Exam (elaborations) TEST BANK FOR PSYCHIATRIC NURSING Contemporary Practice 6th Edition Mary Ann Boyd

TEST BANK FOR PSYCHIATRIC NURSING Contemporary Practice 6th Edition Mary Ann BoydTable of Contents Table of Contents Chapter 01: Psychiatric-Mental Health Nursing and Evidence-Based Practice Chapter 02: Mental Health and Mental Disorders Chapter 03: Cultural and Spiritual Issues Related to Mental Health Care Chapter 04: Patient Rights and Legal Issues Chapter 05: Mental Health Care in the Community Chapter 06: Ethics, Standards, and Nursing Frameworks Chapter 07: Psychosocial Theoretic Basis of Psychiatric Nursing Chapter 08: Biologic Foundations of Psychiatric Nursing Chapter 09: Communication and the Therapeutic Relationship Chapter 10: The Psychiatric-Mental Health Nursing Process Chapter 11: Psychopharmacology, Dietary Supplements, and Biologic Interventions Chapter 12: Cognitive Interventions in Psychiatric Nursing Chapter 13: Group Interventions Chapter 14: Family Assessment and Interventions Chapter 15: Mental Health Promotion for Children and Adolescents Chapter 16: Mental Health Promotion for Young and Middle-Aged Adults Chapter 17: Mental Health Promotion for Older Adults Chapter 18: Stress and Mental Health Chapter 19: Management of Anger, Aggression, and Violence Chapter 20: Crisis, Loss, Grief, Response, Bereavement, and Disaster Management Chapter 21: Suicide Prevention: Screening, Assessment, and Intervention Chapter 22: Schizophrenia and Related Disorders: Nursing Care of Persons with Thought Disorders Chapter 23: Depression: Management of Depressive Moods and Suicidal Behavior Chapter 24: Bipolar Disorders: Management of Mood Lability Chapter 25: Anxiety Disorders: Management of Anxiety, Phobia, and Panic Chapter 26: Obsessive Compulsive and Related Disorders Chapter 27: Trauma and Stressor Related Disorders Chapter 28: Personality and Borderline Personality Disorder: Management of Emotional Dysregulation and Self-Harm Chapter 29: Antisocial Personality and Disruptive, Impulse Control, and Conduct Disorders Chapter 30: Addiction and Substance-Related Disorders Chapter 31: Eating Disorders: Management of Eating and Weight Chapter 32: Somatic Symptom and Related Disorders Chapter 33: Nursing Care of Persons with Insomnia and Sleep Problems Chapter 34: Sexual Disorders: Management of Sexual Dysfunction and Paraphilias Chapter 35: Mental Health Assessment of Children and Adolescents Chapter 36: Mental Health Disorders of Childhood and Adolescence Chapter 37: Mental Health Assessment of Older Adults Chapter 38: Neurocognitive Disorders Chapter 39: Caring for Persons Who Are Homeless and Mentally Ill Chapter 40: Caring for Persons With Co-occurring Mental Disorders Chapter 41: Caring for Survivors of Violence and Abuse Chapter 42: Caring for Persons With Mental Illness and Criminal Behavior Chapter 43: Caring for Medically Compromised Persons Test Bank - Psychiatric Nursing: Contemporary Practice (6th Edition by Boyd) 1 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 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 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 psychiatric mental health nursing and its place within nursing history. Which of the following would be most appropriate to include? A) Certification for the psychiatric mental 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 psychiatric mental 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 Test Bank - Psychiatric Nursing: Contemporary Practice (6th Edition by Boyd) 2 B) Quaker establishment of asylums C) Creation of the state hospital system D) Freud’s views on the causes of mental illnesses 7. A psychiatric mental 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 psychiatric mental 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 psychiatric mental 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 psychiatric mental 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 Test Bank - Psychiatric Nursing: Contemporary Practice (6th Edition by Boyd) 3 C) Harriet Bailey D) Linda Richards 14. A psychiatric mental health nurse is asked to be a guest speaker at a community fund-raising event for mental health services. Which of the following would the nurse emphasize as the primary goal of mental health services? A) Access to affordable mental health care B) Removal of exclusions because of preexisting conditions C) Recovery from mental illness D) Effective treatment for mental health care needs 15. A psychiatric mental health nurse is implementing evidence-based practice. The nurse understands that this approach is developed by doing which of the following first? A) Conducting research B) Identifying a clinical question C) Determining outcomes D) Collaborating with the patient 16. A group of students are reviewing information about mental health care after World War II. The students demonstrate understanding of this information when they identify which of the following as a result of the National Mental Health Act? A) Discovery of psychopharmacology B) Passage of the Hill-Burton Act C) Establishment of the National Institute of Mental Health D) Development of community mental health centers 17. When providing care to a patient, the psychiatric mental health nurse is implementing the therapeutic use of self. The nurse is applying the concepts based on the work of which individual? A) Hildegarde Peplau B) Florence Nightingale C) Dorothea Dix D) Sigmund Freud 18. After teaching a class to a group of nursing students about the historical perspectives of mental health care, the instructor determines that the group has understood the information when they identify which of the following as a common belief about mental illness during the medieval period? A) Mental illness in an individual was the result of being possessed by demons. B) A person was removed from a contaminated environment to protect him or her. C) Exorcisms were used as primary mode of treatment to cleanse the person of his or her sins. D) The focus was on moral treatment to promote the individual’s safety and comfort. Answer Key 1. C 2. B 3. A 4. C 5. A 6. A 7. A 8. A, B, C, D 9. D 10. D Test Bank - Psychiatric Nursing: Contemporary Practice (6th Edition by Boyd) 4 11. B 12. A 13. B 14. C 15. B 16. C 17. A 18. B Test Bank - Psychiatric Nursing: Contemporary Practice (6th Edition by Boyd) 5 Chapter 02: Mental Health and Mental Disorders 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 commonly understood diagnostic category for clinical practice. B) Describe treatment modalities for psychiatric disorders and mental illnesses. C) Identify various etiologies for mental disorders based on family histories. D) Provide optimal outcomes for treatment for individuals with mental illnesses. 2. A nurse is providing care to a patient with a mental disorder classified by the DSM-IV-TR. The nurse understands that although the first three axes appear to contain all the diagnostic information about a 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 Test Bank - Psychiatric Nursing: Contemporary Practice (6th Edition by Boyd) 6 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