TEST BANK
Psychiatric Nursing: Contemporary Practice
by Mary Ann Boyd
7th Edition.
C
on
fid
en
tia
l
FULL TEST BANK!!!
,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
C
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?
on
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
fid
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.
en
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
itsplace 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
tia
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
l
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
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
healthnursing. Which of the following would the instructor include as being important? Select all that
apply.
A) Research findings
B) Expert opinion
C
C) Clinical experiences
D) Patient data
E) Established routines
on
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
fid
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.
en
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.
tia
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
l
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
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
C
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
on
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
useof self. The nurse is applying the concepts based on the work of which individual?
A) Hildegarde Peplau
B) Florence Nightingale
fid
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?
en
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
tia
1. C
2. B
3. A
4. C
5. A
l
6. A
7. A
8. A, B, C, D
9. D
10. D
11. B
12. A
13. B
14. C
15. B
16. C
, 17. A
18. B
Answers are at the end of each Chapter
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
C
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
on
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
fid
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
en
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
tia
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
l
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
, 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
8. A group of students are reviewing the multiaxial diagnostic system of the DSM-IV-TR. The students
demonstrate understanding of the axes when they identify that each axis represents which of the
following?
A) Evidence-based research finding
B) An experimental design to guide care
C) A domain of information
C
D) A laboratory test finding
9. A nursing student is assigned to care for a patient diagnosed with schizophrenia. When talking about
this patient in a clinical post conference, the student would use which terminology when referring to the
patient?
on
A) Committed patient
B) Schizophrenic
C) Schizophrenic patient
D) Person with schizophrenia
10. Mrs. Green is a patient on a psychiatric unit. At the time of her admission, her dog was killed when a
fid
car accidentally ran over it; in addition to that, she just found out that her mother has been diagnosed
with colon cancer. This information would be addressed in which DSM-IV axis?
A) Axis I
B) Axis II
C) Axis III
D) Axis IV
en
11. A nursing student is reviewing journal articles about major depression. One of the articles describes the
number of persons newly diagnosed with the disorder during the past year. The student interprets this as
which of the following?
A) Rate
B) Prevalence
C) Point prevalence
tia
D) Incidence
12. While working in a community mental health treatment center, the nurse overhears one of the
receptionists saying that one of the patients is really psycho. Later in the day, the nurse talks with the
receptionist about the comment. This action by the nurse demonstrates an attempt to address which
issue?
l
A) Lack of knowledge
B) Public stigma
C) Label avoidance
D) Self-stigma
13. After teaching a group of students about mental health and mental illness, the instructor determines that
the teaching was successful when the group identifies which of the following as reflecting mental
disorders?
A) Capacity to interact with others
B) Ability to deal with ordinary stress
C) Alteration in mood or thinking
Psychiatric Nursing: Contemporary Practice
by Mary Ann Boyd
7th Edition.
C
on
fid
en
tia
l
FULL TEST BANK!!!
,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
C
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?
on
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
fid
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.
en
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
itsplace 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
tia
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
l
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
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
healthnursing. Which of the following would the instructor include as being important? Select all that
apply.
A) Research findings
B) Expert opinion
C
C) Clinical experiences
D) Patient data
E) Established routines
on
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
fid
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.
en
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.
tia
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
l
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
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
C
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
on
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
useof self. The nurse is applying the concepts based on the work of which individual?
A) Hildegarde Peplau
B) Florence Nightingale
fid
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?
en
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
tia
1. C
2. B
3. A
4. C
5. A
l
6. A
7. A
8. A, B, C, D
9. D
10. D
11. B
12. A
13. B
14. C
15. B
16. C
, 17. A
18. B
Answers are at the end of each Chapter
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
C
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
on
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
fid
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
en
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
tia
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
l
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
, 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
8. A group of students are reviewing the multiaxial diagnostic system of the DSM-IV-TR. The students
demonstrate understanding of the axes when they identify that each axis represents which of the
following?
A) Evidence-based research finding
B) An experimental design to guide care
C) A domain of information
C
D) A laboratory test finding
9. A nursing student is assigned to care for a patient diagnosed with schizophrenia. When talking about
this patient in a clinical post conference, the student would use which terminology when referring to the
patient?
on
A) Committed patient
B) Schizophrenic
C) Schizophrenic patient
D) Person with schizophrenia
10. Mrs. Green is a patient on a psychiatric unit. At the time of her admission, her dog was killed when a
fid
car accidentally ran over it; in addition to that, she just found out that her mother has been diagnosed
with colon cancer. This information would be addressed in which DSM-IV axis?
A) Axis I
B) Axis II
C) Axis III
D) Axis IV
en
11. A nursing student is reviewing journal articles about major depression. One of the articles describes the
number of persons newly diagnosed with the disorder during the past year. The student interprets this as
which of the following?
A) Rate
B) Prevalence
C) Point prevalence
tia
D) Incidence
12. While working in a community mental health treatment center, the nurse overhears one of the
receptionists saying that one of the patients is really psycho. Later in the day, the nurse talks with the
receptionist about the comment. This action by the nurse demonstrates an attempt to address which
issue?
l
A) Lack of knowledge
B) Public stigma
C) Label avoidance
D) Self-stigma
13. After teaching a group of students about mental health and mental illness, the instructor determines that
the teaching was successful when the group identifies which of the following as reflecting mental
disorders?
A) Capacity to interact with others
B) Ability to deal with ordinary stress
C) Alteration in mood or thinking
