Psychiatric Nursing:Co
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ntemporaryPractice 6th z z z
Edition by Mary Ann Boy
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d – All Chapters.
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,TestzBankz-zPsychiatriczNursing:zContemporaryzPracticez(6thzEditionzbyzMaryz AnnzBoyd) 1
Table of Contents
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TablezofzContents 1
Chapterz01:zPsychiatric-MentalzHealthzNursingzandzEvidence-BasedzPractice 2
Chapterz02:zMentalzHealthzandzMentalzDisorders 6
Chapterz03:zCulturalzandzSpiritualzIssueszRelatedztozMentalzHealthzCare 10
Chapterz04:zPatientzRightszandzLegalzIssues 14
Chapterz05:zMentalzHealthzCarezinzthezCommunity 18
Chapterz06:zEthics,zStandards,zandzNursingzFrameworks 21
Chapterz07:zPsychosocialzTheoreticzBasiszofzPsychiatriczNursing 25
Chapterz08:zBiologiczFoundationszofzPsychiatriczNursing 29
Chapterz09:zCommunicationzandzthezTherapeuticzRelationship 33
Chapterz10:zThezPsychiatric-MentalzHealthzNursingzProcess 37
Chapterz11:zPsychopharmacology,zDietaryzSupplements,zandzBiologiczInterventions 41
Chapterz12:zCognitivezInterventionszinzPsychiatriczNursing 46
Chapterz13:zGroupzInterventions 50
Chapterz14:zFamilyzAssessmentzandzInterventions 54
Chapterz15:zMentalzHealthzPromotionzforzChildrenzandzAdolescents 58
Chapterz16:zMentalzHealthzPromotionzforzYoungzandzMiddle-AgedzAdults 61
Chapterz17:zMentalzHealthzPromotionzforzOlderzAdults 64
Chapterz18:zStresszandzMentalzHealth 68
Chapterz19:zManagementzofzAnger,zAggression,zandzViolence 72
Chapterz20:zCrisis,zLoss,zGrief,zResponse,zBereavement,zandzDisasterzManagement 76
Chapterz21:zSuicidezPrevention:zScreening,zAssessment,zandzIntervention 80
Chapterz22:zSchizophreniazandzRelatedzDisorders:zNursingzCarezofzPersonszwithzThought
Disorders 84
Chapterz23:zDepression:zManagementzofzDepressivezMoodszandzSuicidalzBehaviorzChapt 92
erz24:zBipolarzDisorders:zManagementzofzMoodzLability 96
Chapterz25:zAnxietyzDisorders:zManagementzofzAnxiety,zPhobia,zandzPaniczChapterz 99
26:zObsessivezCompulsivezandzRelatedzDisorders 103
Chapterz27:zTraumazandzStressorzRelatedzDisorders 105
Chapterz28:zPersonalityzandzBorderlinezPersonalityzDisorder:zManagementzofzEmotionalzD
ysregulationzandzSelf-Harm 106
Chapterz29:zAntisocialzPersonalityzandzDisruptive,zImpulsezControl,zandzConductzDisorders
109
Chapterz30:zAddictionzandzSubstance-RelatedzDisorders 113
Chapterz31:zEatingzDisorders:zManagementzofzEatingzandzWeightzChapterz 117
32:zSomaticzSymptomzandzRelatedzDisorders 121
Chapterz33:zNursingzCarezofzPersonszwithzInsomniazandzSleepzProblems 125
Chapterz34:zSexualzDisorders:zManagementzofzSexualzDysfunctionzandzParaphiliaszC 129
hapterz35:zMentalzHealthzAssessmentzofzChildrenzandzAdolescents 132
Chapterz36:zMentalzHealthzDisorderszofzChildhoodzandzAdolescencezChapt 135
erz37:zMentalzHealthzAssessmentzofzOlderzAdults 139
Chapterz38:zNeurocognitivezDisorders 142
Chapterz39:zCaringzforzPersonszWhozArezHomelesszandzMentallyzIllzC 146
hapterz40:zCaringzforzPersonszWithzCo- 150
occurringzMentalzDisorderszChapterz41:zCaringzforzSurvivorszofzViolen 154
cezandzAbuse 158
Chapterz42:zCaringzforzPersonszWithzMentalzIllnesszandzCriminalzBehaviorzC 162
hapterz43:zCaringzforzMedicallyzCompromisedzPersons
, 2
Chapter 01: Psychiatric-
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Mental HealthNursing and Evidence-
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Based Practice
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1. Azgroupzofznursingzstudentszarezreviewingzinformationzaboutzthez
evolutionzofzmentalzhealthzcarezandzarezdiscussingzthezrecommen
dationszofzthezfinalzreportzofzthezJointzCommission
onzMentalzIllnesszandzHealth.zThezstudentszdemonstratezundersta
ndingzofzthiszinformationzwhenztheyzidentifyzthatzthezreportzrecom
mendedzanzincreasezinzwhichzofzthezfollowing?
A) Numberszofzmentalzhealthzhospitals
B) Statezfundingzforzmentalzhealthzcare
C) Clinicszsupplementedzbyzgeneralzhospitalzunits
D) Usezofzpsychotherapyzbyzpsychiatrists
2. AznurseziszreviewingzthezAmericanzNurseszAssociation’s
StatementzonzPsychiatriczNursingzPracticezpublishedzinz1967,
whichzsanctionedzthezinvolvementzofzpsychiatricmentalzhealthznurseszinzthezprovisionzofzholisticznu
rsingzcare.zIntegratingzknowledgezofzthezvariousztheorieszandzviewszofzmentalzhealthzandzillness,zthez
nursezidentifieszwhichzofzthezfollowingzaszmostzstronglyzlinkedztozthiszholisticzapproach?
A) SigmundzFreud’szpsychoanalyticztheory
B) FlorencezNightingale’szNoteszonzNursing
C) Hildegarde
D) CliffordzBeers’zAzMindzThatzFoundzItself
E) Peplau’szInterpersonalzRelationszinzNursing
3. Aznursingzinstructorziszpreparingzazpresentationzaboutzkeyzeventszandzpeoplezthatzinfluencedzthezdevelop
mentzofzcontemporaryzmentalzhealthzandzillnesszcare.zWhenzdescribingzthezeffectszofzWorldzWarzII,zwhich
zofzthezfollowingzwouldzthezinstructorzinclude?
A) Peoplezbeganztozviewzmentalzillnesszaszmorezcommonplacezandzacceptable.
B) Thezbiologiczunderstandingzofzmentalzillnesszwaszalmostzfullyzdeveloped.
C) Deinstitutionalizationzoccurredzinzresponseztozthezcommunityzhealthzmovement.
D) Mentalzillnesseszbecamezcategorizedzaszpsychoseszorzneuroses.
4. Aznursingzstudentziszpresentingzazdiscussionzofzthezhistoryzofzpsychiatricmentalzhealthznursingzandzitszp
lacezwithinznursingzhistory.zWhichzofzthezfollowingzwouldzbezmostzappropriateztozinclude?
A) CertificationzforzthezpsychiatricmentalzhealthznursingzspecialtyzwaszfirstzemphasizedzbyzMaryz
AdelaidezNutting.
B) Psychiatricznurseszplayedzazpartzinzseeingzthatzallzdeinstitutionalizedzpatientszgotztreatmentzatzc
ommunityzmentalzhealthzcenters.
C) Thereziszazhistoricalzlinkzbetweenzthezfirstznursingzprogramztozadmitzmalezstudentszandzthezfirst
trainingzschoolzforzpsychiatricznursing.z
D)
Thezfirstzgraduatezprogramzinzpsychiatricznurseszwaszestablishedzinzresponseztozthezpublic
ationzofzpsychiatricznursingzspecialtyzjournals.
5. Twoznursingzstudentszarezdiscussingzpsychiatricmentalzhealthznursingzandzthezrolezitzhaszplayedzinzn
ursing’szoverallzhistory.zWhichzstatementziszmostzaccurate?
A) ThezimportancezofzusingztherapeuticzcommunicationzwaszstressedzbyzNightingale.z
B) Thezusezofzself-careztozenhancezthezimmunezsystemzwasztaughtzbyzDorotheazDix.
C) Thezmoralztreatmentzofzmentalzillnesszwaszazprimaryzfocuszofzdeinstitutionalization.
D) Peplauzwaszthezfirstznurseztozstresszthezimportancezofztherapeuticzcommunication.
6. Whenzreviewingzthezevolutionzofzmentalzhealthzandzillnesszcare,zwhichzeventziszassociatedzwithzmentalzd
isorderszbeginningztozbezviewedzaszillnesseszrequiringztreatment?
A) EstablishmentzofzPennsylvaniazHospitalzinzPhiladelphiazz
, 3
B) Quakerzestablishmentzofzasylums
C) Creationzofzthezstatezhospitalzsystem
D) Freud’szviewszonzthezcauseszofzmentalzillnesses
7. Azpsychiatricmentalzhealthznurseziszworkingzonzazcommitteezthatziszdevelopingzprogramszthatzintegratezt
hezobjectiveszforzmentalzhealthzandzmentalzdisorderszaszidentifiedzinzHealthyzPeoplez2020.zWhichztypezof
zprogramzwouldzbezleastzappropriate?
A) Singlezsubstancezabuseztreatmentzprograms
B) Depressionzscreeningzprogramszforzprimaryzcarezproviders
C) Mentalzhealthzprogramszforzthezhomelesszpopulation
D) Employmentzprogramszforzthosezwithzseriouszmentalzillness
8. Aznursingzinstructorziszdescribingzthezconceptzofzevidence-
basedzpracticezinzpsychiatricmentalzhealthznursing.zWhichzofzthezfollowingzwouldzthezinstructorzinclude
A) Researchzfindings
zaszbeingzimportant? zSelectzallzthatzapply.
B) Expertzopinion
C)
Clinicalzexperiencesz
D) Patientzdata
E) Establishedz routines
9. Thezfollowingzeventszarezimportantzinzthezdevelopmentzofzpsychiatricmentalzhealthznursingzpractice.z
Whichzeventzoccurredzfirst?
A) PublicationzofzStandardszofzPsychiatric-MentalzHealthzNursingz byzthezANA
B) PublicationzofzStandardszofzChildzandzAdolescentzPsychiatriczandzMentalzHealthzNursingzPractice
C) EstablishmentzofzthezfirstzgraduatezprogramzinzpsychiatricznursingzatzRutgerszUniversity
D) Publicationzofzthezfirstzpsychiatricznursingztext,zNursingzMentalzDisease,zbyzHarrietzBaileyz
10. AznurseziszpreparingzazpresentationzaboutzthezcurrentzstatuszofzmentalzhealthzserviceszinzthezUnitedzSt
ates.zWhichzstatementzwouldztheznursezincludezaszthezmostzreflectivezofzthiszstatus?
A) MentalzhealthzcarezinzthezUnitedzStatesziszequallyzaccessibleztozindividuals.
B) Mentalzillnesszrankszsecondzinztermszofzcausingzdisabilityzinzcomparison.
C) Mentalzhealthzcarezprimarilyzfocuseszonzthezcurezofzmentalzillness.z
D) Mentalzhealthzcarezserviceszarezinadequatezandzfragmented.zz
11. AzgroupzofzstudentszarezreviewingzthezgoalszidentifiedzbyzthezNewzFreedomzCommissionzonzMentalzH
ealth.zThezstudentszdemonstratezunderstandingzofzthiszreportzwhenztheyzidentifyzwhichzofzthezfollowi
ngzaszazgoal?
A) Mentalzhealthziszviewedzaszonezcomponentzofzoverallzhealth.
B) Thezconsumerzandzfamilyzarezthezdrivingzforceszforzmentalzhealthzcare.z
C) Screeningziszofzgreaterzimportancezthanzassessmentzandzreferralzforzservices.
D) Disparitieszinzmentalzhealthzserviceszarezdecreased.
12. Thezfollowingzarezimportantzlegislativezandzpolicyzeffortszinfluencingzcurrentzmentalzhealthzcare.zWhichzo
fzthezfollowingziszthezmostzrecent?
A) MentalzHealth:zAzReportzofzthezSurgeonzGeneral
B) NewzFreedomzCommissionzonzMentalzHealth
C) ActionzforzMentalzHealth
D) MentalzRetardationzFacilitieszandzCommunityzMentalzHealthzCenterszConstructionzAct
13. Aszpartzofzazcareerzdayzpresentationztozazgroupzofznursingzstudents,zazpsychiatricmentalzhealthznursezplan
sztozdescribezhowzthiszspecialtyzdeveloped.zWhichzindividualzwouldztheznursezdescribezaszplayingzazmajo
rzrolezinzthezdevelopmentzofzspecialtyztrainingzprogramszforzpsychiatricznurses?
A)
MaryzAdelaidezNuttingz
B) HildegardezPeplau