test bank for psychiatric nursing contemporary practice 7th
edition by ann boyd / all chapters covered (with answer key)
,table of contents
chapter 01: psychiatric-mental health nursing and evidence-based practice ....... 4
chapter 02: mental health and mental disorders ............................................... 11
chapter 03: cultural and spiritual issues related to mental health care ............. 19
chapter 04: patient rights and legal issues ........................................................ 27
chapter 05: mental health care in the community ............................................. 34
chapter 06: ethics, standards, and nursing frameworks .................................... 41
chapter 07: psychosocial theoretic basis of psychiatric nursing ......................... 48
chapter 08: biologic foundations of psychiatric nursing..................................... 56
chapter 09: communication and the therapeutic relationship ........................... 63
chapter 10: the psychiatric-mental health nursing process ................................ 71
chapter 11: psychopharmacology, dietary supplements, and biologic
interventions .................................................................................................... 79
chapter 12: cognitive interventions in psychiatric nursing ................................. 89
chapter 13: group interventions ........................................................................ 97
chapter 14: family assessment and interventions ............................................ 105
chapter 15: mental health promotion for children and adolescents................. 112
chapter 16: mental health promotion for young and middle-aged adults........ 119
chapter 17: mental health promotion for older adults..................................... 125
chapter 18: stress and mental health .............................................................. 133
chapter 19: management of anger, aggression, and violence ......................... 141
chapter 20: crisis, loss, grief, response, bereavement, and disaster management
....................................................................................................................... 148
chapter 21: suicide prevention: screening, assessment, and intervention ........ 156
chapter 22: schizophrenia and related disorders: nursing care of persons with
thought disorders ........................................................................................... 164
,chapter 23: depression: management of depressive moods and suicidal behavior
....................................................................................................................... 180
chapter 24: bipolar disorders: management of mood lability .......................... 188
chapter 25: anxiety disorders: management of anxiety, phobia, and panic ..... 194
chapter 26: obsessive compulsive and related disorders ................................. 202
chapter 27: trauma and stressor related disorders .......................................... 204
chapter 28: personality and borderline personality disorder: management of
emotional dysregulation and self-harm .......................................................... 207
chapter 29: antisocial personality and disruptive, impulse control, and conduct
disorders ......................................................................................................... 212
chapter 30: addiction and substance-related disorders ................................... 219
chapter 31: eating disorders: management of eating and weight ................... 228
chapter 32: somatic symptom and related disorders ....................................... 234
chapter 33: nursing care of persons with insomnia and sleep problems .......... 242
chapter 34: sexual disorders: management of sexual dysfunction and paraphilias
....................................................................................................................... 250
chapter 35: mental health assessment of children and adolescents ................ 256
chapter 36: mental health disorders of childhood and adolescence ................. 262
chapter 37: mental health assessment of older adults .................................... 270
chapter 38: neurocognitive disorders .............................................................. 276
chapter 39: caring for persons who are homeless and mentally ill .................. 284
chapter 40: caring for persons with co-occurring mental disorders ................. 291
chapter 41: caring for survivors of violence and abuse .................................... 299
chapter 42: caring for persons with mental illness and criminal behavior ....... 307
chapter 43: caring for medically compromised persons ................................... 314
,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 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 psychiatricmental 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
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 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.
edition by ann boyd / all chapters covered (with answer key)
,table of contents
chapter 01: psychiatric-mental health nursing and evidence-based practice ....... 4
chapter 02: mental health and mental disorders ............................................... 11
chapter 03: cultural and spiritual issues related to mental health care ............. 19
chapter 04: patient rights and legal issues ........................................................ 27
chapter 05: mental health care in the community ............................................. 34
chapter 06: ethics, standards, and nursing frameworks .................................... 41
chapter 07: psychosocial theoretic basis of psychiatric nursing ......................... 48
chapter 08: biologic foundations of psychiatric nursing..................................... 56
chapter 09: communication and the therapeutic relationship ........................... 63
chapter 10: the psychiatric-mental health nursing process ................................ 71
chapter 11: psychopharmacology, dietary supplements, and biologic
interventions .................................................................................................... 79
chapter 12: cognitive interventions in psychiatric nursing ................................. 89
chapter 13: group interventions ........................................................................ 97
chapter 14: family assessment and interventions ............................................ 105
chapter 15: mental health promotion for children and adolescents................. 112
chapter 16: mental health promotion for young and middle-aged adults........ 119
chapter 17: mental health promotion for older adults..................................... 125
chapter 18: stress and mental health .............................................................. 133
chapter 19: management of anger, aggression, and violence ......................... 141
chapter 20: crisis, loss, grief, response, bereavement, and disaster management
....................................................................................................................... 148
chapter 21: suicide prevention: screening, assessment, and intervention ........ 156
chapter 22: schizophrenia and related disorders: nursing care of persons with
thought disorders ........................................................................................... 164
,chapter 23: depression: management of depressive moods and suicidal behavior
....................................................................................................................... 180
chapter 24: bipolar disorders: management of mood lability .......................... 188
chapter 25: anxiety disorders: management of anxiety, phobia, and panic ..... 194
chapter 26: obsessive compulsive and related disorders ................................. 202
chapter 27: trauma and stressor related disorders .......................................... 204
chapter 28: personality and borderline personality disorder: management of
emotional dysregulation and self-harm .......................................................... 207
chapter 29: antisocial personality and disruptive, impulse control, and conduct
disorders ......................................................................................................... 212
chapter 30: addiction and substance-related disorders ................................... 219
chapter 31: eating disorders: management of eating and weight ................... 228
chapter 32: somatic symptom and related disorders ....................................... 234
chapter 33: nursing care of persons with insomnia and sleep problems .......... 242
chapter 34: sexual disorders: management of sexual dysfunction and paraphilias
....................................................................................................................... 250
chapter 35: mental health assessment of children and adolescents ................ 256
chapter 36: mental health disorders of childhood and adolescence ................. 262
chapter 37: mental health assessment of older adults .................................... 270
chapter 38: neurocognitive disorders .............................................................. 276
chapter 39: caring for persons who are homeless and mentally ill .................. 284
chapter 40: caring for persons with co-occurring mental disorders ................. 291
chapter 41: caring for survivors of violence and abuse .................................... 299
chapter 42: caring for persons with mental illness and criminal behavior ....... 307
chapter 43: caring for medically compromised persons ................................... 314
,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 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 psychiatricmental 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
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 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.
