Boyd Psychiatric nursing TEST BANK

Test Bank - Psychiatric Nursing: Contemporary Practice (6th Edition by Boyd)3B)Quaker establishment of asylumsC)Creation of the state hospital systemD)Freud's views on the causes of mental illnesses 7.A psychiatricmental health nurse is working on a committee that is developing programs that integratethe objectives for mental health and mental disorders as identified inHealthy People 2020.Which typeof program would be least appropriate?A)Single substance abuse treatment programsB)Depression screening programs for primary care providersC)Mental health programs for the homeless populationD)Employment programs for those with serious mental illness 8.A nursing instructor is describing the concept of evidence-based practice in psychiatricmental healthnursing. Which of the following would the instructor include as being important? Select all that apply.A)Research findingsB)Expert opinionC)Clinical experiencesD)Patient dataE)Established routines 9.The following events are important in the development of psychiatricmental health nursing practice.Which event occurred first?A)Publication ofStandards of Psychiatric-Mental Health Nursingby the ANAB)Publication ofStandards of Child and Adolescent Psychiatric and Mental Health Nursing PracticeC)Establishment of the first graduate program in psychiatric nursing at Rutgers UniversityD)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 UnitedStates. 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 theNew Freedom Commission on MentalHealth.The students demonstrate understanding of this report when they identify which of thefollowing 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. Whichof the following is the most recent?A)Mental Health: A Report of the Surgeon GeneralB)New Freedom Commission on Mental HealthC)Action for Mental HealthD)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 nurseplans to describe how this specialty developed. Which individual would the nurse describe as playing amajor role in the development of specialty training programs for psychiatric nurses?A)Mary Adelaide NuttingB)Hildegarde Peplau Test Bank - Psychiatric Nursing: Contemporary Practice (6th Edition by Boyd)4C)Harriet BaileyD)Linda Richards 14.A psychiatricmental health nurse is asked to be a guest speaker at a community fund-raising event formental health services. Which of the following would the nurse emphasize as the primary goal ofmental health services?A)Access to affordable mental health careB)Removal of exclusions because of preexisting conditionsC)Recovery from mental illnessD)Effective treatment for mental health care needs 15.A psychiatricmental health nurse is implementing evidence-based practice. The nurse understands thatthis approach is developed by doing which of the following first?A)Conducting researchB)Identifying a clinical questionC)Determining outcomesD)Collaborating with the patient 16.A group of students are reviewing information about mental health care after World War II. Thestudents demonstrate understanding of this information when they identify which of the following as aresult of the National Mental Health Act?A)Discovery of psychopharmacologyB)Passage of the Hill-Burton ActC)Establishment of the National Institute of Mental HealthD)Development of community mental health centers 17.When providing care to a patient, the psychiatricmental health nurse is implementing the therapeutic useof self. The nurse is applying the concepts based on the work of which individual?A)Hildegarde PeplauB)Florence NightingaleC)Dorothea DixD)Sigmund Freud 18.After teaching a class to a group of nursing students about the historical perspectives of mental healthcare, the instructor determines that the group has understood the information when they identify whichof 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 Key1.C2.B3.A4.C5.A6.A7.A8.A, B, C, D9.D10.D Test Bank - Psychiatric Nursing: Contemporary Practice (6th Edition by Boyd)511.B12.A13.B14.C15.B16.C17.A18.B Test Bank - Psychiatric Nursing: Contemporary Practice (6th Edition by Boyd)6Chapter 02: Mental Health and Mental Disorders 1.A nursing instructor is describing theDSM-IV-TRto a group of nursing students. Which of thefollowing 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 theDSM-IV-TR.The nurseunderstands that although the first three axes appear to contain all the diagnostic information about apatient, a truly accurate picture of the client is incomplete without considering other factors such as anestimate of current functioning and:A)Life stressorsB)Cultural backgroundC)Marital statusD)Genetic history 3.A patient's global assessment functioning reveals that he has minimal symptoms with good functioningin all areas. Which score would the nurse correlate with these findings?A)94B)82C)75D)63 4.A female patient was admitted to the hospital with pneumonia, and in the course of her treatment, it wasdetermined that she was experiencing alcohol dependence because she began experiencing alcoholwithdrawal while she was in the hospital. When the psychiatrist who was called in as a consultantdocumented the patient's mental disorder, he identified her alcohol dependence on which axis?A)Axis IB)Axis IIC)Axis IIID)Axis IV 5.A 25-year-old woman who recently had abdominal surgery was admitted to the psychiatric unit, whereit was determined that she had a borderline personality disorder. During the first week on the unit, itwas determined that she also has diabetes. Her diabetes mellitus would be listed in which axis of herDSM-IV-TRdiagnosis?A)Axis IB)Axis IIC)Axis IIID)Axis IV 6.As part of a class activity, nursing students are engaged in a small group discussion about theepidemiology of mental illness. Which statement best explains the importance of epidemiology inunderstanding the impact of mental disorders?A)Epidemiology helps promote understanding of the patterns of occurrence associated with mentaldisorders.B)Epidemiology helps explain research findings about the neurophysiology that causes mentaldisorders.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)7disorder.7.A nurse is working in a community mental health center that provides care to a large population ofAsian descent. When developing programs for this community, which of the following would be mostimportant for the nurse to address?A)Public stigmaB)Self-stigmaC)Label avoidanceD)Negative life events8.A group of students are reviewing the multiaxial diagnostic system of theDSM-IV-TR. The studentsdemonstrate understanding of the axes when they identify that each axis represents which of thefollowing?A)An evidence-based research findingB)An experimental design to guide careC)A domain of informationD)A laboratory test finding9.A nursing student is assigned to care for a patient diagnosed with schizophrenia. When talking aboutthis patient in a clinical postconference, the student would use which terminology when referring to thepatient?A)Committed patientB)SchizophrenicC)Schizophrenic patientD)Person with schizophrenia10.Mrs. Green is a patient on a psychiatric unit. At the time of her admission, her dog was killed when acar accidentally ran over it; in addition to that, she just found out that her mother has been diagnosedwith cancer. This information would be addressed in whichDSM-IVaxis?A)Axis IB)Axis IIC)Axis IIID)Axis IV11.A nursing student is reviewing journal articles about major depression. One of the articles describes thenumber of persons newly diagnosed with the disorder during the past year. The student interprets this aswhich of the following?A)RateB)PrevalenceC)D)Incidence12.While working in a community mental health treatment center, the nurse overhears one of thereceptionists saying that one of the patients is really psycho. Later in the day, the nurse talks with thereceptionist about the comment. This action by the nurse demonstrates an attempt to address whichissue?A)Lack of knowledgeB)Public stigmaC)Label avoidanceD)Self-stigma13.After teaching a group of students about mental health and mental illness, the instructor determines thatthe teaching was successful when the group identifies which of the following as reflecting mentaldisorders?