1|Page
, 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 92
96
CHAPTER 24: Bipolar Disorders: Management of Mood Lability
99
CHAPTER 25: Anxiety Disorders: Management of Anxiety, Phobia, and Panic 103
CHAPTER 26: Obsessive Compulsive and Related Disorders 105
CHAPTER 27: Trauma and Stressor Related Disorders
106
CHAPTER 28: Personality and Borderline Personality Disorder: Management of
Emotional Dysregulation and Self-Harm
CHAPTER 29: Antisocial Personality and Disruptive, Impulse Control, and Conduct Disorders
109
CHAPTER 30: Addiction and Substance-Related Disorders
CHAPTER 31: Eating Disorders: Management of Eating and Weight
CHAPTER 32: Somatic Symptom and Related Disorders
2|Page
, CHAPTER 33: Nursing Care of Persons with Insomnia and Sleep Problems 113
CHAPTER 34: Sexual Disorders: Management of Sexual Dysfunction and 121
125
Paraphilias CHAPTER 35: Mental Health Assessment of Children and Adolescents
129
CHAPTER 36: Mental Health Disorders of Childhood and Adolescence 132
CHAPTER 37: Mental Health Assessment of Older Adults 135
CHAPTER 38: Neurocognitive Disorders 139
CHAPTER 39: Caring for Persons Who Are Homeless and Mentally 142
146
Ill CHAPTER 40: Caring for Persons With Co-occurring Mental
150
Disorders CHAPTER 41: Caring for Survivors of Violence and Abuse 154
CHAPTER 42: Caring for Persons With Mental Illness and Criminal 158
Behavior CHAPTER 43: Caring for Medically Compromised Persons 162
3|Page
, 2
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
2. A nurse is reviewing the American Nurses Association’s
Statement on Psychiatric Nursing Practice published in 1967,
which sanctioned the involvement of psychiatricmental 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?
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
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.
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
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 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
4|Page
, 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 92
96
CHAPTER 24: Bipolar Disorders: Management of Mood Lability
99
CHAPTER 25: Anxiety Disorders: Management of Anxiety, Phobia, and Panic 103
CHAPTER 26: Obsessive Compulsive and Related Disorders 105
CHAPTER 27: Trauma and Stressor Related Disorders
106
CHAPTER 28: Personality and Borderline Personality Disorder: Management of
Emotional Dysregulation and Self-Harm
CHAPTER 29: Antisocial Personality and Disruptive, Impulse Control, and Conduct Disorders
109
CHAPTER 30: Addiction and Substance-Related Disorders
CHAPTER 31: Eating Disorders: Management of Eating and Weight
CHAPTER 32: Somatic Symptom and Related Disorders
2|Page
, CHAPTER 33: Nursing Care of Persons with Insomnia and Sleep Problems 113
CHAPTER 34: Sexual Disorders: Management of Sexual Dysfunction and 121
125
Paraphilias CHAPTER 35: Mental Health Assessment of Children and Adolescents
129
CHAPTER 36: Mental Health Disorders of Childhood and Adolescence 132
CHAPTER 37: Mental Health Assessment of Older Adults 135
CHAPTER 38: Neurocognitive Disorders 139
CHAPTER 39: Caring for Persons Who Are Homeless and Mentally 142
146
Ill CHAPTER 40: Caring for Persons With Co-occurring Mental
150
Disorders CHAPTER 41: Caring for Survivors of Violence and Abuse 154
CHAPTER 42: Caring for Persons With Mental Illness and Criminal 158
Behavior CHAPTER 43: Caring for Medically Compromised Persons 162
3|Page
, 2
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
2. A nurse is reviewing the American Nurses Association’s
Statement on Psychiatric Nursing Practice published in 1967,
which sanctioned the involvement of psychiatricmental 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?
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
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.
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
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 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
4|Page
