Test Bank - c c
Psychiatric Nursing:Co
c c c
ntemporaryPractice 6th c c c
Edition by Mary Ann Boy
c c c c
d – All Chapters.
c c c
,TestcBankc-cPsychiatriccNursing:cContemporarycPracticec(6thcEditioncbycMarycAnncBoyd) 1
Table of Contents
c c
TablecofcContents 1
Chapterc01:cPsychiatric-MentalcHealthcNursingcandcEvidence-BasedcPractice 2
Chapterc02:cMentalcHealthcandcMentalcDisorders 6
Chapterc03:cCulturalcandcSpiritualcIssuescRelatedctocMentalcHealthcCare 10
Chapterc04:cPatientcRightscandcLegalcIssues 14
Chapterc05:cMentalcHealthcCarecincthecCommunity 18
Chapterc06:cEthics,cStandards,candcNursingcFrameworks 21
Chapterc07:cPsychosocialcTheoreticcBasiscofcPsychiatriccNursing 25
Chapterc08:cBiologiccFoundationscofcPsychiatriccNursing 29
Chapterc09:cCommunicationcandcthecTherapeuticcRelationship 33
Chapterc10:cThecPsychiatric-MentalcHealthcNursingcProcess 37
Chapterc11:cPsychopharmacology,cDietarycSupplements,candcBiologiccInterventions 41
Chapterc12:cCognitivecInterventionscincPsychiatriccNursing 46
Chapterc13:cGroupcInterventions 50
Chapterc14:cFamilycAssessmentcandcInterventions 54
Chapterc15:cMentalcHealthcPromotioncforcChildrencandcAdolescents 58
Chapterc16:cMentalcHealthcPromotioncforcYoungcandcMiddle-AgedcAdults 61
Chapterc17:cMentalcHealthcPromotioncforcOldercAdults 64
Chapterc18:cStresscandcMentalcHealth 68
Chapterc19:cManagementcofcAnger,cAggression,candcViolence 72
Chapterc20:cCrisis,cLoss,cGrief,cResponse,cBereavement,candcDisastercManagement 76
Chapterc21:cSuicidecPrevention:cScreening,cAssessment,candcIntervention 80
Chapterc22:cSchizophreniacandcRelatedcDisorders:cNursingcCarecofcPersonscwithcThought
Disorders 84
Chapterc23:cDepression:cManagementcofcDepressivecMoodscandcSuicidalcBehaviorcChapt 92
erc24:cBipolarcDisorders:cManagementcofcMoodcLability 96
Chapterc25:cAnxietycDisorders:cManagementcofcAnxiety,cPhobia,candcPaniccChapterc 99
26:cObsessivecCompulsivecandcRelatedcDisorders 103
Chapterc27:cTraumacandcStressorcRelatedcDisorders 105
Chapterc28:cPersonalitycandcBorderlinecPersonalitycDisorder:cManagementcofcEmotionalcD
ysregulationcandcSelf-Harm 106
Chapterc29:cAntisocialcPersonalitycandcDisruptive,cImpulsecControl,candcConductcDisorders
109
Chapterc30:cAddictioncandcSubstance-RelatedcDisorders 113
Chapterc31:cEatingcDisorders:cManagementcofcEatingcandcWeightcChapterc 117
32:cSomaticcSymptomcandcRelatedcDisorders 121
Chapterc33:cNursingcCarecofcPersonscwithcInsomniacandcSleepcProblems 125
Chapterc34:cSexualcDisorders:cManagementcofcSexualcDysfunctioncandcParaphiliascC 129
hapterc35:cMentalcHealthcAssessmentcofcChildrencandcAdolescents 132
Chapterc36:cMentalcHealthcDisorderscofcChildhoodcandcAdolescencecChapt 135
erc37:cMentalcHealthcAssessmentcofcOldercAdults 139
Chapterc38:cNeurocognitivecDisorders 142
Chapterc39:cCaringcforcPersonscWhocArecHomelesscandcMentallycIllcC 146
hapterc40:cCaringcforcPersonscWithcCo- 150
occurringcMentalcDisorderscChapterc41:cCaringcforcSurvivorscofcViolen 154
cecandcAbuse 158
Chapterc42:cCaringcforcPersonscWithcMentalcIllnesscandcCriminalcBehaviorcC 162
hapterc43:cCaringcforcMedicallycCompromisedcPersons
, 2
Chapter 01: Psychiatric-
c c
Mental HealthNursing and Evidence-
c c c c
Based Practice
c
1. Acgroupcofcnursingcstudentscarecreviewingcinformationcaboutcthec
evolutioncofcmentalchealthccarecandcarecdiscussingcthecrecommen
dationscofcthecfinalcreportcofcthecJointcCommission
oncMentalcIllnesscandcHealth.cThecstudentscdemonstratecundersta
ndingcofcthiscinformationcwhenctheycidentifycthatcthecreportcrecom
mendedcancincreasecincwhichcofcthecfollowing?
A) Numberscofcmentalchealthchospitals
B) Statecfundingcforcmentalchealthccare
C) Clinics supplemented by general hospital units
D) Usecofcpsychotherapycbycpsychiatrists
2. AcnurseciscreviewingcthecAmericancNursescAssociation’s
StatementconcPsychiatriccNursingcPracticecpublishedcinc1967,
whichcsanctionedcthecinvolvementcofcpsychiatricmentalchealthcnursescincthecprovisioncofcholisticcnu
rsingccare.cIntegratingcknowledgecofcthecvariousctheoriescandcviewscofcmentalchealthcandcillness,cthec
nursecidentifiescwhichcofcthecfollowingcascmostcstronglyclinkedctocthischolisticcapproach?
A) SigmundcFreud’scpsychoanalyticctheory
B) Florence Nightingale’s Notes on Nursing
C) Hildegarde
D) CliffordcBeers’cAcMindcThatcFoundcItself
E) Peplau’scInterpersonalcRelationscincNursing
3. Acnursingcinstructorciscpreparingcacpresentationcaboutckeyceventscandcpeoplecthatcinfluencedcthecdevelop
mentcofccontemporarycmentalchealthcandcillnessccare.cWhencdescribingctheceffectscofcWorldcWarcII,cwhich
cofcthecfollowingcwouldcthecinstructorcinclude?
A) People began to view mental illness as more commonplace and acceptable.
B) Thecbiologiccunderstandingcofcmentalcillnesscwascalmostcfullycdeveloped.
C) Deinstitutionalizationcoccurredcincresponsectoctheccommunitychealthcmovement.
D) Mentalcillnessescbecameccategorizedcascpsychosescorcneuroses.
4. Acnursingcstudentciscpresentingcacdiscussioncofcthechistorycofcpsychiatricmentalchealthcnursingcandcitscp
lacecwithincnursingchistory.cWhichcofcthecfollowingcwouldcbecmostcappropriatectocinclude?
A) CertificationcforcthecpsychiatricmentalchealthcnursingcspecialtycwascfirstcemphasizedcbycMaryc
AdelaidecNutting.
B) Psychiatriccnursescplayedcacpartcincseeingcthatcallcdeinstitutionalizedcpatientscgotctreatmentcatcc
ommunitycmentalchealthccenters.
C) There is a historical link between the first nursing program to admit male students and the first
trainingcschoolcforcpsychiatriccnursing.c
D)
Thecfirstcgraduatecprogramcincpsychiatriccnursescwascestablishedcincresponsectocthecpublic
ationcofcpsychiatriccnursingcspecialtycjournals.
5. Twocnursingcstudentscarecdiscussingcpsychiatricmentalchealthcnursingcandcthecrolecitchascplayedcincn
ursing’scoverallchistory.cWhichcstatementciscmostcaccurate?
A) ThecimportancecofcusingctherapeuticccommunicationcwascstressedcbycNightingale.c
B) Thecusecofcself-carectocenhancecthecimmunecsystemcwasctaughtcbycDorotheacDix.
C) Thecmoralctreatmentcofcmentalcillnesscwascacprimarycfocuscofcdeinstitutionalization.
D) Peplaucwascthecfirstcnursectocstresscthecimportancecofctherapeuticccommunication.
6. Whencreviewingcthecevolutioncofcmentalchealthcandcillnessccare,cwhichceventciscassociatedcwithcmentalcd
isorderscbeginningctocbecviewedcascillnessescrequiringctreatment?
A) EstablishmentcofcPennsylvaniacHospitalcincPhiladelphiacc
, 3
B) Quakercestablishmentcofcasylums
C) Creationcofcthecstatechospitalcsystem
D) Freud’scviewsconctheccausescofcmentalcillnesses
7. Acpsychiatricmentalchealthcnurseciscworkingconcaccommitteecthatciscdevelopingcprogramscthatcintegratect
hecobjectivescforcmentalchealthcandcmentalcdisorderscascidentifiedcincHealthycPeoplec2020.cWhichctypecof
cprogramcwouldcbecleastcappropriate?
A) Single substance abuse treatment programs
B) Depressioncscreeningcprogramscforcprimaryccarecproviders
C) Mentalchealthcprogramscforcthechomelesscpopulation
D) Employmentcprogramscforcthosecwithcseriouscmentalcillness
8. Acnursingcinstructorciscdescribingcthecconceptcofcevidence-
basedcpracticecincpsychiatricmentalchealthcnursing.cWhichcofcthecfollowingcwouldcthecinstructorcinclude
A) Research findings
cascbeingcimportant? cSelectcallcthatcapply.
B) Expert opinion
C)
Clinicalcexperiencesc
D) Patientcdata
E) Establishedc routines
9. Thecfollowingceventscarecimportantcincthecdevelopmentcofcpsychiatricmentalchealthcnursingcpractice.c
Whichceventcoccurredcfirst?
A) PublicationcofcStandardscofcPsychiatric-MentalcHealthcNursingc bycthecANA
B) PublicationcofcStandardscofcChildcandcAdolescentcPsychiatriccandcMentalcHealthcNursingcPractice
C) EstablishmentcofcthecfirstcgraduatecprogramcincpsychiatriccnursingcatcRutgerscUniversity
D) Publicationcofcthecfirstcpsychiatriccnursingctext,cNursingcMentalcDisease,cbycHarrietcBaileyc
10. AcnurseciscpreparingcacpresentationcaboutctheccurrentcstatuscofcmentalchealthcservicescincthecUnitedcSt
ates.cWhichcstatementcwouldcthecnursecincludecascthecmostcreflectivecofcthiscstatus?
A) MentalchealthccarecincthecUnitedcStatesciscequallycaccessiblectocindividuals.
B) Mentalcillnesscrankscsecondcinctermscofccausingcdisabilitycinccomparison.
C) Mentalchealthccarecprimarilycfocusesconctheccurecofcmentalcillness.c
D) Mentalchealthccarecservicescarecinadequatecandcfragmented.cc
11. AcgroupcofcstudentscarecreviewingcthecgoalscidentifiedcbycthecNewcFreedomcCommissionconcMentalc
Health.cThecstudentscdemonstratecunderstandingcofcthiscreportcwhenctheycidentifycwhichcofcthecfollo
wingcascacgoal?
A) Mentalchealthciscviewedcasconeccomponentcofcoverallchealth.
B) Thecconsumercandcfamilycarecthecdrivingcforcescforcmentalchealthccare.c
C) Screeningciscofcgreatercimportancecthancassessmentcandcreferralcforcservices.
D) Disparitiescincmentalchealthcservicescarecdecreased.
12. Thecfollowingcarecimportantclegislativecandcpolicyceffortscinfluencingccurrentcmentalchealthccare.cWhichco
fcthecfollowingciscthecmostcrecent?
A) MentalcHealth:cAcReportcofcthecSurgeoncGeneral
B) NewcFreedomcCommissionconcMentalcHealth
C) ActioncforcMentalcHealth
D) MentalcRetardationcFacilitiescandcCommunitycMentalcHealthcCenterscConstructioncAct
13. Ascpartcofcaccareercdaycpresentationctocacgroupcofcnursingcstudents,cacpsychiatricmentalchealthcnursecplan
sctocdescribechowcthiscspecialtycdeveloped.cWhichcindividualcwouldcthecnursecdescribecascplayingcacmajo
rcrolecincthecdevelopmentcofcspecialtyctrainingcprogramscforcpsychiatriccnurses?
A)
MarycAdelaidecNuttingc
B) HildegardecPeplau
Psychiatric Nursing:Co
c c c
ntemporaryPractice 6th c c c
Edition by Mary Ann Boy
c c c c
d – All Chapters.
c c c
,TestcBankc-cPsychiatriccNursing:cContemporarycPracticec(6thcEditioncbycMarycAnncBoyd) 1
Table of Contents
c c
TablecofcContents 1
Chapterc01:cPsychiatric-MentalcHealthcNursingcandcEvidence-BasedcPractice 2
Chapterc02:cMentalcHealthcandcMentalcDisorders 6
Chapterc03:cCulturalcandcSpiritualcIssuescRelatedctocMentalcHealthcCare 10
Chapterc04:cPatientcRightscandcLegalcIssues 14
Chapterc05:cMentalcHealthcCarecincthecCommunity 18
Chapterc06:cEthics,cStandards,candcNursingcFrameworks 21
Chapterc07:cPsychosocialcTheoreticcBasiscofcPsychiatriccNursing 25
Chapterc08:cBiologiccFoundationscofcPsychiatriccNursing 29
Chapterc09:cCommunicationcandcthecTherapeuticcRelationship 33
Chapterc10:cThecPsychiatric-MentalcHealthcNursingcProcess 37
Chapterc11:cPsychopharmacology,cDietarycSupplements,candcBiologiccInterventions 41
Chapterc12:cCognitivecInterventionscincPsychiatriccNursing 46
Chapterc13:cGroupcInterventions 50
Chapterc14:cFamilycAssessmentcandcInterventions 54
Chapterc15:cMentalcHealthcPromotioncforcChildrencandcAdolescents 58
Chapterc16:cMentalcHealthcPromotioncforcYoungcandcMiddle-AgedcAdults 61
Chapterc17:cMentalcHealthcPromotioncforcOldercAdults 64
Chapterc18:cStresscandcMentalcHealth 68
Chapterc19:cManagementcofcAnger,cAggression,candcViolence 72
Chapterc20:cCrisis,cLoss,cGrief,cResponse,cBereavement,candcDisastercManagement 76
Chapterc21:cSuicidecPrevention:cScreening,cAssessment,candcIntervention 80
Chapterc22:cSchizophreniacandcRelatedcDisorders:cNursingcCarecofcPersonscwithcThought
Disorders 84
Chapterc23:cDepression:cManagementcofcDepressivecMoodscandcSuicidalcBehaviorcChapt 92
erc24:cBipolarcDisorders:cManagementcofcMoodcLability 96
Chapterc25:cAnxietycDisorders:cManagementcofcAnxiety,cPhobia,candcPaniccChapterc 99
26:cObsessivecCompulsivecandcRelatedcDisorders 103
Chapterc27:cTraumacandcStressorcRelatedcDisorders 105
Chapterc28:cPersonalitycandcBorderlinecPersonalitycDisorder:cManagementcofcEmotionalcD
ysregulationcandcSelf-Harm 106
Chapterc29:cAntisocialcPersonalitycandcDisruptive,cImpulsecControl,candcConductcDisorders
109
Chapterc30:cAddictioncandcSubstance-RelatedcDisorders 113
Chapterc31:cEatingcDisorders:cManagementcofcEatingcandcWeightcChapterc 117
32:cSomaticcSymptomcandcRelatedcDisorders 121
Chapterc33:cNursingcCarecofcPersonscwithcInsomniacandcSleepcProblems 125
Chapterc34:cSexualcDisorders:cManagementcofcSexualcDysfunctioncandcParaphiliascC 129
hapterc35:cMentalcHealthcAssessmentcofcChildrencandcAdolescents 132
Chapterc36:cMentalcHealthcDisorderscofcChildhoodcandcAdolescencecChapt 135
erc37:cMentalcHealthcAssessmentcofcOldercAdults 139
Chapterc38:cNeurocognitivecDisorders 142
Chapterc39:cCaringcforcPersonscWhocArecHomelesscandcMentallycIllcC 146
hapterc40:cCaringcforcPersonscWithcCo- 150
occurringcMentalcDisorderscChapterc41:cCaringcforcSurvivorscofcViolen 154
cecandcAbuse 158
Chapterc42:cCaringcforcPersonscWithcMentalcIllnesscandcCriminalcBehaviorcC 162
hapterc43:cCaringcforcMedicallycCompromisedcPersons
, 2
Chapter 01: Psychiatric-
c c
Mental HealthNursing and Evidence-
c c c c
Based Practice
c
1. Acgroupcofcnursingcstudentscarecreviewingcinformationcaboutcthec
evolutioncofcmentalchealthccarecandcarecdiscussingcthecrecommen
dationscofcthecfinalcreportcofcthecJointcCommission
oncMentalcIllnesscandcHealth.cThecstudentscdemonstratecundersta
ndingcofcthiscinformationcwhenctheycidentifycthatcthecreportcrecom
mendedcancincreasecincwhichcofcthecfollowing?
A) Numberscofcmentalchealthchospitals
B) Statecfundingcforcmentalchealthccare
C) Clinics supplemented by general hospital units
D) Usecofcpsychotherapycbycpsychiatrists
2. AcnurseciscreviewingcthecAmericancNursescAssociation’s
StatementconcPsychiatriccNursingcPracticecpublishedcinc1967,
whichcsanctionedcthecinvolvementcofcpsychiatricmentalchealthcnursescincthecprovisioncofcholisticcnu
rsingccare.cIntegratingcknowledgecofcthecvariousctheoriescandcviewscofcmentalchealthcandcillness,cthec
nursecidentifiescwhichcofcthecfollowingcascmostcstronglyclinkedctocthischolisticcapproach?
A) SigmundcFreud’scpsychoanalyticctheory
B) Florence Nightingale’s Notes on Nursing
C) Hildegarde
D) CliffordcBeers’cAcMindcThatcFoundcItself
E) Peplau’scInterpersonalcRelationscincNursing
3. Acnursingcinstructorciscpreparingcacpresentationcaboutckeyceventscandcpeoplecthatcinfluencedcthecdevelop
mentcofccontemporarycmentalchealthcandcillnessccare.cWhencdescribingctheceffectscofcWorldcWarcII,cwhich
cofcthecfollowingcwouldcthecinstructorcinclude?
A) People began to view mental illness as more commonplace and acceptable.
B) Thecbiologiccunderstandingcofcmentalcillnesscwascalmostcfullycdeveloped.
C) Deinstitutionalizationcoccurredcincresponsectoctheccommunitychealthcmovement.
D) Mentalcillnessescbecameccategorizedcascpsychosescorcneuroses.
4. Acnursingcstudentciscpresentingcacdiscussioncofcthechistorycofcpsychiatricmentalchealthcnursingcandcitscp
lacecwithincnursingchistory.cWhichcofcthecfollowingcwouldcbecmostcappropriatectocinclude?
A) CertificationcforcthecpsychiatricmentalchealthcnursingcspecialtycwascfirstcemphasizedcbycMaryc
AdelaidecNutting.
B) Psychiatriccnursescplayedcacpartcincseeingcthatcallcdeinstitutionalizedcpatientscgotctreatmentcatcc
ommunitycmentalchealthccenters.
C) There is a historical link between the first nursing program to admit male students and the first
trainingcschoolcforcpsychiatriccnursing.c
D)
Thecfirstcgraduatecprogramcincpsychiatriccnursescwascestablishedcincresponsectocthecpublic
ationcofcpsychiatriccnursingcspecialtycjournals.
5. Twocnursingcstudentscarecdiscussingcpsychiatricmentalchealthcnursingcandcthecrolecitchascplayedcincn
ursing’scoverallchistory.cWhichcstatementciscmostcaccurate?
A) ThecimportancecofcusingctherapeuticccommunicationcwascstressedcbycNightingale.c
B) Thecusecofcself-carectocenhancecthecimmunecsystemcwasctaughtcbycDorotheacDix.
C) Thecmoralctreatmentcofcmentalcillnesscwascacprimarycfocuscofcdeinstitutionalization.
D) Peplaucwascthecfirstcnursectocstresscthecimportancecofctherapeuticccommunication.
6. Whencreviewingcthecevolutioncofcmentalchealthcandcillnessccare,cwhichceventciscassociatedcwithcmentalcd
isorderscbeginningctocbecviewedcascillnessescrequiringctreatment?
A) EstablishmentcofcPennsylvaniacHospitalcincPhiladelphiacc
, 3
B) Quakercestablishmentcofcasylums
C) Creationcofcthecstatechospitalcsystem
D) Freud’scviewsconctheccausescofcmentalcillnesses
7. Acpsychiatricmentalchealthcnurseciscworkingconcaccommitteecthatciscdevelopingcprogramscthatcintegratect
hecobjectivescforcmentalchealthcandcmentalcdisorderscascidentifiedcincHealthycPeoplec2020.cWhichctypecof
cprogramcwouldcbecleastcappropriate?
A) Single substance abuse treatment programs
B) Depressioncscreeningcprogramscforcprimaryccarecproviders
C) Mentalchealthcprogramscforcthechomelesscpopulation
D) Employmentcprogramscforcthosecwithcseriouscmentalcillness
8. Acnursingcinstructorciscdescribingcthecconceptcofcevidence-
basedcpracticecincpsychiatricmentalchealthcnursing.cWhichcofcthecfollowingcwouldcthecinstructorcinclude
A) Research findings
cascbeingcimportant? cSelectcallcthatcapply.
B) Expert opinion
C)
Clinicalcexperiencesc
D) Patientcdata
E) Establishedc routines
9. Thecfollowingceventscarecimportantcincthecdevelopmentcofcpsychiatricmentalchealthcnursingcpractice.c
Whichceventcoccurredcfirst?
A) PublicationcofcStandardscofcPsychiatric-MentalcHealthcNursingc bycthecANA
B) PublicationcofcStandardscofcChildcandcAdolescentcPsychiatriccandcMentalcHealthcNursingcPractice
C) EstablishmentcofcthecfirstcgraduatecprogramcincpsychiatriccnursingcatcRutgerscUniversity
D) Publicationcofcthecfirstcpsychiatriccnursingctext,cNursingcMentalcDisease,cbycHarrietcBaileyc
10. AcnurseciscpreparingcacpresentationcaboutctheccurrentcstatuscofcmentalchealthcservicescincthecUnitedcSt
ates.cWhichcstatementcwouldcthecnursecincludecascthecmostcreflectivecofcthiscstatus?
A) MentalchealthccarecincthecUnitedcStatesciscequallycaccessiblectocindividuals.
B) Mentalcillnesscrankscsecondcinctermscofccausingcdisabilitycinccomparison.
C) Mentalchealthccarecprimarilycfocusesconctheccurecofcmentalcillness.c
D) Mentalchealthccarecservicescarecinadequatecandcfragmented.cc
11. AcgroupcofcstudentscarecreviewingcthecgoalscidentifiedcbycthecNewcFreedomcCommissionconcMentalc
Health.cThecstudentscdemonstratecunderstandingcofcthiscreportcwhenctheycidentifycwhichcofcthecfollo
wingcascacgoal?
A) Mentalchealthciscviewedcasconeccomponentcofcoverallchealth.
B) Thecconsumercandcfamilycarecthecdrivingcforcescforcmentalchealthccare.c
C) Screeningciscofcgreatercimportancecthancassessmentcandcreferralcforcservices.
D) Disparitiescincmentalchealthcservicescarecdecreased.
12. Thecfollowingcarecimportantclegislativecandcpolicyceffortscinfluencingccurrentcmentalchealthccare.cWhichco
fcthecfollowingciscthecmostcrecent?
A) MentalcHealth:cAcReportcofcthecSurgeoncGeneral
B) NewcFreedomcCommissionconcMentalcHealth
C) ActioncforcMentalcHealth
D) MentalcRetardationcFacilitiescandcCommunitycMentalcHealthcCenterscConstructioncAct
13. Ascpartcofcaccareercdaycpresentationctocacgroupcofcnursingcstudents,cacpsychiatricmentalchealthcnursecplan
sctocdescribechowcthiscspecialtycdeveloped.cWhichcindividualcwouldcthecnursecdescribecascplayingcacmajo
rcrolecincthecdevelopmentcofcspecialtyctrainingcprogramscforcpsychiatriccnurses?
A)
MarycAdelaidecNuttingc
B) HildegardecPeplau