2
TEST BANK FOR PSYCHIATRIC NURSING: Chapter 30: Addiction and Substance-Related Disorders 113 Chapter 31: Eating
Disorders: Management of Eating and Weight 117 Chapter 32: Somatic Symptom and
CONTEMPORARY PRACTICE, 6TH EDITION – Related Disorders 121 Chapter 33: Nursing Care of Persons with Insomnia and Sleep
Problems 125 Chapter 34: Sexual Disorders: Management of Sexual Dysfunction and
MARY ANN BOYD | COMPLETE CHAPTERS | Paraphilias 129 Chapter 35: Mental Health Assessment of Children and Adolescents
132 Chapter 36: Mental Health Disorders of Childhood and Adolescence 135
VERIFIED ANSWERS & RATIONALES | ISBN 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
9781451192438 146 Chapter 40: Caring for Persons With Co-occurring Mental Disorders
Chapter 41: Caring for Survivors of Violence and Abuse
150
154 Chapter 42: Caring for
Persons With Mental Illness and Criminal Behavior 158
Chapter 43: Caring for Medically Compromised Persons 162
Table of Contents
Table of Contents 1
Chapter 01: Psychiatric-Mental Health Nursing and Evidence-Based
2
Practice
Chapter 01: Psychiatric-Mental Health Nursing and Evidence-Based Practice
Chapter 02: Mental Health and Mental Disorders 6
Chapter 03: Cultural and Spiritual Issues Related to Mental Health Care 10 1. A group of nursing students are reviewing information about the evolution of mental health care and are
Chapter 04: Patient Rights and Legal Issues 14 discussing the recommendations of the final report of the Joint Commission on Mental Illness and Health.
Chapter 05: Mental Health Care in the Community 18 The students demonstrate understanding of this information when they identify that the report
Chapter 06: Ethics, Standards, and Nursing Frameworks 21 recommended an increase in which of the following?
Chapter 07: Psychosocial Theoretic Basis of Psychiatric Nursing 25 A) Numbers of mental health hospitals
Chapter 08: Biologic Foundations of Psychiatric Nursing 29 B) State funding for mental health care
Chapter 09: Communication and the Therapeutic Relationship 33 C) Clinics supplemented by general hospital units
Chapter 10: The Psychiatric-Mental Health Nursing Process 37 D) Use of psychotherapy by psychiatrists
Chapter 11: Psychopharmacology, Dietary Supplements, and Biologic Interventions 41
Chapter 12: Cognitive Interventions in Psychiatric Nursing 46 2. A nurse is reviewing the American Nurses Association‟s Statement on Psychiatric Nursing Practice
Chapter 13: Group Interventions 50 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
Chapter 14: Family Assessment and Interventions 54
illness, the nurse identifies which of the following as most strongly linked to this holistic approach?
Chapter 15: Mental Health Promotion for Children and Adolescents 58
A) Sigmund Freud‟s psychoanalytic theory
Chapter 16: Mental Health Promotion for Young and Middle-Aged Adults 61
B) Florence Nightingale‟s Notes on Nursing
Chapter 17: Mental Health Promotion for Older Adults 64
C) Hildegarde
Chapter 18: Stress and Mental Health 68
D) Clifford Beers‟ A Mind That Found Itself E) Peplau‟s Interpersonal Relations in Nursing
Chapter 19: Management of Anger, Aggression, and Violence 72
Chapter 20: Crisis, Loss, Grief, Response, Bereavement, and Disaster Management 76 3. A nursing instructor is preparing a presentation about key events and people that influenced the development of
Chapter 21: Suicide Prevention: Screening, Assessment, and Intervention 80 contemporary mental health and illness care. When describing the effects of World War II, which of the
Chapter 22: Schizophrenia and Related Disorders: Nursing Care of Persons with Thought following would the instructor include?
Disorders 84 Chapter 23: Depression: Management of Depressive Moods and Suicidal A) People began to view mental illness as more commonplace and acceptable.
Behavior 92 Chapter 24: Bipolar Disorders: Management of Mood Lability 96 B) The biologic understanding of mental illness was almost fully developed.
Chapter 25: Anxiety Disorders: Management of Anxiety, Phobia, and Panic 99 Chapter 26: C) Deinstitutionalization occurred in response to the community health movement. D) Mental
Obsessive Compulsive and Related Disorders 103 Chapter 27: Trauma and Stressor illnesses became categorized as psychoses or neuroses.
Related Disorders 105
Chapter 28: Personality and Borderline Personality Disorder: Management of Emotional 4. A nursing student is presenting a discussion of the history of psychiatricmental health nursing and its place
Dysregulation and Self-Harm 106 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
Chapter 29: Antisocial Personality and Disruptive, Impulse Control, and Conduct Disorders community mental health centers.
109 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.
, 4
3 B) New Freedom Commission on Mental Health
C) Action for Mental Health
5. Two nursing students are discussing psychiatricmental health nursing and the role it has played in nursing‟s D) Mental Retardation Facilities and Community Mental Health Centers Construction Act
overall history. Which statement is most accurate?
A) The importance of using therapeutic communication was stressed by Nightingale. 13. As part of a career day presentation to a group of nursing students, a psychiatricmental health nurse plans to
B) The use of self-care to enhance the immune system was taught by Dorothea Dix. describe how this specialty developed. Which individual would the nurse describe as playing a major role
C) The moral treatment of mental illness was a primary focus of deinstitutionalization. D) Peplau was in the development of specialty training programs for psychiatric nurses?
the first nurse to stress the importance of therapeutic communication. A) Mary Adelaide Nutting
B) Hildegarde Peplau
6. When reviewing the evolution of mental health and illness care, which event is associated with mental disorders C) Harriet Bailey D) Linda Richards
beginning to be viewed as illnesses requiring treatment?
A) Establishment of Pennsylvania Hospital in Philadelphia 14. A psychiatricmental health nurse is asked to be a guest speaker at a community fund-raising event for mental
B) Quaker establishment of asylums health services. Which of the following would the nurse emphasize as the primary goal of mental health
C) Creation of the state hospital system services?
D) Freud‟s views on the causes of mental illnesses A) Access to affordable mental health care
B) Removal of exclusions because of preexisting conditions
7. A psychiatricmental health nurse is working on a committee that is developing programs that integrate the C) Recovery from mental illness
objectives for mental health and mental disorders as identified in Healthy People 2020. Which type of D) Effective treatment for mental health care needs
program would be least appropriate?
A) Single substance abuse treatment programs 15. A psychiatricmental health nurse is implementing evidence-based practice. The nurse understands that this
B) Depression screening programs for primary care providers approach is developed by doing which of the following first?
C) Mental health programs for the homeless population D) Employment programs for those with A) Conducting research
serious mental illness B) Identifying a clinical question C) Determining outcomes D)
Collaborating with the patient
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. 16. A group of students are reviewing information about mental health care after World War II. The students
A) Research findings demonstrate understanding of this information when they identify which of the following as a result of
B) Expert opinion the National Mental Health Act?
C) Clinical experiences A) Discovery of psychopharmacology
D) Patient data E) Established routines B) Passage of the Hill-Burton Act
C) Establishment of the National Institute of Mental Health
9. The following events are important in the development of psychiatricmental health nursing practice. Which D) Development of community mental health centers
event occurred first?
A) Publication of Standards of Psychiatric-Mental Health Nursing by the ANA 17. When providing care to a patient, the psychiatricmental health nurse is implementing the therapeutic use of
B) Publication of Standards of Child and Adolescent Psychiatric and Mental Health Nursing Practice self. The nurse is applying the concepts based on the work of which individual?
C) Establishment of the first graduate program in psychiatric nursing at Rutgers University A) Hildegarde Peplau
D) Publication of the first psychiatric nursing text, Nursing Mental Disease, by Harriet Bailey B) Florence Nightingale
C) Dorothea Dix
10. A nurse is preparing a presentation about the current status of mental health services in the United States. D) Sigmund Freud
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. 18. After teaching a class to a group of nursing students about the historical perspectives of mental health care,
B) Mental illness ranks second in terms of causing disability in comparison. the instructor determines that the group has understood the information when they identify which of the
C) Mental health care primarily focuses on the cure of mental illness. D) Mental health following as a common belief about mental illness during the medieval period? A) Mental illness in an individual
care services are inadequate and fragmented. was the result of being possessed by demons.
B) A person was removed from a contaminated environment to protect him or her.
11. A group of students are reviewing the goals identified by the New Freedom Commission on Mental C) Exorcisms were used as primary mode of treatment to cleanse the person of his or her sins. D)
Health. The students demonstrate understanding of this report when they identify which of the The focus was on moral treatment to promote the individual‟s safety and comfort.
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. Answer Key
C) Screening is of greater importance than assessment and referral for services. D) Disparities in
1. C
mental health services are decreased.
2. B
12. The following are important legislative and policy efforts influencing current mental health care. Which of the 3. A
following is the most recent? 4. C
A) Mental Health: A Report of the Surgeon General 5. A 6. A
7. A
, 6
5 Chapter 02: Mental Health and Mental Disorders
8. A, B, C, D
9. D
10. D 1. A nursing instructor is describing the DSM-IV-TR to a group of nursing students. Which of the
following would the instructor include as the primary purpose of this classification? A) Provide a
11. B commonly understood diagnostic category for clinical practice.
12. A B) Describe treatment modalities for psychiatric disorders and mental illnesses.
13. B C) Identify various etiologies for mental disorders based on family histories. D) Provide
14. C optimal outcomes for treatment for individuals with mental illnesses.
15. B
16. C 2. A nurse is providing care to a patient with a mental disorder classified by the DSM-IV-TR. The nurse
17. A understands that although the first three axes appear to contain all the diagnostic information about a
18. B patient, a truly accurate picture of the client is incomplete without considering other factors such as an
estimate of current functioning and:
A) Life stressors
B) Cultural background
C) Marital status
D) Genetic history
3. A patient‟s global assessment functioning reveals that he has minimal symptoms with good functioning in all
areas. Which score would the nurse correlate with these findings?
A) 94 B)
82 C)
75
D) 63
4. A female patient was admitted to the hospital with pneumonia, and in the course of her treatment, it was
determined that she was experiencing alcohol dependence because she began experiencing alcohol
withdrawal while she was in the hospital. When the psychiatrist who was called in as a consultant
documented the patient‟s mental disorder, he identified her alcohol dependence on which axis?
A) Axis I
B) Axis II
C) Axis III D) Axis IV
5. A 25-year-old woman who recently had abdominal surgery was admitted to the psychiatric unit, where it was
determined that she had a borderline personality disorder. During the first week on the unit, it was
determined that she also has diabetes. Her diabetes mellitus would be listed in which axis of her DSM-IV-
TR diagnosis?
A) Axis I
B) Axis II
C) Axis III D) Axis IV
6. As part of a class activity, nursing students are engaged in a small group discussion about the
epidemiology of mental illness. Which statement best explains the importance of epidemiology in
understanding the impact of mental disorders?
A) Epidemiology helps promote understanding of the patterns of occurrence associated with mental
disorders.
B) Epidemiology helps explain research findings about the neurophysiology that causes mental disorders.
C) Epidemiology provides a thorough theoretical explanation of why specific mental disorders occur.
D) Epidemiology predicts when a specific psychiatric client will recover from a specific mental disorder.
7. A nurse is working in a community mental health center that provides care to a large population of Asian
descent. When developing programs for this community, which of the following would be most important
for the nurse to address?
A) Public stigma
B) Self-stigma
C) Label avoidance D) Negative life events
, 8
7 15. Which of the following would a nurse identify as being categorized as Axis I in the DSM-IV-TR? Select all
that apply.
8. A group of students are reviewing the multiaxial diagnostic system of the DSM-IV-TR. The students A) Paranoid personality disorder
demonstrate understanding of the axes when they identify that each axis represents which of the B) Posttraumatic stress disorder
following? C) Anorexia nervosa
A) An evidence-based research finding D) Mental retardation
B) An experimental design to guide care E) Unemployment
C) A domain of information F) Coronary artery disease
D) A laboratory test finding
16. A psychiatricmental health nurse is providing care for a patient with a mental disorder. The patient is
9. A nursing student is assigned to care for a patient diagnosed with schizophrenia. When talking about this patient participating in the decision-making process. The nurse interprets this as which component of recovery?
in a clinical postconference, the student would use which terminology when referring to the patient? A) Self-direction
A) Committed patient B) Empowerment
B) Schizophrenic C) Person-centered
C) Schizophrenic patient D) Holistic
D) Person with schizophrenia
17. A nurse is explaining recovery to the family of a patient diagnosed with a mental disorder. Which
10. Mrs. Green is a patient on a psychiatric unit. At the time of her admission, her dog was killed when a car statement would be most appropriate for the nurse to include about this process? A) It is a step-by-step
accidentally ran over it; in addition to that, she just found out that her mother has been diagnosed with process from being ill to being well.
colon cancer. This information would be addressed in which DSM-IV axis? B) The patient focuses mainly on the emotional aspects of his condition.
A) Axis I C) The patient is helped to live a meaningful life to his fullest potential. D) Although peer
B) Axis II support is important, the self-acceptance is essential.
C) Axis III D) Axis IV
18. A psychiatricmental health nurse is preparing a presentation about recovery for a group of newly hired nurses
11. A nursing student is reviewing journal articles about major depression. One of the articles describes the number for the mental health facility. Which of the following would the nurse identify as one of the most important
of persons newly diagnosed with the disorder during the past year. The student interprets this as which of concepts?
the following? A) Self-direction
A) Rate B) Peer support
B) Prevalence C) Respect
C) Point prevalence D) Hope
D) Incidence
19. The nurse is reviewing the medical record of a patient and notes the information below. Which of the following
12. While working in a community mental health treatment center, the nurse overhears one of the receptionists would be found on Axis III? Select all that apply.
saying that one of the patients is really psycho. Later in the day, the nurse talks with the receptionist A) Cocaine dependence
about the comment. This action by the nurse demonstrates an attempt to address which issue? B) Bipolar I disorder
A) Lack of knowledge C) Chronic obstructive pulmonary disorder
B) Public stigma D) Cellulitis
C) Label avoidance E) Homelessness
D) Self-stigma F) Arrest for cocaine possession with intent to sell
13. After teaching a group of students about mental health and mental illness, the instructor determines that the 20. A college-aged student and his friend arrive at the student health center. The friend reports that the
teaching was successful when the group identifies which of the following as reflecting mental disorders?
patient has been having difficulties concentrating, remembering, and thinking. He‟s had quite a few
A) Capacity to interact with others research papers due this past week. After ruling out other problems, the nurse determines that the patient
B) Ability to deal with ordinary stress is experiencing a culture-bound syndrome. Which of the following would the nurse most likely suspect?
C) Alteration in mood or thinking A) Ataque de nervios
D) Lack of impaired functioning B) Brain fog
C) Mal de ojo
14. A nurse is preparing a presentation for a local community group about mental disorders and plans to include D) Shenjing shuairo
how mental disorders are different from medical disorders. Which statement would be most appropriate
for the nurse to include?
A) Mental disorders are defined by an underlying biological pathology. Answer Key
B) Numerous laboratory tests are used to aid in the diagnosis of mental disorders.
C) Cluster of behaviors, thoughts, and feelings characterize mental disorders. D) Manifestations of 1. A
mental disorders are within normal, expected parameters. 2. A
3. B
4. A
5. C
TEST BANK FOR PSYCHIATRIC NURSING: Chapter 30: Addiction and Substance-Related Disorders 113 Chapter 31: Eating
Disorders: Management of Eating and Weight 117 Chapter 32: Somatic Symptom and
CONTEMPORARY PRACTICE, 6TH EDITION – Related Disorders 121 Chapter 33: Nursing Care of Persons with Insomnia and Sleep
Problems 125 Chapter 34: Sexual Disorders: Management of Sexual Dysfunction and
MARY ANN BOYD | COMPLETE CHAPTERS | Paraphilias 129 Chapter 35: Mental Health Assessment of Children and Adolescents
132 Chapter 36: Mental Health Disorders of Childhood and Adolescence 135
VERIFIED ANSWERS & RATIONALES | ISBN 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
9781451192438 146 Chapter 40: Caring for Persons With Co-occurring Mental Disorders
Chapter 41: Caring for Survivors of Violence and Abuse
150
154 Chapter 42: Caring for
Persons With Mental Illness and Criminal Behavior 158
Chapter 43: Caring for Medically Compromised Persons 162
Table of Contents
Table of Contents 1
Chapter 01: Psychiatric-Mental Health Nursing and Evidence-Based
2
Practice
Chapter 01: Psychiatric-Mental Health Nursing and Evidence-Based Practice
Chapter 02: Mental Health and Mental Disorders 6
Chapter 03: Cultural and Spiritual Issues Related to Mental Health Care 10 1. A group of nursing students are reviewing information about the evolution of mental health care and are
Chapter 04: Patient Rights and Legal Issues 14 discussing the recommendations of the final report of the Joint Commission on Mental Illness and Health.
Chapter 05: Mental Health Care in the Community 18 The students demonstrate understanding of this information when they identify that the report
Chapter 06: Ethics, Standards, and Nursing Frameworks 21 recommended an increase in which of the following?
Chapter 07: Psychosocial Theoretic Basis of Psychiatric Nursing 25 A) Numbers of mental health hospitals
Chapter 08: Biologic Foundations of Psychiatric Nursing 29 B) State funding for mental health care
Chapter 09: Communication and the Therapeutic Relationship 33 C) Clinics supplemented by general hospital units
Chapter 10: The Psychiatric-Mental Health Nursing Process 37 D) Use of psychotherapy by psychiatrists
Chapter 11: Psychopharmacology, Dietary Supplements, and Biologic Interventions 41
Chapter 12: Cognitive Interventions in Psychiatric Nursing 46 2. A nurse is reviewing the American Nurses Association‟s Statement on Psychiatric Nursing Practice
Chapter 13: Group Interventions 50 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
Chapter 14: Family Assessment and Interventions 54
illness, the nurse identifies which of the following as most strongly linked to this holistic approach?
Chapter 15: Mental Health Promotion for Children and Adolescents 58
A) Sigmund Freud‟s psychoanalytic theory
Chapter 16: Mental Health Promotion for Young and Middle-Aged Adults 61
B) Florence Nightingale‟s Notes on Nursing
Chapter 17: Mental Health Promotion for Older Adults 64
C) Hildegarde
Chapter 18: Stress and Mental Health 68
D) Clifford Beers‟ A Mind That Found Itself E) Peplau‟s Interpersonal Relations in Nursing
Chapter 19: Management of Anger, Aggression, and Violence 72
Chapter 20: Crisis, Loss, Grief, Response, Bereavement, and Disaster Management 76 3. A nursing instructor is preparing a presentation about key events and people that influenced the development of
Chapter 21: Suicide Prevention: Screening, Assessment, and Intervention 80 contemporary mental health and illness care. When describing the effects of World War II, which of the
Chapter 22: Schizophrenia and Related Disorders: Nursing Care of Persons with Thought following would the instructor include?
Disorders 84 Chapter 23: Depression: Management of Depressive Moods and Suicidal A) People began to view mental illness as more commonplace and acceptable.
Behavior 92 Chapter 24: Bipolar Disorders: Management of Mood Lability 96 B) The biologic understanding of mental illness was almost fully developed.
Chapter 25: Anxiety Disorders: Management of Anxiety, Phobia, and Panic 99 Chapter 26: C) Deinstitutionalization occurred in response to the community health movement. D) Mental
Obsessive Compulsive and Related Disorders 103 Chapter 27: Trauma and Stressor illnesses became categorized as psychoses or neuroses.
Related Disorders 105
Chapter 28: Personality and Borderline Personality Disorder: Management of Emotional 4. A nursing student is presenting a discussion of the history of psychiatricmental health nursing and its place
Dysregulation and Self-Harm 106 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
Chapter 29: Antisocial Personality and Disruptive, Impulse Control, and Conduct Disorders community mental health centers.
109 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.
, 4
3 B) New Freedom Commission on Mental Health
C) Action for Mental Health
5. Two nursing students are discussing psychiatricmental health nursing and the role it has played in nursing‟s D) Mental Retardation Facilities and Community Mental Health Centers Construction Act
overall history. Which statement is most accurate?
A) The importance of using therapeutic communication was stressed by Nightingale. 13. As part of a career day presentation to a group of nursing students, a psychiatricmental health nurse plans to
B) The use of self-care to enhance the immune system was taught by Dorothea Dix. describe how this specialty developed. Which individual would the nurse describe as playing a major role
C) The moral treatment of mental illness was a primary focus of deinstitutionalization. D) Peplau was in the development of specialty training programs for psychiatric nurses?
the first nurse to stress the importance of therapeutic communication. A) Mary Adelaide Nutting
B) Hildegarde Peplau
6. When reviewing the evolution of mental health and illness care, which event is associated with mental disorders C) Harriet Bailey D) Linda Richards
beginning to be viewed as illnesses requiring treatment?
A) Establishment of Pennsylvania Hospital in Philadelphia 14. A psychiatricmental health nurse is asked to be a guest speaker at a community fund-raising event for mental
B) Quaker establishment of asylums health services. Which of the following would the nurse emphasize as the primary goal of mental health
C) Creation of the state hospital system services?
D) Freud‟s views on the causes of mental illnesses A) Access to affordable mental health care
B) Removal of exclusions because of preexisting conditions
7. A psychiatricmental health nurse is working on a committee that is developing programs that integrate the C) Recovery from mental illness
objectives for mental health and mental disorders as identified in Healthy People 2020. Which type of D) Effective treatment for mental health care needs
program would be least appropriate?
A) Single substance abuse treatment programs 15. A psychiatricmental health nurse is implementing evidence-based practice. The nurse understands that this
B) Depression screening programs for primary care providers approach is developed by doing which of the following first?
C) Mental health programs for the homeless population D) Employment programs for those with A) Conducting research
serious mental illness B) Identifying a clinical question C) Determining outcomes D)
Collaborating with the patient
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. 16. A group of students are reviewing information about mental health care after World War II. The students
A) Research findings demonstrate understanding of this information when they identify which of the following as a result of
B) Expert opinion the National Mental Health Act?
C) Clinical experiences A) Discovery of psychopharmacology
D) Patient data E) Established routines B) Passage of the Hill-Burton Act
C) Establishment of the National Institute of Mental Health
9. The following events are important in the development of psychiatricmental health nursing practice. Which D) Development of community mental health centers
event occurred first?
A) Publication of Standards of Psychiatric-Mental Health Nursing by the ANA 17. When providing care to a patient, the psychiatricmental health nurse is implementing the therapeutic use of
B) Publication of Standards of Child and Adolescent Psychiatric and Mental Health Nursing Practice self. The nurse is applying the concepts based on the work of which individual?
C) Establishment of the first graduate program in psychiatric nursing at Rutgers University A) Hildegarde Peplau
D) Publication of the first psychiatric nursing text, Nursing Mental Disease, by Harriet Bailey B) Florence Nightingale
C) Dorothea Dix
10. A nurse is preparing a presentation about the current status of mental health services in the United States. D) Sigmund Freud
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. 18. After teaching a class to a group of nursing students about the historical perspectives of mental health care,
B) Mental illness ranks second in terms of causing disability in comparison. the instructor determines that the group has understood the information when they identify which of the
C) Mental health care primarily focuses on the cure of mental illness. D) Mental health following as a common belief about mental illness during the medieval period? A) Mental illness in an individual
care services are inadequate and fragmented. was the result of being possessed by demons.
B) A person was removed from a contaminated environment to protect him or her.
11. A group of students are reviewing the goals identified by the New Freedom Commission on Mental C) Exorcisms were used as primary mode of treatment to cleanse the person of his or her sins. D)
Health. The students demonstrate understanding of this report when they identify which of the The focus was on moral treatment to promote the individual‟s safety and comfort.
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. Answer Key
C) Screening is of greater importance than assessment and referral for services. D) Disparities in
1. C
mental health services are decreased.
2. B
12. The following are important legislative and policy efforts influencing current mental health care. Which of the 3. A
following is the most recent? 4. C
A) Mental Health: A Report of the Surgeon General 5. A 6. A
7. A
, 6
5 Chapter 02: Mental Health and Mental Disorders
8. A, B, C, D
9. D
10. D 1. A nursing instructor is describing the DSM-IV-TR to a group of nursing students. Which of the
following would the instructor include as the primary purpose of this classification? A) Provide a
11. B commonly understood diagnostic category for clinical practice.
12. A B) Describe treatment modalities for psychiatric disorders and mental illnesses.
13. B C) Identify various etiologies for mental disorders based on family histories. D) Provide
14. C optimal outcomes for treatment for individuals with mental illnesses.
15. B
16. C 2. A nurse is providing care to a patient with a mental disorder classified by the DSM-IV-TR. The nurse
17. A understands that although the first three axes appear to contain all the diagnostic information about a
18. B patient, a truly accurate picture of the client is incomplete without considering other factors such as an
estimate of current functioning and:
A) Life stressors
B) Cultural background
C) Marital status
D) Genetic history
3. A patient‟s global assessment functioning reveals that he has minimal symptoms with good functioning in all
areas. Which score would the nurse correlate with these findings?
A) 94 B)
82 C)
75
D) 63
4. A female patient was admitted to the hospital with pneumonia, and in the course of her treatment, it was
determined that she was experiencing alcohol dependence because she began experiencing alcohol
withdrawal while she was in the hospital. When the psychiatrist who was called in as a consultant
documented the patient‟s mental disorder, he identified her alcohol dependence on which axis?
A) Axis I
B) Axis II
C) Axis III D) Axis IV
5. A 25-year-old woman who recently had abdominal surgery was admitted to the psychiatric unit, where it was
determined that she had a borderline personality disorder. During the first week on the unit, it was
determined that she also has diabetes. Her diabetes mellitus would be listed in which axis of her DSM-IV-
TR diagnosis?
A) Axis I
B) Axis II
C) Axis III D) Axis IV
6. As part of a class activity, nursing students are engaged in a small group discussion about the
epidemiology of mental illness. Which statement best explains the importance of epidemiology in
understanding the impact of mental disorders?
A) Epidemiology helps promote understanding of the patterns of occurrence associated with mental
disorders.
B) Epidemiology helps explain research findings about the neurophysiology that causes mental disorders.
C) Epidemiology provides a thorough theoretical explanation of why specific mental disorders occur.
D) Epidemiology predicts when a specific psychiatric client will recover from a specific mental disorder.
7. A nurse is working in a community mental health center that provides care to a large population of Asian
descent. When developing programs for this community, which of the following would be most important
for the nurse to address?
A) Public stigma
B) Self-stigma
C) Label avoidance D) Negative life events
, 8
7 15. Which of the following would a nurse identify as being categorized as Axis I in the DSM-IV-TR? Select all
that apply.
8. A group of students are reviewing the multiaxial diagnostic system of the DSM-IV-TR. The students A) Paranoid personality disorder
demonstrate understanding of the axes when they identify that each axis represents which of the B) Posttraumatic stress disorder
following? C) Anorexia nervosa
A) An evidence-based research finding D) Mental retardation
B) An experimental design to guide care E) Unemployment
C) A domain of information F) Coronary artery disease
D) A laboratory test finding
16. A psychiatricmental health nurse is providing care for a patient with a mental disorder. The patient is
9. A nursing student is assigned to care for a patient diagnosed with schizophrenia. When talking about this patient participating in the decision-making process. The nurse interprets this as which component of recovery?
in a clinical postconference, the student would use which terminology when referring to the patient? A) Self-direction
A) Committed patient B) Empowerment
B) Schizophrenic C) Person-centered
C) Schizophrenic patient D) Holistic
D) Person with schizophrenia
17. A nurse is explaining recovery to the family of a patient diagnosed with a mental disorder. Which
10. Mrs. Green is a patient on a psychiatric unit. At the time of her admission, her dog was killed when a car statement would be most appropriate for the nurse to include about this process? A) It is a step-by-step
accidentally ran over it; in addition to that, she just found out that her mother has been diagnosed with process from being ill to being well.
colon cancer. This information would be addressed in which DSM-IV axis? B) The patient focuses mainly on the emotional aspects of his condition.
A) Axis I C) The patient is helped to live a meaningful life to his fullest potential. D) Although peer
B) Axis II support is important, the self-acceptance is essential.
C) Axis III D) Axis IV
18. A psychiatricmental health nurse is preparing a presentation about recovery for a group of newly hired nurses
11. A nursing student is reviewing journal articles about major depression. One of the articles describes the number for the mental health facility. Which of the following would the nurse identify as one of the most important
of persons newly diagnosed with the disorder during the past year. The student interprets this as which of concepts?
the following? A) Self-direction
A) Rate B) Peer support
B) Prevalence C) Respect
C) Point prevalence D) Hope
D) Incidence
19. The nurse is reviewing the medical record of a patient and notes the information below. Which of the following
12. While working in a community mental health treatment center, the nurse overhears one of the receptionists would be found on Axis III? Select all that apply.
saying that one of the patients is really psycho. Later in the day, the nurse talks with the receptionist A) Cocaine dependence
about the comment. This action by the nurse demonstrates an attempt to address which issue? B) Bipolar I disorder
A) Lack of knowledge C) Chronic obstructive pulmonary disorder
B) Public stigma D) Cellulitis
C) Label avoidance E) Homelessness
D) Self-stigma F) Arrest for cocaine possession with intent to sell
13. After teaching a group of students about mental health and mental illness, the instructor determines that the 20. A college-aged student and his friend arrive at the student health center. The friend reports that the
teaching was successful when the group identifies which of the following as reflecting mental disorders?
patient has been having difficulties concentrating, remembering, and thinking. He‟s had quite a few
A) Capacity to interact with others research papers due this past week. After ruling out other problems, the nurse determines that the patient
B) Ability to deal with ordinary stress is experiencing a culture-bound syndrome. Which of the following would the nurse most likely suspect?
C) Alteration in mood or thinking A) Ataque de nervios
D) Lack of impaired functioning B) Brain fog
C) Mal de ojo
14. A nurse is preparing a presentation for a local community group about mental disorders and plans to include D) Shenjing shuairo
how mental disorders are different from medical disorders. Which statement would be most appropriate
for the nurse to include?
A) Mental disorders are defined by an underlying biological pathology. Answer Key
B) Numerous laboratory tests are used to aid in the diagnosis of mental disorders.
C) Cluster of behaviors, thoughts, and feelings characterize mental disorders. D) Manifestations of 1. A
mental disorders are within normal, expected parameters. 2. A
3. B
4. A
5. C
