care for the first time. The roots of this
contemporary psychiatric–mental health nursing thought can be traced to Florence
Nightingale’s Notes on Nursing, which presented a holistic view of the patient, with the
view of the patient as living within a family and community. Freud’s psychoanalytic theory
focused on personality development and unconscious motivations for drives. Beers’
autobiography described the inhumane treatments used for mental illness, which led to the
formation of a National Committee for Mental Hygiene.
PTS: 1 REF: p. 2–3, Emergence of Modern Nursing Perspectives
OBJ: 2 NAT: Client Needs: Psychosocial Integrity
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Analyze NOT: Multiple Choice
1|Page
PSYCHIATRIC NURSING: CONTEMPORARY PRACTICE 7TH EDITION
Author(s): Mary Ann Boyd, Rebecca Ann Luebbert
,TABLE OF CONTENTS
Chapter 1, Psychiatric–Mental Health Nursing and Evidence-Based Practice.................................................... 1
Chapter 2, Mental Health and Mental Disorders: Fighting Stigma and Promoting Recovery ............................ 9
Chapter 3, Cultural and Spiritual Issues Related to Mental Health Care........................................................... 17
Chapter 4, Patient Rights and Legal Issues ........................................................................................................ 25
Chapter 5, Mental Health Care in the Community ............................................................................................ 37
Chapter 6, Ethics, Standards, and Nursing Frameworks ................................................................................... 47
Chapter 7, Psychosocial Theoretic Basis of Psychiatric Nursing ...................................................................... 55
Chapter 8, Biologic Foundations of Psychiatric Nursing .................................................................................. 64
Chapter 9, Recovery Framework for Mental Health Nursing............................................................................ 73
Chapter 10, Communication and the Therapeutic Relationship ........................................................................ 81
Chapter 11, The Psychiatric–Mental Health Nursing Process ........................................................................... 89
Chapter 12, Psychopharmacology, Dietary Supplements, and Biologic Interventions ..................................... 98
Chapter 13, Cognitive Interventions in Psychiatric Nursing ........................................................................... 109
Chapter 14, Group Interventions...................................................................................................................... 118
Chapter 15, Family Assessment and Interventions .......................................................................................... 128
Chapter 16, Mental Health Promotion for Children and Adolescents ............................................................. 137
Chapter 17, Mental Health Promotion for Young and Middle-Aged Adults .................................................. 147
Chapter 18, Mental Health Promotion for Older Adults.................................................................................. 155
Chapter 19, Stress and Mental Health.............................................................................................................. 164
Chapter 20, Management of Anger, Aggression, and Violence ...................................................................... 173
Chapter 21, Crisis, Loss, Grief, Bereavement, and Disaster Management ...................................................... 182
Chapter 22, Suicide Prevention: Screening, Assessment, and Intervention .................................................... 191
Chapter 23, Mental Health Care for Survivors of Violence ............................................................................ 200
Chapter 24, Schizophrenia and Related Disorders: Nursing Care of Persons with Thought Disorders .......... 209
Chapter 25, Depression: Nursing Care of Persons with Depressive Moods and Suicidal Behavior ............... 227
Chapter 26, Bipolar Disorders: Nursing Care of Person with Mood Lability ................................................. 235
Chapter 27, Anxiety Disorders: Nursing Care of Patients with Anxiety, Phobia, and Panic .......................... 244
Chapter 28, Obsessive-Compulsive and Related Disorders: Nursing Care of Persons with Obsessions and
Compulsions .................................................................................................................................................... 253
Chapter 29, Trauma and Stressor-Related Disorders: Nursing Care of Persons with Posttraumatic Stress and
Other Trauma-Related Disorders ..................................................................................................................... 263
Chapter 30, Personality and Impulse-Control Disorders: Nursing Care of Persons with Personality and
Impulse-Control Disorders............................................................................................................................... 272
Chapter 31, Addiction and Substance Use-Related Disorders: Nursing Care of Persons with Alcohol and Drug
Use Disorders ................................................................................................................................................... 285
Chapter 32, Eating Disorders: Nursing Care of Persons with Eating and Weight-Related Disorders ............ 293
Chapter 33, Somatic Symptom and Dissociative Disorders: Nursing Care of Persons with Somatization..... 301
Chapter 34, Sleep-Wake Disorders: Nursing Care of Persons with Insomnia and Sleep Problems ................ 310
,Chapter 35, Sexual Disorders: Management of Persons with Sexual Dysfunctions and Paraphilias .............. 319
Chapter 36, Mental Health Assessment of Children and Adolescents ............................................................ 328
Chapter 37, Mental Health Disorders of Childhood and Adolescence ............................................................ 337
Chapter 38, Mental Health Assessment of Older Adults ................................................................................. 346
Chapter 39, Neurocognitive Disorders ............................................................................................................ 355
Chapter 40, Care of Veterans with Mental Health Needs ................................................................................ 364
Chapter 41, Caring for Persons Who Are Experiencing Homelessness and Mental Illness............................ 374
Chapter 42, Caring for Persons with Co-occurring Mental Disorders............................................................. 383
Chapter 43, Care of Persons Who Are Medically Compromised .................................................................... 393
, Chapter 1, Psychiatric–Mental Health Nursing and Evidence-Based Practice
MULTIPLE CHOICE
1. A group of nurses 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 nurses demonstrate an understanding of this information when they
identify that the report recommended an increase in what?
a. Number of mental health hospitals
b. Institutionalization of clients with mental health problems
c. Number of clinics supplemented by general hospital units
d. Use of psychotherapy by psychiatrists
ANS: C
The final report of the Joint Commission on Mental Illness and Health, called Action for
Mental Health, recommended increased numbers of community clinics supplemented by
general hospital units for mental illness care. The ideas in the report shifted responsibility
for mental health care to the federal, state, and local governments.
PTS: 1 REF: p. 9, A New National Objective: Community Treatment
OBJ: 5 NAT: Client Needs: Psychosocial Integrity
KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Remember NOT: Multiple Choice
2. A nurse is reviewing literature that sanctions 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 as most strongly
linked to this holistic approach?
a. Sigmund Freud’s psychoanalytic theory
b. Florence Nightingale’s Notes on Nursing
c. Lavinia Lloyd Dock’s Materia Medica for Nurses
d. Clifford Beers’ A Mind That Found Itself
ANS: B
The American Nurses Association’s Statement on Psychiatric Nursing Practice (1967)
officially sanctioned a holistic approach to nursing care for the first time. The roots of this
contemporary psychiatric–mental health nursing thought can be traced to Florence
Nightingale’s Notes on Nursing, which presented a holistic view of the patient, with the
view of the patient as living within a family and community. Freud’s psychoanalytic theory
focused on personality development and unconscious motivations for drives. Beers’
autobiography described the inhumane treatments used for mental illness, which led to the
formation of a National Committee for Mental Hygiene.
PTS: 1 REF: p. 2–3, Emergence of Modern Nursing Perspectives
OBJ: 2 NAT: Client Needs: Psychosocial Integrity
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Analyze NOT: Multiple Choice
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