NSG 350 Mental Health
In 1952, Hildegard Peplau defined the psychiatric nurse's role as a:
a. professional who helps patients with attitude adjustment.
b. nurse who is extensively trained to care for psychiatric patients.
c. resource person, a teacher, a leader, and a counselor to patients.
d. professional who is certified to conduct psychosocial therapy sessions.
ANS: C
c. resource person, a teacher, a leader, and a counselor to patients.
2. The contribution of Linda Richards that remains a part of contemporary psychiatric nursing practice is
the idea that:
a. psychiatric nurses should have advanced preparation.
b. nurses should assess both the physical and the emotional needs of patients.
c. psychotic behavior must be controlled before serious psychotherapy begins.
d. basic physical needs must always be met before emotional needs are addressed.
ANS: B
b. nurses should assess both the physical and the emotional needs of patients.
3. A nurse states, "I plan ways for patients assigned to me to participate in their own care and to be
actively involved in all of the activities on the unit." This approach demonstrates the concept of:
a. social accountability.
b. therapeutic community.
c. nurse-patient relationship.
d. multidisciplinary mental health team.
ANS: B
b. therapeutic community.
,4. Hildegard Peplau's classic article "Interpersonal Techniques: The Crux of Psychiatric Nursing" directed
psychiatric nursing's future growth by stating that the primary role of the psychiatric nurse was that of:
a. leader.
b. teacher.
c. counselor.
d. surrogate parent.
ANS: C
c. counselor.
5. When teaching the orientation portion of a psychiatric nursing course, which statement would the
instructor be most likely to make to the students?
a. "There is one approved theoretical framework for psychiatric nursing practice."
b. "Psychiatric nursing has yet to be recognized as a core mental health discipline."
c. "Contemporary practice of psychiatric nursing is primarily focused on inpatient care."
d. "The psychiatric nursing patient may be an individual, a family, a group, or even a community."
ANS: D
d. "The psychiatric nursing patient may be an individual, a family, a group, or even a community."
6. For psychiatric nurses in the 1980s and 1990s, the scope of practice began to change to include:
a. psychiatric care and medical care given by the home care nurse.
b. new advances in the fields of psychobiology and technology.
c. psychoanalytical therapy provided by the psychiatric nurse in the outpatient setting.
d. new advances in the psychodynamic model of therapy made by the psychiatric nurse in the inpatient
setting.
ANS: B
b. new advances in the fields of psychobiology and technology.
7. During orientation to the inpatient psychiatric unit, new staff members are told, "Address all patients
by their title and surname unless you are directed by the patient to do otherwise." The belief that
underlies this directive is that:
,a. every person is worthy of respect.
b. every individual has the potential to change.
c. the goals of the individual are growth, health, autonomy, and self-actualization.
d. the person functions as a holistic being who reacts to the environment as a whole person.
ANS: A
a. every person is worthy of respect.
8. A psychiatric aide says, "I don't know why that patient does all that silly giggling and posturing. It's
senseless!" The best reply to this comment would address the psychiatric nursing principle that states:
a. every individual has the potential to change.
b. illness can be a growth-producing experience for the individual.
c. all behavior is meaningful, arising from personal needs and goals.
d. everyone has the right to self-determination that includes the pursuit of health.
ANS: C
c. all behavior is meaningful, arising from personal needs and goals.
9. The role of the psychiatric nurse in today's contemporary practice settings is:
a. centered on the nurse-patient partnership.
b. concentrated on psychosomatic therapies.
c. centered on management of the patient's daily needs.
d. caring for chronically ill psychiatric patients in acute-care settings.
ANS: A
a. centered on the nurse-patient partnership.
10. The primary opportunity provided by psychiatric clinical rotations for nursing students is an
opportunity to:
a. become familiar with patients who have chronic psychiatric mental health issues.
b. work with patients who have psychiatric as well as physical health issues.
c. learn to work with patients with various psychiatric mental health issues.
, d. learn to care for patients who have emotional disorders.
ANS: C
c. learn to work with patients with various psychiatric mental health issues.
11. Case supervision is a psychiatric nursing activity that falls within the nursing practice domain of:
a. community education.
b. communication.
c. management.
d. direct care.
ANS: D
d. direct care.
12. When one considers the roles and functions of psychiatric nursing, the overlap of communication
and management roles is seen in the function of:
a. teaching.
b. delegation.
c. direct care.
d. collaboration.
ANS: D
d. collaboration
13. The major determinants of the roles in which a psychiatric nurse engages are:
a. personal preference and age.
b. local custom and physician support.
c. state law and personal qualifications.
d. work setting and personal preference.
ANS: C
c. state law and personal qualifications.
In 1952, Hildegard Peplau defined the psychiatric nurse's role as a:
a. professional who helps patients with attitude adjustment.
b. nurse who is extensively trained to care for psychiatric patients.
c. resource person, a teacher, a leader, and a counselor to patients.
d. professional who is certified to conduct psychosocial therapy sessions.
ANS: C
c. resource person, a teacher, a leader, and a counselor to patients.
2. The contribution of Linda Richards that remains a part of contemporary psychiatric nursing practice is
the idea that:
a. psychiatric nurses should have advanced preparation.
b. nurses should assess both the physical and the emotional needs of patients.
c. psychotic behavior must be controlled before serious psychotherapy begins.
d. basic physical needs must always be met before emotional needs are addressed.
ANS: B
b. nurses should assess both the physical and the emotional needs of patients.
3. A nurse states, "I plan ways for patients assigned to me to participate in their own care and to be
actively involved in all of the activities on the unit." This approach demonstrates the concept of:
a. social accountability.
b. therapeutic community.
c. nurse-patient relationship.
d. multidisciplinary mental health team.
ANS: B
b. therapeutic community.
,4. Hildegard Peplau's classic article "Interpersonal Techniques: The Crux of Psychiatric Nursing" directed
psychiatric nursing's future growth by stating that the primary role of the psychiatric nurse was that of:
a. leader.
b. teacher.
c. counselor.
d. surrogate parent.
ANS: C
c. counselor.
5. When teaching the orientation portion of a psychiatric nursing course, which statement would the
instructor be most likely to make to the students?
a. "There is one approved theoretical framework for psychiatric nursing practice."
b. "Psychiatric nursing has yet to be recognized as a core mental health discipline."
c. "Contemporary practice of psychiatric nursing is primarily focused on inpatient care."
d. "The psychiatric nursing patient may be an individual, a family, a group, or even a community."
ANS: D
d. "The psychiatric nursing patient may be an individual, a family, a group, or even a community."
6. For psychiatric nurses in the 1980s and 1990s, the scope of practice began to change to include:
a. psychiatric care and medical care given by the home care nurse.
b. new advances in the fields of psychobiology and technology.
c. psychoanalytical therapy provided by the psychiatric nurse in the outpatient setting.
d. new advances in the psychodynamic model of therapy made by the psychiatric nurse in the inpatient
setting.
ANS: B
b. new advances in the fields of psychobiology and technology.
7. During orientation to the inpatient psychiatric unit, new staff members are told, "Address all patients
by their title and surname unless you are directed by the patient to do otherwise." The belief that
underlies this directive is that:
,a. every person is worthy of respect.
b. every individual has the potential to change.
c. the goals of the individual are growth, health, autonomy, and self-actualization.
d. the person functions as a holistic being who reacts to the environment as a whole person.
ANS: A
a. every person is worthy of respect.
8. A psychiatric aide says, "I don't know why that patient does all that silly giggling and posturing. It's
senseless!" The best reply to this comment would address the psychiatric nursing principle that states:
a. every individual has the potential to change.
b. illness can be a growth-producing experience for the individual.
c. all behavior is meaningful, arising from personal needs and goals.
d. everyone has the right to self-determination that includes the pursuit of health.
ANS: C
c. all behavior is meaningful, arising from personal needs and goals.
9. The role of the psychiatric nurse in today's contemporary practice settings is:
a. centered on the nurse-patient partnership.
b. concentrated on psychosomatic therapies.
c. centered on management of the patient's daily needs.
d. caring for chronically ill psychiatric patients in acute-care settings.
ANS: A
a. centered on the nurse-patient partnership.
10. The primary opportunity provided by psychiatric clinical rotations for nursing students is an
opportunity to:
a. become familiar with patients who have chronic psychiatric mental health issues.
b. work with patients who have psychiatric as well as physical health issues.
c. learn to work with patients with various psychiatric mental health issues.
, d. learn to care for patients who have emotional disorders.
ANS: C
c. learn to work with patients with various psychiatric mental health issues.
11. Case supervision is a psychiatric nursing activity that falls within the nursing practice domain of:
a. community education.
b. communication.
c. management.
d. direct care.
ANS: D
d. direct care.
12. When one considers the roles and functions of psychiatric nursing, the overlap of communication
and management roles is seen in the function of:
a. teaching.
b. delegation.
c. direct care.
d. collaboration.
ANS: D
d. collaboration
13. The major determinants of the roles in which a psychiatric nurse engages are:
a. personal preference and age.
b. local custom and physician support.
c. state law and personal qualifications.
d. work setting and personal preference.
ANS: C
c. state law and personal qualifications.
