1
TEST BANK
Psychiatric Nursing: Contemporary Practice 6th Edition by
Mary Ann Boyd.
, 2
Table` of` Contents
Table`of` Contents 1
Chapter`01:`Psychiatric-Mental`Health`Nursing`and`Evidence-Based`Practice 2
Chapter`02:`Mental`Health`and`Mental`Disorders 6
Chapter`03:`Cultural`and`Spiritual`Issues`Related`to`Mental`Health`Care 10
Chapter`04:`Patient`Rights`and`Legal`Issues 14
Chapter`05:`Mental`Health`Care`in`the`Community 18
Chapter`06:`Ethics,`Standards,`and`Nursing`Frameworks 21
Chapter`07:`Psychosocial`Theoretic`Basis`of`Psychiatric`Nursing 25
Chapter`08:`Biologic`Foundations`of`Psychiatric`Nursing 29
Chapter`09:`Communication`and`the`Therapeutic`Relationship 33
Chapter`10:`The`Psychiatric-Mental`Health`Nursing`Process 37
Chapter`11:`Psychopharmacology,` Dietary`Supplements,`and`Biologic` Interventions 41
Chapter`12:`Cognitive`Interventions`in`Psychiatric`Nursing 46
Chapter`13:`Group`Interventions 50
Chapter`14:`Family`Assessment`and`Interventions 54
Chapter`15:`Mental`Health`Promotion`for`Children`and`Adolescents 58
Chapter`16:`Mental`Health`Promotion`for`Young`and`Middle-Aged`Adults 61
Chapter`17:`Mental`Health`Promotion`for`Older`Adults 64
Chapter`18:`Stress`and`Mental`Health 68
Chapter`19:`Management`of`Anger,`Aggression,`and`Violence 72
Chapter`20:`Crisis,` Loss,`Grief,`Response,`Bereavement,`and`Disaster` Management 76
Chapter`21:`Suicide`Prevention:`Screening,`Assessment,`and`Intervention 80
Chapter` 22:` Schizophrenia` and`Related` Disorders:` Nursing`Care` of` Persons` with`Thought
Disorders 84
Chapter`23:`Depression:`Management`of`Depressive`Moods`and`Suicidal`Behavior`Chapt 92
er`24:`Bipolar`Disorders:`Management`of`Mood`Lability 96
Chapter`25:`Anxiety`Disorders:`Management`of`Anxiety,`Phobia,`and`Panic`C 99
hapter`26:`Obsessive`Compulsive`and`Related`Disorders 103
Chapter` 27:` Trauma` and` Stressor` Related` Disorders 105
Chapter`28:`Personality`and`Borderline`Personality`Disorder:`Management`of`Emotional`D
ysregulation`and`Self-Harm 106
Chapter`29:` Antisocial` Personality` and`Disruptive,` Impulse` Control,` and` Conduct` Disorders
109
Chapter` 30:` Addiction` and` Substance-Related` Disorders 113
Chapter`31:`Eating`Disorders:`Management`of`Eating`and`Weight`Chapter 117
`32:`Somatic`Symptom`and`Related`Disorders 121
Chapter`33:` Nursing` Care`of` Persons` with`Insomnia` and`Sleep` Problems 125
Chapter`34:`Sexual`Disorders:`Management`of`Sexual`Dysfunction`and`Paraphilias`C 129
hapter`35:`Mental`Health`Assessment`of`Children`and`Adolescents 132
Chapter`36:`Mental`Health`Disorders`of`Childhood`and`Adolescence`Cha 135
pter`37:`Mental`Health`Assessment`of`Older`Adults 139
Chapter` 38:` Neurocognitive` Disorders 142
Chapter`39:`Caring`for`Persons`Who`Are`Homeless`and`Mentally`Ill`C 146
hapter`40:`Caring`for`Persons`With`Co- 150
occurring`Mental`Disorders`Chapter`41:`Caring`for`Survivors`of`Violen 154
ce`and`Abuse 158
Chapter`42:`Caring`for`Persons`With`Mental`Illness`and`Criminal`Behavior`C 162
hapter`43:`Caring`for`Medically`Compromised`Persons
, 3
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`d
iscussing` the` recommendations` of` the` final` report` of` the` Joint` Commission` on` Mental` Illness` and`He
alth.` The` students` demonstrate` understanding` of` this` information` when` they` identify` that` the` report`re
commended`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
2. A`nurse`is`reviewing`the`American`Nurses`Association‟s`Statement`on`Psychiatric`Nursing`Practice`p
ublished` in` 1967,` which` sanctioned` the` involvement` of` psychiatricmental` health` nurses` in` the`pr
ovision`of`holistic`nursing`care.`Integrating`knowledge`of`the`various`theories`and`views`of`mental`he
alth`and`illness,`the`nurse`identifies`which`of`the`following`as`most`strongly`linked`to`this`holistic`appr
oach?
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
3. A` nursing` instructor` is` preparing` a` presentation` about` key` events` and` people` that` influenced` the`dev
elopment`of`contemporary`mental`health`and`illness`care.`When`describing`the`effects`of`World`War`II,`w
hich` 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.
D) Mental`illnesses` became` categorized` as`psychoses` or` neuroses.
4. A`nursing`student`is`presenting`a`discussion`of`the`history`of`psychiatricmental`health`nursing`and`its`
place` within` nursing` history.` Which`of` the` following` would` be` most` appropriate` to` include?
A) Certification`for`the`psychiatricmental`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`
community`mental`health`centers.
C) There`is`a`historical`link`between`the`first`nursing`program`to`admit`male`students`and`the`first`t
raining`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`psychiatricmental`health`nursing`and`the`role`it`has`played`in`
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
, 4
B) Quaker`establishment` of` asylums
C) Creation`of`the`state`hospital`system
D) Freud‟s`views`on`the`causes`of`mental`illnesses
7. A`psychiatricmental`health`nurse`is`working`on`a`committee`that`is`developing` programs`that`integrate`th
e`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`psychiatricmental` health`nursing.`Which`of`the`following`would`the`instructor`include
`as`being`important? `Select`all`that`apply.
A) Research`findings
B) Expert` opinion
C) Clinical` experiences
D) Patient` data
E) Established` routines
9. The`following`events`are`important`in`the`development`of`psychiatricmental`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
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.
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`follo
wing`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.`Which`
of`the`following`is`the`most`recent?
A) Mental`Health:` A` Report` of` the` Surgeon` General
B) New`Freedom` Commission` on` Mental` Health
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` psychiatricmental` 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
TEST BANK
Psychiatric Nursing: Contemporary Practice 6th Edition by
Mary Ann Boyd.
, 2
Table` of` Contents
Table`of` Contents 1
Chapter`01:`Psychiatric-Mental`Health`Nursing`and`Evidence-Based`Practice 2
Chapter`02:`Mental`Health`and`Mental`Disorders 6
Chapter`03:`Cultural`and`Spiritual`Issues`Related`to`Mental`Health`Care 10
Chapter`04:`Patient`Rights`and`Legal`Issues 14
Chapter`05:`Mental`Health`Care`in`the`Community 18
Chapter`06:`Ethics,`Standards,`and`Nursing`Frameworks 21
Chapter`07:`Psychosocial`Theoretic`Basis`of`Psychiatric`Nursing 25
Chapter`08:`Biologic`Foundations`of`Psychiatric`Nursing 29
Chapter`09:`Communication`and`the`Therapeutic`Relationship 33
Chapter`10:`The`Psychiatric-Mental`Health`Nursing`Process 37
Chapter`11:`Psychopharmacology,` Dietary`Supplements,`and`Biologic` Interventions 41
Chapter`12:`Cognitive`Interventions`in`Psychiatric`Nursing 46
Chapter`13:`Group`Interventions 50
Chapter`14:`Family`Assessment`and`Interventions 54
Chapter`15:`Mental`Health`Promotion`for`Children`and`Adolescents 58
Chapter`16:`Mental`Health`Promotion`for`Young`and`Middle-Aged`Adults 61
Chapter`17:`Mental`Health`Promotion`for`Older`Adults 64
Chapter`18:`Stress`and`Mental`Health 68
Chapter`19:`Management`of`Anger,`Aggression,`and`Violence 72
Chapter`20:`Crisis,` Loss,`Grief,`Response,`Bereavement,`and`Disaster` Management 76
Chapter`21:`Suicide`Prevention:`Screening,`Assessment,`and`Intervention 80
Chapter` 22:` Schizophrenia` and`Related` Disorders:` Nursing`Care` of` Persons` with`Thought
Disorders 84
Chapter`23:`Depression:`Management`of`Depressive`Moods`and`Suicidal`Behavior`Chapt 92
er`24:`Bipolar`Disorders:`Management`of`Mood`Lability 96
Chapter`25:`Anxiety`Disorders:`Management`of`Anxiety,`Phobia,`and`Panic`C 99
hapter`26:`Obsessive`Compulsive`and`Related`Disorders 103
Chapter` 27:` Trauma` and` Stressor` Related` Disorders 105
Chapter`28:`Personality`and`Borderline`Personality`Disorder:`Management`of`Emotional`D
ysregulation`and`Self-Harm 106
Chapter`29:` Antisocial` Personality` and`Disruptive,` Impulse` Control,` and` Conduct` Disorders
109
Chapter` 30:` Addiction` and` Substance-Related` Disorders 113
Chapter`31:`Eating`Disorders:`Management`of`Eating`and`Weight`Chapter 117
`32:`Somatic`Symptom`and`Related`Disorders 121
Chapter`33:` Nursing` Care`of` Persons` with`Insomnia` and`Sleep` Problems 125
Chapter`34:`Sexual`Disorders:`Management`of`Sexual`Dysfunction`and`Paraphilias`C 129
hapter`35:`Mental`Health`Assessment`of`Children`and`Adolescents 132
Chapter`36:`Mental`Health`Disorders`of`Childhood`and`Adolescence`Cha 135
pter`37:`Mental`Health`Assessment`of`Older`Adults 139
Chapter` 38:` Neurocognitive` Disorders 142
Chapter`39:`Caring`for`Persons`Who`Are`Homeless`and`Mentally`Ill`C 146
hapter`40:`Caring`for`Persons`With`Co- 150
occurring`Mental`Disorders`Chapter`41:`Caring`for`Survivors`of`Violen 154
ce`and`Abuse 158
Chapter`42:`Caring`for`Persons`With`Mental`Illness`and`Criminal`Behavior`C 162
hapter`43:`Caring`for`Medically`Compromised`Persons
, 3
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`d
iscussing` the` recommendations` of` the` final` report` of` the` Joint` Commission` on` Mental` Illness` and`He
alth.` The` students` demonstrate` understanding` of` this` information` when` they` identify` that` the` report`re
commended`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
2. A`nurse`is`reviewing`the`American`Nurses`Association‟s`Statement`on`Psychiatric`Nursing`Practice`p
ublished` in` 1967,` which` sanctioned` the` involvement` of` psychiatricmental` health` nurses` in` the`pr
ovision`of`holistic`nursing`care.`Integrating`knowledge`of`the`various`theories`and`views`of`mental`he
alth`and`illness,`the`nurse`identifies`which`of`the`following`as`most`strongly`linked`to`this`holistic`appr
oach?
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
3. A` nursing` instructor` is` preparing` a` presentation` about` key` events` and` people` that` influenced` the`dev
elopment`of`contemporary`mental`health`and`illness`care.`When`describing`the`effects`of`World`War`II,`w
hich` 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.
D) Mental`illnesses` became` categorized` as`psychoses` or` neuroses.
4. A`nursing`student`is`presenting`a`discussion`of`the`history`of`psychiatricmental`health`nursing`and`its`
place` within` nursing` history.` Which`of` the` following` would` be` most` appropriate` to` include?
A) Certification`for`the`psychiatricmental`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`
community`mental`health`centers.
C) There`is`a`historical`link`between`the`first`nursing`program`to`admit`male`students`and`the`first`t
raining`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`psychiatricmental`health`nursing`and`the`role`it`has`played`in`
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
, 4
B) Quaker`establishment` of` asylums
C) Creation`of`the`state`hospital`system
D) Freud‟s`views`on`the`causes`of`mental`illnesses
7. A`psychiatricmental`health`nurse`is`working`on`a`committee`that`is`developing` programs`that`integrate`th
e`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`psychiatricmental` health`nursing.`Which`of`the`following`would`the`instructor`include
`as`being`important? `Select`all`that`apply.
A) Research`findings
B) Expert` opinion
C) Clinical` experiences
D) Patient` data
E) Established` routines
9. The`following`events`are`important`in`the`development`of`psychiatricmental`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
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.
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`follo
wing`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.`Which`
of`the`following`is`the`most`recent?
A) Mental`Health:` A` Report` of` the` Surgeon` General
B) New`Freedom` Commission` on` Mental` Health
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` psychiatricmental` 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
