ESSENTIALS OF PSYCHIATRIC NURSING,
3RD EDITION
MARY ANN BOYD; REBECCA LUEBBERT
TEST BANK
1. Question 1 — Chapter 1: Mental Health and Mental
Disorder, Mental Health and Wellness
Type: Conceptual recall
Stem: A nursing student asks how "recovery-oriented care"
differs from traditional illness-focused care. Which
statement best captures the recovery model?
Options:
A. Recovery focuses on symptom elimination as the
primary outcome.
B. Recovery emphasizes patient strengths, hope, and
community integration.
C. Recovery requires long-term inpatient treatment to
prevent relapse.
D. Recovery emphasizes provider control over treatment
decisions.
Correct answer: B
, Rationale — Correct: Recovery-oriented care centers on
strengths, hope, and meaningful community roles rather
than solely symptom reduction; it supports self-
determination and social integration. Essentials of
Psychiatric Nursing, 3rd Ed. — Chapter 1: Mental Health
and Wellness; Chapter 7: Recovery Framework.
Rationales — Incorrect:
A. Incorrect — Symptom reduction is important but not
the defining goal of recovery.
C. Incorrect — Recovery prioritizes community-based
supports and independence when possible.
D. Incorrect — Recovery emphasizes shared decision-
making, not provider control.
NCLEX/HESI applicability: Links to Psychosocial Integrity
(therapeutic relationship, advocacy) and Safe, Effective
Care (care coordination).
Teaching Point: Recovery focuses on strengths, hope, and
community participation.
Mapping & Alignment: Chapter 1 — Mental Health and
Wellness — Key Concept: Recovery model & wellness
orientation.
2. Question 2 — Chapter 7: Recovery Framework for
Psychiatric–Mental Health Nursing, Recovery-Oriented
Care
Type: Application
,Stem: A 28-year-old with schizophrenia says, “I want to
return to part-time college.” Which nursing action best
reflects recovery-oriented practice?
Options:
A. Discourage school, recommending work only when
stable for 2 years.
B. Assist the client to identify supports, accommodations,
and a stepwise plan.
C. Advise deferring education until symptoms are
completely gone.
D. Suggest focusing solely on medication adherence first.
Correct answer: B
Rationale — Correct: Assisting with practical planning and
supports aligns with recovery principles — promoting
goals, autonomy, and community integration. Essentials of
Psychiatric Nursing, 3rd Ed. — Chapter 7: Recovery
Framework.
Rationales — Incorrect:
A. Incorrect — Discouraging goals undermines hope and
recovery.
C. Incorrect — Waiting for complete symptom remission is
unrealistic and disempowering.
D. Incorrect — Medication is important but not the only
step toward functional goals.
NCLEX/HESI applicability: Promotes Psychosocial Integrity
and teaching/care coordination competencies.
Teaching Point: Support clients’ personal goals with
, practical, strength-based plans.
Mapping & Alignment: Chapter 7 — Recovery Framework
— Key Concept: Goal-setting and supports for community
re-entry.
3. Question 3 — Chapter 4: Ethics, Standards, and Nursing
Frameworks, Informed Consent
Type: Clinical scenario
Stem: A hospitalized patient with major depressive
disorder refuses ECT after detailed explanation; the team
believes ECT is indicated. The patient is competent and
persistent in refusal. What is the nurse’s best action?
Options:
A. Arrange for involuntary ECT because the team
recommends it.
B. Respect the patient’s informed refusal and document
decision and teaching.
C. Ask family to force the patient to consent.
D. Give a sedative and proceed with ECT without consent.
Correct answer: B
Rationale — Correct: Competent patients have the right to
refuse treatment; nurses must respect informed refusal,
document capacity evaluation, teaching, and alternatives.
Essentials of Psychiatric Nursing, 3rd Ed. — Chapter 3:
Patient Rights and Legal Issues.
Rationales — Incorrect:
3RD EDITION
MARY ANN BOYD; REBECCA LUEBBERT
TEST BANK
1. Question 1 — Chapter 1: Mental Health and Mental
Disorder, Mental Health and Wellness
Type: Conceptual recall
Stem: A nursing student asks how "recovery-oriented care"
differs from traditional illness-focused care. Which
statement best captures the recovery model?
Options:
A. Recovery focuses on symptom elimination as the
primary outcome.
B. Recovery emphasizes patient strengths, hope, and
community integration.
C. Recovery requires long-term inpatient treatment to
prevent relapse.
D. Recovery emphasizes provider control over treatment
decisions.
Correct answer: B
, Rationale — Correct: Recovery-oriented care centers on
strengths, hope, and meaningful community roles rather
than solely symptom reduction; it supports self-
determination and social integration. Essentials of
Psychiatric Nursing, 3rd Ed. — Chapter 1: Mental Health
and Wellness; Chapter 7: Recovery Framework.
Rationales — Incorrect:
A. Incorrect — Symptom reduction is important but not
the defining goal of recovery.
C. Incorrect — Recovery prioritizes community-based
supports and independence when possible.
D. Incorrect — Recovery emphasizes shared decision-
making, not provider control.
NCLEX/HESI applicability: Links to Psychosocial Integrity
(therapeutic relationship, advocacy) and Safe, Effective
Care (care coordination).
Teaching Point: Recovery focuses on strengths, hope, and
community participation.
Mapping & Alignment: Chapter 1 — Mental Health and
Wellness — Key Concept: Recovery model & wellness
orientation.
2. Question 2 — Chapter 7: Recovery Framework for
Psychiatric–Mental Health Nursing, Recovery-Oriented
Care
Type: Application
,Stem: A 28-year-old with schizophrenia says, “I want to
return to part-time college.” Which nursing action best
reflects recovery-oriented practice?
Options:
A. Discourage school, recommending work only when
stable for 2 years.
B. Assist the client to identify supports, accommodations,
and a stepwise plan.
C. Advise deferring education until symptoms are
completely gone.
D. Suggest focusing solely on medication adherence first.
Correct answer: B
Rationale — Correct: Assisting with practical planning and
supports aligns with recovery principles — promoting
goals, autonomy, and community integration. Essentials of
Psychiatric Nursing, 3rd Ed. — Chapter 7: Recovery
Framework.
Rationales — Incorrect:
A. Incorrect — Discouraging goals undermines hope and
recovery.
C. Incorrect — Waiting for complete symptom remission is
unrealistic and disempowering.
D. Incorrect — Medication is important but not the only
step toward functional goals.
NCLEX/HESI applicability: Promotes Psychosocial Integrity
and teaching/care coordination competencies.
Teaching Point: Support clients’ personal goals with
, practical, strength-based plans.
Mapping & Alignment: Chapter 7 — Recovery Framework
— Key Concept: Goal-setting and supports for community
re-entry.
3. Question 3 — Chapter 4: Ethics, Standards, and Nursing
Frameworks, Informed Consent
Type: Clinical scenario
Stem: A hospitalized patient with major depressive
disorder refuses ECT after detailed explanation; the team
believes ECT is indicated. The patient is competent and
persistent in refusal. What is the nurse’s best action?
Options:
A. Arrange for involuntary ECT because the team
recommends it.
B. Respect the patient’s informed refusal and document
decision and teaching.
C. Ask family to force the patient to consent.
D. Give a sedative and proceed with ECT without consent.
Correct answer: B
Rationale — Correct: Competent patients have the right to
refuse treatment; nurses must respect informed refusal,
document capacity evaluation, teaching, and alternatives.
Essentials of Psychiatric Nursing, 3rd Ed. — Chapter 3:
Patient Rights and Legal Issues.
Rationales — Incorrect:
